CDISC QRS Controlled Terminology, 2022-03-25

Source: NCI EVS Terminology Resources website: http://www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc
NCI Code CDISC Submission Value Codelist Name CDISC Definition Codelist Extensible
C141663 A4STR1TC 4-Stair Ascend Functional Test Test Code 4-Stair Ascend test code. No
C141662 A4STR1TN 4-Stair Ascend Functional Test Test Name 4-Stair Ascend test name. No
C103459 ACGC01TC Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change test code. No
C103458 ACGC01TN Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change test name. No
C100132 ADCTC Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Code ADAS-Cog CDISC Version test code. No
C100131 ADCTN Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Name ADAS-Cog CDISC Version test name. No
C105140 ADL01TC Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test code. No
C105139 ADL01TN Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test name. No
C106653 ADL02TC Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test code. No
C106652 ADL02TN Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test name. No
C106651 ADL03TC Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test code. No
C106650 ADL03TN Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test name. No
C163385 ADSD01TC Asthma Daytime Symptom Diary v1.0 Questionnaire Test Code Asthma Daytime Symptom Diary v1.0 test code. No
C163384 ADSD01TN Asthma Daytime Symptom Diary v1.0 Questionnaire Test Name Asthma Daytime Symptom Diary v1.0 test name. No
C119060 ADT01TC Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code Alcohol Use Disorder Identification Test: Self-Report Version test code. No
C119059 ADT01TN Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name Alcohol Use Disorder Identification Test: Self-Report Version test name. No
C119062 ADTC01TC Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code Alcohol Use Disorder Identification Test-Consumption Questions test code. No
C119061 ADTC01TN Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name Alcohol Use Disorder Identification Test-Consumption Questions test name. No
C182464 AIMS0101T07OR Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0101 Through AIMS0107 TN/TC Abnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107 test and test code. No
C182502 AIMS0101T07STR Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0101 Through AIMS0107 TN/TC Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107 test and test code. No
C182465 AIMS0108T09OR Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0108 Through AIMS0109 TN/TC Abnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109 test and test code. No
C182503 AIMS0108T09STR Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0108 Through AIMS0109 TN/TC Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109 test and test code. No
C182466 AIMS0110OR Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0110 TN/TC Abnormal Involuntary Movement Scale original result for AIMS0110 test and test code. No
C182504 AIMS0110STR Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0110 TN/TC Abnormal Involuntary Movement Scale standardized character result for AIMS0110 test and test code. No
C182467 AIMS0111T12OR Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0111 Through AIMS0112 TN/TC Abnormal Involuntary Movement Scale original result for AIMS0111 through AIMS0112 test and test code. No
C182505 AIMS0111T12STR Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0111 Through AIMS0112 TN/TC Abnormal Involuntary Movement Scale standardized character result for AIMS0111 through AIMS0112 test and test code. No
C101805 AIMS01TC Abnormal Involuntary Movement Scale Clinical Classification Test Code Abnormal Involuntary Movement Scale test code. No
C101806 AIMS01TN Abnormal Involuntary Movement Scale Clinical Classification Test Name Abnormal Involuntary Movement Scale test name. No
C141655 AJCC1TC AJCC TNM Staging System 7th Edition Clinical Classification Test Code AJCC TNM Staging System 7th Edition test code. No
C141654 AJCC1TN AJCC TNM Staging System 7th Edition Clinical Classification Test Name AJCC TNM Staging System 7th Edition test name. No
C163387 ANSD01TC Asthma Nighttime Symptom Diary v1.0 Questionnaire Test Code Asthma Nighttime Symptom Diary v1.0 test code. No
C163386 ANSD01TN Asthma Nighttime Symptom Diary v1.0 Questionnaire Test Name Asthma Nighttime Symptom Diary v1.0 test name. No
C182484 APCH101OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH101 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH101 test and test code. No
C182522 APCH101STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH101 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101 test and test code. No
C182485 APCH102OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH102 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH102 test and test code. No
C182523 APCH102STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH102 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102 test and test code. No
C182486 APCH103OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH103 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH103 test and test code. No
C182524 APCH103STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH103 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103 test and test code. No
C182487 APCH104OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH104 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH104 test and test code. No
C182525 APCH104STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH104 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104 test and test code. No
C182488 APCH105AOR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105A TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH105A test and test code. No
C182526 APCH105ASTR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105A TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A test and test code. No
C182489 APCH105BOR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105B TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH105B test and test code. No
C182527 APCH105BSTR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105B TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B test and test code. No
C182490 APCH106AOR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106A TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH106A test and test code. No
C182528 APCH106ASTR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106A TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A test and test code. No
C182491 APCH106BOR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106B TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH106B test and test code. No
C182529 APCH106BSTR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106B TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B test and test code. No
C182492 APCH107OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH107 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH107 test and test code. No
C182530 APCH107STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH107 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107 test and test code. No
C182493 APCH108OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH108 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH108 test and test code. No
C182531 APCH108STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH108 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108 test and test code. No
C182494 APCH109OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH109 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH109 test and test code. No
C182532 APCH109STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH109 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109 test and test code. No
C182495 APCH110OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH110 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH110 test and test code. No
C182533 APCH110STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH110 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110 test and test code. No
C182496 APCH111OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH111 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH111 test and test code. No
C182534 APCH111STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH111 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111 test and test code. No
C182497 APCH114OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH114 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH114 test and test code. No
C182535 APCH114STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH114 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114 test and test code. No
C182498 APCH115OR Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH115 TN/TC Acute Physiology and Chronic Health Evaluation II original result for APCH115 test and test code. No
C182536 APCH115STR Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH115 TN/TC Acute Physiology and Chronic Health Evaluation II standardized character result for APCH115 test and test code. No
C120985 APCH1TC Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code Acute Physiology and Chronic Health Evaluation II test code. No
C120984 APCH1TN Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name Acute Physiology and Chronic Health Evaluation II test name. No
C176047 APGR01TC Apgar Score V1 Clinical Classification Test Code Apgar Score V1 test code. No
C176046 APGR01TN Apgar Score V1 Clinical Classification Test Name Apgar Score V1 test name. No
C112435 AQ01TC Airway Questionnaire 20 Questionnaire Test Code Airway Questionnaire 20 test code. No
C112434 AQ01TN Airway Questionnaire 20 Questionnaire Test Name Airway Questionnaire 20 test name. No
C124666 ASCVD1TC Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Code Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator test code. No
C124665 ASCVD1TN Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Name Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator test name. No
C125741 ASEX01TC Arizona Sexual Experiences Scale - Female Questionnaire Test Code Arizona Sexual Experiences Scale - Female test code. No
C125740 ASEX01TN Arizona Sexual Experiences Scale - Female Questionnaire Test Name Arizona Sexual Experiences Scale - Female test name. No
C125743 ASEX02TC Arizona Sexual Experiences Scale - Male Questionnaire Test Code Arizona Sexual Experiences Scale - Male test code. No
C125742 ASEX02TN Arizona Sexual Experiences Scale - Male Questionnaire Test Name Arizona Sexual Experiences Scale - Male test name. No
C124668 ASSG01TC ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code ASSIGN Cardiovascular Disease 10-Year Risk Score test code. No
C124667 ASSG01TN ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name ASSIGN Cardiovascular Disease 10-Year Risk Score test name. No
C182470 ATLAS101OR ATLAS Clinical Classification ORRES for ATLAS101 TN/TC ATLAS original result for ATLAS101 test and test code. No
C182508 ATLAS101STR ATLAS Clinical Classification STRESC for ATLAS101 TN/TC ATLAS standardized character result for ATLAS101 test and test code. No
C182471 ATLAS102OR ATLAS Clinical Classification ORRES for ATLAS102 TN/TC ATLAS original result for ATLAS102 test and test code. No
C182509 ATLAS102STR ATLAS Clinical Classification STRESC for ATLAS102 TN/TC ATLAS standardized character result for ATLAS102 test and test code. No
C182472 ATLAS103OR ATLAS Clinical Classification ORRES for ATLAS103 TN/TC ATLAS original result for ATLAS103 test and test code. No
C182510 ATLAS103STR ATLAS Clinical Classification STRESC for ATLAS103 TN/TC ATLAS standardized character result for ATLAS103 test and test code. No
C182473 ATLAS104OR ATLAS Clinical Classification ORRES for ATLAS104 TN/TC ATLAS original result for ATLAS104 test and test code. No
C182511 ATLAS104STR ATLAS Clinical Classification STRESC for ATLAS104 TN/TC ATLAS standardized character result for ATLAS104 test and test code. No
C182474 ATLAS105OR ATLAS Clinical Classification ORRES for ATLAS105 TN/TC ATLAS original result for ATLAS105 test and test code. No
C182512 ATLAS105STR ATLAS Clinical Classification STRESC for ATLAS105 TN/TC ATLAS standardized character result for ATLAS105 test and test code. No
C147538 ATLAS1TC ATLAS Clinical Classification Test Code ATLAS test code. No
C147537 ATLAS1TN ATLAS Clinical Classification Test Name ATLAS test name. No
C101807 AVL01TC ADNI Auditory Verbal Learning Functional Test Test Code ADNI AVLT test code. No
C101808 AVL01TN ADNI Auditory Verbal Learning Functional Test Test Name ADNI AVLT test name. No
C123655 AVL02TC Rey Auditory Verbal Learning Test Functional Test Test Code Rey Auditory Verbal Learning Test test code. No
C123654 AVL02TN Rey Auditory Verbal Learning Test Functional Test Test Name Rey Auditory Verbal Learning Test test name. No
C161623 AVPU01TC Alert Verbal Painful Unresponsive Scale Clinical Classification Test Code Alert Verbal Painful Unresponsive Scale test code. No
C161622 AVPU01TN Alert Verbal Painful Unresponsive Scale Clinical Classification Test Name Alert Verbal Painful Unresponsive Scale test name. No
C120983 BACS1TC Brief Assessment of Cognition in Schizophrenia Functional Test Test Code Brief Assessment of Cognition in Schizophrenia test code. No
C120982 BACS1TN Brief Assessment of Cognition in Schizophrenia Functional Test Test Name Brief Assessment of Cognition in Schizophrenia test name. No
C101809 BARS01TC Barnes Akathisia Rating Scale Clinical Classification Test Code Barnes Akathisia Rating Scale test code. No
C101810 BARS01TN Barnes Akathisia Rating Scale Clinical Classification Test Name Barnes Akathisia Rating Scale test name. No
C113846 BCR101TC Borg CR10 Scale Questionnaire Test Code Borg CR10 scale test code. No
C113845 BCR101TN Borg CR10 Scale Questionnaire Test Name Borg CR10 scale test name. No
C106655 BDI01TC Baseline Dyspnea Index Clinical Classification Test Code Baseline Dyspnea Index test code. No
C106654 BDI01TN Baseline Dyspnea Index Clinical Classification Test Name Baseline Dyspnea Index test name. No
C135680 BEBQ01TC Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Code Baby Eating Behaviour Questionnaire Concurrent Version test code. No
C135679 BEBQ01TN Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Name Baby Eating Behaviour Questionnaire Concurrent Version test name. No
C135682 BEBQ02TC Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Code Baby Eating Behaviour Questionnaire Retrospective Version test code. No
C135681 BEBQ02TN Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Name Baby Eating Behaviour Questionnaire Retrospective Version test name. No
C113852 BLCS01TC Bladder Control Scale Questionnaire Test Code Bladder Control Scale test code. No
C113851 BLCS01TN Bladder Control Scale Questionnaire Test Name Bladder Control Scale test name. No
C120987 BODE01TC The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test code. No
C120986 BODE01TN The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test name. No
C100162 BPI1TC Brief Pain Inventory Questionnaire Test Code Brief Pain Inventory test code. No
C100161 BPI1TN Brief Pain Inventory Questionnaire Test Name Brief Pain Inventory test name. No
C100164 BPI2TC Brief Pain Inventory Short Form Questionnaire Test Code Brief Pain Inventory Short Form test code. No
C100163 BPI2TN Brief Pain Inventory Short Form Questionnaire Test Name Brief Pain Inventory Short Form test name. No
C161625 BPRS01TC Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test Code Brief Psychiatric Rating Scale 1988 Version test code. No
C161624 BPRS01TN Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test Name Brief Psychiatric Rating Scale 1988 Version test name. No
C100134 BPRSA1TC Brief Psychiatric Rating Scale-A Clinical Classification Test Code The Brief Psychiatric Rating Scale-A test code. No
C100133 BPRSA1TN Brief Psychiatric Rating Scale-A Clinical Classification Test Name The Brief Psychiatric Rating Scale-A test name. No
C130239 BUERS1TC Brooke Upper Extremity Rating Scale Clinical Classification Test Code Brooke Upper Extremity Rating Scale test code. No
C130238 BUERS1TN Brooke Upper Extremity Rating Scale Clinical Classification Test Name Brooke Upper Extremity Rating Scale test name. No
C113854 BWCS01TC Bowel Control Scale Questionnaire Test Code Bowel Control Scale test code. No
C113853 BWCS01TN Bowel Control Scale Questionnaire Test Name Bowel Control Scale test name. No
C119076 CADG01TC Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code Coronary Artery Dissection NHLBI Grade test code. No
C119075 CADG01TN Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name Coronary Artery Dissection NHLBI Grade test name. No
C118971 CCCAT Category of Clinical Classification A grouping of observations within the Disease Response and Clin Classification domain. Yes
C119064 CCQ01TC Clinical COPD Questionnaire 24 Hour Version Questionnaire Test Code Clinical COPD Questionnaire 24 Hour Version test code. No
C119063 CCQ01TN Clinical COPD Questionnaire 24 Hour Version Questionnaire Test Name Clinical COPD Questionnaire 24 Hour Version test name. No
C119066 CCQ02TC Clinical COPD Questionnaire 1 Week Version Questionnaire Test Code Clinical COPD Questionnaire 1 Week Version test code. No
C119065 CCQ02TN Clinical COPD Questionnaire 1 Week Version Questionnaire Test Name Clinical COPD Questionnaire 1 Week Version test name. No
C176049 CDAI01TC Crohn's Disease Activity Index Version 1 Clinical Classification Test Code Crohn's Disease Activity Index Version 1 test code. No
C176048 CDAI01TN Crohn's Disease Activity Index Version 1 Clinical Classification Test Name Crohn's Disease Activity Index Version 1 test name. No
C101811 CDR01TC Clinical Dementia Rating Questionnaire Test Code Clinical Dementia Rating test code. No
C101812 CDR01TN Clinical Dementia Rating Questionnaire Test Name Clinical Dementia Rating test name. No
C154447 CDRS1TC Children's Depression Rating Scale, Revised Clinical Classification Test Code Children's Depression Rating Scale, Revised test code. No
C154446 CDRS1TN Children's Depression Rating Scale, Revised Clinical Classification Test Name Children's Depression Rating Scale, Revised test name. No
C179945 CES0101OR Combat Exposure Scale Questionnaire ORRES for CES0101 TN/TC Combat Exposure Scale original result for CES0101 test and test code. No
C179950 CES0101STR Combat Exposure Scale Questionnaire STRESC for CES0101 TN/TC Combat Exposure Scale standardized character result for CES0101 test and test code. No
C179946 CES0102OR Combat Exposure Scale Questionnaire ORRES for CES0102 TN/TC Combat Exposure Scale original result for CES0102 test and test code. No
C179951 CES0102STR Combat Exposure Scale Questionnaire STRESC for CES0102 TN/TC Combat Exposure Scale standardized character result for CES0102 test and test code. No
C179947 CES0103OR Combat Exposure Scale Questionnaire ORRES for CES0103 TN/TC Combat Exposure Scale original result for CES0103 test and test code. No
C179952 CES0103STR Combat Exposure Scale Questionnaire STRESC for CES0103 TN/TC Combat Exposure Scale standardized character result for CES0103 test and test code. No
C179948 CES0104OR Combat Exposure Scale Questionnaire ORRES for CES0104 TN/TC Combat Exposure Scale original result for CES0104 test and test code. No
C179953 CES0104STR Combat Exposure Scale Questionnaire STRESC for CES0104 TN/TC Combat Exposure Scale standardized character result for CES0104 test and test code. No
C179949 CES0105T07OR Combat Exposure Scale Questionnaire ORRES for CES0105 Through CES0107 TN/TC Combat Exposure Scale original result for CES0105 through CES0107 test and test code. No
C179954 CES0105T07STR Combat Exposure Scale Questionnaire STRESC for CES0105 Through CES0107 TN/TC Combat Exposure Scale standardized character result for CES0105 through CES0107 test and test code. No
C132519 CES01TC Combat Exposure Scale Questionnaire Test Code Combat Exposure Scale test code. No
C132518 CES01TN Combat Exposure Scale Questionnaire Test Name Combat Exposure Scale test name. No
C135686 CGI02TC Clinical Global Impression Generic Modification Version Questionnaire Test Code Clinical Global Impression Generic Modification Version test code. No
C135685 CGI02TN Clinical Global Impression Generic Modification Version Questionnaire Test Name Clinical Global Impression Generic Modification Version test name. No
C124678 CHIVC1TC CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Code CDC Classification System for HIV-Infected Adults and Adolescents test code. No
C124677 CHIVC1TN CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Name CDC Classification System for HIV-Infected Adults and Adolescents test name. No
C117987 CHSF1TC Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code Craig Handicap Assessment and Reporting Technique - Short Form Interview Version test code. No
C117986 CHSF1TN Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name Craig Handicap Assessment and Reporting Technique - Short Form Interview Version test name. No
C119068 CHSF2TC Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code Craig Handicap Assessment and Reporting Technique - Short Form Paper Version test code. No
C119067 CHSF2TN Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name Craig Handicap Assessment and Reporting Technique - Short Form Paper Version test name. No
C100158 COMM1TC Current Opioid Misuse Measure Questionnaire Test Code Current Opioid Misuse Measure test code. No
C100157 COMM1TN Current Opioid Misuse Measure Questionnaire Test Name Current Opioid Misuse Measure test name. No
C156673 COVI01TC Covi Anxiety Scale Clinical Classification Test Code Covi Anxiety Scale test code. No
C156672 COVI01TN Covi Anxiety Scale Clinical Classification Test Name Covi Anxiety Scale test name. No
C150766 COWAT1TC Controlled Oral Word Association Test Functional Test Test Code Controlled Oral Word Association Test test code. No
C150765 COWAT1TN Controlled Oral Word Association Test Functional Test Test Name Controlled Oral Word Association Test test name. No
C101813 COWS1TC Clinical Opiate Withdrawal Scale Questionnaire Test Code Clinical Opiate Withdrawal Scale test code. No
C101814 COWS1TN Clinical Opiate Withdrawal Scale Questionnaire Test Name Clinical Opiate Withdrawal Scale test name. No
C120989 CPS01TC Child-Pugh Classification Clinical Classification Test Code Child-Pugh Classification test code. No
C120988 CPS01TN Child-Pugh Classification Clinical Classification Test Name Child-Pugh Classification test name. No
C120979 CRQ01TC Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Code Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test code. No
C120978 CRQ01TN Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Name Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test name. No
C120981 CRQ02TC Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Code Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test code. No
C120980 CRQ02TN Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Name Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test name. No
C124684 CRSR01TC JFK Coma Recovery Scale-Revised Clinical Classification Test Code JFK Coma Recovery Scale-Revised test code. No
C124683 CRSR01TN JFK Coma Recovery Scale-Revised Clinical Classification Test Name JFK Coma Recovery Scale-Revised test name. No
C100168 CSS01TC Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test Code Columbia-Suicide Severity Rating Scale Baseline test code. No
C100167 CSS01TN Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test Name Columbia-Suicide Severity Rating Scale Baseline test name. No
C103461 CSS02TC Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code Columbia-Suicide Severity Rating Scale Since Last Visit test code. No
C103460 CSS02TN Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name Columbia-Suicide Severity Rating Scale Since Last Visit test name. No
C105132 CSS03TC Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 Questionnaire test code. No
C105131 CSS03TN Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 test name. No
C106661 CSS04TC Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code Columbia-Suicide Severity Rating Scale Baseline/Screening Version test code. No
C106660 CSS04TN Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name Columbia-Suicide Severity Rating Scale Baseline/Screening Version test name. No
C106659 CSS05TC Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code Columbia-Suicide Severity Rating Scale Already Enrolled Subject test code. No
C106658 CSS05TN Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name Columbia-Suicide Severity Rating Scale Already Enrolled Subject test name. No
C111336 CSS06TC Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code Columbia-Suicide Severity Rating Scale Children's Baseline test code. No
C111335 CSS06TN Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name Columbia-Suicide Severity Rating Scale Children's Baseline test name. No
C111338 CSS07TC Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code Columbia-Suicide Severity Rating Scale Children's Baseline/Screening test code. No
C111337 CSS07TN Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name Columbia-Suicide Severity Rating Scale Children's Baseline/Screening test name. No
C111340 CSS08TC Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code Columbia-Suicide Severity Rating Scale Children's Since Last Visit test code. No
C111339 CSS08TN Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name Columbia-Suicide Severity Rating Scale Children's Since Last Visit test name. No
C111342 CSS09TC Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code Columbia-Suicide Severity Rating Scale Screening test code. No
C111341 CSS09TN Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name Columbia-Suicide Severity Rating Scale Screening test name. No
C113848 CSS10TC Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Code Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test code. No
C113847 CSS10TN Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Name Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test name. No
C117989 CSS11TC Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code Columbia-Suicide Severity Rating Scale Lifetime/Recent Version test code. No
C117988 CSS11TN Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name Columbia-Suicide Severity Rating Scale Lifetime/Recent Version test name. No
C141661 D4STR1TC 4-Stair Descend Functional Test Test Code 4-Stair Descend test code. No
C141660 D4STR1TN 4-Stair Descend Functional Test Test Name 4-Stair Descend test name. No
C105130 DAD01TC Disability Assessment for Dementia Questionnaire Test Code Disability Assessment for Dementia test code. No
C105129 DAD01TN Disability Assessment for Dementia Questionnaire Test Name Disability Assessment for Dementia test name. No
C161621 DDS01TC Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Code Diabetes Distress Scale for Adults with Type 1 Diabetes test code. No
C161620 DDS01TN Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Name Diabetes Distress Scale for Adults with Type 1 Diabetes test name. No
C163395 DDS02TC Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Code Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes test code. No
C163394 DDS02TN Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Name Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes test name. No
C163397 DDS03TC Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Code Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes test code. No
C163396 DDS03TN Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Name Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes test name. No
C183549 DIBC01TC Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Code Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 test code. No
C183548 DIBC01TN Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Name Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 test name. No
C119070 DLQI1TC Dermatology Life Quality Index Questionnaire Test Code Dermatology Life Quality Index test code. No
C119069 DLQI1TN Dermatology Life Quality Index Questionnaire Test Name Dermatology Life Quality Index test name. No
C141673 DRRI1TC Deployment Risk and Resilience Inventory-2 Questionnaire Test Code Deployment Risk and Resilience Inventory-2 test code. No
C141672 DRRI1TN Deployment Risk and Resilience Inventory-2 Questionnaire Test Name Deployment Risk and Resilience Inventory-2 test name. No
C115402 DRS01TC Disability Rating Scale Clinical Classification Test Code Disability Rating Scale test code. No
C115401 DRS01TN Disability Rating Scale Clinical Classification Test Name Disability Rating Scale test name. No
C112437 DS01TC Disease Steps Clinical Classification Test Code Disease Steps test code. No
C112436 DS01TN Disease Steps Clinical Classification Test Name Disease Steps test name. No
C179943 ECOG101OR Eastern Cooperative Oncology Group Performance Status Clinical Classification ORRES for ECOG101 TN/TC Eastern Cooperative Oncology Group Performance Status original result for ECOG101 test and test code. No
C179944 ECOG101STR Eastern Cooperative Oncology Group Performance Status Clinical Classification STRESC for ECOG101 TN/TC Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101 test and test code. No
C101815 ECOG1TC Eastern Cooperative Oncology Group Performance Status Clinical Classification Test Code Eastern Cooperative Oncology Group Performance Status test code. No
C101816 ECOG1TN Eastern Cooperative Oncology Group Performance Status Clinical Classification Test Name Eastern Cooperative Oncology Group Performance Status test name. No
C125745 ED1TC Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Code Expanded Disability Rating Scale - Postacute Interview Caregiver Version test code. No
C125744 ED1TN Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Name Expanded Disability Rating Scale - Postacute Interview Caregiver Version test name. No
C125747 ED2TC Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Code Expanded Disability Rating Scale - Postacute Interview Survivor Version test code. No
C125746 ED2TN Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Name Expanded Disability Rating Scale - Postacute Interview Survivor Version test name. No
C112439 EDSS01TC Kurtzke Expanded Disability Status Scale Clinical Classification Test Code Kurtzke Expanded Disability Status Scale test code. No
C112438 EDSS01TN Kurtzke Expanded Disability Status Scale Clinical Classification Test Name Kurtzke Expanded Disability Status Scale test name. No
C150768 EMO1TC Emotion Recognition Functional Test Test Code Emotion Recognition test code. No
C150767 EMO1TN Emotion Recognition Functional Test Test Name Emotion Recognition test name. No
C161619 EOR01TC European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Code European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 test code. No
C161618 EOR01TN European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Name European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 test name. No
C161617 EOR02TC European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Code European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 test code. No
C161616 EOR02TN European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Name European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 test name. No
C170525 EOR06TC European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Code European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 test code. No
C170524 EOR06TN European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Name European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 test name. No
C172400 EOR18TC European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Code European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module test code. No
C172399 EOR18TN European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Name European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module test name. No
C132521 EPDS01TC Edinburgh Postnatal Depression Scale Questionnaire Test Code Edinburgh Postnatal Depression Scale test code. No
C132520 EPDS01TN Edinburgh Postnatal Depression Scale Questionnaire Test Name Edinburgh Postnatal Depression Scale test name. No
C127350 EPIC1TC The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Code The Expanded Prostate Cancer Index Composite Short Form test code. No
C127349 EPIC1TN The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Name The Expanded Prostate Cancer Index Composite Short Form test name. No
C127352 EPIC2TC The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Code The Expanded Prostate Cancer Index Composite for Clinical Practice test code. No
C127351 EPIC2TN The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Name The Expanded Prostate Cancer Index Composite for Clinical Practice test name. No
C100136 EQ5D01TC European Quality of Life Five Dimension Three Level Scale Questionnaire Test Code European Quality of Life Five Dimension Three Level Scale test code. No
C100135 EQ5D01TN European Quality of Life Five Dimension Three Level Scale Questionnaire Test Name European Quality of Life Five Dimension Three Level Scale test name. No
C101817 EQ5D02TC European Quality of Life Five Dimension Five Level Scale Questionnaire Test Code European Quality of Life Five Dimension Five Level Scale test code. No
C101818 EQ5D02TN European Quality of Life Five Dimension Five Level Scale Questionnaire Test Name European Quality of Life Five Dimension Five Level Scale test name. No
C117991 ESRSA1TC Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Code Extrapyramidal Symptom Rating Scale-Abbreviated test code. No
C117990 ESRSA1TN Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Name Extrapyramidal Symptom Rating Scale-Abbreviated test name. No
C103463 ESS01TC Epworth Sleepiness Scale Questionnaire Test Code Epworth Sleepiness Scale test code. No
C103462 ESS01TN Epworth Sleepiness Scale Questionnaire Test Name Epworth Sleepiness Scale test name. No
C161627 ETRP01TC Emory Treatment Resistance Interview for PTSD Clinical Classification Test Code Emory Treatment Resistance Interview for PTSD test code. No
C161626 ETRP01TN Emory Treatment Resistance Interview for PTSD Clinical Classification Test Name Emory Treatment Resistance Interview for PTSD test name. No
C123653 EXACT1TC Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Code Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome test code. No
C123652 EXACT1TN Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Name Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome test name. No
C127354 FAC001TC The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Code The Functional Assessment of Cancer Therapy-General Version 4 test code. No
C127353 FAC001TN The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Name The Functional Assessment of Cancer Therapy-General Version 4 test name. No
C129094 FAC005TC Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Breast Version 4 test code. No
C129093 FAC005TN Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Breast Version 4 test name. No
C154453 FAC006TC Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Bladder Version 4 test code. No
C154452 FAC006TN Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Bladder Version 4 test name. No
C150774 FAC008TC Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Colorectal Version 4 test code. No
C150773 FAC008TN Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Colorectal Version 4 test name. No
C130255 FAC015TC Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 test code. No
C130254 FAC015TN Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 test name. No
C150782 FAC016TC Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Lung Version 4 test code. No
C150781 FAC016TN Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Lung Version 4 test name. No
C130253 FAC017TC Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Leukemia Version 4 test code. No
C130252 FAC017TN Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Leukemia Version 4 test name. No
C130257 FAC018TC Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Lymphoma Version 4 test code. No
C130256 FAC018TN Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Lymphoma Version 4 test name. No
C127358 FAC023TC The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Code The Functional Assessment of Cancer Therapy-Prostate Version 4 test code. No
C127357 FAC023TN The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Name The Functional Assessment of Cancer Therapy-Prostate Version 4 test name. No
C129092 FAC028TC National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Code National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 test code. No
C129091 FAC028TN National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Name National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 test name. No
C138221 FAC029TC Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Code Functional Assessment of Cancer Therapy-Brain Symptom Index test code. No
C138220 FAC029TN Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Name Functional Assessment of Cancer Therapy-Brain Symptom Index test name. No
C150786 FAC030TC National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Code National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 test code. No
C150785 FAC030TN National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Name National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 test name. No
C150788 FAC036TC National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Code National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 test code. No
C150787 FAC036TN National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Name National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 test name. No
C138223 FAC039TC Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Code Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 test code. No
C138222 FAC039TN Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Name Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 test name. No
C150784 FAC041TC Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 test code. No
C150783 FAC041TN Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 test name. No
C129090 FAC042TC National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Code National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 test code. No
C129089 FAC042TN National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Name National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 test name. No
C138225 FAC043TC Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Code Functional Assessment of Cancer Therapy-Lung Symptom Index test code. No
C138224 FAC043TN Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Name Functional Assessment of Cancer Therapy-Lung Symptom Index test name. No
C129096 FAC049TC Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Code Functional Assessment of Cancer Therapy-Ovarian Symptom Index test code. No
C129095 FAC049TN Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Name Functional Assessment of Cancer Therapy-Ovarian Symptom Index test name. No
C129098 FAC050TC National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Code National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 test code. No
C129097 FAC050TN National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Name National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 test name. No
C127356 FAC052TC The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Code The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 test code. No
C127355 FAC052TN The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Name The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 test name. No
C150780 FAC057TC Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 test code. No
C150779 FAC057TN Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 test name. No
C147540 FAC061TC Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 test code. No
C147539 FAC061TN Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 test name. No
C150778 FAC062TC Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 test code. No
C150777 FAC062TN Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 test name. No
C150776 FAC063TC Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Taxane Version 4 test code. No
C150775 FAC063TN Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Taxane Version 4 test name. No
C179938 FAC065TC Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Code Functional Assessment of Anorexia/Cachexia Treatment Version 4 test code. No
C179937 FAC065TN Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Name Functional Assessment of Anorexia/Cachexia Treatment Version 4 test name. No
C147544 FAC070TC Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Code Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 test code. No
C147543 FAC070TN Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Name Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 test name. No
C129088 FAC071TC Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Code Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 test code. No
C129087 FAC071TN Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Name Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 test name. No
C179940 FAC074TC Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Code Functional Assessment of Cancer Therapy-Bone Pain Version 4 test code. No
C179939 FAC074TN Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Name Functional Assessment of Cancer Therapy-Bone Pain Version 4 test name. No
C166184 FAC075TC Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Code Functional Assessment of Cancer Therapy-Cognitive Function Version 3 test code. No
C166183 FAC075TN Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Name Functional Assessment of Cancer Therapy-Cognitive Function Version 3 test name. No
C147542 FAC084TC Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Code Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form test code. No
C147541 FAC084TN Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Name Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form test name. No
C147546 FAC099TC Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Code Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue test code. No
C147545 FAC099TN Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Name Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue test name. No
C154451 FAC100TC Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Code Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank test code. No
C154450 FAC100TN Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Name Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank test name. No
C112441 FAMS01TC Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code Functional Assessment of Multiple Sclerosis Version 4 test code. No
C112440 FAMS01TN Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name Functional Assessment of Multiple Sclerosis Version 4 test name. No
C111344 FAQ01TC Functional Activities Questionnaire Clinical Classification Test Code Functional Activities Questionnaire test code. No
C111343 FAQ01TN Functional Activities Questionnaire Clinical Classification Test Name Functional Activities Questionnaire test name. No
C111346 FAQNA1TC Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Code Functional Assessment Questionnaire-NACC UDS V2.0 test code. No
C111345 FAQNA1TN Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Name Functional Assessment Questionnaire-NACC UDS V2.0 test name. No
C170523 FASNA1TC Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Code Functional Assessment Scale-NACC UDS Version 3.0 test code. No
C170522 FASNA1TN Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Name Functional Assessment Scale-NACC UDS Version 3.0 test name. No
C124670 FCVD1TC Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code Framingham Heart Study Cardiovascular Disease 10-Year Risk Score test code. No
C124669 FCVD1TN Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name Framingham Heart Study Cardiovascular Disease 10-Year Risk Score test name. No
C103465 FIQR01TC Revised Fibromyalgia Impact Questionnaire Questionnaire Test Code Revised Fibromyalgia Impact Questionnaire test code. No
C103464 FIQR01TN Revised Fibromyalgia Impact Questionnaire Questionnaire Test Name Revised Fibromyalgia Impact Questionnaire test name. No
C100154 FPSR1TC Faces Pain Scale - Revised Questionnaire Test Code Faces Pain Scale - Revised test code. No
C100153 FPSR1TN Faces Pain Scale - Revised Questionnaire Test Name Faces Pain Scale - Revised test name. No
C183551 FSILTC Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Code Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult test code. No
C183550 FSILTN Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Name Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult test name. No
C113850 FSS01TC Fatigue Severity Scale Questionnaire Test Code Fatigue Severity Scale test code. No
C113849 FSS01TN Fatigue Severity Scale Questionnaire Test Name Fatigue Severity Scale test name. No
C115304 FTCAT Category of Functional Test A grouping of observations within the Functional Tests domain. Yes
C103467 GAD01TC Generalized Anxiety Disorder - 7 Questionnaire Test Code Generalized Anxiety Disorder - 7 test code. No
C103466 GAD01TN Generalized Anxiety Disorder - 7 Questionnaire Test Name Generalized Anxiety Disorder - 7 test name. No
C163389 GAD02TC Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test Code Generalized Anxiety Disorder - 7 Version 2 test code. No
C163388 GAD02TN Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test Name Generalized Anxiety Disorder - 7 Version 2 test name. No
C105138 GCGI01TC General Clinical Global Impressions Questionnaire Test Code General Clinical Global Impressions test code. No
C105137 GCGI01TN General Clinical Global Impressions Questionnaire Test Name General Clinical Global Impressions test name. No
C124682 GCS01TC Glasgow Coma Scale NINDS Version Clinical Classification Test Code Glasgow Coma Scale NINDS Version test code. No
C124681 GCS01TN Glasgow Coma Scale NINDS Version Clinical Classification Test Name Glasgow Coma Scale NINDS Version test name. No
C106663 GDS01TC Geriatric Depression Scale Questionnaire Test Code Geriatric Depression Scale test code. No
C106662 GDS01TN Geriatric Depression Scale Questionnaire Test Name Geriatric Depression Scale test name. No
C106665 GDS02TC Geriatric Depression Scale Short Form Questionnaire Test Code Geriatric Depression Scale Short Form test code. No
C106664 GDS02TN Geriatric Depression Scale Short Form Questionnaire Test Name Geriatric Depression Scale Short Form test name. No
C163391 GMSS01TC The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Code The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes test code. No
C163390 GMSS01TN The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Name The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes test name. No
C115404 GOSE1TC Extended Glasgow Outcome Scale Questionnaire Test Code Extended Glasgow Outcome Scale test code. No
C115403 GOSE1TN Extended Glasgow Outcome Scale Questionnaire Test Name Extended Glasgow Outcome Scale test name. No
C103469 HADS01TC Hospital Anxiety and Depression Scale Questionnaire Test Code Hospital Anxiety and Depression Scale test code. No
C103468 HADS01TN Hospital Anxiety and Depression Scale Questionnaire Test Name Hospital Anxiety and Depression Scale test name. No
C115390 HAI01TC Hauser Ambulation Index Functional Test Test Code Hauser Ambulation Index test code. No
C115389 HAI01TN Hauser Ambulation Index Functional Test Test Name Hauser Ambulation Index test name. No
C182468 HAMA101T14OR Hamilton Anxiety Rating Scale Clinical Classification ORRES for HAMA101 Through HAMA114 TN/TC Hamilton Anxiety Rating Scale original result for HAMA101 through HAMA114 test and test code. No
C182506 HAMA101T14STR Hamilton Anxiety Rating Scale Clinical Classification STRESC for HAMA101 Through HAMA114 TN/TC Hamilton Anxiety Rating Scale standardized character result for HAMA101 through HAMA114 test and test code. No
C101819 HAMA1TC Hamilton Anxiety Rating Scale Clinical Classification Test Code Hamilton Anxiety Rating Scale test code. No
C101820 HAMA1TN Hamilton Anxiety Rating Scale Clinical Classification Test Name Hamilton Anxiety Rating Scale test name. No
C100138 HAMD1TC Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Code The Hamilton Depression Rating Scale - 17 Item test code. No
C100137 HAMD1TN Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Name The Hamilton Depression Rating Scale - 17 Item test name. No
C101821 HAMD2TC Hamilton Depression Rating Scale 21-Item Clinical Classification Test Code Hamilton Depression Rating Scale 21-Item test code. No
C101822 HAMD2TN Hamilton Depression Rating Scale 21-Item Clinical Classification Test Name Hamilton Depression Rating Scale 21-Item test name. No
C130245 HAMD3TC Hamilton Depression Rating Scale - 24 Item Clinical Classification Test Code Hamilton Depression Rating Scale - 24 Item test code. No
C130244 HAMD3TN Hamilton Depression Rating Scale - 24 Item Clinical Classification Test Name Hamilton Depression Rating Scale - 24 Item test name. No
C130243 HAMD4TC Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Code Hamilton Depression Rating Scale - 6 Clinician Version test code. No
C130242 HAMD4TN Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Name Hamilton Depression Rating Scale - 6 Clinician Version test name. No
C130259 HAMDS1TC Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Code Hamilton Depression Rating Scale - 6 Self-Report test code. No
C130258 HAMDS1TN Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Name Hamilton Depression Rating Scale - 6 Self-Report test name. No
C106667 HAQ01TC Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Code Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale test code. No
C106666 HAQ01TN Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Name Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale test name. No
C132523 HAQ02TC Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Code Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale test code. No
C132522 HAQ02TN Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Name Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale test name. No
C163393 HCS01TC Hypoglycemic Confidence Scale Questionnaire Test Code Hypoglycemic Confidence Scale test code. No
C163392 HCS01TN Hypoglycemic Confidence Scale Questionnaire Test Name Hypoglycemic Confidence Scale test name. No
C166188 HDCAB1TC Huntington's Disease Cognitive Assessment Battery Functional Test Test Code Huntington's Disease Cognitive Assessment Battery test code. No
C166187 HDCAB1TN Huntington's Disease Cognitive Assessment Battery Functional Test Test Name Huntington's Disease Cognitive Assessment Battery test name. No
C138213 HSB01TC HAS-BLED Bleeding Risk Score Clinical Classification Test Code HAS-BLED Bleeding Risk Score test code. No
C138212 HSB01TN HAS-BLED Bleeding Risk Score Clinical Classification Test Name HAS-BLED Bleeding Risk Score test name. No
C174052 IBDQ01TC Quality of Life in Inflammatory Bowel Disease Questionnaire Test Code Quality of Life in Inflammatory Bowel Disease Questionnaire test code. No
C174051 IBDQ01TN Quality of Life in Inflammatory Bowel Disease Questionnaire Test Name Quality of Life in Inflammatory Bowel Disease Questionnaire test name. No
C130247 IDSC1TC Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code Inventory of Depressive Symptomatology Clinician-Rated Version test code. No
C130246 IDSC1TN Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name Inventory of Depressive Symptomatology Clinician-Rated Version test name. No
C130261 IDSR1TC Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code Inventory of Depressive Symptomatology Self-Report Version test code. No
C130260 IDSR1TN Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name Inventory of Depressive Symptomatology Self-Report Version test name. No
C103471 IIEF01TC International Index of Erectile Function Questionnaire Test Code International Index of Erectile Function test code. No
C103470 IIEF01TN International Index of Erectile Function Questionnaire Test Name International Index of Erectile Function test name. No
C141671 IPAQ01TC International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Code International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format test code. No
C141670 IPAQ01TN International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Name International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format test name. No
C141669 IPAQ02TC International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Code International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format test code. No
C141668 IPAQ02TN International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Name International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format test name. No
C141667 IPAQ03TC International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Code International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format test code. No
C141666 IPAQ03TN International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Name International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format test name. No
C141665 IPAQ04TC International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Code International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format test code. No
C141664 IPAQ04TN International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Name International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format test name. No
C182461 IPS0101T06OR International Prostate Symptom Score Questionnaire ORRES for IPS0101 Through IPS0106 TN/TC International Prostate Symptom Score original result for IPS0101 through IPS0106 test and test code. No
C182499 IPS0101T06STR International Prostate Symptom Score Questionnaire STRESC for IPS0101 Through IPS0106 TN/TC International Prostate Symptom Score standardized character result for IPS0101 Through IPS0106 test and test code. No
C182462 IPS0107OR International Prostate Symptom Score Questionnaire ORRES for IPS0107 TN/TC International Prostate Symptom Score original result for IPS0107 test and test code. No
C182500 IPS0107STR International Prostate Symptom Score Questionnaire STRESC for IPS0107 TN/TC International Prostate Symptom Score standardized character result for IPS0107 test and test code. No
C182463 IPS0109OR International Prostate Symptom Score Questionnaire ORRES for IPS0109 TN/TC International Prostate Symptom Score original result for IPS0109 test and test code. No
C182501 IPS0109STR International Prostate Symptom Score Questionnaire STRESC for IPS0109 TN/TC International Prostate Symptom Score standardized character result for IPS0109 test and test code. No
C183547 IPS01TC International Prostate Symptom Score Questionnaire Test Code International Prostate Symptom Score test code. No
C183546 IPS01TN International Prostate Symptom Score Questionnaire Test Name International Prostate Symptom Score test name. No
C113856 IVIS01TC Impact of Visual Impairment Scale Questionnaire Test Code Impact of Visual Impairment Scale test code. No
C113855 IVIS01TN Impact of Visual Impairment Scale Questionnaire Test Name Impact of Visual Impairment Scale test name. No
C170529 KDIGO1TC Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Code Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury test code. No
C170528 KDIGO1TN Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Name Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury test name. No
C130251 KDPI01TC Kidney Donor Profile Index Clinical Classification Test Code Kidney Donor Profile Index test code. No
C130250 KDPI01TN Kidney Donor Profile Index Clinical Classification Test Name Kidney Donor Profile Index test name. No
C182475 KFSS101OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS101 TN/TC Kurtzke Functional System Scores original result for KFSS101 test and test code. No
C182513 KFSS101STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS101 TN/TC Kurtzke Functional System Scores standardized character result for KFSS101 test and test code. No
C182477 KFSS102A&6AOR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102A and KFSS106A TN/TC Kurtzke Functional System Scores original result for KFSS102A and KFSS106A test and test code. No
C182515 KFSS102A&6ASTR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102A and KFSS106A TN/TC Kurtzke Functional System Scores standardized character result for KFSS102A and KFSS106A test and test code. No
C182476 KFSS102OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102 TN/TC Kurtzke Functional System Scores original result for KFSS102 test and test code. No
C182514 KFSS102STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102 TN/TC Kurtzke Functional System Scores standardized character result for KFSS102 test and test code. No
C182478 KFSS103OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS103 TN/TC Kurtzke Functional System Scores original result for KFSS103 test and test code. No
C182516 KFSS103STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS103 TN/TC Kurtzke Functional System Scores standardized character result for KFSS103 test and test code. No
C182479 KFSS104OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS104 TN/TC Kurtzke Functional System Scores original result for KFSS104 test and test code. No
C182517 KFSS104STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS104 TN/TC Kurtzke Functional System Scores standardized character result for KFSS104 test and test code. No
C182480 KFSS105OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS105 TN/TC Kurtzke Functional System Scores original result for KFSS105 test and test code. No
C182518 KFSS105STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS105 TN/TC Kurtzke Functional System Scores standardized character result for KFSS105 test and test code. No
C182481 KFSS106OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS106 TN/TC Kurtzke Functional System Scores original result for KFSS106 test and test code. No
C182519 KFSS106STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS106 TN/TC Kurtzke Functional System Scores standardized character result for KFSS106 test and test code. No
C182482 KFSS107OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS107 TN/TC Kurtzke Functional System Scores original result for KFSS107 test and test code. No
C182520 KFSS107STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS107 TN/TC Kurtzke Functional System Scores standardized character result for KFSS107 test and test code. No
C182483 KFSS108OR Kurtzke Functional System Scores Clinical Classification ORRES for KFSS108 TN/TC Kurtzke Functional System Scores original result for KFSS108 test and test code. No
C182521 KFSS108STR Kurtzke Functional System Scores Clinical Classification STRESC for KFSS108 TN/TC Kurtzke Functional System Scores standardized character result for KFSS108 test and test code. No
C112443 KFSS1TC Kurtzke Functional Systems Scores Clinical Classification Test Code Kurtzke Functional Systems Scores test code. No
C112442 KFSS1TN Kurtzke Functional Systems Scores Clinical Classification Test Name Kurtzke Functional Systems Scores test name. No
C182469 KPSS0101OR Karnofsky Performance Status Scale Clinical Classification ORRES for KPSS0101 TN/TC Karnofsky Performance Status Scale original result for KPSS0101 test and test code. No
C182507 KPSS0101STR Karnofsky Performance Status Scale Clinical Classification STRESC for KPSS0101 TN/TC Karnofsky Performance Status Scale standardized character result for KPSS0101 test and test code. No
C100170 KPSS01TC Karnofsky Performance Status Scale Clinical Classification Test Code Karnofsky Performance Status Scale test code. No
C100169 KPSS01TN Karnofsky Performance Status Scale Clinical Classification Test Name Karnofsky Performance Status Scale test name. No
C135690 LEC01TC Life Events Checklist for DSM-5 Standard Version Questionnaire Test Code Life Events Checklist for DSM-5 Standard Version test code. No
C135689 LEC01TN Life Events Checklist for DSM-5 Standard Version Questionnaire Test Name Life Events Checklist for DSM-5 Standard Version test name. No
C138215 LPPSS1TC Lansky Play-Performance Status Scale Clinical Classification Test Code Lansky Play-Performance Status Scale test code. No
C138214 LPPSS1TN Lansky Play-Performance Status Scale Clinical Classification Test Name Lansky Play-Performance Status Scale test name. No
C120991 MELD01TC Model for End Stage Liver Disease Clinical Classification Test Code Model for End Stage Liver Disease test code. No
C120990 MELD01TN Model for End Stage Liver Disease Clinical Classification Test Name Model for End Stage Liver Disease test name. No
C113858 MFIS01TC Modified Fatigue Impact Scale Questionnaire Test Code Modified Fatigue Impact Scale test code. No
C113857 MFIS01TN Modified Fatigue Impact Scale Questionnaire Test Name Modified Fatigue Impact Scale test name. No
C112445 MHIS01TC Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code Modified Hachinski Ischemic Scale-NACC Version test code. No
C112444 MHIS01TN Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name Modified Hachinski Ischemic Scale-NACC Version test name. No
C106669 MMRC01TC Modified Medical Research Council Dyspnea Scale Questionnaire Test Code Modified Medical Research Council Dyspnea Scale test code. No
C106668 MMRC01TN Modified Medical Research Council Dyspnea Scale Questionnaire Test Name Modified Medical Research Council Dyspnea Scale test name. No
C100142 MMS1TC Mini-Mental State Examination Functional Test Test Code Mini-Mental State Examination test code. No
C100141 MMS1TN Mini-Mental State Examination Functional Test Test Name Mini-Mental State Examination test name. No
C150770 MMS2TC Mini-Mental State Examination 2 Standard Version Functional Test Test Code Mini-Mental State Examination 2 Standard Version test code. No
C150769 MMS2TN Mini-Mental State Examination 2 Standard Version Functional Test Test Name Mini-Mental State Examination 2 Standard Version test name. No
C100152 MNSI1TC Michigan Neuropathy Screening Instrument Questionnaire Test Code Michigan Neuropathy Screening Instrument test code. No
C100151 MNSI1TN Michigan Neuropathy Screening Instrument Questionnaire Test Name Michigan Neuropathy Screening Instrument test name. No
C115406 MPAI1TC Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code Mayo-Portland Adaptability Inventory-4 test code. No
C115405 MPAI1TN Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name Mayo-Portland Adaptability Inventory-4 test name. No
C111348 MRS01TC Modified Rankin Scale Questionnaire Test Code Modified Rankin Scale test code. No
C111347 MRS01TN Modified Rankin Scale Questionnaire Test Name Modified Rankin Scale test name. No
C113860 MSQL1TC Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Code Multiple Sclerosis Quality of Life-54 Instrument test code. No
C113859 MSQL1TN Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Name Multiple Sclerosis Quality of Life-54 Instrument test name. No
C171355 NEWS1TC National Early Warning Score 2 Clinical Classification Test Code National Early Warning Score 2 test code. No
C171354 NEWS1TN National Early Warning Score 2 Clinical Classification Test Name National Early Warning Score 2 test name. No
C115392 NHPT01TC Nine-Hole Peg Test Functional Test Test Code Nine-Hole Peg Test test code. No
C115391 NHPT01TN Nine-Hole Peg Test Functional Test Test Name Nine-Hole Peg Test test name. No
C100144 NPI1TC Neuropsychiatric Inventory Questionnaire Test Code The Neuropsychiatric Inventory test code. No
C100143 NPI1TN Neuropsychiatric Inventory Questionnaire Test Name The Neuropsychiatric Inventory test name. No
C103473 NPS01TC Neuropathic Pain Scale Questionnaire Test Code Neuropathic Pain Scale test code. No
C103472 NPS01TN Neuropathic Pain Scale Questionnaire Test Name Neuropathic Pain Scale test name. No
C120993 NSA01TC Negative Symptom Assessment-16 Clinical Classification Test Code Negative Symptom Assessment-16 test code. No
C120992 NSA01TN Negative Symptom Assessment-16 Clinical Classification Test Name Negative Symptom Assessment-16 test name. No
C132517 NSAA1TC North Star Ambulatory Assessment Clinical Classification Test Code North Star Ambulatory Assessment test code. No
C132516 NSAA1TN North Star Ambulatory Assessment Clinical Classification Test Name North Star Ambulatory Assessment test name. No
C154455 NSCLC1TC Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Code Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 test code. No
C154454 NSCLC1TN Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Name Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 test name. No
C103475 OABQ01TC The Overactive Bladder Questionnaire Questionnaire Test Code The Overactive Bladder Questionnaire test code. No
C103474 OABQ01TN The Overactive Bladder Questionnaire Questionnaire Test Name The Overactive Bladder Questionnaire test name. No
C103477 OABQ02TC The Overactive Bladder Questionnaire Short Form Questionnaire Test Code The Overactive Bladder Questionnaire Short Form test code. No
C103476 OABQ02TN The Overactive Bladder Questionnaire Short Form Questionnaire Test Name The Overactive Bladder Questionnaire Short Form test name. No
C103479 ODI01TC The Oswestry Disability Index Version 2.1a Questionnaire Test Code The Oswestry Disability Index Version 2.1a test code. No
C103478 ODI01TN The Oswestry Disability Index Version 2.1a Questionnaire Test Name The Oswestry Disability Index Version 2.1a test name. No
C124686 PANSS1TC Positive and Negative Syndrome Scale Clinical Classification Test Code Positive and Negative Syndrome Scale test code. No
C124685 PANSS1TN Positive and Negative Syndrome Scale Clinical Classification Test Name Positive and Negative Syndrome Scale test name. No
C115394 PASAT1TC Paced Auditory Serial Addition Test Functional Test Test Code Paced Auditory Serial Addition Test test code. No
C115393 PASAT1TN Paced Auditory Serial Addition Test Functional Test Test Name Paced Auditory Serial Addition Test test name. No
C135678 PASI01TC Psoriasis Area and Severity Index Clinical Classification Test Code Psoriasis Area and Severity Index test code. No
C135677 PASI01TN Psoriasis Area and Severity Index Clinical Classification Test Name Psoriasis Area and Severity Index test name. No
C179936 PASI02TC Psoriasis Area and Severity Index Version 2 Clinical Classification Test Code Psoriasis Area and Severity Index Version 2 test code. No
C179935 PASI02TN Psoriasis Area and Severity Index Version 2 Clinical Classification Test Name Psoriasis Area and Severity Index Version 2 test name. No
C135692 PCL01TC The PTSD Checklist for DSM-5 Questionnaire Test Code The PTSD Checklist for DSM-5 test code. No
C135691 PCL01TN The PTSD Checklist for DSM-5 Questionnaire Test Name The PTSD Checklist for DSM-5 test name. No
C112447 PDDS01TC Patient Determined Disease Steps Questionnaire Test Code Patient Determined Disease Steps test code. No
C112446 PDDS01TN Patient Determined Disease Steps Questionnaire Test Name Patient Determined Disease Steps test name. No
C135688 PGI01TC Patient Global Impression Generic Modification Version Questionnaire Test Code Patient Global Impression Generic Modification Version test code. No
C135687 PGI01TN Patient Global Impression Generic Modification Version Questionnaire Test Name Patient Global Impression Generic Modification Version test name. No
C103481 PHQ01TC Patient Health Questionnaire - 9 Item Questionnaire Test Code Patient Health Questionnaire - 9 test code. No
C103480 PHQ01TN Patient Health Questionnaire - 9 Item Questionnaire Test Name Patient Health Questionnaire - 9 test name. No
C103483 PHQ02TC Patient Health Questionnaire - 15 Item Questionnaire Test Code Patient Health Questionnaire - 15 test code. No
C103482 PHQ02TN Patient Health Questionnaire - 15 Item Questionnaire Test Name Patient Health Questionnaire - 15 test name. No
C125749 PHQ03TC Patient Health Questionnaire Screener Version Questionnaire Test Code Patient Health Questionnaire Screener Version test code. No
C125748 PHQ03TN Patient Health Questionnaire Screener Version Questionnaire Test Name Patient Health Questionnaire Screener Version test name. No
C157727 PHQ04TC Patient Health Questionnaire - 2 Item Questionnaire Test Code Patient Health Questionnaire - 2 test code. No
C157726 PHQ04TN Patient Health Questionnaire - 2 Item Questionnaire Test Name Patient Health Questionnaire - 2 test name. No
C105134 PI01TC Pain Intensity Questionnaire Test Code Pain Intensity test code. No
C105133 PI01TN Pain Intensity Questionnaire Test Name Pain Intensity test name. No
C135694 PODCI1TC Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Code Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version test code. No
C135693 PODCI1TN Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Name Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version test name. No
C135696 PODCI2TC Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Code Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version test code. No
C135695 PODCI2TN Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Name Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version test name. No
C135698 PODCI3TC Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Code Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version test code. No
C135697 PODCI3TN Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Name Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version test name. No
C138259 PQL01TC Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult test code. No
C138258 PQL01TN Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult test name. No
C138253 PQL02TC Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report test code. No
C138252 PQL02TN Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report test name. No
C138257 PQL03TC Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Teen test code. No
C138256 PQL03TN Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Teen test name. No
C138251 PQL04TC Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report test code. No
C138250 PQL04TN Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report test name. No
C138245 PQL05TC Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Child test code. No
C138244 PQL05TN Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Child test name. No
C138249 PQL06TC Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report test code. No
C138248 PQL06TN Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report test name. No
C138261 PQL07TC Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Young Child test code. No
C138260 PQL07TN Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Young Child test name. No
C138255 PQL08TC Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report test code. No
C138254 PQL08TN Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report test name. No
C138247 PQL09TC Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report test code. No
C138246 PQL09TN Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report test name. No
C138241 PQL10TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult test code. No
C138240 PQL10TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult test name. No
C138235 PQL11TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report test code. No
C138234 PQL11TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report test name. No
C138239 PQL12TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen test code. No
C138238 PQL12TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen test name. No
C138233 PQL13TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report test code. No
C138232 PQL13TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report test name. No
C138227 PQL14TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child test code. No
C138226 PQL14TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child test name. No
C138231 PQL15TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report test code. No
C138230 PQL15TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report test name. No
C138243 PQL16TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child test code. No
C138242 PQL16TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child test name. No
C138237 PQL17TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report test code. No
C138236 PQL17TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report test name. No
C138229 PQL18TC Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Code Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report test code. No
C138228 PQL18TN Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Name Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report test name. No
C105136 PR01TC Pain Relief Questionnaire Test Code Pain Relief test code. No
C105135 PR01TN Pain Relief Questionnaire Test Name Pain Relief test name. No
C127360 PROS01TC The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Code The Prostate Cancer Specific Quality of Life Instrument test code. No
C127359 PROS01TN The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Name The Prostate Cancer Specific Quality of Life Instrument test name. No
C179942 PT01TC Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Code Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 test code. No
C179941 PT01TN Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Name Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 test name. No
C150772 PTAP1TC Paced Tapping Functional Test Test Code Paced Tapping test code. No
C150771 PTAP1TN Paced Tapping Functional Test Test Name Paced Tapping test name. No
C138217 PUL01TC Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Code Performance of the Upper Limb Module for DMD Version 1.2 test code. No
C138216 PUL01TN Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Name Performance of the Upper Limb Module for DMD Version 1.2 test name. No
C138219 PUL02TC Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Code Performance of the Upper Limb Module for DMD Version 2.0 test code. No
C138218 PUL02TN Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Name Performance of the Upper Limb Module for DMD Version 2.0 test name. No
C130249 QIDSC1TC Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code Quick Inventory of Depressive Symptomatology Clinician-Rated Version test code. No
C130248 QIDSC1TN Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name Quick Inventory of Depressive Symptomatology Clinician-Rated Version test name. No
C130263 QIDSR1TC Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code Quick Inventory of Depressive Symptomatology Self-Report Version test code. No
C130262 QIDSR1TN Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name Quick Inventory of Depressive Symptomatology Self-Report Version test name. No
C130265 QLES1TC Quality Of Life Enjoyment And Satisfaction Questionnaire Test Code Quality Of Life Enjoyment And Satisfaction Questionnaire test code. No
C130264 QLES1TN Quality Of Life Enjoyment And Satisfaction Questionnaire Test Name Quality Of Life Enjoyment And Satisfaction Questionnaire test name. No
C130267 QLES2TC Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Code Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form test code. No
C130266 QLES2TN Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Name Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form test name. No
C100129 QSCAT Category of Questionnaire A grouping of observations within the Questionnaires domain. Yes
C113862 R3601TC RAND 36-Item Health Survey 1.0 Questionnaire Test Code RAND 36-Item Health Survey 1.0 test code. No
C113861 R3601TN RAND 36-Item Health Survey 1.0 Questionnaire Test Name RAND 36-Item Health Survey 1.0 test name. No
C171409 RASS01TC Richmond Agitation-Sedation Scale Clinical Classification Test Code Richmond Agitation-Sedation Scale test code. No
C171408 RASS01TN Richmond Agitation-Sedation Scale Clinical Classification Test Name Richmond Agitation-Sedation Scale test name. No
C124672 RCVD01TC Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code Reynolds Cardiovascular Disease 10-Year Risk Score test code. No
C124671 RCVD01TN Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name Reynolds Cardiovascular Disease 10-Year Risk Score test name. No
C100166 RDQ01TC Roland Morris Disability Questionnaire Questionnaire Test Code Roland Morris Disability Questionnaire test code. No
C100165 RDQ01TN Roland Morris Disability Questionnaire Questionnaire Test Name Roland Morris Disability Questionnaire test name. No
C141659 RISEF1TC Rising From Floor Functional Test Test Code Rising From Floor test code. No
C141658 RISEF1TN Rising From Floor Functional Test Test Name Rising From Floor test name. No
C166190 ROCK01TC Rockport One Mile Walk Test Version 1.0 Functional Test Test Code Rockport One Mile Walk Test Version 1.0 test code. No
C166189 ROCK01TN Rockport One Mile Walk Test Version 1.0 Functional Test Test Name Rockport One Mile Walk Test Version 1.0 test name. No
C119072 RPQ01TC Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test Code Rivermead Post Concussion Symptoms Questionnaire test code. No
C119071 RPQ01TN Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test Name Rivermead Post Concussion Symptoms Questionnaire test name. No
C135700 RSSS01TC RAND Social Support Survey Instrument Questionnaire Test Code RAND Social Support Survey Instrument test code. No
C135699 RSSS01TN RAND Social Support Survey Instrument Questionnaire Test Name RAND Social Support Survey Instrument test name. No
C171413 SAS01TC Riker Sedation-Agitation Scale Clinical Classification Test Code Riker Sedation-Agitation Scale test code. No
C171412 SAS01TN Riker Sedation-Agitation Scale Clinical Classification Test Name Riker Sedation-Agitation Scale test name. No
C115396 SDMT01TC Symbol Digit Modalities Test Functional Test Test Code Symbol Digit Modalities Test test code. No
C115395 SDMT01TN Symbol Digit Modalities Test Functional Test Test Name Symbol Digit Modalities Test test name. No
C111350 SDS01TC Sheehan Disability Scale Questionnaire Test Code Sheehan Disability Scale test code. No
C111349 SDS01TN Sheehan Disability Scale Questionnaire Test Name Sheehan Disability Scale test name. No
C176051 SES01TC Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Code Simple Endoscopic Score for Crohn's Disease Version 1 test code. No
C176050 SES01TN Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Name Simple Endoscopic Score for Crohn's Disease Version 1 test name. No
C177712 SF101TC Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Code Short Form 10 Health Survey for Children Standard, US Version 1.0 test code. No
C177711 SF101TN Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Name Short Form 10 Health Survey for Children Standard, US Version 1.0 test name. No
C177710 SF102TC Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Code Short Form 10 Health Survey for Children Acute, US Version 1.0 test code. No
C177709 SF102TN Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Name Short Form 10 Health Survey for Children Acute, US Version 1.0 test name. No
C177716 SF121TC Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Code Short Form 12 Health Survey Standard, US Version 1.0 test code. No
C177715 SF121TN Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Name Short Form 12 Health Survey Standard, US Version 1.0 test name. No
C177714 SF122TC Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Code Short Form 12 Health Survey Acute, US Version 1.0 test code. No
C177713 SF122TN Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Name Short Form 12 Health Survey Acute, US Version 1.0 test name. No
C177720 SF123TC Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Code Short Form 12 Health Survey Standard, US Version 2.0 test code. No
C177719 SF123TN Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Name Short Form 12 Health Survey Standard, US Version 2.0 test name. No
C177718 SF124TC Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Code Short Form 12 Health Survey Acute, US Version 2.0 test code. No
C177717 SF124TN Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Name Short Form 12 Health Survey Acute, US Version 2.0 test name. No
C100174 SF361TC The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Code The Short Form 36 Health Survey Standard, US Version 1.0 test code. No
C100173 SF361TN The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Name The Short Form 36 Health Survey Standard, US Version 1.0 test name. No
C101823 SF362TC The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Code The Short Form 36 Health Survey Acute, US Version 1.0 test code. No
C101824 SF362TN The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Name The Short Form 36 Health Survey Acute, US Version 1.0 test name. No
C101826 SF363TC The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Code The Short Form 36 Health Survey Standard, US Version 2.0 test code. No
C101827 SF363TN The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Name The Short Form 36 Health Survey Standard, US Version 2.0 test name. No
C101884 SF364TC The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Code The Short Form 36 Health Survey Acute, US Version 2.0 test code. No
C101825 SF364TN The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Name The Short Form 36 Health Survey Acute, US Version 2.0 test name. No
C185742 SF6D1TC SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Code SF-6Dv2 Health Utility Survey Standard, English Version 2.0 test code. No
C185741 SF6D1TN SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Name SF-6Dv2 Health Utility Survey Standard, English Version 2.0 test name. No
C185740 SF6D2TC SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Code SF-6Dv2 Health Utility Survey Acute, English Version 2.0 test code. No
C185739 SF6D2TN SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Name SF-6Dv2 Health Utility Survey Acute, English Version 2.0 test name. No
C177708 SF81TC Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Code Short Form 8 Health Survey Standard, US Version 1.0 test code. No
C177707 SF81TN Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Name Short Form 8 Health Survey Standard, US Version 1.0 test name. No
C177706 SF82TC Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Code Short Form 8 Health Survey Acute, US Version 1.0 test code. No
C177705 SF82TN Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Name Short Form 8 Health Survey Acute, US Version 1.0 test name. No
C100156 SFMP2TC Short-Form McGill Pain Questionnaire-2 Questionnaire Test Code Short-Form McGill Pain Questionnaire-2 test code. No
C100155 SFMP2TN Short-Form McGill Pain Questionnaire-2 Questionnaire Test Name Short-Form McGill Pain Questionnaire-2 test name. No
C112449 SGRQ01TC St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Code St. George's Respiratory Questionnaire Past 3 Months Version test code. No
C112448 SGRQ01TN St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Name St. George's Respiratory Questionnaire Past 3 Months Version test name. No
C112451 SGRQ02TC St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Code St. George's Respiratory Questionnaire Past 4 Weeks Version test code. No
C112450 SGRQ02TN St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Name St. George's Respiratory Questionnaire Past 4 Weeks Version test name. No
C106671 SGRQC1TC St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Code St. George's Respiratory Questionnaire for COPD Patients test code. No
C106670 SGRQC1TN St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Name St. George's Respiratory Questionnaire for COPD Patients test name. No
C150790 SIQ01TC Suicidal Ideation Questionnaire Test Code Suicidal Ideation Questionnaire test code. No
C150789 SIQ01TN Suicidal Ideation Questionnaire Test Name Suicidal Ideation Questionnaire test name. No
C150792 SIQ02TC Suicidal Ideation Questionnaire-JR Questionnaire Test Code Suicidal Ideation Questionnaire-JR test code. No
C150791 SIQ02TN Suicidal Ideation Questionnaire-JR Questionnaire Test Name Suicidal Ideation Questionnaire-JR test name. No
C103485 SIQR01TC Symptom Impact Questionnaire Questionnaire Test Code Symptom Impact Questionnaire test code. No
C103484 SIQR01TN Symptom Impact Questionnaire Questionnaire Test Name Symptom Impact Questionnaire test name. No
C115388 SIXMW1TC 6 Minute Walk Functional Test Test Code 6 Minute Walk Test test code. No
C115387 SIXMW1TN 6 Minute Walk Functional Test Test Name 6 Minute Walk Test test name. No
C154457 SMDDS1TC Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Code Symptoms of Major Depressive Disorder Scale v1.0 test code. No
C154456 SMDDS1TN Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Name Symptoms of Major Depressive Disorder Scale v1.0 test name. No
C100160 SOAPR1TC Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Code Screener and Opioid Assessment for Patients with Pain - Revised test code. No
C100159 SOAPR1TN Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Name Screener and Opioid Assessment for Patients with Pain - Revised test name. No
C101828 SOWSA1TC Subjective Opiate Withdrawal Scale Questionnaire Test Code Subjective Opiate Withdrawal Scale test code. No
C101829 SOWSA1TN Subjective Opiate Withdrawal Scale Questionnaire Test Name Subjective Opiate Withdrawal Scale test name. No
C170527 SPPB1TC Short Physical Performance Battery Version 1.2 Functional Test Test Code Short Physical Performance Battery Version 1.2 test code. No
C170526 SPPB1TN Short Physical Performance Battery Version 1.2 Functional Test Test Name Short Physical Performance Battery Version 1.2 test name. No
C119080 STCG01TC Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code Stent Thrombosis Coronary ARC Grade test code. No
C119079 STCG01TN Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name Stent Thrombosis Coronary ARC Grade test name. No
C115408 SWLS01TC Satisfaction With Life Scale Questionnaire Test Code Satisfaction With Life Scale test code. No
C115407 SWLS01TN Satisfaction With Life Scale Questionnaire Test Name Satisfaction With Life Scale test name. No
C115398 T25FW1TC Timed 25-Foot Walk Test Functional Test Test Code Timed 25-Foot Walk Test test code. No
C115397 T25FW1TN Timed 25-Foot Walk Test Functional Test Test Name Timed 25-Foot Walk Test test name. No
C124664 TANN01TC Tanner Scale Girl Clinical Classification Test Code Tanner Scale Girl test code. No
C124663 TANN01TN Tanner Scale Girl Clinical Classification Test Name Tanner Scale Girl test name. No
C124662 TANN02TC Tanner Scale Boy Clinical Classification Test Code Tanner Scale Boy test code. No
C124661 TANN02TN Tanner Scale Boy Clinical Classification Test Name Tanner Scale Boy test name. No
C106657 TDI01TC Transition Dyspnea Index Clinical Classification Test Code Transition Dyspnea Index test code. No
C106656 TDI01TN Transition Dyspnea Index Clinical Classification Test Name Transition Dyspnea Index test name. No
C141657 TENMW1TC 10-Meter Walk/Run Functional Test Test Code 10-Meter Walk/Run test code. No
C141656 TENMW1TN 10-Meter Walk/Run Functional Test Test Name 10-Meter Walk/Run test name. No
C119074 TIMG01TC Coronary Thrombus TIMI Grade Clinical Classification Test Code Coronary Thrombus TIMI Grade test code. No
C119073 TIMG01TN Coronary Thrombus TIMI Grade Clinical Classification Test Name Coronary Thrombus TIMI Grade test name. No
C124688 TMT01TC Trail Making Test Functional Test Test Code Trail Making Test test code. No
C124687 TMT01TN Trail Making Test Functional Test Test Name Trail Making Test test name. No
C147548 TSCC01TC Trauma Symptom Checklist for Children Questionnaire Test Code Trauma Symptom Checklist for Children test code. No
C147547 TSCC01TN Trauma Symptom Checklist for Children Questionnaire Test Name Trauma Symptom Checklist for Children test name. No
C147550 TSCYC1TC Trauma Symptom Checklist for Young Children Questionnaire Test Code Trauma Symptom Checklist for Young Children test code. No
C147549 TSCYC1TN Trauma Symptom Checklist for Young Children Questionnaire Test Name Trauma Symptom Checklist for Young Children test name. No
C132525 TSQM01TC Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Code Treatment Satisfaction Questionnaire for Medication Version 1.4 test code. No
C132524 TSQM01TN Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Name Treatment Satisfaction Questionnaire for Medication Version 1.4 test name. No
C115400 TUG01TC Timed Up and Go Test Functional Test Test Code Timed Up and Go Test test code. No
C115399 TUG01TN Timed Up and Go Test Functional Test Test Name Timed Up and Go Test test name. No
C154449 UHDR1TC Unified Huntington's Disease Rating Scale '99 Clinical Classification Test Code Unified Huntington's Disease Rating Scale '99 test code. No
C154448 UHDR1TN Unified Huntington's Disease Rating Scale '99 Clinical Classification Test Name Unified Huntington's Disease Rating Scale '99 test name. No
C100148 UPD1TC Unified Parkinson's Disease Rating Scale Clinical Classification Test Code Unified Parkinson's Disease Rating Scale test code. No
C100147 UPD1TN Unified Parkinson's Disease Rating Scale Clinical Classification Test Name Unified Parkinson's Disease Rating Scale test name. No
C100140 UPD2TC Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Code The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test code. No
C100139 UPD2TN Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Name The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test name. No
C103489 UPS01TC Urgency Perception Scale Questionnaire Test Code Urgency Perception Scale test code. No
C103488 UPS01TN Urgency Perception Scale Questionnaire Test Name Urgency Perception Scale test name. No
C141653 VALG01TC Veterans Administration Lung Study Group Clinical Classification Test Code Veterans Administration Lung Study Group test code. No
C141652 VALG01TN Veterans Administration Lung Study Group Clinical Classification Test Name Veterans Administration Lung Study Group test name. No
C112453 VFQ1TC National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Code National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test code. No
C112452 VFQ1TN National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Name National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test name. No
C112455 VFQ2TC National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Code National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test code. No
C112454 VFQ2TN National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Name National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test name. No
C130241 VLERS1TC Vignos Lower Extremity Rating Scale Clinical Classification Test Code Vignos Lower Extremity Rating Scale test code. No
C130240 VLERS1TN Vignos Lower Extremity Rating Scale Clinical Classification Test Name Vignos Lower Extremity Rating Scale test name. No
C130275 WD1TC World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer test code. No
C130274 WD1TN World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer test name. No
C130277 WD2TC World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy test code. No
C130276 WD2TN World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy test name. No
C130279 WD3TC World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self test code. No
C130278 WD3TN World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self test name. No
C130281 WD4TC World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer test code. No
C130280 WD4TN World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer test name. No
C130269 WD5TC World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer test code. No
C130268 WD5TN World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer test name. No
C130271 WD6TC World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy test code. No
C130270 WD6TN World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy test name. No
C130273 WD7TC World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Code World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self test code. No
C130272 WD7TN World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Name World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self test name. No
C124680 WHEG01TC West Haven Hepatic Encephalopathy Grade Clinical Classification Test Code West Haven Hepatic Encephalopathy Grade test code. No
C124679 WHEG01TN West Haven Hepatic Encephalopathy Grade Clinical Classification Test Name West Haven Hepatic Encephalopathy Grade test name. No
C124674 WHIVS1TC WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Code WHO Clinical Staging of HIV/AIDS for Adults and Adolescents test code. No
C124673 WHIVS1TN WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Name WHO Clinical Staging of HIV/AIDS for Adults and Adolescents test name. No
C124676 WHIVS2TC WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Code WHO Clinical Staging of HIV/AIDS for Children test code. No
C124675 WHIVS2TN WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Name WHO Clinical Staging of HIV/AIDS for Children test name. No
C100176 WPAI01TC Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Code Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test code. No
C100175 WPAI01TN Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Name Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test name. No
C166186 WPAI02TC The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Code The Work Productivity and Activity Impairment - General Health Version 2.0 test code. No
C166185 WPAI02TN The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Name The Work Productivity and Activity Impairment - General Health Version 2.0 test name. No

A4STR1TC (4-Stair Ascend Functional Test Test Code)

NCI Code: C141663, Codelist extensible: No
C141663 A4STR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C174103 A4STR101 A4STR1-Was 4-Stair Ascend Performed 4-Stair Ascend - Was the 4-stair ascend performed? 4-Stair Ascend - Was 4-Stair Ascend Performed
C141706 A4STR102 A4STR1-Time to Do 4-Stair Ascend 4-Stair Ascend - If yes, time taken to do 4-stair ascend. 4-Stair Ascend - Time to Do 4-Stair Ascend
C147590 A4STR103 A4STR1-Wear Orthoses 4-Stair Ascend - If yes, did subject wear orthoses? 4-Stair Ascend - Wear Orthoses
C141707 A4STR104 A4STR1-Test Grade 4-Stair Ascend - Test grade. 4-Stair Ascend - Test Grade

A4STR1TN (4-Stair Ascend Functional Test Test Name)

NCI Code: C141662, Codelist extensible: No
C141662 A4STR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141707 A4STR1-Test Grade A4STR1-Test Grade 4-Stair Ascend - Test grade. 4-Stair Ascend - Test Grade
C141706 A4STR1-Time to Do 4-Stair Ascend A4STR1-Time to Do 4-Stair Ascend 4-Stair Ascend - If yes, time taken to do 4-stair ascend. 4-Stair Ascend - Time to Do 4-Stair Ascend
C174103 A4STR1-Was 4-Stair Ascend Performed A4STR1-Was 4-Stair Ascend Performed 4-Stair Ascend - Was the 4-stair ascend performed? 4-Stair Ascend - Was 4-Stair Ascend Performed
C147590 A4STR1-Wear Orthoses A4STR1-Wear Orthoses 4-Stair Ascend - If yes, did subject wear orthoses? 4-Stair Ascend - Wear Orthoses

ACGC01TC (Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code)

NCI Code: C103459, Codelist extensible: No
C103459 ACGC01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103531 ACGC0101 ACGC01-Clinical Impression of Change Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline. ADCS-CGIC - Clinical Impression of Change from Baseline

ACGC01TN (Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name)

NCI Code: C103458, Codelist extensible: No
C103458 ACGC01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103531 ACGC01-Clinical Impression of Change ACGC01-Clinical Impression of Change Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline. ADCS-CGIC - Clinical Impression of Change from Baseline

ADCTC (Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Code)

NCI Code: C100132, Codelist extensible: No
C100132 ADCTC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100209 ADCCMD Commands Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands. CDISC ADAS-Cog - Commands Summary Score
C100210 ADCCMD01 Commands: Fist Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist. CDISC ADAS-Cog - Commands: Fist
C100211 ADCCMD02 Commands: Ceiling Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor. CDISC ADAS-Cog - Commands: Ceiling
C100212 ADCCMD03 Commands: Pencil Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back. CDISC ADAS-Cog - Commands: Pencil
C100213 ADCCMD04 Commands: Watch Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card. CDISC ADAS-Cog - Commands: Watch
C100214 ADCCMD05 Commands: Shoulder Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut. CDISC ADAS-Cog - Commands: Shoulder
C100278 ADCCMP Comprehension Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech. CDISC ADAS-Cog - Comprehension
C100279 ADCCON Concentration/Distractibility Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted. CDISC ADAS-Cog - Concentration/Distractibility
C100226 ADCCP Constructional Praxis Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis. CDISC ADAS-Cog - Constructional Praxis Summary Score
C100227 ADCCP01 Constructional Praxis: Circle Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle. CDISC ADAS-Cog - Constructional Praxis: Circle
C100228 ADCCP02 Constructional Praxis: 2 Rectangles Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles. CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
C100229 ADCCP03 Constructional Praxis: Diamond Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond. CDISC ADAS-Cog - Constructional Praxis: Diamond
C100230 ADCCP04 Constructional Praxis: Cube Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube. CDISC ADAS-Cog - Constructional Praxis: Cube
C100231 ADCCPS Attempt to Draw Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly. CDISC ADAS-Cog - Attempt to Draw
C100277 ADCDIF Word Finding Difficulty in Spont Speech Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech. CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
C100215 ADCDRL Delayed Word Recall Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall. CDISC ADAS-Cog - Delayed Word Recall Summary Score
C100216 ADCDRL01 Delayed Word Recall: Word [1] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1. CDISC ADAS-Cog - Delayed Word Recall: Word 1
C100217 ADCDRL02 Delayed Word Recall: Word [2] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2. CDISC ADAS-Cog - Delayed Word Recall: Word 2
C100218 ADCDRL03 Delayed Word Recall: Word [3] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3. CDISC ADAS-Cog - Delayed Word Recall: Word 3
C100219 ADCDRL04 Delayed Word Recall: Word [4] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4. CDISC ADAS-Cog - Delayed Word Recall: Word 4
C100220 ADCDRL05 Delayed Word Recall: Word [5] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5. CDISC ADAS-Cog - Delayed Word Recall: Word 5
C100221 ADCDRL06 Delayed Word Recall: Word [6] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6. CDISC ADAS-Cog - Delayed Word Recall: Word 6
C100222 ADCDRL07 Delayed Word Recall: Word [7] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7. CDISC ADAS-Cog - Delayed Word Recall: Word 7
C100223 ADCDRL08 Delayed Word Recall: Word [8] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8. CDISC ADAS-Cog - Delayed Word Recall: Word 8
C100224 ADCDRL09 Delayed Word Recall: Word [9] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9. CDISC ADAS-Cog - Delayed Word Recall: Word 9
C100225 ADCDRL10 Delayed Word Recall: Word [10] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10. CDISC ADAS-Cog - Delayed Word Recall: Word 10
C100232 ADCIP Ideational Praxis Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis. CDISC ADAS-Cog - Ideational Praxis Summary Score
C100233 ADCIP01 Ideational Praxis: Fold Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper. CDISC ADAS-Cog - Ideational Praxis: Fold
C100234 ADCIP02 Ideational Praxis: Insert Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop. CDISC ADAS-Cog - Ideational Praxis: Insert
C100235 ADCIP03 Ideational Praxis: Seal Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop. CDISC ADAS-Cog - Ideational Praxis: Seal
C100236 ADCIP04 Ideational Praxis: Address Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself. CDISC ADAS-Cog - Ideational Praxis: Address
C100237 ADCIP05 Ideational Praxis: Stamp Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes. CDISC ADAS-Cog - Ideational Praxis: Stamp
C100284 ADCMZ Executive Function Maze Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks. CDISC ADAS-Cog - Executive Function Maze Summary Score
C100285 ADCMZ01 Executive Function Maze: Errors Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task. CDISC ADAS-Cog - Executive Function Maze: Errors
C100286 ADCMZ02 Executive Function Maze: Time Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task. CDISC ADAS-Cog - Executive Function Maze: Time
C100280 ADCNC Number Cancellation Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks. CDISC ADAS-Cog - Number Cancellation Summary Score
C100281 ADCNC01 Number Cancellation: Correct Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task. CDISC ADAS-Cog - Number Cancellation: Correct
C100282 ADCNC02 Number Cancellation: Errors Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task. CDISC ADAS-Cog - Number Cancellation: Errors
C100283 ADCNC03 Number Cancellation: Remind Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task. CDISC ADAS-Cog - Number Cancellation: Remind
C100191 ADCOF Naming Objects and Fingers Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers. CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
C100204 ADCOFF01 Naming Objects and Fingers: Thumb Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb. CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
C100205 ADCOFF02 Naming Objects and Fingers: Pointer Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger. CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
C100206 ADCOFF03 Naming Objects and Fingers: Middle Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger. CDISC ADAS-Cog - Naming Objects and Fingers: Middle
C100207 ADCOFF04 Naming Objects and Fingers: Ring Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger. CDISC ADAS-Cog - Naming Objects and Fingers: Ring
C100208 ADCOFF05 Naming Objects and Fingers: Pinky Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky. CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
C100192 ADCOFO01 Naming Objects and Fingers: 1 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1. CDISC ADAS-Cog - Naming Objects and Fingers: 1
C100193 ADCOFO02 Naming Objects and Fingers: 2 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2. CDISC ADAS-Cog - Naming Objects and Fingers: 2
C100194 ADCOFO03 Naming Objects and Fingers: 3 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3. CDISC ADAS-Cog - Naming Objects and Fingers: 3
C100195 ADCOFO04 Naming Objects and Fingers: 4 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4. CDISC ADAS-Cog - Naming Objects and Fingers: 4
C100196 ADCOFO05 Naming Objects and Fingers: 5 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5. CDISC ADAS-Cog - Naming Objects and Fingers: 5
C100197 ADCOFO06 Naming Objects and Fingers: 6 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6. CDISC ADAS-Cog - Naming Objects and Fingers: 6
C100198 ADCOFO07 Naming Objects and Fingers: 7 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7. CDISC ADAS-Cog - Naming Objects and Fingers: 7
C100199 ADCOFO08 Naming Objects and Fingers: 8 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8. CDISC ADAS-Cog - Naming Objects and Fingers: 8
C100200 ADCOFO09 Naming Objects and Fingers: 9 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9. CDISC ADAS-Cog - Naming Objects and Fingers: 9
C100201 ADCOFO10 Naming Objects and Fingers: 10 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10. CDISC ADAS-Cog - Naming Objects and Fingers: 10
C100202 ADCOFO11 Naming Objects and Fingers: 11 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11. CDISC ADAS-Cog - Naming Objects and Fingers: 11
C100203 ADCOFO12 Naming Objects and Fingers: 12 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12. CDISC ADAS-Cog - Naming Objects and Fingers: 12
C100238 ADCOR Orientation Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation. CDISC ADAS-Cog - Orientation Summary Score
C100239 ADCOR01 Orientation: Full Name Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name. CDISC ADAS-Cog - Orientation: Full Name
C100240 ADCOR02 Orientation: Month Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month. CDISC ADAS-Cog - Orientation: Month
C100241 ADCOR03 Orientation: Date Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day. CDISC ADAS-Cog - Orientation: Date
C100242 ADCOR04 Orientation: Year Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year. CDISC ADAS-Cog - Orientation: Year
C100243 ADCOR05 Orientation: Day of Week Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week. CDISC ADAS-Cog - Orientation: Day of Week
C100244 ADCOR06 Orientation: Season Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season. CDISC ADAS-Cog - Orientation: Season
C100245 ADCOR07 Orientation: Place Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place. CDISC ADAS-Cog - Orientation: Place
C100246 ADCOR08 Orientation: Time Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time. CDISC ADAS-Cog - Orientation: Time
C100247 ADCRG Word Recognition Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3. CDISC ADAS-Cog - Word Recognition Summary Score
C100248 ADCRGT01 Word Recognition Trial 1 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1. CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
C100249 ADCRGT02 Word Recognition Trial 2 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2. CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
C100250 ADCRGT03 Word Recognition Trial 3 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3. CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
C100251 ADCRGW01 Word Recognition: Word [1] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 1
C100252 ADCRGW02 Word Recognition: Word [2] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 2
C100253 ADCRGW03 Word Recognition: Word [3] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 3
C100254 ADCRGW04 Word Recognition: Word [4] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 4
C100255 ADCRGW05 Word Recognition: Word [5] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 5
C100256 ADCRGW06 Word Recognition: Word [6] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 6
C100257 ADCRGW07 Word Recognition: Word [7] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 7
C100258 ADCRGW08 Word Recognition: Word [8] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 8
C100259 ADCRGW09 Word Recognition: Word [9] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 9
C100260 ADCRGW10 Word Recognition: Word [10] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 10
C100261 ADCRGW11 Word Recognition: Word [11] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 11
C100262 ADCRGW12 Word Recognition: Word [12] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 12
C100263 ADCRGW13 Word Recognition: Word [13] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 13
C100264 ADCRGW14 Word Recognition: Word [14] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 14
C100265 ADCRGW15 Word Recognition: Word [15] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 15
C100266 ADCRGW16 Word Recognition: Word [16] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 16
C100267 ADCRGW17 Word Recognition: Word [17] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 17
C100268 ADCRGW18 Word Recognition: Word [18] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 18
C100269 ADCRGW19 Word Recognition: Word [19] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 19
C100270 ADCRGW20 Word Recognition: Word [20] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 20
C100271 ADCRGW21 Word Recognition: Word [21] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 21
C100272 ADCRGW22 Word Recognition: Word [22] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 22
C100273 ADCRGW23 Word Recognition: Word [23] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 23
C100274 ADCRGW24 Word Recognition: Word [24] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 24
C100275 ADCRI Remembering Test Instructions Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions. CDISC ADAS-Cog - Remembering Test Instructions
C100177 ADCRL Word Recall Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3. CDISC ADAS-Cog - Word Recall Average Score
C100178 ADCRLT01 Word Recall Trial 1 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1. CDISC ADAS-Cog - Word Recall Trial 1 Subscore
C100179 ADCRLT02 Word Recall Trial 2 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2. CDISC ADAS-Cog - Word Recall Trial 2 Subscore
C100180 ADCRLT03 Word Recall Trial 3 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3. CDISC ADAS-Cog - Word Recall Trial 3 Subscore
C100181 ADCRLW01 Word Recall: Word [1] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 1
C100182 ADCRLW02 Word Recall: Word [2] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 2
C100183 ADCRLW03 Word Recall: Word [3] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 3
C100184 ADCRLW04 Word Recall: Word [4] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 4
C100185 ADCRLW05 Word Recall: Word [5] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 5
C100186 ADCRLW06 Word Recall: Word [6] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 6
C100187 ADCRLW07 Word Recall: Word [7] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 7
C100188 ADCRLW08 Word Recall: Word [8] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 8
C100189 ADCRLW09 Word Recall: Word [9] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 9
C100190 ADCRLW10 Word Recall: Word [10] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 10
C100276 ADCSL Spoken Language Ability Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood. CDISC ADAS-Cog - Spoken Language Ability

ADCTN (Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Name)

NCI Code: C100131, Codelist extensible: No
C100131 ADCTN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100231 Attempt to Draw Attempt to Draw Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly. CDISC ADAS-Cog - Attempt to Draw
C100209 Commands Commands Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands. CDISC ADAS-Cog - Commands Summary Score
C100211 Commands: Ceiling Commands: Ceiling Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor. CDISC ADAS-Cog - Commands: Ceiling
C100210 Commands: Fist Commands: Fist Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist. CDISC ADAS-Cog - Commands: Fist
C100212 Commands: Pencil Commands: Pencil Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back. CDISC ADAS-Cog - Commands: Pencil
C100214 Commands: Shoulder Commands: Shoulder Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut. CDISC ADAS-Cog - Commands: Shoulder
C100213 Commands: Watch Commands: Watch Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card. CDISC ADAS-Cog - Commands: Watch
C100278 Comprehension Comprehension Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech. CDISC ADAS-Cog - Comprehension
C100279 Concentration/Distractibility Concentration/Distractibility Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted. CDISC ADAS-Cog - Concentration/Distractibility
C100226 Constructional Praxis Constructional Praxis Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis. CDISC ADAS-Cog - Constructional Praxis Summary Score
C100228 Constructional Praxis: 2 Rectangles Constructional Praxis: 2 Rectangles Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles. CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
C100227 Constructional Praxis: Circle Constructional Praxis: Circle Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle. CDISC ADAS-Cog - Constructional Praxis: Circle
C100230 Constructional Praxis: Cube Constructional Praxis: Cube Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube. CDISC ADAS-Cog - Constructional Praxis: Cube
C100229 Constructional Praxis: Diamond Constructional Praxis: Diamond Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond. CDISC ADAS-Cog - Constructional Praxis: Diamond
C100215 Delayed Word Recall Delayed Word Recall Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall. CDISC ADAS-Cog - Delayed Word Recall Summary Score
C100225 Delayed Word Recall: Word [10] Delayed Word Recall: Word [10] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10. CDISC ADAS-Cog - Delayed Word Recall: Word 10
C100216 Delayed Word Recall: Word [1] Delayed Word Recall: Word [1] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1. CDISC ADAS-Cog - Delayed Word Recall: Word 1
C100217 Delayed Word Recall: Word [2] Delayed Word Recall: Word [2] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2. CDISC ADAS-Cog - Delayed Word Recall: Word 2
C100218 Delayed Word Recall: Word [3] Delayed Word Recall: Word [3] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3. CDISC ADAS-Cog - Delayed Word Recall: Word 3
C100219 Delayed Word Recall: Word [4] Delayed Word Recall: Word [4] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4. CDISC ADAS-Cog - Delayed Word Recall: Word 4
C100220 Delayed Word Recall: Word [5] Delayed Word Recall: Word [5] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5. CDISC ADAS-Cog - Delayed Word Recall: Word 5
C100221 Delayed Word Recall: Word [6] Delayed Word Recall: Word [6] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6. CDISC ADAS-Cog - Delayed Word Recall: Word 6
C100222 Delayed Word Recall: Word [7] Delayed Word Recall: Word [7] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7. CDISC ADAS-Cog - Delayed Word Recall: Word 7
C100223 Delayed Word Recall: Word [8] Delayed Word Recall: Word [8] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8. CDISC ADAS-Cog - Delayed Word Recall: Word 8
C100224 Delayed Word Recall: Word [9] Delayed Word Recall: Word [9] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9. CDISC ADAS-Cog - Delayed Word Recall: Word 9
C100284 Executive Function Maze Executive Function Maze Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks. CDISC ADAS-Cog - Executive Function Maze Summary Score
C100285 Executive Function Maze: Errors Executive Function Maze: Errors Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task. CDISC ADAS-Cog - Executive Function Maze: Errors
C100286 Executive Function Maze: Time Executive Function Maze: Time Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task. CDISC ADAS-Cog - Executive Function Maze: Time
C100232 Ideational Praxis Ideational Praxis Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis. CDISC ADAS-Cog - Ideational Praxis Summary Score
C100236 Ideational Praxis: Address Ideational Praxis: Address Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself. CDISC ADAS-Cog - Ideational Praxis: Address
C100233 Ideational Praxis: Fold Ideational Praxis: Fold Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper. CDISC ADAS-Cog - Ideational Praxis: Fold
C100234 Ideational Praxis: Insert Ideational Praxis: Insert Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop. CDISC ADAS-Cog - Ideational Praxis: Insert
C100235 Ideational Praxis: Seal Ideational Praxis: Seal Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop. CDISC ADAS-Cog - Ideational Praxis: Seal
C100237 Ideational Praxis: Stamp Ideational Praxis: Stamp Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes. CDISC ADAS-Cog - Ideational Praxis: Stamp
C100191 Naming Objects and Fingers Naming Objects and Fingers Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers. CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
C100192 Naming Objects and Fingers: 1 Naming Objects and Fingers: 1 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1. CDISC ADAS-Cog - Naming Objects and Fingers: 1
C100201 Naming Objects and Fingers: 10 Naming Objects and Fingers: 10 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10. CDISC ADAS-Cog - Naming Objects and Fingers: 10
C100202 Naming Objects and Fingers: 11 Naming Objects and Fingers: 11 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11. CDISC ADAS-Cog - Naming Objects and Fingers: 11
C100203 Naming Objects and Fingers: 12 Naming Objects and Fingers: 12 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12. CDISC ADAS-Cog - Naming Objects and Fingers: 12
C100193 Naming Objects and Fingers: 2 Naming Objects and Fingers: 2 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2. CDISC ADAS-Cog - Naming Objects and Fingers: 2
C100194 Naming Objects and Fingers: 3 Naming Objects and Fingers: 3 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3. CDISC ADAS-Cog - Naming Objects and Fingers: 3
C100195 Naming Objects and Fingers: 4 Naming Objects and Fingers: 4 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4. CDISC ADAS-Cog - Naming Objects and Fingers: 4
C100196 Naming Objects and Fingers: 5 Naming Objects and Fingers: 5 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5. CDISC ADAS-Cog - Naming Objects and Fingers: 5
C100197 Naming Objects and Fingers: 6 Naming Objects and Fingers: 6 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6. CDISC ADAS-Cog - Naming Objects and Fingers: 6
C100198 Naming Objects and Fingers: 7 Naming Objects and Fingers: 7 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7. CDISC ADAS-Cog - Naming Objects and Fingers: 7
C100199 Naming Objects and Fingers: 8 Naming Objects and Fingers: 8 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8. CDISC ADAS-Cog - Naming Objects and Fingers: 8
C100200 Naming Objects and Fingers: 9 Naming Objects and Fingers: 9 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9. CDISC ADAS-Cog - Naming Objects and Fingers: 9
C100206 Naming Objects and Fingers: Middle Naming Objects and Fingers: Middle Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger. CDISC ADAS-Cog - Naming Objects and Fingers: Middle
C100208 Naming Objects and Fingers: Pinky Naming Objects and Fingers: Pinky Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky. CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
C100205 Naming Objects and Fingers: Pointer Naming Objects and Fingers: Pointer Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger. CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
C100207 Naming Objects and Fingers: Ring Naming Objects and Fingers: Ring Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger. CDISC ADAS-Cog - Naming Objects and Fingers: Ring
C100204 Naming Objects and Fingers: Thumb Naming Objects and Fingers: Thumb Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb. CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
C100280 Number Cancellation Number Cancellation Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks. CDISC ADAS-Cog - Number Cancellation Summary Score
C100281 Number Cancellation: Correct Number Cancellation: Correct Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task. CDISC ADAS-Cog - Number Cancellation: Correct
C100282 Number Cancellation: Errors Number Cancellation: Errors Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task. CDISC ADAS-Cog - Number Cancellation: Errors
C100283 Number Cancellation: Remind Number Cancellation: Remind Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task. CDISC ADAS-Cog - Number Cancellation: Remind
C100238 Orientation Orientation Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation. CDISC ADAS-Cog - Orientation Summary Score
C100241 Orientation: Date Orientation: Date Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day. CDISC ADAS-Cog - Orientation: Date
C100243 Orientation: Day of Week Orientation: Day of Week Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week. CDISC ADAS-Cog - Orientation: Day of Week
C100239 Orientation: Full Name Orientation: Full Name Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name. CDISC ADAS-Cog - Orientation: Full Name
C100240 Orientation: Month Orientation: Month Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month. CDISC ADAS-Cog - Orientation: Month
C100245 Orientation: Place Orientation: Place Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place. CDISC ADAS-Cog - Orientation: Place
C100244 Orientation: Season Orientation: Season Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season. CDISC ADAS-Cog - Orientation: Season
C100246 Orientation: Time Orientation: Time Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time. CDISC ADAS-Cog - Orientation: Time
C100242 Orientation: Year Orientation: Year Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year. CDISC ADAS-Cog - Orientation: Year
C100275 Remembering Test Instructions Remembering Test Instructions Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions. CDISC ADAS-Cog - Remembering Test Instructions
C100276 Spoken Language Ability Spoken Language Ability Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood. CDISC ADAS-Cog - Spoken Language Ability
C100277 Word Finding Difficulty in Spont Speech Word Finding Difficulty in Spont Speech Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech. CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
C100178 Word Recall Trial 1 Word Recall Trial 1 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1. CDISC ADAS-Cog - Word Recall Trial 1 Subscore
C100179 Word Recall Trial 2 Word Recall Trial 2 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2. CDISC ADAS-Cog - Word Recall Trial 2 Subscore
C100180 Word Recall Trial 3 Word Recall Trial 3 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3. CDISC ADAS-Cog - Word Recall Trial 3 Subscore
C100177 Word Recall Word Recall Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3. CDISC ADAS-Cog - Word Recall Average Score
C100190 Word Recall: Word [10] Word Recall: Word [10] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 10
C100181 Word Recall: Word [1] Word Recall: Word [1] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 1
C100182 Word Recall: Word [2] Word Recall: Word [2] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 2
C100183 Word Recall: Word [3] Word Recall: Word [3] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 3
C100184 Word Recall: Word [4] Word Recall: Word [4] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 4
C100185 Word Recall: Word [5] Word Recall: Word [5] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 5
C100186 Word Recall: Word [6] Word Recall: Word [6] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 6
C100187 Word Recall: Word [7] Word Recall: Word [7] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 7
C100188 Word Recall: Word [8] Word Recall: Word [8] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 8
C100189 Word Recall: Word [9] Word Recall: Word [9] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3. CDISC ADAS-Cog - Word Recall: Word 9
C100248 Word Recognition Trial 1 Word Recognition Trial 1 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1. CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
C100249 Word Recognition Trial 2 Word Recognition Trial 2 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2. CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
C100250 Word Recognition Trial 3 Word Recognition Trial 3 Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3. CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
C100247 Word Recognition Word Recognition Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3. CDISC ADAS-Cog - Word Recognition Summary Score
C100260 Word Recognition: Word [10] Word Recognition: Word [10] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 10
C100261 Word Recognition: Word [11] Word Recognition: Word [11] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 11
C100262 Word Recognition: Word [12] Word Recognition: Word [12] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 12
C100263 Word Recognition: Word [13] Word Recognition: Word [13] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 13
C100264 Word Recognition: Word [14] Word Recognition: Word [14] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 14
C100265 Word Recognition: Word [15] Word Recognition: Word [15] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 15
C100266 Word Recognition: Word [16] Word Recognition: Word [16] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 16
C100267 Word Recognition: Word [17] Word Recognition: Word [17] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 17
C100268 Word Recognition: Word [18] Word Recognition: Word [18] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 18
C100269 Word Recognition: Word [19] Word Recognition: Word [19] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 19
C100251 Word Recognition: Word [1] Word Recognition: Word [1] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 1
C100270 Word Recognition: Word [20] Word Recognition: Word [20] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 20
C100271 Word Recognition: Word [21] Word Recognition: Word [21] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 21
C100272 Word Recognition: Word [22] Word Recognition: Word [22] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 22
C100273 Word Recognition: Word [23] Word Recognition: Word [23] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 23
C100274 Word Recognition: Word [24] Word Recognition: Word [24] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 24
C100252 Word Recognition: Word [2] Word Recognition: Word [2] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 2
C100253 Word Recognition: Word [3] Word Recognition: Word [3] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 3
C100254 Word Recognition: Word [4] Word Recognition: Word [4] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 4
C100255 Word Recognition: Word [5] Word Recognition: Word [5] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 5
C100256 Word Recognition: Word [6] Word Recognition: Word [6] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 6
C100257 Word Recognition: Word [7] Word Recognition: Word [7] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 7
C100258 Word Recognition: Word [8] Word Recognition: Word [8] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 8
C100259 Word Recognition: Word [9] Word Recognition: Word [9] Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3. CDISC ADAS-Cog - Word Recognition: Word 9

ADL01TC (Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code)

NCI Code: C105140, Codelist extensible: No
C105140 ADL01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105283 ADL0101 ADL01-Usual Eating Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks? ADCS-ADL - Description of Usual Performance of Eating
C105284 ADL0102 ADL01-Optimal Walking Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance. ADCS-ADL - Description of Optimal Performance of Walking
C105285 ADL0103 ADL01-Usual Bowel/Bladder Function Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks. ADCS-ADL - Usual Bowel and Bladder Function at Toilet
C105286 ADL0104 ADL01-Usual Bathing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance. ADCS-ADL - Description of Usual Performance of Bathing
C105287 ADL0105 ADL01-Optimal Grooming Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance. ADCS-ADL - Description of Optimal Performance of Grooming
C105288 ADL0106 ADL01-Select First Clothes for the Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day? ADCS-ADL - Select First Clothes for the Day
C105289 ADL0106A ADL01-Usual Dressing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance. ADCS-ADL - Description of Usual Performance of Dressing
C105290 ADL0106B ADL01-Usual Physically Dressing Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks. ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
C105291 ADL0107 ADL01-Use a Telephone Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone? ADCS-ADL - Use a Telephone
C105292 ADL0107A ADL01-Highest Telephone Use Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance. ADCS-ADL - Description of Highest Performance of Telephone Use
C105293 ADL0108 ADL01-Watch Television Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television? ADCS-ADL - Watch Television
C105294 ADL0108A ADL01-Select Television Program Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show? ADCS-ADL - Select or Ask for Television Program
C105295 ADL0108B ADL01-Talk About TV Content While Watch Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it? ADCS-ADL - Talk About TV Content While Watching
C105296 ADL0108C ADL01-Talk About TV Content Within a Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it? ADCS-ADL - Talk About TV Content Within a Day After Watching
C105297 ADL0109 ADL01-Pay Attention to Conversation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes? ADCS-ADL - Pay Attention to Conversation
C105298 ADL0109A ADL01-Usual Conversation Participation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation. ADCS-ADL - Usual Conversation Participation
C105299 ADL0110 ADL01-Clear Dishes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack? ADCS-ADL - Clear Dishes After Meal or Snack
C105300 ADL0110A ADL01-Clear Dishes Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed. ADCS-ADL - Description of Usual Performance of Clearing Dishes
C105301 ADL0111 ADL01-Find Belongings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home? ADCS-ADL - Find Personal Belongings at Home
C105302 ADL0111A ADL01-Find Belongings Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed. ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
C105303 ADL0112 ADL01-Obtain Beverage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself? ADCS-ADL - Obtain Beverage for Self
C105304 ADL0112A ADL01-Obtain Beverage Highest Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance. ADCS-ADL - Description of Highest Performance of Obtaining Beverage
C105305 ADL0113 ADL01-Make a Meal Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home? ADCS-ADL - Make a Meal or Snack at Home
C105306 ADL0113A ADL01-Highest Level of Food Preparation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation. ADCS-ADL - Highest Level of Food Preparation
C105307 ADL0114 ADL01-Dispose of Garbage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home? ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
C105308 ADL0114A ADL01-Dispose Garbage Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed. ADCS-ADL - Description of Usual Performance of Garbage Disposal
C105309 ADL0115 ADL01-Get Around Outside Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home? ADCS-ADL - Get Around Outside Home
C105310 ADL0115A ADL01-Get Around Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance. ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
C105311 ADL0116 ADL01-Go Shopping Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping? ADCS-ADL - Go Shopping
C105312 ADL0116A ADL01-How Usually Selects Items Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items. ADCS-ADL - How Subject Usually Selects Items
C105313 ADL0116B ADL01-Pay Without Supervision Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help? ADCS-ADL - Pay for Items Without Supervision or Physical Help
C105314 ADL0117 ADL01-Keep Appointments Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.? ADCS-ADL - Keep Appointments or Meetings with Others
C105315 ADL0117A ADL01-Aware of Appointment Ahead of Time Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time. ADCS-ADL - Description of Awareness of Appointment Ahead of Time
C105316 ADL0118 ADL01-Left On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own? ADCS-ADL - Subject Left on Their Own
C105317 ADL0118A ADL01-Left Away From Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day? ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
C105318 ADL0118B ADL01-Left at Home for 1 Hour or Longer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day? ADCS-ADL - Left at Home for One Hour or Longer
C105319 ADL0118C ADL01-Left at Home for Less Than 1 Hour Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day? ADCS-ADL - Left at Home for Less Than One Hour
C105320 ADL0119 ADL01-Talk About Current Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events? ADCS-ADL - Talk About Current Events
C105321 ADL0119A ADL01-Talk About Events Heard/Read About Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in? ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
C105322 ADL0119B ADL01-Talk About Outside Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors? ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
C105323 ADL0119C ADL01-Talk About at Home Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched? ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
C105324 ADL0120 ADL01-Read More Than 5 Minutes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time? ADCS-ADL - Read for More Than Five Minutes
C105325 ADL0120A ADL01-Talk Within 1 Hour After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading? ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
C105326 ADL0120B ADL01-Talk 1 Hour or More After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading? ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
C105327 ADL0121 ADL01-Write Things Down Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down? ADCS-ADL - Write Things Down
C105328 ADL0121A ADL01-Most Complicated Writings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote. ADCS-ADL - Description of Most Complicated Writings
C105329 ADL0122 ADL01-Perform Pastime Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game? ADCS-ADL - Perform Pastime, Hobby or Game
C105330 ADL0122A ADL01-Pastime: Card or Board Games Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games. ADCS-ADL - Pastime: Card or Board Games
C105331 ADL0122B ADL01-Pastime: Bingo Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo. ADCS-ADL - Pastime: Bingo
C105332 ADL0122C ADL01-Pastime: Crosswords Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords. ADCS-ADL - Pastime: Crosswords
C105333 ADL0122D ADL01-Pastime: Art Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art. ADCS-ADL - Pastime: Art
C105334 ADL0122E ADL01-Pastime: Musical Instrument Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument. ADCS-ADL - Pastime: Musical Instrument
C105335 ADL0122F ADL01-Pastime: Knitting Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting. ADCS-ADL - Pastime: Knitting
C105336 ADL0122G ADL01-Pastime: Sewing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing. ADCS-ADL - Pastime: Sewing
C105337 ADL0122H ADL01-Pastime: Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading. ADCS-ADL - Pastime: Reading
C105338 ADL0122I ADL01-Pastime: Gardening Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening. ADCS-ADL - Pastime: Gardening
C105339 ADL0122J ADL01-Pastime: Golf Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf. ADCS-ADL - Pastime: Golf
C105340 ADL0122K ADL01-Pastime: Tennis Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis. ADCS-ADL - Pastime: Tennis
C105341 ADL0122L ADL01-Pastime: Workshop Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop. ADCS-ADL - Pastime: Workshop
C105342 ADL0122M ADL01-Pastime: Fishing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing. ADCS-ADL - Pastime: Fishing
C105343 ADL0122N ADL01-Pastime: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other. ADCS-ADL - Pastime: Other
C105344 ADL0122O ADL01-Pastime: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify. ADCS-ADL - Pastime: Other Specify
C105345 ADL0122P ADL01-Hobbies Only at Day Care Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here. ADCS-ADL - Performed Hobbies Only at Day Care
C105346 ADL0122Q ADL01-Usual Common Pastimes Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes. ADCS-ADL - Description of Usual Performance of Common Pastimes
C105347 ADL0123 ADL01-Use Household Appliance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores? ADCS-ADL - Use Household Appliance to do Chores
C105348 ADL0123A ADL01-Appliance: Washer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer. ADCS-ADL - Appliance: Washer
C105349 ADL0123B ADL01-Appliance: Dryer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer. ADCS-ADL - Appliance: Dryer
C105350 ADL0123C ADL01-Appliance: Vacuum Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum. ADCS-ADL - Appliance: Vacuum
C105351 ADL0123D ADL01-Appliance: Dishwasher Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher. ADCS-ADL - Appliance: Dishwasher
C105352 ADL0123E ADL01-Appliance: Toaster Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster. ADCS-ADL - Appliance: Toaster
C105353 ADL0123F ADL01-Appliance: Toaster Oven Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven. ADCS-ADL - Appliance: Toaster Oven
C105354 ADL0123G ADL01-Appliance: Range Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range. ADCS-ADL - Appliance: Range
C105355 ADL0123H ADL01-Appliance: Microwave Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave. ADCS-ADL - Appliance: Microwave
C105356 ADL0123I ADL01-Appliance: Food Processor Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor. ADCS-ADL - Appliance: Food Processor
C105357 ADL0123J ADL01-Appliance: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other. ADCS-ADL - Appliance: Other
C105358 ADL0123K ADL01-Appliance: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify. ADCS-ADL - Appliance: Other Specify
C105359 ADL0123L ADL01-Use Common Used Appliances Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them. ADCS-ADL - Description of Usual Use of Commonly Used Appliances
C105360 ADL0124 ADL01-Total ADCS-ADL Score Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score. ADCS-ADL - Total Score
C105361 ADL0125 ADL01-Number Don't Know Responses Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses. ADCS-ADL - Number of 'Don't Know' Responses

ADL01TN (Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name)

NCI Code: C105139, Codelist extensible: No
C105139 ADL01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105351 ADL01-Appliance: Dishwasher ADL01-Appliance: Dishwasher Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher. ADCS-ADL - Appliance: Dishwasher
C105349 ADL01-Appliance: Dryer ADL01-Appliance: Dryer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer. ADCS-ADL - Appliance: Dryer
C105356 ADL01-Appliance: Food Processor ADL01-Appliance: Food Processor Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor. ADCS-ADL - Appliance: Food Processor
C105355 ADL01-Appliance: Microwave ADL01-Appliance: Microwave Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave. ADCS-ADL - Appliance: Microwave
C105358 ADL01-Appliance: Other Specify ADL01-Appliance: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify. ADCS-ADL - Appliance: Other Specify
C105357 ADL01-Appliance: Other ADL01-Appliance: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other. ADCS-ADL - Appliance: Other
C105354 ADL01-Appliance: Range ADL01-Appliance: Range Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range. ADCS-ADL - Appliance: Range
C105353 ADL01-Appliance: Toaster Oven ADL01-Appliance: Toaster Oven Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven. ADCS-ADL - Appliance: Toaster Oven
C105352 ADL01-Appliance: Toaster ADL01-Appliance: Toaster Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster. ADCS-ADL - Appliance: Toaster
C105350 ADL01-Appliance: Vacuum ADL01-Appliance: Vacuum Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum. ADCS-ADL - Appliance: Vacuum
C105348 ADL01-Appliance: Washer ADL01-Appliance: Washer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer. ADCS-ADL - Appliance: Washer
C105315 ADL01-Aware of Appointment Ahead of Time ADL01-Aware of Appointment Ahead of Time Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time. ADCS-ADL - Description of Awareness of Appointment Ahead of Time
C105300 ADL01-Clear Dishes Usual Performance ADL01-Clear Dishes Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed. ADCS-ADL - Description of Usual Performance of Clearing Dishes
C105299 ADL01-Clear Dishes ADL01-Clear Dishes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack? ADCS-ADL - Clear Dishes After Meal or Snack
C105308 ADL01-Dispose Garbage Usual Performance ADL01-Dispose Garbage Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed. ADCS-ADL - Description of Usual Performance of Garbage Disposal
C105307 ADL01-Dispose of Garbage ADL01-Dispose of Garbage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home? ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
C105302 ADL01-Find Belongings Usual Performance ADL01-Find Belongings Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed. ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
C105301 ADL01-Find Belongings ADL01-Find Belongings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home? ADCS-ADL - Find Personal Belongings at Home
C105310 ADL01-Get Around Optimal Performance ADL01-Get Around Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance. ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
C105309 ADL01-Get Around Outside Home ADL01-Get Around Outside Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home? ADCS-ADL - Get Around Outside Home
C105311 ADL01-Go Shopping ADL01-Go Shopping Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping? ADCS-ADL - Go Shopping
C105306 ADL01-Highest Level of Food Preparation ADL01-Highest Level of Food Preparation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation. ADCS-ADL - Highest Level of Food Preparation
C105292 ADL01-Highest Telephone Use Performance ADL01-Highest Telephone Use Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance. ADCS-ADL - Description of Highest Performance of Telephone Use
C105345 ADL01-Hobbies Only at Day Care ADL01-Hobbies Only at Day Care Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here. ADCS-ADL - Performed Hobbies Only at Day Care
C105312 ADL01-How Usually Selects Items ADL01-How Usually Selects Items Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items. ADCS-ADL - How Subject Usually Selects Items
C105314 ADL01-Keep Appointments ADL01-Keep Appointments Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.? ADCS-ADL - Keep Appointments or Meetings with Others
C105318 ADL01-Left at Home for 1 Hour or Longer ADL01-Left at Home for 1 Hour or Longer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day? ADCS-ADL - Left at Home for One Hour or Longer
C105319 ADL01-Left at Home for Less Than 1 Hour ADL01-Left at Home for Less Than 1 Hour Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day? ADCS-ADL - Left at Home for Less Than One Hour
C105317 ADL01-Left Away From Home ADL01-Left Away From Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day? ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
C105316 ADL01-Left On His/Her Own ADL01-Left On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own? ADCS-ADL - Subject Left on Their Own
C105305 ADL01-Make a Meal ADL01-Make a Meal Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home? ADCS-ADL - Make a Meal or Snack at Home
C105328 ADL01-Most Complicated Writings ADL01-Most Complicated Writings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote. ADCS-ADL - Description of Most Complicated Writings
C105361 ADL01-Number Don't Know Responses ADL01-Number Don't Know Responses Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses. ADCS-ADL - Number of 'Don't Know' Responses
C105304 ADL01-Obtain Beverage Highest Perform ADL01-Obtain Beverage Highest Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance. ADCS-ADL - Description of Highest Performance of Obtaining Beverage
C105303 ADL01-Obtain Beverage ADL01-Obtain Beverage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself? ADCS-ADL - Obtain Beverage for Self
C105287 ADL01-Optimal Grooming Performance ADL01-Optimal Grooming Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance. ADCS-ADL - Description of Optimal Performance of Grooming
C105284 ADL01-Optimal Walking Performance ADL01-Optimal Walking Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance. ADCS-ADL - Description of Optimal Performance of Walking
C105333 ADL01-Pastime: Art ADL01-Pastime: Art Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art. ADCS-ADL - Pastime: Art
C105331 ADL01-Pastime: Bingo ADL01-Pastime: Bingo Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo. ADCS-ADL - Pastime: Bingo
C105330 ADL01-Pastime: Card or Board Games ADL01-Pastime: Card or Board Games Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games. ADCS-ADL - Pastime: Card or Board Games
C105332 ADL01-Pastime: Crosswords ADL01-Pastime: Crosswords Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords. ADCS-ADL - Pastime: Crosswords
C105342 ADL01-Pastime: Fishing ADL01-Pastime: Fishing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing. ADCS-ADL - Pastime: Fishing
C105338 ADL01-Pastime: Gardening ADL01-Pastime: Gardening Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening. ADCS-ADL - Pastime: Gardening
C105339 ADL01-Pastime: Golf ADL01-Pastime: Golf Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf. ADCS-ADL - Pastime: Golf
C105335 ADL01-Pastime: Knitting ADL01-Pastime: Knitting Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting. ADCS-ADL - Pastime: Knitting
C105334 ADL01-Pastime: Musical Instrument ADL01-Pastime: Musical Instrument Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument. ADCS-ADL - Pastime: Musical Instrument
C105344 ADL01-Pastime: Other Specify ADL01-Pastime: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify. ADCS-ADL - Pastime: Other Specify
C105343 ADL01-Pastime: Other ADL01-Pastime: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other. ADCS-ADL - Pastime: Other
C105337 ADL01-Pastime: Reading ADL01-Pastime: Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading. ADCS-ADL - Pastime: Reading
C105336 ADL01-Pastime: Sewing ADL01-Pastime: Sewing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing. ADCS-ADL - Pastime: Sewing
C105340 ADL01-Pastime: Tennis ADL01-Pastime: Tennis Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis. ADCS-ADL - Pastime: Tennis
C105341 ADL01-Pastime: Workshop ADL01-Pastime: Workshop Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop. ADCS-ADL - Pastime: Workshop
C105297 ADL01-Pay Attention to Conversation ADL01-Pay Attention to Conversation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes? ADCS-ADL - Pay Attention to Conversation
C105313 ADL01-Pay Without Supervision ADL01-Pay Without Supervision Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help? ADCS-ADL - Pay for Items Without Supervision or Physical Help
C105329 ADL01-Perform Pastime ADL01-Perform Pastime Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game? ADCS-ADL - Perform Pastime, Hobby or Game
C105324 ADL01-Read More Than 5 Minutes ADL01-Read More Than 5 Minutes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time? ADCS-ADL - Read for More Than Five Minutes
C105288 ADL01-Select First Clothes for the Day ADL01-Select First Clothes for the Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day? ADCS-ADL - Select First Clothes for the Day
C105294 ADL01-Select Television Program ADL01-Select Television Program Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show? ADCS-ADL - Select or Ask for Television Program
C105326 ADL01-Talk 1 Hour or More After Reading ADL01-Talk 1 Hour or More After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading? ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
C105323 ADL01-Talk About at Home Events ADL01-Talk About at Home Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched? ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
C105320 ADL01-Talk About Current Events ADL01-Talk About Current Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events? ADCS-ADL - Talk About Current Events
C105321 ADL01-Talk About Events Heard/Read About ADL01-Talk About Events Heard/Read About Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in? ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
C105322 ADL01-Talk About Outside Events ADL01-Talk About Outside Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors? ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
C105295 ADL01-Talk About TV Content While Watch ADL01-Talk About TV Content While Watch Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it? ADCS-ADL - Talk About TV Content While Watching
C105296 ADL01-Talk About TV Content Within a Day ADL01-Talk About TV Content Within a Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it? ADCS-ADL - Talk About TV Content Within a Day After Watching
C105325 ADL01-Talk Within 1 Hour After Reading ADL01-Talk Within 1 Hour After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading? ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
C105360 ADL01-Total ADCS-ADL Score ADL01-Total ADCS-ADL Score Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score. ADCS-ADL - Total Score
C105291 ADL01-Use a Telephone ADL01-Use a Telephone Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone? ADCS-ADL - Use a Telephone
C105359 ADL01-Use Common Used Appliances ADL01-Use Common Used Appliances Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them. ADCS-ADL - Description of Usual Use of Commonly Used Appliances
C105347 ADL01-Use Household Appliance ADL01-Use Household Appliance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores? ADCS-ADL - Use Household Appliance to do Chores
C105286 ADL01-Usual Bathing Performance ADL01-Usual Bathing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance. ADCS-ADL - Description of Usual Performance of Bathing
C105285 ADL01-Usual Bowel/Bladder Function ADL01-Usual Bowel/Bladder Function Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks. ADCS-ADL - Usual Bowel and Bladder Function at Toilet
C105346 ADL01-Usual Common Pastimes Performance ADL01-Usual Common Pastimes Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes. ADCS-ADL - Description of Usual Performance of Common Pastimes
C105298 ADL01-Usual Conversation Participation ADL01-Usual Conversation Participation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation. ADCS-ADL - Usual Conversation Participation
C105289 ADL01-Usual Dressing Performance ADL01-Usual Dressing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance. ADCS-ADL - Description of Usual Performance of Dressing
C105283 ADL01-Usual Eating Performance ADL01-Usual Eating Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks? ADCS-ADL - Description of Usual Performance of Eating
C105290 ADL01-Usual Physically Dressing Perform ADL01-Usual Physically Dressing Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks. ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
C105293 ADL01-Watch Television ADL01-Watch Television Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television? ADCS-ADL - Watch Television
C105327 ADL01-Write Things Down ADL01-Write Things Down Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down? ADCS-ADL - Write Things Down

ADL02TC (Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code)

NCI Code: C106653, Codelist extensible: No
C106653 ADL02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106979 ADL0201 ADL02-Usual Eating Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks? ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
C106980 ADL0202 ADL02-Optimal Walking Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance? ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
C106981 ADL0203 ADL02-Usual Bowel/Bladder Function Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks? ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
C106982 ADL0204 ADL02-Usual Bathing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance? ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
C106983 ADL0205 ADL02-Optimal Grooming Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance? ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
C106984 ADL0206 ADL02-Usual Physically Dressing Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks? ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
C106985 ADL0207 ADL02-Use a Telephone Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone? ADCS-ADL Severe Dementia - Use a Telephone
C106986 ADL0207A ADL02-Highest Telephone Use Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance. ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
C106987 ADL0208 ADL02-Watch Television Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television? ADCS-ADL Severe Dementia - Watch Television
C106988 ADL0208A ADL02-Select Television Program Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show? ADCS-ADL Severe Dementia - Select or Ask for Television Program
C106989 ADL0208B ADL02-Talk About TV Content While Watch Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it? ADCS-ADL Severe Dementia - Talk About TV Content While Watching
C106990 ADL0208C ADL02-Talk About TV Content Within a Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it? ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
C106991 ADL0209 ADL02-Pay Attention to Conversation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes? ADCS-ADL Severe Dementia - Pay Attention to Conversation
C106992 ADL0209A ADL02-Usual Conversation Participation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation. ADCS-ADL Severe Dementia - Usual Conversation Participation
C106993 ADL0210 ADL02-Clear Dishes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack? ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
C106994 ADL0210A ADL02-Clear Dishes Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed. ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
C106995 ADL0211 ADL02-Find Belongings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home? ADCS-ADL Severe Dementia - Find Personal Belongings at Home
C106996 ADL0211A ADL02-Find Belongings Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed. ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
C106997 ADL0212 ADL02-Obtain Beverage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself? ADCS-ADL Severe Dementia - Obtain Beverage for Self
C106998 ADL0212A ADL02-Obtain Beverage Highest Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance. ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
C106999 ADL0213 ADL02-Dispose of Garbage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home? ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
C107000 ADL0213A ADL02-Dispose Garbage Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed. ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
C107001 ADL0214 ADL02-Get Around Outside Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home? ADCS-ADL Severe Dementia - Get Around Outside Home
C107002 ADL0214A ADL02-Get Around Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance. ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
C107003 ADL0215 ADL02-Left On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own? ADCS-ADL Severe Dementia - Subject Left on Their Own
C107004 ADL0215A ADL02-Left Away From Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day? ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
C107005 ADL0215B ADL02-Left at Home for 1 Hour or Longer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day? ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
C107006 ADL0215C ADL02-Left at Home for Less Than 1 Hour Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day? ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
C107007 ADL0216 ADL02-Run Water Faucet to Wash Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help? ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
C107008 ADL0217 ADL02-Turn Off Faucet Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help? ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
C107009 ADL0218 ADL02-Turn On Light Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area? ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
C107010 ADL0219 ADL02-Turn Off Light Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep? ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
C107011 ADL0220 ADL02-Sum 1 to 5 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5. ADCS-ADL Severe Dementia - Sum of Items 1-5
C107012 ADL0221 ADL02-Sum 6 to 8 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8. ADCS-ADL Severe Dementia - Sum of Items 6-8
C107013 ADL0222 ADL02-Sum 9 to 12 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12. ADCS-ADL Severe Dementia - Sum of Items 9-12
C107014 ADL0223 ADL02-Sum 13 to 15 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15. ADCS-ADL Severe Dementia - Sum of Items 13-15
C107015 ADL0224 ADL02-Sum 16 to 19 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19. ADCS-ADL Severe Dementia - Sum of Items 16-19
C107016 ADL0225 ADL02-Total ADCS-ADL Score Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score. ADCS-ADL Severe Dementia - Total Score

ADL02TN (Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name)

NCI Code: C106652, Codelist extensible: No
C106652 ADL02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106994 ADL02-Clear Dishes Usual Performance ADL02-Clear Dishes Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed. ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
C106993 ADL02-Clear Dishes ADL02-Clear Dishes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack? ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
C107000 ADL02-Dispose Garbage Usual Performance ADL02-Dispose Garbage Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed. ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
C106999 ADL02-Dispose of Garbage ADL02-Dispose of Garbage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home? ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
C106996 ADL02-Find Belongings Usual Performance ADL02-Find Belongings Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed. ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
C106995 ADL02-Find Belongings ADL02-Find Belongings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home? ADCS-ADL Severe Dementia - Find Personal Belongings at Home
C107002 ADL02-Get Around Optimal Performance ADL02-Get Around Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance. ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
C107001 ADL02-Get Around Outside Home ADL02-Get Around Outside Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home? ADCS-ADL Severe Dementia - Get Around Outside Home
C106986 ADL02-Highest Telephone Use Performance ADL02-Highest Telephone Use Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance. ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
C107005 ADL02-Left at Home for 1 Hour or Longer ADL02-Left at Home for 1 Hour or Longer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day? ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
C107006 ADL02-Left at Home for Less Than 1 Hour ADL02-Left at Home for Less Than 1 Hour Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day? ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
C107004 ADL02-Left Away From Home ADL02-Left Away From Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day? ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
C107003 ADL02-Left On His/Her Own ADL02-Left On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own? ADCS-ADL Severe Dementia - Subject Left on Their Own
C106998 ADL02-Obtain Beverage Highest Perform ADL02-Obtain Beverage Highest Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance. ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
C106997 ADL02-Obtain Beverage ADL02-Obtain Beverage Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself? ADCS-ADL Severe Dementia - Obtain Beverage for Self
C106983 ADL02-Optimal Grooming Performance ADL02-Optimal Grooming Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance? ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
C106980 ADL02-Optimal Walking Performance ADL02-Optimal Walking Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance? ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
C106991 ADL02-Pay Attention to Conversation ADL02-Pay Attention to Conversation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes? ADCS-ADL Severe Dementia - Pay Attention to Conversation
C107007 ADL02-Run Water Faucet to Wash ADL02-Run Water Faucet to Wash Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help? ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
C106988 ADL02-Select Television Program ADL02-Select Television Program Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show? ADCS-ADL Severe Dementia - Select or Ask for Television Program
C107011 ADL02-Sum 1 to 5 ADL02-Sum 1 to 5 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5. ADCS-ADL Severe Dementia - Sum of Items 1-5
C107014 ADL02-Sum 13 to 15 ADL02-Sum 13 to 15 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15. ADCS-ADL Severe Dementia - Sum of Items 13-15
C107015 ADL02-Sum 16 to 19 ADL02-Sum 16 to 19 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19. ADCS-ADL Severe Dementia - Sum of Items 16-19
C107012 ADL02-Sum 6 to 8 ADL02-Sum 6 to 8 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8. ADCS-ADL Severe Dementia - Sum of Items 6-8
C107013 ADL02-Sum 9 to 12 ADL02-Sum 9 to 12 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12. ADCS-ADL Severe Dementia - Sum of Items 9-12
C106989 ADL02-Talk About TV Content While Watch ADL02-Talk About TV Content While Watch Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it? ADCS-ADL Severe Dementia - Talk About TV Content While Watching
C106990 ADL02-Talk About TV Content Within a Day ADL02-Talk About TV Content Within a Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it? ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
C107016 ADL02-Total ADCS-ADL Score ADL02-Total ADCS-ADL Score Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score. ADCS-ADL Severe Dementia - Total Score
C107008 ADL02-Turn Off Faucet ADL02-Turn Off Faucet Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help? ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
C107010 ADL02-Turn Off Light ADL02-Turn Off Light Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep? ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
C107009 ADL02-Turn On Light ADL02-Turn On Light Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area? ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
C106985 ADL02-Use a Telephone ADL02-Use a Telephone Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone? ADCS-ADL Severe Dementia - Use a Telephone
C106982 ADL02-Usual Bathing Performance ADL02-Usual Bathing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance? ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
C106981 ADL02-Usual Bowel/Bladder Function ADL02-Usual Bowel/Bladder Function Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks? ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
C106992 ADL02-Usual Conversation Participation ADL02-Usual Conversation Participation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation. ADCS-ADL Severe Dementia - Usual Conversation Participation
C106979 ADL02-Usual Eating Performance ADL02-Usual Eating Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks? ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
C106984 ADL02-Usual Physically Dressing Perform ADL02-Usual Physically Dressing Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks? ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
C106987 ADL02-Watch Television ADL02-Watch Television Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television? ADCS-ADL Severe Dementia - Watch Television

ADL03TC (Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code)

NCI Code: C106651, Codelist extensible: No
C106651 ADL03TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106891 ADL0301 ADL03-Find Personal Belongings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home? ADCS-ADL MCI - Find Personal Belongings
C106892 ADL0301A ADL03-Find Belongings Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed. ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
C106893 ADL0302 ADL03-Select First Clothes for the Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day? ADCS-ADL MCI - Select First Clothes for the Day
C106894 ADL0302A ADL03-Usual Dressing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance. ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
C106895 ADL0303 ADL03-Usual Physically Dressing Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks. ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
C106896 ADL0304 ADL03-Clean Room Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room? ADCS-ADL MCI - Clean Room
C106897 ADL0304A ADL03-Clean Room Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed. ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
C106898 ADL0305 ADL03-Balance Checkbook Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement? ADCS-ADL MCI - Balance Checkbook
C106899 ADL0305A ADL03-Balance Checkbook Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed. ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
C106900 ADL0306 ADL03-Write Things Down Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down? ADCS-ADL MCI - Write Things Down
C106901 ADL0306A ADL03-Most Complicated Writings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote. ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
C106902 ADL0307 ADL03-Clean Laundry Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry? ADCS-ADL MCI - Clean Laundry
C106903 ADL0307A ADL03-Laundry Cleaning Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed. ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
C106904 ADL0308 ADL03-Keep Appointments Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.? ADCS-ADL MCI - Keep Appointments
C106905 ADL0308A ADL03-Aware of Appointment Ahead of Time Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time. ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
C106906 ADL0309 ADL03-Use a Telephone Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone? ADCS-ADL MCI - Use a Telephone
C106907 ADL0309A ADL03-Highest Telephone Use Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance. ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
C106908 ADL0310 ADL03-Make a Meal Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home? ADCS-ADL MCI - Make a Meal or Snack
C106909 ADL0310A ADL03-Highest Level of Food Preparation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation. ADCS-ADL MCI - Description of Highest Level of Food Preparation
C106910 ADL0311 ADL03-Get Around Outside Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home? ADCS-ADL MCI - Travel Outside Home
C106911 ADL0311A ADL03-Get Around Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance. ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
C106912 ADL0312 ADL03-Talk About Current Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events? ADCS-ADL MCI - Talk About Current Events
C106913 ADL0312A ADL03-Regional, National, International Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events? ADCS-ADL MCI - Talk About Regional, National or International Events
C106914 ADL0312B ADL03-Talk About Outside Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors? ADCS-ADL MCI - Talk About Outside Home Events
C106915 ADL0312C ADL03-Talk About at Home Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched? ADCS-ADL MCI - Talk About at Home Events
C106916 ADL0312D ADL03-Talk Without Repeating Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly? ADCS-ADL MCI - Converse Without Repeating
C106917 ADL0313 ADL03-Read More Than 5 Minutes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time? ADCS-ADL MCI - Read More Than 5 Minutes
C106918 ADL0313A ADL03-Select/Ask for Something to Read Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read? ADCS-ADL MCI - Select or Ask for Something to Read
C106919 ADL0313B ADL03-Talk Within 1 Hour After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)? ADCS-ADL MCI - Talk Within 1 Hour After Reading
C106920 ADL0313C ADL03-Talk Within 1 Day After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading? ADCS-ADL MCI - Talk Within 24 Hours After Reading
C106921 ADL0314 ADL03-Watch Television Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television? ADCS-ADL MCI - Watch Television
C106922 ADL0314A ADL03-Select Television Program Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show? ADCS-ADL MCI - Select or Ask for Programs or Show
C106923 ADL0314B ADL03-Talk About TV Content While Watch Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it? ADCS-ADL MCI - Talk About Content of Program While Watching
C106924 ADL0314C ADL03-Talk About TV Content Within a Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it? ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
C106925 ADL0315 ADL03-Go Shopping Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store? ADCS-ADL MCI - Go Shopping At a Store
C106926 ADL0315A ADL03-Select Items Without Help Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help? ADCS-ADL MCI - Select Correct Items Without Help
C106927 ADL0315B ADL03-Pay Items On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own? ADCS-ADL MCI - Pay for Items on His or Her Own
C106928 ADL0316 ADL03-Left On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own? ADCS-ADL MCI - Left on His or Her Own
C106929 ADL0316A ADL03-Left Away From Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day? ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
C106930 ADL0316B ADL03-Left at Home for 1 Hour or Longer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day? ADCS-ADL MCI - Left at Home Longer Than an Hour
C106931 ADL0316C ADL03-Left at Home for Less Than 1 Hour Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day? ADCS-ADL MCI - Left at Home Less Than an Hour
C106932 ADL0317 ADL03-Use Household Appliance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores? ADCS-ADL MCI - Use Household Appliance
C107089 ADL0317A ADL03-Appliance: Washer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer. ADCS-ADL MCI - Use Household Appliance: Washer
C107090 ADL0317B ADL03-Appliance: Dryer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer. ADCS-ADL MCI - Use Household Appliance: Dryer
C107091 ADL0317C ADL03-Appliance: Vacuum Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum. ADCS-ADL MCI - Use Household Appliance: Vacuum
C106933 ADL0317D ADL03-Appliance: Dishwasher Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher. ADCS-ADL MCI - Use Household Appliance: Dishwasher
C106934 ADL0317E ADL03-Appliance: Power Tools Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s). ADCS-ADL MCI - Use Household Appliance: Power Tools
C106935 ADL0317F ADL03-Appliance: Toaster Oven Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven. ADCS-ADL MCI - Use Household Appliance: Toaster Oven
C106936 ADL0317G ADL03-Appliance: Range Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range. ADCS-ADL MCI - Use Household Appliance: Range
C106937 ADL0317H ADL03-Appliance: Microwave Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave. ADCS-ADL MCI - Use Household Appliance: Microwave
C106938 ADL0317I ADL03-Appliance: Food Processor Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor. ADCS-ADL MCI - Use Household Appliance: Food Processor
C106939 ADL0317J ADL03-Appliance: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other. ADCS-ADL MCI - Use Household Appliance: Other
C106940 ADL0317K ADL03-Appliance: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify. ADCS-ADL MCI - Use Household Appliance: Other Specify
C106941 ADL0317L ADL03-Use Common Used Appliances (q17a) Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them. ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
C106942 ADL0318 ADL03-Perform Pastime Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game? ADCS-ADL MCI - Perform Pastime, Hobby or Game
C106943 ADL0318A ADL03-Pastime: Card or Board Games Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
C106944 ADL0318B ADL03-Pastime: Bingo Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
C106945 ADL0318C ADL03-Pastime: Crosswords Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
C106946 ADL0318D ADL03-Pastime: Art Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
C106947 ADL0318E ADL03-Pastime: Musical Instrument Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
C106948 ADL0318F ADL03-Pastime: Knitting Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
C106949 ADL0318G ADL03-Pastime: Sewing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
C106950 ADL0318H ADL03-Pastime: Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
C106951 ADL0318I ADL03-Pastime: Gardening Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
C106952 ADL0318J ADL03-Pastime: Golf Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
C106953 ADL0318K ADL03-Pastime: Tennis Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
C106954 ADL0318L ADL03-Pastime: Workshop Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
C106955 ADL0318M ADL03-Pastime: Fishing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
C106956 ADL0318N ADL03-Pastime: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
C106957 ADL0318O ADL03-Pastime: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
C106958 ADL0318P ADL03-Hobbies Needed Help (Q18a) Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies? ADCS-ADL MCI - Require Help to Perform Hobbies
C106959 ADL0318Q ADL03-Hobbies Unable to Perform (Q18b) Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform. ADCS-ADL MCI - List Hobbies Lost Ability to Perform
C106960 ADL0319 ADL03-Drive Car Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car? ADCS-ADL MCI - Drive a Car
C106961 ADL0319A ADL03-Drive Car Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance. ADCS-ADL MCI - Description of Optimal Performance of Driving Car
C106962 ADL0320 ADL03-Take Medications Regularly Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly? ADCS-ADL MCI - Take Medications Regularly
C106963 ADL0320A ADL03-Take Medications Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this. ADCS-ADL MCI - Description of Taking Medications Regularly
C106964 ADL0321 ADL03-Complete Complex Activities Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion? ADCS-ADL MCI - Carry Through Complex Activities to Completion
C106965 ADL0321A ADL03-Extent Needed Reminders Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders. ADCS-ADL MCI - Description of Extent Needing Reminder
C106966 ADL0322 ADL03-Initiate Complex Activities Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)? ADCS-ADL MCI - Initiate Complex Daily Activities
C106967 ADL0323 ADL03-Time to Complete Complex Tasks Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities? ADCS-ADL MCI - Time Taken to Complete Complex Activities
C106968 ADL0324 ADL03-Extenuating Circumstances Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living? ADCS-ADL MCI - Extenuating Circumstance
C106969 ADL0324A ADL03-Explain Circumstance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain. ADCS-ADL MCI - Explain Extenuating Circumstance
C107092 ADL0325 ADL03-Total Points for 'Don't Know' Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'. ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
C106970 ADL0326 ADL03-Subscore for Items 1 to 3 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1. ADCS-ADL MCI - Subscore for Items 1 to 3
C106971 ADL0327 ADL03-Subscore for Items 4 to 7 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2. ADCS-ADL MCI - Subscore for Items 4 to 7
C106972 ADL0328 ADL03-Subscore for Items 8 to 10 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3. ADCS-ADL MCI - Subscore for Items 8 to 10
C106973 ADL0329 ADL03-Subscore for Items 11 to 12d Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4. ADCS-ADL MCI - Subscore for Items 11 to 12
C106974 ADL0330 ADL03-Subscore for Items 13 to 14c Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5. ADCS-ADL MCI - Subscore for Items 13 to 14
C106975 ADL0331 ADL03-Subscore for Items 15 to 16c Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6. ADCS-ADL MCI - Subscore for Items 15 to 16
C106976 ADL0332 ADL03-Subscore for Item 17 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7. ADCS-ADL MCI - Subscore for Item 17
C106977 ADL0333 ADL03-Subscore for Item 18 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8. ADCS-ADL MCI - Subscore for Item 18
C106978 ADL0334 ADL03-Total ADCS-ADL Score Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score. ADCS-ADL MCI - ADL Total Score

ADL03TN (Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name)

NCI Code: C106650, Codelist extensible: No
C106650 ADL03TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106933 ADL03-Appliance: Dishwasher ADL03-Appliance: Dishwasher Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher. ADCS-ADL MCI - Use Household Appliance: Dishwasher
C107090 ADL03-Appliance: Dryer ADL03-Appliance: Dryer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer. ADCS-ADL MCI - Use Household Appliance: Dryer
C106938 ADL03-Appliance: Food Processor ADL03-Appliance: Food Processor Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor. ADCS-ADL MCI - Use Household Appliance: Food Processor
C106937 ADL03-Appliance: Microwave ADL03-Appliance: Microwave Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave. ADCS-ADL MCI - Use Household Appliance: Microwave
C106940 ADL03-Appliance: Other Specify ADL03-Appliance: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify. ADCS-ADL MCI - Use Household Appliance: Other Specify
C106939 ADL03-Appliance: Other ADL03-Appliance: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other. ADCS-ADL MCI - Use Household Appliance: Other
C106934 ADL03-Appliance: Power Tools ADL03-Appliance: Power Tools Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s). ADCS-ADL MCI - Use Household Appliance: Power Tools
C106936 ADL03-Appliance: Range ADL03-Appliance: Range Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range. ADCS-ADL MCI - Use Household Appliance: Range
C106935 ADL03-Appliance: Toaster Oven ADL03-Appliance: Toaster Oven Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven. ADCS-ADL MCI - Use Household Appliance: Toaster Oven
C107091 ADL03-Appliance: Vacuum ADL03-Appliance: Vacuum Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum. ADCS-ADL MCI - Use Household Appliance: Vacuum
C107089 ADL03-Appliance: Washer ADL03-Appliance: Washer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer. ADCS-ADL MCI - Use Household Appliance: Washer
C106905 ADL03-Aware of Appointment Ahead of Time ADL03-Aware of Appointment Ahead of Time Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time. ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
C106899 ADL03-Balance Checkbook Performance ADL03-Balance Checkbook Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed. ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
C106898 ADL03-Balance Checkbook ADL03-Balance Checkbook Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement? ADCS-ADL MCI - Balance Checkbook
C106902 ADL03-Clean Laundry ADL03-Clean Laundry Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry? ADCS-ADL MCI - Clean Laundry
C106897 ADL03-Clean Room Performance ADL03-Clean Room Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed. ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
C106896 ADL03-Clean Room ADL03-Clean Room Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room? ADCS-ADL MCI - Clean Room
C106964 ADL03-Complete Complex Activities ADL03-Complete Complex Activities Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion? ADCS-ADL MCI - Carry Through Complex Activities to Completion
C106961 ADL03-Drive Car Optimal Performance ADL03-Drive Car Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance. ADCS-ADL MCI - Description of Optimal Performance of Driving Car
C106960 ADL03-Drive Car ADL03-Drive Car Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car? ADCS-ADL MCI - Drive a Car
C106969 ADL03-Explain Circumstance ADL03-Explain Circumstance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain. ADCS-ADL MCI - Explain Extenuating Circumstance
C106965 ADL03-Extent Needed Reminders ADL03-Extent Needed Reminders Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders. ADCS-ADL MCI - Description of Extent Needing Reminder
C106968 ADL03-Extenuating Circumstances ADL03-Extenuating Circumstances Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living? ADCS-ADL MCI - Extenuating Circumstance
C106892 ADL03-Find Belongings Usual Performance ADL03-Find Belongings Usual Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed. ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
C106891 ADL03-Find Personal Belongings ADL03-Find Personal Belongings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home? ADCS-ADL MCI - Find Personal Belongings
C106911 ADL03-Get Around Optimal Performance ADL03-Get Around Optimal Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance. ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
C106910 ADL03-Get Around Outside Home ADL03-Get Around Outside Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home? ADCS-ADL MCI - Travel Outside Home
C106925 ADL03-Go Shopping ADL03-Go Shopping Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store? ADCS-ADL MCI - Go Shopping At a Store
C106909 ADL03-Highest Level of Food Preparation ADL03-Highest Level of Food Preparation Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation. ADCS-ADL MCI - Description of Highest Level of Food Preparation
C106907 ADL03-Highest Telephone Use Performance ADL03-Highest Telephone Use Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance. ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
C106958 ADL03-Hobbies Needed Help (Q18a) ADL03-Hobbies Needed Help (Q18a) Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies? ADCS-ADL MCI - Require Help to Perform Hobbies
C106959 ADL03-Hobbies Unable to Perform (Q18b) ADL03-Hobbies Unable to Perform (Q18b) Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform. ADCS-ADL MCI - List Hobbies Lost Ability to Perform
C106966 ADL03-Initiate Complex Activities ADL03-Initiate Complex Activities Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)? ADCS-ADL MCI - Initiate Complex Daily Activities
C106904 ADL03-Keep Appointments ADL03-Keep Appointments Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.? ADCS-ADL MCI - Keep Appointments
C106903 ADL03-Laundry Cleaning Performance ADL03-Laundry Cleaning Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed. ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
C106930 ADL03-Left at Home for 1 Hour or Longer ADL03-Left at Home for 1 Hour or Longer Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day? ADCS-ADL MCI - Left at Home Longer Than an Hour
C106931 ADL03-Left at Home for Less Than 1 Hour ADL03-Left at Home for Less Than 1 Hour Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day? ADCS-ADL MCI - Left at Home Less Than an Hour
C106929 ADL03-Left Away From Home ADL03-Left Away From Home Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day? ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
C106928 ADL03-Left On His/Her Own ADL03-Left On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own? ADCS-ADL MCI - Left on His or Her Own
C106908 ADL03-Make a Meal ADL03-Make a Meal Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home? ADCS-ADL MCI - Make a Meal or Snack
C106901 ADL03-Most Complicated Writings ADL03-Most Complicated Writings Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote. ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
C106946 ADL03-Pastime: Art ADL03-Pastime: Art Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
C106944 ADL03-Pastime: Bingo ADL03-Pastime: Bingo Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
C106943 ADL03-Pastime: Card or Board Games ADL03-Pastime: Card or Board Games Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
C106945 ADL03-Pastime: Crosswords ADL03-Pastime: Crosswords Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
C106955 ADL03-Pastime: Fishing ADL03-Pastime: Fishing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
C106951 ADL03-Pastime: Gardening ADL03-Pastime: Gardening Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
C106952 ADL03-Pastime: Golf ADL03-Pastime: Golf Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
C106948 ADL03-Pastime: Knitting ADL03-Pastime: Knitting Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
C106947 ADL03-Pastime: Musical Instrument ADL03-Pastime: Musical Instrument Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
C106957 ADL03-Pastime: Other Specify ADL03-Pastime: Other Specify Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
C106956 ADL03-Pastime: Other ADL03-Pastime: Other Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
C106950 ADL03-Pastime: Reading ADL03-Pastime: Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
C106949 ADL03-Pastime: Sewing ADL03-Pastime: Sewing Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
C106953 ADL03-Pastime: Tennis ADL03-Pastime: Tennis Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
C106954 ADL03-Pastime: Workshop ADL03-Pastime: Workshop Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop. ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
C106927 ADL03-Pay Items On His/Her Own ADL03-Pay Items On His/Her Own Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own? ADCS-ADL MCI - Pay for Items on His or Her Own
C106942 ADL03-Perform Pastime ADL03-Perform Pastime Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game? ADCS-ADL MCI - Perform Pastime, Hobby or Game
C106917 ADL03-Read More Than 5 Minutes ADL03-Read More Than 5 Minutes Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time? ADCS-ADL MCI - Read More Than 5 Minutes
C106913 ADL03-Regional, National, International ADL03-Regional, National, International Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events? ADCS-ADL MCI - Talk About Regional, National or International Events
C106893 ADL03-Select First Clothes for the Day ADL03-Select First Clothes for the Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day? ADCS-ADL MCI - Select First Clothes for the Day
C106926 ADL03-Select Items Without Help ADL03-Select Items Without Help Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help? ADCS-ADL MCI - Select Correct Items Without Help
C106922 ADL03-Select Television Program ADL03-Select Television Program Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show? ADCS-ADL MCI - Select or Ask for Programs or Show
C106918 ADL03-Select/Ask for Something to Read ADL03-Select/Ask for Something to Read Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read? ADCS-ADL MCI - Select or Ask for Something to Read
C106976 ADL03-Subscore for Item 17 ADL03-Subscore for Item 17 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7. ADCS-ADL MCI - Subscore for Item 17
C106977 ADL03-Subscore for Item 18 ADL03-Subscore for Item 18 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8. ADCS-ADL MCI - Subscore for Item 18
C106970 ADL03-Subscore for Items 1 to 3 ADL03-Subscore for Items 1 to 3 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1. ADCS-ADL MCI - Subscore for Items 1 to 3
C106973 ADL03-Subscore for Items 11 to 12d ADL03-Subscore for Items 11 to 12d Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4. ADCS-ADL MCI - Subscore for Items 11 to 12
C106974 ADL03-Subscore for Items 13 to 14c ADL03-Subscore for Items 13 to 14c Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5. ADCS-ADL MCI - Subscore for Items 13 to 14
C106975 ADL03-Subscore for Items 15 to 16c ADL03-Subscore for Items 15 to 16c Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6. ADCS-ADL MCI - Subscore for Items 15 to 16
C106971 ADL03-Subscore for Items 4 to 7 ADL03-Subscore for Items 4 to 7 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2. ADCS-ADL MCI - Subscore for Items 4 to 7
C106972 ADL03-Subscore for Items 8 to 10 ADL03-Subscore for Items 8 to 10 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3. ADCS-ADL MCI - Subscore for Items 8 to 10
C106963 ADL03-Take Medications Performance ADL03-Take Medications Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this. ADCS-ADL MCI - Description of Taking Medications Regularly
C106962 ADL03-Take Medications Regularly ADL03-Take Medications Regularly Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly? ADCS-ADL MCI - Take Medications Regularly
C106915 ADL03-Talk About at Home Events ADL03-Talk About at Home Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched? ADCS-ADL MCI - Talk About at Home Events
C106912 ADL03-Talk About Current Events ADL03-Talk About Current Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events? ADCS-ADL MCI - Talk About Current Events
C106914 ADL03-Talk About Outside Events ADL03-Talk About Outside Events Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors? ADCS-ADL MCI - Talk About Outside Home Events
C106923 ADL03-Talk About TV Content While Watch ADL03-Talk About TV Content While Watch Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it? ADCS-ADL MCI - Talk About Content of Program While Watching
C106924 ADL03-Talk About TV Content Within a Day ADL03-Talk About TV Content Within a Day Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it? ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
C106920 ADL03-Talk Within 1 Day After Reading ADL03-Talk Within 1 Day After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading? ADCS-ADL MCI - Talk Within 24 Hours After Reading
C106919 ADL03-Talk Within 1 Hour After Reading ADL03-Talk Within 1 Hour After Reading Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)? ADCS-ADL MCI - Talk Within 1 Hour After Reading
C106916 ADL03-Talk Without Repeating ADL03-Talk Without Repeating Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly? ADCS-ADL MCI - Converse Without Repeating
C106967 ADL03-Time to Complete Complex Tasks ADL03-Time to Complete Complex Tasks Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities? ADCS-ADL MCI - Time Taken to Complete Complex Activities
C106978 ADL03-Total ADCS-ADL Score ADL03-Total ADCS-ADL Score Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score. ADCS-ADL MCI - ADL Total Score
C107092 ADL03-Total Points for 'Don't Know' ADL03-Total Points for 'Don't Know' Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'. ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
C106906 ADL03-Use a Telephone ADL03-Use a Telephone Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone? ADCS-ADL MCI - Use a Telephone
C106941 ADL03-Use Common Used Appliances (q17a) ADL03-Use Common Used Appliances (q17a) Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them. ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
C106932 ADL03-Use Household Appliance ADL03-Use Household Appliance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores? ADCS-ADL MCI - Use Household Appliance
C106894 ADL03-Usual Dressing Performance ADL03-Usual Dressing Performance Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance. ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
C106895 ADL03-Usual Physically Dressing Perform ADL03-Usual Physically Dressing Perform Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks. ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
C106921 ADL03-Watch Television ADL03-Watch Television Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television? ADCS-ADL MCI - Watch Television
C106900 ADL03-Write Things Down ADL03-Write Things Down Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down? ADCS-ADL MCI - Write Things Down

ADSD01TC (Asthma Daytime Symptom Diary v1.0 Questionnaire Test Code)

NCI Code: C163385, Codelist extensible: No
C163385 ADSD01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163818 ADSD0101 ADSD01-Rate Breathing at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you got up this morning. ADSD Version 1.0 - Rate Breathing at Its Worst
C163819 ADSD0102 ADSD01-Rate Wheezing at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your wheezing at its worst since you got up this morning. ADSD Version 1.0 - Rate Wheezing at Its Worst
C163820 ADSD0103 ADSD01-Rate Shortness of Breath at Worst Asthma Daytime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you got up this morning. ADSD Version 1.0 - Rate Shortness of Breath at Worst
C163821 ADSD0104 ADSD01-Rate Chest Tightness at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you got up this morning. ADSD Version 1.0 - Rate Chest Tightness at Its Worst
C163822 ADSD0105 ADSD01-Rate Chest Pain at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your chest pain at its worst since you got up this morning. ADSD Version 1.0 - Rate Chest Pain at Its Worst
C163823 ADSD0106 ADSD01-Rate Cough at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your cough at its worst since you got up this morning. ADSD Version 1.0 - Rate Cough at Its Worst
C163824 ADSD0107 ADSD01-Total Score Asthma Daytime Symptom Diary v1.0 - Total score. ADSD Version 1.0 - Total Score

ADSD01TN (Asthma Daytime Symptom Diary v1.0 Questionnaire Test Name)

NCI Code: C163384, Codelist extensible: No
C163384 ADSD01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163818 ADSD01-Rate Breathing at Its Worst ADSD01-Rate Breathing at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you got up this morning. ADSD Version 1.0 - Rate Breathing at Its Worst
C163822 ADSD01-Rate Chest Pain at Its Worst ADSD01-Rate Chest Pain at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your chest pain at its worst since you got up this morning. ADSD Version 1.0 - Rate Chest Pain at Its Worst
C163821 ADSD01-Rate Chest Tightness at Its Worst ADSD01-Rate Chest Tightness at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you got up this morning. ADSD Version 1.0 - Rate Chest Tightness at Its Worst
C163823 ADSD01-Rate Cough at Its Worst ADSD01-Rate Cough at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your cough at its worst since you got up this morning. ADSD Version 1.0 - Rate Cough at Its Worst
C163820 ADSD01-Rate Shortness of Breath at Worst ADSD01-Rate Shortness of Breath at Worst Asthma Daytime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you got up this morning. ADSD Version 1.0 - Rate Shortness of Breath at Worst
C163819 ADSD01-Rate Wheezing at Its Worst ADSD01-Rate Wheezing at Its Worst Asthma Daytime Symptom Diary v1.0 - Please rate your wheezing at its worst since you got up this morning. ADSD Version 1.0 - Rate Wheezing at Its Worst
C163824 ADSD01-Total Score ADSD01-Total Score Asthma Daytime Symptom Diary v1.0 - Total score. ADSD Version 1.0 - Total Score

ADT01TC (Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code)

NCI Code: C119060, Codelist extensible: No
C119060 ADT01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119108 ADT0101 ADT01-How Often Drink Alcohol Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol? AUDIT - How Often Have Alcohol Drink
C119109 ADT0102 ADT01-Alcohol Drinks on a Typical Day Alcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking? AUDIT - How Many Alcohol Drinks on a Typical Day
C119110 ADT0103 ADT01-Six or More Drinks One Occasion Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion? AUDIT - How Often Have Six or More Drinks
C119111 ADT0104 ADT01-Not Able Stop Drinking Once Start Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started? AUDIT - How Often Last Year You Found Not Able to Stop Drinking
C119112 ADT0105 ADT01-Failed to Do as Expected Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking? AUDIT - How Often Last Year You Failed to Do Normally Expected of You
C119113 ADT0106 ADT01-Need Drink Morning After Drinking Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? AUDIT - How Often Last Year Need a Drink in the Morning to Get Going
C119114 ADT0107 ADT01-Feeling of Guilt or Remorse Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking? AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking
C119115 ADT0108 ADT01-Unable to Remember What Happened Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking? AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before
C119116 ADT0109 ADT01-Injured Because of Your Drinking Alcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking? AUDIT - Injured Because of Drinking
C119117 ADT0110 ADT01-Suggested to Cut Down Alcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down? AUDIT - Concerned About Your Drinking
C119118 ADT0111 ADT01-Total Alcohol Use Disorder Identification Test: Self-Report Version - Total. AUDIT - Total

ADT01TN (Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name)

NCI Code: C119059, Codelist extensible: No
C119059 ADT01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119109 ADT01-Alcohol Drinks on a Typical Day ADT01-Alcohol Drinks on a Typical Day Alcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking? AUDIT - How Many Alcohol Drinks on a Typical Day
C119112 ADT01-Failed to Do as Expected ADT01-Failed to Do as Expected Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking? AUDIT - How Often Last Year You Failed to Do Normally Expected of You
C119114 ADT01-Feeling of Guilt or Remorse ADT01-Feeling of Guilt or Remorse Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking? AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking
C119108 ADT01-How Often Drink Alcohol ADT01-How Often Drink Alcohol Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol? AUDIT - How Often Have Alcohol Drink
C119116 ADT01-Injured Because of Your Drinking ADT01-Injured Because of Your Drinking Alcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking? AUDIT - Injured Because of Drinking
C119113 ADT01-Need Drink Morning After Drinking ADT01-Need Drink Morning After Drinking Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? AUDIT - How Often Last Year Need a Drink in the Morning to Get Going
C119111 ADT01-Not Able Stop Drinking Once Start ADT01-Not Able Stop Drinking Once Start Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started? AUDIT - How Often Last Year You Found Not Able to Stop Drinking
C119110 ADT01-Six or More Drinks One Occasion ADT01-Six or More Drinks One Occasion Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion? AUDIT - How Often Have Six or More Drinks
C119117 ADT01-Suggested to Cut Down ADT01-Suggested to Cut Down Alcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down? AUDIT - Concerned About Your Drinking
C119118 ADT01-Total ADT01-Total Alcohol Use Disorder Identification Test: Self-Report Version - Total. AUDIT - Total
C119115 ADT01-Unable to Remember What Happened ADT01-Unable to Remember What Happened Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking? AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before

ADTC01TC (Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code)

NCI Code: C119062, Codelist extensible: No
C119062 ADTC01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119119 ADTC0101 ADTC01-How Often Drink Alcohol Alcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol? AUDIT-C - How Often Have Alcohol Drink
C119120 ADTC0102 ADTC01-Alcohol Drinks on a Typical Day Alcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day? AUDIT-C - How Many Alcohol Drinks on a Typical Day
C119121 ADTC0103 ADTC01-Six or More Drinks One Occasion Alcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion? AUDIT-C - How Often Have Six or More Drinks

ADTC01TN (Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name)

NCI Code: C119061, Codelist extensible: No
C119061 ADTC01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119120 ADTC01-Alcohol Drinks on a Typical Day ADTC01-Alcohol Drinks on a Typical Day Alcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day? AUDIT-C - How Many Alcohol Drinks on a Typical Day
C119119 ADTC01-How Often Drink Alcohol ADTC01-How Often Drink Alcohol Alcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol? AUDIT-C - How Often Have Alcohol Drink
C119121 ADTC01-Six or More Drinks One Occasion ADTC01-Six or More Drinks One Occasion Alcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion? AUDIT-C - How Often Have Six or More Drinks

AIMS0101T07OR (Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0101 Through AIMS0107 TN/TC)

NCI Code: C182464, Codelist extensible: No
C182464 AIMS0101T07OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182674 Mild AIMS0101 through AIMS0107-Mild Abnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Mild. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Mild
C182673 Minimal, may be extreme normal AIMS0101 through AIMS0107-Minimal, may be extreme normal Abnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Minimal, may be extreme normal. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Minimal, may be extreme normal
C182675 Moderate AIMS0101 through AIMS0107-Moderate Abnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Moderate. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Moderate
C182672 None AIMS0101 through AIMS0107-None Abnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-None. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - None
C182676 Severe AIMS0101 through AIMS0107-Severe Abnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Severe. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Severe

AIMS0101T07STR (Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0101 Through AIMS0107 TN/TC)

NCI Code: C182502, Codelist extensible: No
C182502 AIMS0101T07STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182677 0 AIMS0101 through AIMS0107-0 Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-None. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 0
C182678 1 AIMS0101 through AIMS0107-1 Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Minimal, may be extreme normal . Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 1
C182679 2 AIMS0101 through AIMS0107-2 Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Mild. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 2
C182680 3 AIMS0101 through AIMS0107-3 Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Moderate. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 3
C182681 4 AIMS0101 through AIMS0107-4 Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Severe. Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 4

AIMS0108T09OR (Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0108 Through AIMS0109 TN/TC)

NCI Code: C182465, Codelist extensible: No
C182465 AIMS0108T09OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182684 Mild AIMS0108 through AIMS0109-Mild Abnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Mild. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Mild
C182683 Minimal AIMS0108 through AIMS0109-Minimal Abnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Minimal. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Minimal
C182685 Moderate AIMS0108 through AIMS0109-Moderate Abnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Moderate. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Moderate
C182682 None, normal AIMS0108 through AIMS0109-None, normal Abnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-None, normal. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - None, normal
C182686 Severe AIMS0108 through AIMS0109-Severe Abnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Severe. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Severe

AIMS0108T09STR (Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0108 Through AIMS0109 TN/TC)

NCI Code: C182503, Codelist extensible: No
C182503 AIMS0108T09STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182687 0 AIMS0108 through AIMS0109-0 Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-None, normal. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 0
C182688 1 AIMS0108 through AIMS0109-1 Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Minimal. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 1
C182689 2 AIMS0108 through AIMS0109-2 Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Mild. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 2
C182690 3 AIMS0108 through AIMS0109-3 Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Moderate. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 3
C182691 4 AIMS0108 through AIMS0109-4 Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Severe. Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 4

AIMS0110OR (Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0110 TN/TC)

NCI Code: C182466, Codelist extensible: No
C182466 AIMS0110OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182694 Aware, mild distress AIMS0110-Aware, mild distress Abnormal Involuntary Movement Scale original result for AIMS0110-Aware, mild distress. Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, mild distress
C182695 Aware, moderate distress AIMS0110-Aware, moderate distress Abnormal Involuntary Movement Scale original result for AIMS0110-Aware, moderate distress. Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, moderate distress
C182693 Aware, no distress AIMS0110-Aware, no distress Abnormal Involuntary Movement Scale original result for AIMS0110-Aware, no distress. Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, no distress
C182696 Aware, severe distress AIMS0110-Aware, severe distress Abnormal Involuntary Movement Scale original result for AIMS0110-Aware, severe distress. Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, severe distress
C182692 No awareness AIMS0110-No awareness Abnormal Involuntary Movement Scale original result for AIMS0110-No awareness. Abnormal Involuntary Movement Scale AIMS0110 Original Result - No awareness

AIMS0110STR (Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0110 TN/TC)

NCI Code: C182504, Codelist extensible: No
C182504 AIMS0110STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182697 0 AIMS0110-0 Abnormal Involuntary Movement Scale standardized character result for AIMS0110-No awareness. Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 0
C182698 1 AIMS0110-1 Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, no distress. Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 1
C182699 2 AIMS0110-2 Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, mild distress. Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 2
C182700 3 AIMS0110-3 Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, moderate distress. Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 3
C182701 4 AIMS0110-4 Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, severe distress. Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 4

AIMS0111T12OR (Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0111 Through AIMS0112 TN/TC)

NCI Code: C182467, Codelist extensible: No
C182467 AIMS0111T12OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182702 No AIMS0111 through AIMS0112-No Abnormal Involuntary Movement Scale original result for AIMS0111 through AIMS0112-No. Abnormal Involuntary Movement Scale AIMS0111 Through AIMS0112 Original Result - No
C182703 Yes AIMS0111 through AIMS0112-Yes Abnormal Involuntary Movement Scale original result for AIMS0111 through AIMS0112-Yes. Abnormal Involuntary Movement Scale AIMS0111 Through AIMS0112 Original Result - Yes

AIMS0111T12STR (Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0111 Through AIMS0112 TN/TC)

NCI Code: C182505, Codelist extensible: No
C182505 AIMS0111T12STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182704 0 AIMS0111 through AIMS0112-0 Abnormal Involuntary Movement Scale standardized character result for AIMS0111 through AIMS0112-No. Abnormal Involuntary Movement Scale AIMS0111 through AIMS0112 Standardized Character Result 0
C182705 1 AIMS0111 through AIMS0112-1 Abnormal Involuntary Movement Scale standardized character result for AIMS0111 through AIMS0112-Yes. Abnormal Involuntary Movement Scale AIMS0111 through AIMS0112 Standardized Character Result 1

AIMS01TC (Abnormal Involuntary Movement Scale Clinical Classification Test Code)

NCI Code: C101805, Codelist extensible: No
C101805 AIMS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102034 AIMS0101 AIMS01-Muscles of Facial Expression Abnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face. AIMS - Muscles of Facial Expression
C102035 AIMS0102 AIMS01-Lips and Perioral Area Abnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking. AIMS - Lips and Perioral Area
C102036 AIMS0103 AIMS01-Jaw Abnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement. AIMS - Jaw
C102037 AIMS0104 AIMS01-Tongue Abnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement. AIMS - Tongue
C102038 AIMS0105 AIMS01-Upper Extremities Abnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements). AIMS - Upper Extremities
C102039 AIMS0106 AIMS01-Lower Extremities Abnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot. AIMS - Lower Extremities
C102040 AIMS0107 AIMS01-Neck, Shoulders, Hips Abnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements. AIMS - Neck, Shoulders, Hips
C102041 AIMS0108 AIMS01-Severity of Abnormal Movements Abnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items. AIMS - Severity of Abnormal Movements
C102042 AIMS0109 AIMS01-Incapacitation due Abn Movements Abnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements. AIMS - Incapacitation Due to Abnormal Movements
C102043 AIMS0110 AIMS01-Patient Awareness Abn Movements Abnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements. AIMS - Patient's Awareness of Abnormal Movements
C102044 AIMS0111 AIMS01-Current Problems Teeth/Dentures Abnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures. AIMS - Current Teeth/Dentures Problems
C102045 AIMS0112 AIMS01-Patient Usually Wear Dentures Abnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures? AIMS - Patient Usually Wears Dentures

AIMS01TN (Abnormal Involuntary Movement Scale Clinical Classification Test Name)

NCI Code: C101806, Codelist extensible: No
C101806 AIMS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102044 AIMS01-Current Problems Teeth/Dentures AIMS01-Current Problems Teeth/Dentures Abnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures. AIMS - Current Teeth/Dentures Problems
C102042 AIMS01-Incapacitation due Abn Movements AIMS01-Incapacitation due Abn Movements Abnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements. AIMS - Incapacitation Due to Abnormal Movements
C102036 AIMS01-Jaw AIMS01-Jaw Abnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement. AIMS - Jaw
C102035 AIMS01-Lips and Perioral Area AIMS01-Lips and Perioral Area Abnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking. AIMS - Lips and Perioral Area
C102039 AIMS01-Lower Extremities AIMS01-Lower Extremities Abnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot. AIMS - Lower Extremities
C102034 AIMS01-Muscles of Facial Expression AIMS01-Muscles of Facial Expression Abnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face. AIMS - Muscles of Facial Expression
C102040 AIMS01-Neck, Shoulders, Hips AIMS01-Neck, Shoulders, Hips Abnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements. AIMS - Neck, Shoulders, Hips
C102043 AIMS01-Patient Awareness Abn Movements AIMS01-Patient Awareness Abn Movements Abnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements. AIMS - Patient's Awareness of Abnormal Movements
C102045 AIMS01-Patient Usually Wear Dentures AIMS01-Patient Usually Wear Dentures Abnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures? AIMS - Patient Usually Wears Dentures
C102041 AIMS01-Severity of Abnormal Movements AIMS01-Severity of Abnormal Movements Abnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items. AIMS - Severity of Abnormal Movements
C102037 AIMS01-Tongue AIMS01-Tongue Abnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement. AIMS - Tongue
C102038 AIMS01-Upper Extremities AIMS01-Upper Extremities Abnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements). AIMS - Upper Extremities

AJCC1TC (AJCC TNM Staging System 7th Edition Clinical Classification Test Code)

NCI Code: C141655, Codelist extensible: No
C141655 AJCC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141696 AJCC101 AJCC1-Primary Tumor (T) AJCC TNM Staging System 7th Edition - Primary tumor (T). AJCC v7 - Primary Tumor (T)
C141697 AJCC102 AJCC1-Regional Lymph Nodes (N) AJCC TNM Staging System 7th Edition - Regional lymph nodes (N). AJCC v7 - Regional Lymph Nodes (N)
C141698 AJCC103 AJCC1-Distant Metastasis (M) AJCC TNM Staging System 7th Edition - Distant metastasis (M). AJCC v7 - Distant Metastasis (M)
C141699 AJCC104 AJCC1-Anatomic Stage AJCC TNM Staging System 7th Edition - Anatomic stage. AJCC v7 - Anatomic Stage
C176205 AJCC105 AJCC1-Residual Tumor (R) AJCC TNM Staging System 7th Edition - Residual tumor (R). AJCC v7 - Residual Tumor (R)

AJCC1TN (AJCC TNM Staging System 7th Edition Clinical Classification Test Name)

NCI Code: C141654, Codelist extensible: No
C141654 AJCC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141699 AJCC1-Anatomic Stage AJCC1-Anatomic Stage AJCC TNM Staging System 7th Edition - Anatomic stage. AJCC v7 - Anatomic Stage
C141698 AJCC1-Distant Metastasis (M) AJCC1-Distant Metastasis (M) AJCC TNM Staging System 7th Edition - Distant metastasis (M). AJCC v7 - Distant Metastasis (M)
C141696 AJCC1-Primary Tumor (T) AJCC1-Primary Tumor (T) AJCC TNM Staging System 7th Edition - Primary tumor (T). AJCC v7 - Primary Tumor (T)
C141697 AJCC1-Regional Lymph Nodes (N) AJCC1-Regional Lymph Nodes (N) AJCC TNM Staging System 7th Edition - Regional lymph nodes (N). AJCC v7 - Regional Lymph Nodes (N)
C176205 AJCC1-Residual Tumor (R) AJCC1-Residual Tumor (R) AJCC TNM Staging System 7th Edition - Residual tumor (R). AJCC v7 - Residual Tumor (R)

ANSD01TC (Asthma Nighttime Symptom Diary v1.0 Questionnaire Test Code)

NCI Code: C163387, Codelist extensible: No
C163387 ANSD01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163825 ANSD0101 ANSD01-Rate Breathing at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you went to bed last night. ANSD Version 1.0 - Rate Breathing at Its Worst
C163826 ANSD0102 ANSD01-Rate Wheezing at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your wheezing at its worst since you went to bed last night. ANSD Version 1.0 - Rate Wheezing at Its Worst
C163827 ANSD0103 ANSD01-Rate Shortness of Breath at Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you went to bed last night. ANSD Version 1.0 - Rate Shortness of Breath at Worst
C163828 ANSD0104 ANSD01-Rate Chest Tightness at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you went to bed last night. ANSD Version 1.0 - Rate Chest Tightness at Its Worst
C163829 ANSD0105 ANSD01-Rate Chest Pain at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your chest pain at its worst since you went to bed last night. ANSD Version 1.0 - Rate Chest Pain at Its Worst
C163830 ANSD0106 ANSD01-Rate Cough at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your cough at its worst since you went to bed last night. ANSD Version 1.0 - Rate Cough at Its Worst
C163831 ANSD0107 ANSD01-Total Score Asthma Nighttime Symptom Diary v1.0 - Total score. ANSD Version 1.0 - Total Score

ANSD01TN (Asthma Nighttime Symptom Diary v1.0 Questionnaire Test Name)

NCI Code: C163386, Codelist extensible: No
C163386 ANSD01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163825 ANSD01-Rate Breathing at Its Worst ANSD01-Rate Breathing at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you went to bed last night. ANSD Version 1.0 - Rate Breathing at Its Worst
C163829 ANSD01-Rate Chest Pain at Its Worst ANSD01-Rate Chest Pain at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your chest pain at its worst since you went to bed last night. ANSD Version 1.0 - Rate Chest Pain at Its Worst
C163828 ANSD01-Rate Chest Tightness at Its Worst ANSD01-Rate Chest Tightness at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you went to bed last night. ANSD Version 1.0 - Rate Chest Tightness at Its Worst
C163830 ANSD01-Rate Cough at Its Worst ANSD01-Rate Cough at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your cough at its worst since you went to bed last night. ANSD Version 1.0 - Rate Cough at Its Worst
C163827 ANSD01-Rate Shortness of Breath at Worst ANSD01-Rate Shortness of Breath at Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you went to bed last night. ANSD Version 1.0 - Rate Shortness of Breath at Worst
C163826 ANSD01-Rate Wheezing at Its Worst ANSD01-Rate Wheezing at Its Worst Asthma Nighttime Symptom Diary v1.0 - Please rate your wheezing at its worst since you went to bed last night. ANSD Version 1.0 - Rate Wheezing at Its Worst
C163831 ANSD01-Total Score ANSD01-Total Score Asthma Nighttime Symptom Diary v1.0 - Total score. ANSD Version 1.0 - Total Score

APCH101OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH101 TN/TC)

NCI Code: C182484, Codelist extensible: No
C182484 APCH101OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182888 30-31.9 APCH101-30-31.9 Acute Physiology and Chronic Health Evaluation II original result for APCH101-30-31.9. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 30-31.9
C182887 32-33.9 APCH101-32-33.9 Acute Physiology and Chronic Health Evaluation II original result for APCH101-32-33.9. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 32-33.9
C182886 34-35.9 APCH101-34-35.9 Acute Physiology and Chronic Health Evaluation II original result for APCH101-34-35.9. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 34-35.9
C182885 36-38.4 APCH101-36-38.4 Acute Physiology and Chronic Health Evaluation II original result for APCH101-36-38.4. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 36-38.4
C182884 38.5-38.9 APCH101-38.5-38.9 Acute Physiology and Chronic Health Evaluation II original result for APCH101-38.5-38.9. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 38.5-38.9
C182883 39-40.9 APCH101-39-40.9 Acute Physiology and Chronic Health Evaluation II original result for APCH101-39-40.9. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 39-40.9
C182889 <=29.9 APCH101-<=29.9 Acute Physiology and Chronic Health Evaluation II original result for APCH101-Less than or equal to 29.9. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - <=29.9
C182882 >=41 APCH101->=41 Acute Physiology and Chronic Health Evaluation II original result for APCH101-Greater than or equal to 41. Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - >=41

APCH101STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH101 TN/TC)

NCI Code: C182522, Codelist extensible: No
C182522 APCH101STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182894 0 APCH101-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-36-38.4. Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 0
C182893 1 APCH101-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-38.5-38.9; 34-35.9. Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 1
C182892 2 APCH101-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-32-33.9. Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 2
C182891 3 APCH101-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-39-40.9; 30-31.9. Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 3
C182890 4 APCH101-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-Greater than or equal to 41; Less than or equal to 29.9. Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 4

APCH102OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH102 TN/TC)

NCI Code: C182485, Codelist extensible: No
C182485 APCH102OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182897 110-129 APCH102-110-129 Acute Physiology and Chronic Health Evaluation II original result for APCH102-110-129. Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 110-129
C182896 130-159 APCH102-130-159 Acute Physiology and Chronic Health Evaluation II original result for APCH102-130-159. Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 130-159
C182899 50-69 APCH102-50-69 Acute Physiology and Chronic Health Evaluation II original result for APCH102-50-69. Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 50-69
C182898 70-109 APCH102-70-109 Acute Physiology and Chronic Health Evaluation II original result for APCH102-70-109. Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 70-109
C182900 <=49 APCH102-<=49 Acute Physiology and Chronic Health Evaluation II original result for APCH102-Less than or equal to 49. Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - <=49
C182895 >=160 APCH102->=160 Acute Physiology and Chronic Health Evaluation II original result for APCH102-Greater than or equal to 160. Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - >=160

APCH102STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH102 TN/TC)

NCI Code: C182523, Codelist extensible: No
C182523 APCH102STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182904 0 APCH102-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-70-109. Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 0
C182903 2 APCH102-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-110-129; 50-69. Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 2
C182902 3 APCH102-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-130-159. Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 3
C182901 4 APCH102-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-Greater than or equal to 160; less than or equal to 49. Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 4

APCH103OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH103 TN/TC)

NCI Code: C182486, Codelist extensible: No
C182486 APCH103OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182907 110-139 APCH103-110-139 Acute Physiology and Chronic Health Evaluation II original result for APCH103-110-139. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 110-139
C182906 140-179 APCH103-140-179 Acute Physiology and Chronic Health Evaluation II original result for APCH103-140-179. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 140-179
C182910 40-54 APCH103-40-54 Acute Physiology and Chronic Health Evaluation II original result for APCH103-40-54. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 40-54
C182909 55-69 APCH103-55-69 Acute Physiology and Chronic Health Evaluation II original result for APCH103-55-69. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 55-69
C182908 70-109 APCH103-70-109 Acute Physiology and Chronic Health Evaluation II original result for APCH103-70-109. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 70-109
C182911 <=39 APCH103-<=39 Acute Physiology and Chronic Health Evaluation II original result for APCH103-Less than or equal to 39. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - <=39
C182905 >=180 APCH103->=180 Acute Physiology and Chronic Health Evaluation II original result for APCH103-Greater than or equal to 180. Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - >=180

APCH103STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH103 TN/TC)

NCI Code: C182524, Codelist extensible: No
C182524 APCH103STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182915 0 APCH103-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-70-109. Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 0
C182914 2 APCH103-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-110-139; 55-69. Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 2
C182913 3 APCH103-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-140-179; 40-54. Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 3
C182912 4 APCH103-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-Greater than or equal to 180; Less than or equal 39. Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 4

APCH104OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH104 TN/TC)

NCI Code: C182487, Codelist extensible: No
C182487 APCH104OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182920 10-11 APCH104-10-11 Acute Physiology and Chronic Health Evaluation II original result for APCH104-10-11. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 10-11
C182919 12-24 APCH104-12-24 Acute Physiology and Chronic Health Evaluation II original result for APCH104-12-24. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 12-24
C182918 25-34 APCH104-25-34 Acute Physiology and Chronic Health Evaluation II original result for APCH104-25-34. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 25-34
C182917 35-49 APCH104-35-49 Acute Physiology and Chronic Health Evaluation II original result for APCH104-35-49. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 35-49
C182921 6-9 APCH104-6-9 Acute Physiology and Chronic Health Evaluation II original result for APCH104-6-9. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 6-9
C182922 <=5 APCH104-<=5 Acute Physiology and Chronic Health Evaluation II original result for APCH104-Less than or equal to 5. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - <=5
C182916 >=50 APCH104->=50 Acute Physiology and Chronic Health Evaluation II original result for APCH104-Greater than or equal to 50. Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - >=50

APCH104STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH104 TN/TC)

NCI Code: C182525, Codelist extensible: No
C182525 APCH104STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182927 0 APCH104-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-12-24. Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 0
C182926 1 APCH104-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-25-34; 10-11. Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 1
C182925 2 APCH104-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-6-9. Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 2
C182924 3 APCH104-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-35-49. Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 3
C182923 4 APCH104-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-Greater than or equal to 50; Less than or equal to 5. Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 4

APCH105AOR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105A TN/TC)

NCI Code: C182488, Codelist extensible: No
C182488 APCH105AOR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182930 200-349 APCH105A-200-349 Acute Physiology and Chronic Health Evaluation II original result for APCH105A-200-349. Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - 200-349
C182929 350-499 APCH105A-350-499 Acute Physiology and Chronic Health Evaluation II original result for APCH105A-350-499. Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - 350-499
C182931 <200 APCH105A-<200 Acute Physiology and Chronic Health Evaluation II original result for APCH105A-Less than 200. Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - <200
C182928 >=500 APCH105A->=500 Acute Physiology and Chronic Health Evaluation II original result for APCH105A-Greater than or equal to 500. Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - >=500

APCH105ASTR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105A TN/TC)

NCI Code: C182526, Codelist extensible: No
C182526 APCH105ASTR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182935 0 APCH105A-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-Less than 200. Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 0
C182934 2 APCH105A-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-200-349. Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 2
C182933 3 APCH105A-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-350-499. Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 3
C182932 4 APCH105A-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-Greater than or equal to 500. Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 4

APCH105BOR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105B TN/TC)

NCI Code: C182489, Codelist extensible: No
C182489 APCH105BOR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182938 55-60 APCH105B-55-60 Acute Physiology and Chronic Health Evaluation II original result for APCH105B-55-60. Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - 55-60
C182937 61-70 APCH105B-61-70 Acute Physiology and Chronic Health Evaluation II original result for APCH105B-61-70. Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - 61-70
C182939 <55 APCH105B-<55 Acute Physiology and Chronic Health Evaluation II original result for APCH105B-Less than 55. Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - <55
C182936 >70 APCH105B->70 Acute Physiology and Chronic Health Evaluation II original result for APCH105B-Greater than 70. Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - >70

APCH105BSTR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105B TN/TC)

NCI Code: C182527, Codelist extensible: No
C182527 APCH105BSTR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182940 0 APCH105B-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-Greater than 70. Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 0
C182941 1 APCH105B-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-61-70. Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 1
C182942 3 APCH105B-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-55-60. Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 3
C182943 4 APCH105B-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-Less than 55. Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 4

APCH106AOR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106A TN/TC)

NCI Code: C182490, Codelist extensible: No
C182490 APCH106AOR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182949 7.15-7.24 APCH106A-7.15-7.24 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.15-7.24. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.15-7.24
C182948 7.25-7.32 APCH106A-7.25-7.32 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.25-7.32. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.25-7.32
C182947 7.33-7.49 APCH106A-7.33-7.49 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.33-7.49. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.33-7.49
C182946 7.5-7.59 APCH106A-7.5-7.59 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.5-7.59. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.5-7.59
C182945 7.6-7.69 APCH106A-7.6-7.69 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.6-7.69. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.6-7.69
C182950 <7.15 APCH106A-<7.15 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-Less than 7.15. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - <7.15
C182944 >=7.7 APCH106A->=7.7 Acute Physiology and Chronic Health Evaluation II original result for APCH106A-Greater than or equal to 7.7. Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - >=7.7

APCH106ASTR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106A TN/TC)

NCI Code: C182528, Codelist extensible: No
C182528 APCH106ASTR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182955 0 APCH106A-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.33-7.49. Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 0
C182954 1 APCH106A-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.5-7.59. Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 1
C182953 2 APCH106A2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.25-7.32. Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 2
C182952 3 APCH106A-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.6-7.69; 7.15-7.24. Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 3
C182951 4 APCH106A-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-Greater than or equal to 7.7; Less than 7.15. Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 4

APCH106BOR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106B TN/TC)

NCI Code: C182491, Codelist extensible: No
C182491 APCH106BOR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182961 15-17.9 APCH106B-15-17.9 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-15-17.9. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 15-17.9
C182960 18-21.9 APCH106B-18-21.9 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-18-21.9. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 18-21.9
C182959 22-31.9 APCH106B-22-31.9 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-22-31.9. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 22-31.9
C182958 32-40.9 APCH106B-32-40.9 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-32-40.9. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 32-40.9
C182957 41-51.9 APCH106B-41-51.9 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-41-51.9. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 41-51.9
C182962 <15 APCH106B-<15 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-Less than 15. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - <15
C182956 >=52 APCH106B->=52 Acute Physiology and Chronic Health Evaluation II original result for APCH106B-Greater than or equal to 52. Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - >=52

APCH106BSTR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106B TN/TC)

NCI Code: C182529, Codelist extensible: No
C182529 APCH106BSTR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182967 0 APCH106B-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-22-31.9. Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 0
C182966 1 APCH106B-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-32-40.9. Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 1
C182965 2 APCH106B-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-18-21.9. Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 2
C182964 3 APCH106B-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-41-51.9; 15-17.9. Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 3
C182963 4 APCH106B-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-Greater than or equal to 52; Less than 15. Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 4

APCH107OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH107 TN/TC)

NCI Code: C182492, Codelist extensible: No
C182492 APCH107OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182974 111-119 APCH107-111-119 Acute Physiology and Chronic Health Evaluation II original result for APCH107-111-119. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 111-119
C182973 120-129 APCH107-120-129 Acute Physiology and Chronic Health Evaluation II original result for APCH107-120-129. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 120-129
C182972 130-149 APCH107-130-149 Acute Physiology and Chronic Health Evaluation II original result for APCH107-130-149. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 130-149
C182971 150-154 APCH107-150-154 Acute Physiology and Chronic Health Evaluation II original result for APCH107-150-154. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 150-154
C182970 155-159 APCH107-155-159 Acute Physiology and Chronic Health Evaluation II original result for APCH107-155-159. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 155-159
C182969 160-179 APCH107-160-179 Acute Physiology and Chronic Health Evaluation II original result for APCH107-160-179. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 160-179
C182975 <=110 APCH107-<=110 Acute Physiology and Chronic Health Evaluation II original result for APCH107-Less than or equal to 110. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - <=110
C182968 >=180 APCH107->=180 Acute Physiology and Chronic Health Evaluation II original result for APCH107-Greater than or equal to 180. Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - >=180

APCH107STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH107 TN/TC)

NCI Code: C182530, Codelist extensible: No
C182530 APCH107STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182980 0 APCH107-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-130-149. Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 0
C182979 1 APCH107-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-150-154. Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 1
C182978 2 APCH107-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-155-159; 120-129. Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 2
C182977 3 APCH107-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-160-179; 111-119. Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 3
C182976 4 APCH107-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-Greater than or equal to 180; Less than or equal to 110. Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 4

APCH108OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH108 TN/TC)

NCI Code: C182493, Codelist extensible: No
C182493 APCH108OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182986 2.5-2.9 APCH108-2.5-2.9 Acute Physiology and Chronic Health Evaluation II original result for APCH108-2.5-2.9. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 2.5-2.9
C182985 3-3.4 APCH108-3-3.4 Acute Physiology and Chronic Health Evaluation II original result for APCH108-3-3.4. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 3-3.4
C182984 3.5-5.4 APCH108-3.5-5.4 Acute Physiology and Chronic Health Evaluation II original result for APCH108-3.5-5.4. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 3.5-5.4
C182983 5.5-5.9 APCH108-5.5-5.9 Acute Physiology and Chronic Health Evaluation II original result for APCH108-5.5-5.9. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 5.5-5.9
C182982 6-6.9 APCH108-6-6.9 Acute Physiology and Chronic Health Evaluation II original result for APCH108-6-6.9. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 6-6.9
C182987 <2.5 APCH108-<2.5 Acute Physiology and Chronic Health Evaluation II original result for APCH108-Less than 2.5. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - <2.5
C182981 >=7 APCH108->=7 Acute Physiology and Chronic Health Evaluation II original result for APCH108-Greater than or equal to 7. Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - >=7

APCH108STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH108 TN/TC)

NCI Code: C182531, Codelist extensible: No
C182531 APCH108STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182992 0 APCH108-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-3.5-5.4. Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 0
C182991 1 APCH108-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-5.5-5.9; 3-3.4. Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 1
C182990 2 APCH108-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-2.5-2.9. Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 2
C182989 3 APCH108-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-6-6.9. Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 3
C182988 4 APCH108-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-Greater than or equal to 7; Less than 2.5. Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 4

APCH109OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH109 TN/TC)

NCI Code: C182494, Codelist extensible: No
C182494 APCH109OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182999 0.6-1.4 APCH109-0.6-1.4 Acute Physiology and Chronic Health Evaluation II original result for APCH109-0.6-1.4. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 0.6-1.4
C182995 1.5-1.9 and acute renal failure APCH109-1.5-1.9 and acute renal failure Acute Physiology and Chronic Health Evaluation II original result for APCH109-1.5-1.9 and acute renal failure. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 1.5-1.9 and acute renal failure
C182998 1.5-1.9 APCH109-1.5-1.9 Acute Physiology and Chronic Health Evaluation II original result for APCH109-1.5-1.9. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 1.5-1.9
C182994 2-3.4 and acute renal failure APCH109-2-3.4 and acute renal failure Acute Physiology and Chronic Health Evaluation II original result for APCH109-2-3.4 and acute renal failure. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 2-3.4 and acute renal failure
C182997 2-3.4 APCH109-2-3.4 Acute Physiology and Chronic Health Evaluation II original result for APCH109-2-3.4. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 2-3.4
C183000 <0.6 APCH109-<0.6 Acute Physiology and Chronic Health Evaluation II original result for APCH109-Less than 0.6. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - <0.6
C182993 >=3.5 and acute renal failure APCH109->=3.5 and acute renal failure Acute Physiology and Chronic Health Evaluation II original result for APCH109-Greater than or equal to 3.5 and acute renal failure. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - >=3.5 and acute renal failure
C182996 >=3.5 APCH109->=3.5 Acute Physiology and Chronic Health Evaluation II original result for APCH109-Greater than or equal to 3.5. Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - >=3.5

APCH109STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH109 TN/TC)

NCI Code: C182532, Codelist extensible: No
C182532 APCH109STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183006 0 APCH109-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-0.6-1.4. Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 0
C183005 2 APCH109-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-1.5-1.9; Less than 0.6. Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 2
C183004 3 APCH109-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-2-3.4. Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 3
C183003 4 APCH109-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-1.5-1.9 and acute renal failure; Greater than or equal to 3.5. Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 4
C183002 6 APCH109-6 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-2-3.4 and acute renal failure. Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 6
C183001 8 APCH109-8 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-Greater than or equal to 3.5 and acute renal failure. Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 8

APCH110OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH110 TN/TC)

NCI Code: C182495, Codelist extensible: No
C182495 APCH110OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183011 20-29.9 APCH110-20-29.9 Acute Physiology and Chronic Health Evaluation II original result for APCH110-20-29.9. Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 20-29.9
C183010 30-45.9 APCH110-30-45.9 Acute Physiology and Chronic Health Evaluation II original result for APCH110-30-45.9. Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 30-45.9
C183009 46-49.9 APCH110-46-49.9 Acute Physiology and Chronic Health Evaluation II original result for APCH110-46-49.9. Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 46-49.9
C183008 50-59.9 APCH110-50-59.9 Acute Physiology and Chronic Health Evaluation II original result for APCH110-50-59.9. Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 50-59.9
C183012 <20 APCH110-<20 Acute Physiology and Chronic Health Evaluation II original result for APCH110-Less than 20. Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - <20
C183007 >=60 APCH110->=60 Acute Physiology and Chronic Health Evaluation II original result for APCH110-Greater than or equal to 60. Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - >=60

APCH110STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH110 TN/TC)

NCI Code: C182533, Codelist extensible: No
C182533 APCH110STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183016 0 APCH110-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-30-45.9. Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 0
C183015 1 APCH110-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-46-49.9. Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 1
C183014 2 APCH110-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-50-59.9; 20-29.9. Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 2
C183013 4 APCH110-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-Greater than or equal to 60; Less than 20. Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 4

APCH111OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH111 TN/TC)

NCI Code: C182496, Codelist extensible: No
C182496 APCH111OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183021 1-2.9 APCH111-1-2.9 Acute Physiology and Chronic Health Evaluation II original result for APCH111-1-2.9. Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 1-2.9
C183019 15-19.9 APCH111-15-19.9 Acute Physiology and Chronic Health Evaluation II original result for APCH111-15-19.9. Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 15-19.9
C183018 20-39.9 APCH111-20-39.9 Acute Physiology and Chronic Health Evaluation II original result for APCH111-20-39.9. Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 20-39.9
C183020 3-14.9 APCH111-3-14.9 Acute Physiology and Chronic Health Evaluation II original result for APCH111-3-14.9. Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 3-14.9
C183022 <1 APCH111-<1 Acute Physiology and Chronic Health Evaluation II original result for APCH111-Less than 1. Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - <1
C183017 >=40 APCH111->=40 Acute Physiology and Chronic Health Evaluation II original result for APCH111-Greater than or equal to 40. Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - >=40

APCH111STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH111 TN/TC)

NCI Code: C182534, Codelist extensible: No
C182534 APCH111STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183026 0 APCH111-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-3-14.9. Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 0
C183025 1 APCH111-1 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-15-19.9. Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 1
C183024 2 APCH111-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-20-39.9; 1-2.9. Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 2
C183023 4 APCH111-4 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-Greater than or equal to 40; Less than 1. Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 4

APCH114OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH114 TN/TC)

NCI Code: C182497, Codelist extensible: No
C182497 APCH114OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183028 45-54 APCH114-45-54 Acute Physiology and Chronic Health Evaluation II original result for APCH114-45-54. Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - 45-54
C183029 55-64 APCH114-55-64 Acute Physiology and Chronic Health Evaluation II original result for APCH114-55-64. Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - 55-64
C183030 65-74 APCH114-65-74 Acute Physiology and Chronic Health Evaluation II original result for APCH114-65-74. Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - 65-74
C183027 <=44 APCH114-<=44 Acute Physiology and Chronic Health Evaluation II original result for APCH114-Less than or equal to 44. Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - <=44
C183031 >=75 APCH114->=75 Acute Physiology and Chronic Health Evaluation II original result for APCH114-Greater than or equal to 75. Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - >=75

APCH114STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH114 TN/TC)

NCI Code: C182535, Codelist extensible: No
C182535 APCH114STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183032 0 APCH114-0 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-Less than or equal to 44. Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 0
C183033 2 APCH114-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-45-54. Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 2
C183034 3 APCH114-3 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-55-64. Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 3
C183035 5 APCH114-5 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-65-74. Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 5
C183036 6 APCH114-6 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-Greater than or equal to 75. Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 6

APCH115OR (Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH115 TN/TC)

NCI Code: C182498, Codelist extensible: No
C182498 APCH115OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183038 for elective postoperative patients APCH115-for elective postoperative patients Acute Physiology and Chronic Health Evaluation II original result for APCH115-for elective postoperative patients. Acute Physiology and Chronic Health Evaluation II APCH115 Original Result - for elective postoperative patients
C183037 for nonoperative or emergency postoperative patients APCH115-for nonoperative or emergency postoperative patients Acute Physiology and Chronic Health Evaluation II original result for APCH115-for nonoperative or emergency postoperative patients. Acute Physiology and Chronic Health Evaluation II APCH115 Original Result - for nonoperative or emergency postoperative patients

APCH115STR (Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH115 TN/TC)

NCI Code: C182536, Codelist extensible: No
C182536 APCH115STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183040 2 APCH115-2 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH115-for elective postoperative patients. Acute Physiology and Chronic Health Evaluation II APCH115 Standardized Character Result 2
C183039 5 APCH115-5 Acute Physiology and Chronic Health Evaluation II standardized character result for APCH115-for nonoperative or emergency postoperative patients. Acute Physiology and Chronic Health Evaluation II APCH115 Standardized Character Result 5

APCH1TC (Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code)

NCI Code: C120985, Codelist extensible: No
C120985 APCH1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121096 APCH101 APCH1-Temperature - Rectal Acute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C). APACHE II - Temperature, Rectal
C121097 APCH102 APCH1-Mean Arterial Pressure Acute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mmHg. APACHE II - Mean Arterial Pressure
C121098 APCH103 APCH1-Heart Rate Acute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response). APACHE II - Heart Rate
C121099 APCH104 APCH1-Respiratory Rate Acute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated). APACHE II - Respiratory Rate
C121100 APCH105A APCH1-Oxygenation: A-aDO2 Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 greater than or equal to 0.5 record A-aDO2. APACHE II - Oxygenation, A-aDO2
C121101 APCH105B APCH1-Oxygenation: PaO2 Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 less than 0.5 record only PaO2. APACHE II - Oxygenation, PaO2
C121102 APCH106A APCH1-Arterial pH Acute Physiology and Chronic Health Evaluation II - Arterial pH (preferred). APACHE II - Arterial pH
C121103 APCH106B APCH1-Serum HCO3 Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs). APACHE II - Serum HCO3
C121104 APCH107 APCH1-Serum Sodium Acute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L). APACHE II - Serum Sodium
C121105 APCH108 APCH1-Serum Potassium Acute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L). APACHE II - Serum Potassium
C121106 APCH109 APCH1-Serum Creatinine Acute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure). APACHE II - Serum Creatinine
C121107 APCH110 APCH1-Hematocrit Acute Physiology and Chronic Health Evaluation II - Hematocrit (%). APACHE II - Hematocrit
C121108 APCH111 APCH1-White Blood Count Acute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s). APACHE II - White Blood Count
C121109 APCH112 APCH1-15 Minus Glasgow Coma Score Acute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS. APACHE II - 15 Minus Glasgow Coma Score
C121110 APCH113 APCH1-A: Total Acute Physiology Score Acute Physiology and Chronic Health Evaluation II - A: Total acute physiology score. APACHE II - A, Total Acute Physiology Score
C121111 APCH114 APCH1-B: Age Points Acute Physiology and Chronic Health Evaluation II - B: Age points (years). APACHE II - B, Age Points
C121112 APCH115 APCH1-C: Chronic Health Points Acute Physiology and Chronic Health Evaluation II - C: Chronic health points. APACHE II - C, Chronic Health Points
C121113 APCH116 APCH1-Total APACHE II Score Acute Physiology and Chronic Health Evaluation II - Total APACHE II score. APACHE II - Total APACHE II Score

APCH1TN (Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name)

NCI Code: C120984, Codelist extensible: No
C120984 APCH1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121109 APCH1-15 Minus Glasgow Coma Score APCH1-15 Minus Glasgow Coma Score Acute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS. APACHE II - 15 Minus Glasgow Coma Score
C121110 APCH1-A: Total Acute Physiology Score APCH1-A: Total Acute Physiology Score Acute Physiology and Chronic Health Evaluation II - A: Total acute physiology score. APACHE II - A, Total Acute Physiology Score
C121102 APCH1-Arterial pH APCH1-Arterial pH Acute Physiology and Chronic Health Evaluation II - Arterial pH (preferred). APACHE II - Arterial pH
C121111 APCH1-B: Age Points APCH1-B: Age Points Acute Physiology and Chronic Health Evaluation II - B: Age points (years). APACHE II - B, Age Points
C121112 APCH1-C: Chronic Health Points APCH1-C: Chronic Health Points Acute Physiology and Chronic Health Evaluation II - C: Chronic health points. APACHE II - C, Chronic Health Points
C121098 APCH1-Heart Rate APCH1-Heart Rate Acute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response). APACHE II - Heart Rate
C121107 APCH1-Hematocrit APCH1-Hematocrit Acute Physiology and Chronic Health Evaluation II - Hematocrit (%). APACHE II - Hematocrit
C121097 APCH1-Mean Arterial Pressure APCH1-Mean Arterial Pressure Acute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mmHg. APACHE II - Mean Arterial Pressure
C121100 APCH1-Oxygenation: A-aDO2 APCH1-Oxygenation: A-aDO2 Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 greater than or equal to 0.5 record A-aDO2. APACHE II - Oxygenation, A-aDO2
C121101 APCH1-Oxygenation: PaO2 APCH1-Oxygenation: PaO2 Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 less than 0.5 record only PaO2. APACHE II - Oxygenation, PaO2
C121099 APCH1-Respiratory Rate APCH1-Respiratory Rate Acute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated). APACHE II - Respiratory Rate
C121106 APCH1-Serum Creatinine APCH1-Serum Creatinine Acute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure). APACHE II - Serum Creatinine
C121103 APCH1-Serum HCO3 APCH1-Serum HCO3 Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs). APACHE II - Serum HCO3
C121105 APCH1-Serum Potassium APCH1-Serum Potassium Acute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L). APACHE II - Serum Potassium
C121104 APCH1-Serum Sodium APCH1-Serum Sodium Acute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L). APACHE II - Serum Sodium
C121096 APCH1-Temperature - Rectal APCH1-Temperature - Rectal Acute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C). APACHE II - Temperature, Rectal
C121113 APCH1-Total APACHE II Score APCH1-Total APACHE II Score Acute Physiology and Chronic Health Evaluation II - Total APACHE II score. APACHE II - Total APACHE II Score
C121108 APCH1-White Blood Count APCH1-White Blood Count Acute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s). APACHE II - White Blood Count

APGR01TC (Apgar Score V1 Clinical Classification Test Code)

NCI Code: C176047, Codelist extensible: No
C176047 APGR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176061 APGR0101 APGR01-Appearance/Color Apgar Score V1 - Appearance, skin color, or color score. Apgar Score Version 1 - Appearance or Color
C176062 APGR0102 APGR01-Pulse/Heart Rate Apgar Score V1 - Pulse or heart rate score. Apgar Score Version 1 - Pulse or Heart Rate
C176063 APGR0103 APGR01-Grimace/Reflex Irritability Apgar Score V1 - Grimace or reflex irritability score. Apgar Score Version 1 - Grimace or Reflex Irritability
C176064 APGR0104 APGR01-Activity/Muscle Tone Apgar Score V1 - Activity or muscle tone score. Apgar Score Version 1 - Activity or Muscle Tone
C176065 APGR0105 APGR01-Respiration/Respiratory Effort Apgar Score V1 - Respiration or respiratory effort score. Apgar Score Version 1 - Respiration or Respiratory Effort
C176066 APGR0106 APGR01-Total Apgar Score Apgar Score V1 - Total Apgar score. Apgar Score Version 1 - Total Apgar Score

APGR01TN (Apgar Score V1 Clinical Classification Test Name)

NCI Code: C176046, Codelist extensible: No
C176046 APGR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176064 APGR01-Activity/Muscle Tone APGR01-Activity/Muscle Tone Apgar Score V1 - Activity or muscle tone score. Apgar Score Version 1 - Activity or Muscle Tone
C176061 APGR01-Appearance/Color APGR01-Appearance/Color Apgar Score V1 - Appearance, skin color, or color score. Apgar Score Version 1 - Appearance or Color
C176063 APGR01-Grimace/Reflex Irritability APGR01-Grimace/Reflex Irritability Apgar Score V1 - Grimace or reflex irritability score. Apgar Score Version 1 - Grimace or Reflex Irritability
C176062 APGR01-Pulse/Heart Rate APGR01-Pulse/Heart Rate Apgar Score V1 - Pulse or heart rate score. Apgar Score Version 1 - Pulse or Heart Rate
C176065 APGR01-Respiration/Respiratory Effort APGR01-Respiration/Respiratory Effort Apgar Score V1 - Respiration or respiratory effort score. Apgar Score Version 1 - Respiration or Respiratory Effort
C176066 APGR01-Total Apgar Score APGR01-Total Apgar Score Apgar Score V1 - Total Apgar score. Apgar Score Version 1 - Total Apgar Score

AQ01TC (Airway Questionnaire 20 Questionnaire Test Code)

NCI Code: C112435, Codelist extensible: No
C112435 AQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112529 AQ0101 AQ01-Cough Often During Day Airway Questionnaire 20 - Do you cough often during the day? AQ20 - Cough Often During the Day
C112530 AQ0102 AQ01-Feel Restless Due to Chest Trouble Airway Questionnaire 20 - Does your chest trouble often make you feel restless? AQ20 - Chest Trouble Make You Feel Restless
C112531 AQ0103 AQ01-Gardening Make You Breathless Airway Questionnaire 20 - Does gardening make you breathless? AQ20 - Gardening Make You Breathless
C112532 AQ0104 AQ01-Chest Upset at Friend House Airway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest? AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
C112533 AQ0105 AQ01-Chest Prob Smell/Fume/Smoke/Perfume Airway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc? AQ20 - Get Chest Problems When Contact With Strong Smells
C112534 AQ0106 AQ01-Partner Upset by Your Chest Trouble Airway Questionnaire 20 - Does your partner find your chest trouble upsetting? AQ20 - Partner Find Your Chest Trouble Upsetting
C112535 AQ0107 AQ01-Breathless When Trying to Sleep Airway Questionnaire 20 - Do you feel breathless when trying to sleep? AQ20 - Feel Breathless When Trying to Sleep
C112536 AQ0108 AQ01-Long Term Effects of Drugs Airway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble? AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
C112537 AQ0109 AQ01-Emotional Upset Worse Chest Trouble Airway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse? AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
C112538 AQ0110 AQ01-Difficulty Getting Around the House Airway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble? AQ20 - Difficulty Getting Around the House Because of Chest Trouble
C112539 AQ0111 AQ01-Breathless Carry out Work Activity Airway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment). AQ20 - Chest Problem Make You Breathless at Work
C112540 AQ0112 AQ01-Breathless Walking Upstairs Airway Questionnaire 20 - Does walking upstairs make you breathless? AQ20 - Walking Upstairs Make You Breathless
C112541 AQ0113 AQ01-Get Breathless Doing Housework Airway Questionnaire 20 - Do you get breathless doing housework? AQ20 - Get Breathless Doing Housework
C112542 AQ0114 AQ01-Go Home Sooner Than Others Airway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out? AQ20 - Chest Trouble Make You Go Home Sooner Than Others
C112543 AQ0115 AQ01-Breathlessness When Laugh Airway Questionnaire 20 - Do you suffer from breathlessness when you laugh? AQ20 - Suffer From Breathlessness When Laugh
C112544 AQ0116 AQ01-Impatient Due to Chest Trouble Airway Questionnaire 20 - Does your chest trouble often make you feel impatient? AQ20 - Chest Trouble Make You Feel Impatient
C112545 AQ0117 AQ01-Full Life Limited by Chest Trouble Airway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble? AQ20 - Fullness of Life is Limited by Chest Trouble
C112546 AQ0118 AQ01-Drained After a Cold Airway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble? AQ20 - Feel Drained After a Cold Because of Chest Trouble
C112547 AQ0119 AQ01-Feeling of Chest Heaviness Airway Questionnaire 20 - Do you have a feeling of chest heaviness? AQ20 - Feeling of Chest Heaviness
C112548 AQ0120 AQ01-Worry About Chest Trouble Airway Questionnaire 20 - Do you worry a lot about your chest trouble? AQ20 - Worry a Lot About Chest Trouble

AQ01TN (Airway Questionnaire 20 Questionnaire Test Name)

NCI Code: C112434, Codelist extensible: No
C112434 AQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112539 AQ01-Breathless Carry out Work Activity AQ01-Breathless Carry out Work Activity Airway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment). AQ20 - Chest Problem Make You Breathless at Work
C112540 AQ01-Breathless Walking Upstairs AQ01-Breathless Walking Upstairs Airway Questionnaire 20 - Does walking upstairs make you breathless? AQ20 - Walking Upstairs Make You Breathless
C112535 AQ01-Breathless When Trying to Sleep AQ01-Breathless When Trying to Sleep Airway Questionnaire 20 - Do you feel breathless when trying to sleep? AQ20 - Feel Breathless When Trying to Sleep
C112543 AQ01-Breathlessness When Laugh AQ01-Breathlessness When Laugh Airway Questionnaire 20 - Do you suffer from breathlessness when you laugh? AQ20 - Suffer From Breathlessness When Laugh
C112533 AQ01-Chest Prob Smell/Fume/Smoke/Perfume AQ01-Chest Prob Smell/Fume/Smoke/Perfume Airway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc? AQ20 - Get Chest Problems When Contact With Strong Smells
C112532 AQ01-Chest Upset at Friend House AQ01-Chest Upset at Friend House Airway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest? AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
C112529 AQ01-Cough Often During Day AQ01-Cough Often During Day Airway Questionnaire 20 - Do you cough often during the day? AQ20 - Cough Often During the Day
C112538 AQ01-Difficulty Getting Around the House AQ01-Difficulty Getting Around the House Airway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble? AQ20 - Difficulty Getting Around the House Because of Chest Trouble
C112546 AQ01-Drained After a Cold AQ01-Drained After a Cold Airway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble? AQ20 - Feel Drained After a Cold Because of Chest Trouble
C112537 AQ01-Emotional Upset Worse Chest Trouble AQ01-Emotional Upset Worse Chest Trouble Airway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse? AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
C112530 AQ01-Feel Restless Due to Chest Trouble AQ01-Feel Restless Due to Chest Trouble Airway Questionnaire 20 - Does your chest trouble often make you feel restless? AQ20 - Chest Trouble Make You Feel Restless
C112547 AQ01-Feeling of Chest Heaviness AQ01-Feeling of Chest Heaviness Airway Questionnaire 20 - Do you have a feeling of chest heaviness? AQ20 - Feeling of Chest Heaviness
C112545 AQ01-Full Life Limited by Chest Trouble AQ01-Full Life Limited by Chest Trouble Airway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble? AQ20 - Fullness of Life is Limited by Chest Trouble
C112531 AQ01-Gardening Make You Breathless AQ01-Gardening Make You Breathless Airway Questionnaire 20 - Does gardening make you breathless? AQ20 - Gardening Make You Breathless
C112541 AQ01-Get Breathless Doing Housework AQ01-Get Breathless Doing Housework Airway Questionnaire 20 - Do you get breathless doing housework? AQ20 - Get Breathless Doing Housework
C112542 AQ01-Go Home Sooner Than Others AQ01-Go Home Sooner Than Others Airway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out? AQ20 - Chest Trouble Make You Go Home Sooner Than Others
C112544 AQ01-Impatient Due to Chest Trouble AQ01-Impatient Due to Chest Trouble Airway Questionnaire 20 - Does your chest trouble often make you feel impatient? AQ20 - Chest Trouble Make You Feel Impatient
C112536 AQ01-Long Term Effects of Drugs AQ01-Long Term Effects of Drugs Airway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble? AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
C112534 AQ01-Partner Upset by Your Chest Trouble AQ01-Partner Upset by Your Chest Trouble Airway Questionnaire 20 - Does your partner find your chest trouble upsetting? AQ20 - Partner Find Your Chest Trouble Upsetting
C112548 AQ01-Worry About Chest Trouble AQ01-Worry About Chest Trouble Airway Questionnaire 20 - Do you worry a lot about your chest trouble? AQ20 - Worry a Lot About Chest Trouble

ASCVD1TC (Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Code)

NCI Code: C124666, Codelist extensible: No
C124666 ASCVD1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124720 ASCVD101 ASCVD1-ASCVD 10-Year Risk Score Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator - Risk score. ASCVD 10-Year Risk Estimator - Risk Score

ASCVD1TN (Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Name)

NCI Code: C124665, Codelist extensible: No
C124665 ASCVD1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124720 ASCVD1-ASCVD 10-Year Risk Score ASCVD1-ASCVD 10-Year Risk Score Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator - Risk score. ASCVD 10-Year Risk Estimator - Risk Score

ASEX01TC (Arizona Sexual Experiences Scale - Female Questionnaire Test Code)

NCI Code: C125741, Codelist extensible: No
C125741 ASEX01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125763 ASEX0101 ASEX01-Sex Drive Arizona Sexual Experiences Scale Female - How strong is your sex drive? ASEX-Female Version - Sex Drive
C125764 ASEX0102 ASEX01-Sexually Aroused Arizona Sexual Experiences Scale Female - How easily are you sexually aroused (turned on)? ASEX-Female Version - Sexually Aroused
C125765 ASEX0103 ASEX01-Vagina Become Moist Arizona Sexual Experiences Scale Female - How easily does your vagina become moist or wet during sex? ASEX-Female Version - Vagina Become Moist
C125766 ASEX0104 ASEX01-Reach Orgasm Arizona Sexual Experiences Scale Female - How easily can you reach an orgasm? ASEX-Female Version - Reach Orgasm
C125767 ASEX0105 ASEX01-Orgasms Satisfying Arizona Sexual Experiences Scale Female - Are your orgasms satisfying? ASEX-Female Version - Orgasms Satisfying
C129254 ASEX0106 ASEX01-Comments Arizona Sexual Experiences Scale Female - Comments. ASEX-Female Version - Comments

ASEX01TN (Arizona Sexual Experiences Scale - Female Questionnaire Test Name)

NCI Code: C125740, Codelist extensible: No
C125740 ASEX01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129254 ASEX01-Comments ASEX01-Comments Arizona Sexual Experiences Scale Female - Comments. ASEX-Female Version - Comments
C125767 ASEX01-Orgasms Satisfying ASEX01-Orgasms Satisfying Arizona Sexual Experiences Scale Female - Are your orgasms satisfying? ASEX-Female Version - Orgasms Satisfying
C125766 ASEX01-Reach Orgasm ASEX01-Reach Orgasm Arizona Sexual Experiences Scale Female - How easily can you reach an orgasm? ASEX-Female Version - Reach Orgasm
C125763 ASEX01-Sex Drive ASEX01-Sex Drive Arizona Sexual Experiences Scale Female - How strong is your sex drive? ASEX-Female Version - Sex Drive
C125764 ASEX01-Sexually Aroused ASEX01-Sexually Aroused Arizona Sexual Experiences Scale Female - How easily are you sexually aroused (turned on)? ASEX-Female Version - Sexually Aroused
C125765 ASEX01-Vagina Become Moist ASEX01-Vagina Become Moist Arizona Sexual Experiences Scale Female - How easily does your vagina become moist or wet during sex? ASEX-Female Version - Vagina Become Moist

ASEX02TC (Arizona Sexual Experiences Scale - Male Questionnaire Test Code)

NCI Code: C125743, Codelist extensible: No
C125743 ASEX02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125768 ASEX0201 ASEX02-Sex Drive Arizona Sexual Experiences Scale Male - How strong is your sex drive? ASEX-Male Version - Sex Drive
C125769 ASEX0202 ASEX02-Sexually Aroused Arizona Sexual Experiences Scale Male - How easily are you sexually aroused (turned on)? ASEX-Male Version - Sexually Aroused
C125770 ASEX0203 ASEX02-Keep Erection Arizona Sexual Experiences Scale Male - Can you easily get and keep an erection? ASEX-Male Version - Keep Erection
C125771 ASEX0204 ASEX02-Reach Orgasm Arizona Sexual Experiences Scale Male - How easily can you reach an orgasm? ASEX-Male Version - Reach Orgasm
C125772 ASEX0205 ASEX02-Orgasms Satisfying Arizona Sexual Experiences Scale Male - Are your orgasms satisfying? ASEX-Male Version - Orgasms Satisfying
C129256 ASEX0206 ASEX02-Comments Arizona Sexual Experiences Scale Male - Comments. ASEX-Male Version - Comments

ASEX02TN (Arizona Sexual Experiences Scale - Male Questionnaire Test Name)

NCI Code: C125742, Codelist extensible: No
C125742 ASEX02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129256 ASEX02-Comments ASEX02-Comments Arizona Sexual Experiences Scale Male - Comments. ASEX-Male Version - Comments
C125770 ASEX02-Keep Erection ASEX02-Keep Erection Arizona Sexual Experiences Scale Male - Can you easily get and keep an erection? ASEX-Male Version - Keep Erection
C125772 ASEX02-Orgasms Satisfying ASEX02-Orgasms Satisfying Arizona Sexual Experiences Scale Male - Are your orgasms satisfying? ASEX-Male Version - Orgasms Satisfying
C125771 ASEX02-Reach Orgasm ASEX02-Reach Orgasm Arizona Sexual Experiences Scale Male - How easily can you reach an orgasm? ASEX-Male Version - Reach Orgasm
C125768 ASEX02-Sex Drive ASEX02-Sex Drive Arizona Sexual Experiences Scale Male - How strong is your sex drive? ASEX-Male Version - Sex Drive
C125769 ASEX02-Sexually Aroused ASEX02-Sexually Aroused Arizona Sexual Experiences Scale Male - How easily are you sexually aroused (turned on)? ASEX-Male Version - Sexually Aroused

ASSG01TC (ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code)

NCI Code: C124668, Codelist extensible: No
C124668 ASSG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124721 ASSG0101 ASSG01-ASSIGN Score ASSIGN Cardiovascular Disease 10-Year Risk Score - ASSIGN score. ASSIGN Score - Risk Score

ASSG01TN (ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name)

NCI Code: C124667, Codelist extensible: No
C124667 ASSG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124721 ASSG01-ASSIGN Score ASSG01-ASSIGN Score ASSIGN Cardiovascular Disease 10-Year Risk Score - ASSIGN score. ASSIGN Score - Risk Score

ATLAS101OR (ATLAS Clinical Classification ORRES for ATLAS101 TN/TC)

NCI Code: C182470, Codelist extensible: No
C182470 ATLAS101OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182739 60-79 ATLAS101-60-79 ATLAS original result for ATLAS101-60-79. ATLAS Score ATLAS101 Original Result - 60-79
C182738 <60 ATLAS101-<60 ATLAS original result for ATLAS101-Less than 60. ATLAS Score ATLAS101 Original Result - <60
C182740 >=80 ATLAS101->=80 ATLAS original result for ATLAS101-Greater than or equal to 80. ATLAS Score ATLAS101 Original Result - >=80

ATLAS101STR (ATLAS Clinical Classification STRESC for ATLAS101 TN/TC)

NCI Code: C182508, Codelist extensible: No
C182508 ATLAS101STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182741 0 ATLAS101-0 ATLAS standardized character result for ATLAS101-Less than 60. ATLAS Score ATLAS101 Standardized Character Result 0
C182742 1 ATLAS101-1 ATLAS standardized character result for ATLAS101-60-79. ATLAS Score ATLAS101 Standardized Character Result 1
C182743 2 ATLAS101-2 ATLAS standardized character result for ATLAS101-Greater than or equal to 80. ATLAS Score ATLAS101 Standardized Character Result 2

ATLAS102OR (ATLAS Clinical Classification ORRES for ATLAS102 TN/TC)

NCI Code: C182471, Codelist extensible: No
C182471 ATLAS102OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182744 No ATLAS102-No ATLAS original result for ATLAS102-No. ATLAS Score ATLAS102 Original Result - No
C182745 Yes ATLAS102-Yes ATLAS original result for ATLAS102-Yes. ATLAS Score ATLAS102 Original Result - Yes

ATLAS102STR (ATLAS Clinical Classification STRESC for ATLAS102 TN/TC)

NCI Code: C182509, Codelist extensible: No
C182509 ATLAS102STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182746 0 ATLAS102-0 ATLAS standardized character result for ATLAS102-No. ATLAS Score ATLAS102 Standardized Character Result 0
C182747 2 ATLAS102-2 ATLAS standardized character result for ATLAS102-Yes. ATLAS Score ATLAS102 Standardized Character Result 2

ATLAS103OR (ATLAS Clinical Classification ORRES for ATLAS103 TN/TC)

NCI Code: C182472, Codelist extensible: No
C182472 ATLAS103OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182749 16,000-25,000 ATLAS103-16,000-25,000 ATLAS original result for ATLAS103-16,000-25,000. ATLAS Score ATLAS103 Original Result - 16,000-25,000
C182748 <16,000 ATLAS103-<16,000 ATLAS original result for ATLAS103-Less than16,000. ATLAS Score ATLAS103 Original Result - <16,000
C182750 >25,000 ATLAS103->25,000 ATLAS original result for ATLAS103-Greater than 25,000. ATLAS Score ATLAS103 Original Result - >25,000

ATLAS103STR (ATLAS Clinical Classification STRESC for ATLAS103 TN/TC)

NCI Code: C182510, Codelist extensible: No
C182510 ATLAS103STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182751 0 ATLAS103-0 ATLAS standardized character result for ATLAS103-Less than 16,000. ATLAS Score ATLAS103 Standardized Character Result 0
C182752 1 ATLAS103-1 ATLAS standardized character result for ATLAS103-16,000-25,000. ATLAS Score ATLAS103 Standardized Character Result 1
C182753 2 ATLAS103-2 ATLAS standardized character result for ATLAS103-Greater than 25,000. ATLAS Score ATLAS103 Standardized Character Result 2

ATLAS104OR (ATLAS Clinical Classification ORRES for ATLAS104 TN/TC)

NCI Code: C182473, Codelist extensible: No
C182473 ATLAS104OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182755 26-35 ATLAS104-26-35 ATLAS original result for ATLAS104-26-35. ATLAS Score ATLAS104 Original Result - 26-35
C182756 <=25 ATLAS104-<=25 ATLAS original result for ATLAS104-Less than or equal to 25. ATLAS Score ATLAS104 Original Result - <=25
C182754 >35 ATLAS104->35 ATLAS original result for ATLAS104-Greater than 35. ATLAS Score ATLAS104 Original Result - >35

ATLAS104STR (ATLAS Clinical Classification STRESC for ATLAS104 TN/TC)

NCI Code: C182511, Codelist extensible: No
C182511 ATLAS104STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182757 0 ATLAS104-0 ATLAS standardized character result for ATLAS104-Greater than 35. ATLAS Score ATLAS104 Standardized Character Result 0
C182758 1 ATLAS104-1 ATLAS standardized character result for ATLAS104-26-35. ATLAS Score ATLAS104 Standardized Character Result 1
C182759 2 ATLAS104-2 ATLAS standardized character result for ATLAS104-Less than or equal to 25. ATLAS Score ATLAS104 Standardized Character Result 2

ATLAS105OR (ATLAS Clinical Classification ORRES for ATLAS105 TN/TC)

NCI Code: C182474, Codelist extensible: No
C182474 ATLAS105OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182761 121-179 ATLAS105-121-179 ATLAS original result for ATLAS105-121-179. ATLAS Score ATLAS105 Original Result - 121-179
C182760 <=120 ATLAS105-<=120 ATLAS original result for ATLAS105-Less than or equal to 120. ATLAS Score ATLAS105 Original Result - <=120
C182762 >=180 ATLAS105->=180 ATLAS original result for ATLAS105-Greater than or equal to 180. ATLAS Score ATLAS105 Original Result - >=180

ATLAS105STR (ATLAS Clinical Classification STRESC for ATLAS105 TN/TC)

NCI Code: C182512, Codelist extensible: No
C182512 ATLAS105STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182763 0 ATLAS105-0 ATLAS standardized character result for ATLAS105-Less than or equal to 120. ATLAS Score ATLAS105 Standardized Character Result 0
C182764 1 ATLAS105-1 ATLAS standardized character result for ATLAS105-121-179. ATLAS Score ATLAS105 Standardized Character Result 1
C182765 2 ATLAS105-2 ATLAS standardized character result for ATLAS105-Greater than or equal to 180. ATLAS Score ATLAS105 Standardized Character Result 2

ATLAS1TC (ATLAS Clinical Classification Test Code)

NCI Code: C147538, Codelist extensible: No
C147538 ATLAS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147843 ATLAS101 ATLAS1-Age Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Age. ATLAS - Age
C147844 ATLAS102 ATLAS1-Treatment With Antibiotics Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Treatment with systemic antibiotics during CDI therapy (>= 1 day). ATLAS - Treatment With Antibiotics
C147845 ATLAS103 ATLAS1-Leukocyte Count Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Leukocyte count (total). ATLAS - Leukocyte Count
C147846 ATLAS104 ATLAS1-Albumin Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Albumin (serum). ATLAS - Albumin
C147847 ATLAS105 ATLAS1-Serum Creatinine Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Serum creatinine (as a measure of renal function). ATLAS - Serum Creatinine
C147848 ATLAS106 ATLAS1-Score Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Score. ATLAS - Score

ATLAS1TN (ATLAS Clinical Classification Test Name)

NCI Code: C147537, Codelist extensible: No
C147537 ATLAS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147843 ATLAS1-Age ATLAS1-Age Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Age. ATLAS - Age
C147846 ATLAS1-Albumin ATLAS1-Albumin Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Albumin (serum). ATLAS - Albumin
C147845 ATLAS1-Leukocyte Count ATLAS1-Leukocyte Count Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Leukocyte count (total). ATLAS - Leukocyte Count
C147848 ATLAS1-Score ATLAS1-Score Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Score. ATLAS - Score
C147847 ATLAS1-Serum Creatinine ATLAS1-Serum Creatinine Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Serum creatinine (as a measure of renal function). ATLAS - Serum Creatinine
C147844 ATLAS1-Treatment With Antibiotics ATLAS1-Treatment With Antibiotics Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Treatment with systemic antibiotics during CDI therapy (>= 1 day). ATLAS - Treatment With Antibiotics

AVL01TC (ADNI Auditory Verbal Learning Functional Test Test Code)

NCI Code: C101807, Codelist extensible: No
C101807 AVL01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C101896 AVL01001 AVL01-List A Recall 1 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1. ADNI AVLT - List A Recall 1 Word 1
C101897 AVL01002 AVL01-List A Recall 1 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2. ADNI AVLT - List A Recall 1 Word 2
C101898 AVL01003 AVL01-List A Recall 1 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3. ADNI AVLT - List A Recall 1 Word 3
C101899 AVL01004 AVL01-List A Recall 1 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4. ADNI AVLT - List A Recall 1 Word 4
C101900 AVL01005 AVL01-List A Recall 1 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5. ADNI AVLT - List A Recall 1 Word 5
C101901 AVL01006 AVL01-List A Recall 1 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6. ADNI AVLT - List A Recall 1 Word 6
C101902 AVL01007 AVL01-List A Recall 1 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7. ADNI AVLT - List A Recall 1 Word 7
C101903 AVL01008 AVL01-List A Recall 1 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8. ADNI AVLT - List A Recall 1 Word 8
C101904 AVL01009 AVL01-List A Recall 1 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9. ADNI AVLT - List A Recall 1 Word 9
C101905 AVL01010 AVL01-List A Recall 1 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10. ADNI AVLT - List A Recall 1 Word 10
C101906 AVL01011 AVL01-List A Recall 1 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11. ADNI AVLT - List A Recall 1 Word 11
C101907 AVL01012 AVL01-List A Recall 1 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12. ADNI AVLT - List A Recall 1 Word 12
C101908 AVL01013 AVL01-List A Recall 1 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13. ADNI AVLT - List A Recall 1 Word 13
C101909 AVL01014 AVL01-List A Recall 1 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14. ADNI AVLT - List A Recall 1 Word 14
C101910 AVL01015 AVL01-List A Recall 1 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15. ADNI AVLT - List A Recall 1 Word 15
C101911 AVL01016 AVL01-List A Recall 1 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt. ADNI AVLT - List A Recall 1 Total
C101912 AVL01017 AVL01-List A Intrusions 1 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt. ADNI AVLT - List A Intrusions 1
C101913 AVL01018 AVL01-List A Recall 2 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1. ADNI AVLT - List A Recall 2 Word 1
C101914 AVL01019 AVL01-List A Recall 2 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2. ADNI AVLT - List A Recall 2 Word 2
C101915 AVL01020 AVL01-List A Recall 2 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3. ADNI AVLT - List A Recall 2 Word 3
C101916 AVL01021 AVL01-List A Recall 2 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4. ADNI AVLT - List A Recall 2 Word 4
C101917 AVL01022 AVL01-List A Recall 2 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5. ADNI AVLT - List A Recall 2 Word 5
C101918 AVL01023 AVL01-List A Recall 2 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6. ADNI AVLT - List A Recall 2 Word 6
C101919 AVL01024 AVL01-List A Recall 2 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7. ADNI AVLT - List A Recall 2 Word 7
C101920 AVL01025 AVL01-List A Recall 2 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8. ADNI AVLT - List A Recall 2 Word 8
C101921 AVL01026 AVL01-List A Recall 2 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9. ADNI AVLT - List A Recall 2 Word 9
C101922 AVL01027 AVL01-List A Recall 2 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10. ADNI AVLT - List A Recall 2 Word 10
C101923 AVL01028 AVL01-List A Recall 2 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11. ADNI AVLT - List A Recall 2 Word 11
C101924 AVL01029 AVL01-List A Recall 2 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12. ADNI AVLT - List A Recall 2 Word 12
C101925 AVL01030 AVL01-List A Recall 2 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13. ADNI AVLT - List A Recall 2 Word 13
C101926 AVL01031 AVL01-List A Recall 2 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14. ADNI AVLT - List A Recall 2 Word 14
C101927 AVL01032 AVL01-List A Recall 2 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15. ADNI AVLT - List A Recall 2 Word 15
C101928 AVL01033 AVL01-List A Recall 2 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt. ADNI AVLT - List A Recall 2 Total
C101929 AVL01034 AVL01-List A Intrusions 2 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt. ADNI AVLT - List A Intrusions 2
C101930 AVL01035 AVL01-List A Recall 3 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1. ADNI AVLT - List A Recall 3 Word 1
C101931 AVL01036 AVL01-List A Recall 3 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2. ADNI AVLT - List A Recall 3 Word 2
C101932 AVL01037 AVL01-List A Recall 3 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3. ADNI AVLT - List A Recall 3 Word 3
C101933 AVL01038 AVL01-List A Recall 3 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4. ADNI AVLT - List A Recall 3 Word 4
C101934 AVL01039 AVL01-List A Recall 3 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5. ADNI AVLT - List A Recall 3 Word 5
C101935 AVL01040 AVL01-List A Recall 3 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6. ADNI AVLT - List A Recall 3 Word 6
C101936 AVL01041 AVL01-List A Recall 3 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7. ADNI AVLT - List A Recall 3 Word 7
C101937 AVL01042 AVL01-List A Recall 3 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8. ADNI AVLT - List A Recall 3 Word 8
C101938 AVL01043 AVL01-List A Recall 3 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9. ADNI AVLT - List A Recall 3 Word 9
C101939 AVL01044 AVL01-List A Recall 3 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10. ADNI AVLT - List A Recall 3 Word 10
C101940 AVL01045 AVL01-List A Recall 3 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11. ADNI AVLT - List A Recall 3 Word 11
C101941 AVL01046 AVL01-List A Recall 3 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12. ADNI AVLT - List A Recall 3 Word 12
C101942 AVL01047 AVL01-List A Recall 3 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13. ADNI AVLT - List A Recall 3 Word 13
C101943 AVL01048 AVL01-List A Recall 3 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14. ADNI AVLT - List A Recall 3 Word 14
C101944 AVL01049 AVL01-List A Recall 3 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15. ADNI AVLT - List A Recall 3 Word 15
C101945 AVL01050 AVL01-List A Recall 3 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt. ADNI AVLT - List A Recall 3 Total
C101946 AVL01051 AVL01-List A Intrusions 3 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt. ADNI AVLT - List A Intrusions 3
C101947 AVL01052 AVL01-List A Recall 4 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1. ADNI AVLT - List A Recall 4 Word 1
C101948 AVL01053 AVL01-List A Recall 4 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2. ADNI AVLT - List A Recall 4 Word 2
C101949 AVL01054 AVL01-List A Recall 4 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3. ADNI AVLT - List A Recall 4 Word 3
C101950 AVL01055 AVL01-List A Recall 4 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4. ADNI AVLT - List A Recall 4 Word 4
C101951 AVL01056 AVL01-List A Recall 4 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5. ADNI AVLT - List A Recall 4 Word 5
C101952 AVL01057 AVL01-List A Recall 4 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6. ADNI AVLT - List A Recall 4 Word 6
C101953 AVL01058 AVL01-List A Recall 4 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7. ADNI AVLT - List A Recall 4 Word 7
C101954 AVL01059 AVL01-List A Recall 4 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8. ADNI AVLT - List A Recall 4 Word 8
C101955 AVL01060 AVL01-List A Recall 4 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9. ADNI AVLT - List A Recall 4 Word 9
C101956 AVL01061 AVL01-List A Recall 4 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10. ADNI AVLT - List A Recall 4 Word 10
C101957 AVL01062 AVL01-List A Recall 4 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11. ADNI AVLT - List A Recall 4 Word 11
C101958 AVL01063 AVL01-List A Recall 4 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12. ADNI AVLT - List A Recall 4 Word 12
C101959 AVL01064 AVL01-List A Recall 4 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13. ADNI AVLT - List A Recall 4 Word 13
C101960 AVL01065 AVL01-List A Recall 4 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14. ADNI AVLT - List A Recall 4 Word 14
C101961 AVL01066 AVL01-List A Recall 4 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15. ADNI AVLT - List A Recall 4 Word 15
C101962 AVL01067 AVL01-List A Recall 4 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt. ADNI AVLT - List A Recall 4 Total
C101963 AVL01068 AVL01-List A Intrusions 4 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt. ADNI AVLT - List A Intrusions 4
C101964 AVL01069 AVL01-List A Recall 5 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1. ADNI AVLT - List A Recall 5 Word 1
C101965 AVL01070 AVL01-List A Recall 5 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2. ADNI AVLT - List A Recall 5 Word 2
C101966 AVL01071 AVL01-List A Recall 5 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3. ADNI AVLT - List A Recall 5 Word 3
C101967 AVL01072 AVL01-List A Recall 5 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4. ADNI AVLT - List A Recall 5 Word 4
C101968 AVL01073 AVL01-List A Recall 5 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5. ADNI AVLT - List A Recall 5 Word 5
C101969 AVL01074 AVL01-List A Recall 5 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6. ADNI AVLT - List A Recall 5 Word 6
C101970 AVL01075 AVL01-List A Recall 5 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7. ADNI AVLT - List A Recall 5 Word 7
C101971 AVL01076 AVL01-List A Recall 5 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8. ADNI AVLT - List A Recall 5 Word 8
C101972 AVL01077 AVL01-List A Recall 5 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9. ADNI AVLT - List A Recall 5 Word 9
C101973 AVL01078 AVL01-List A Recall 5 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10. ADNI AVLT - List A Recall 5 Word 10
C101974 AVL01079 AVL01-List A Recall 5 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11. ADNI AVLT - List A Recall 5 Word 11
C101975 AVL01080 AVL01-List A Recall 5 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12. ADNI AVLT - List A Recall 5 Word 12
C101976 AVL01081 AVL01-List A Recall 5 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13. ADNI AVLT - List A Recall 5 Word 13
C101977 AVL01082 AVL01-List A Recall 5 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14. ADNI AVLT - List A Recall 5 Word 14
C101978 AVL01083 AVL01-List A Recall 5 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15. ADNI AVLT - List A Recall 5 Word 15
C101979 AVL01084 AVL01-List A Recall 5 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt. ADNI AVLT - List A Recall 5 Total
C101980 AVL01085 AVL01-List A Intrusions 5 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt. ADNI AVLT - List A Intrusions 5
C101981 AVL01086 AVL01-List A Recall 6 (After B) Word 1 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1. ADNI AVLT - List A Recall 6 (After B) Word 1
C101982 AVL01087 AVL01-List A Recall 6 (After B) Word 2 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2. ADNI AVLT - List A Recall 6 (After B) Word 2
C101983 AVL01088 AVL01-List A Recall 6 (After B) Word 3 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3. ADNI AVLT - List A Recall 6 (After B) Word 3
C101984 AVL01089 AVL01-List A Recall 6 (After B) Word 4 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4. ADNI AVLT - List A Recall 6 (After B) Word 4
C101985 AVL01090 AVL01-List A Recall 6 (After B) Word 5 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5. ADNI AVLT - List A Recall 6 (After B) Word 5
C101986 AVL01091 AVL01-List A Recall 6 (After B) Word 6 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6. ADNI AVLT - List A Recall 6 (After B) Word 6
C101987 AVL01092 AVL01-List A Recall 6 (After B) Word 7 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7. ADNI AVLT - List A Recall 6 (After B) Word 7
C101988 AVL01093 AVL01-List A Recall 6 (After B) Word 8 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8. ADNI AVLT - List A Recall 6 (After B) Word 8
C101989 AVL01094 AVL01-List A Recall 6 (After B) Word 9 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9. ADNI AVLT - List A Recall 6 (After B) Word 9
C101990 AVL01095 AVL01-List A Recall 6 (After B) Word 10 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10. ADNI AVLT - List A Recall 6 (After B) Word 10
C101991 AVL01096 AVL01-List A Recall 6 (After B) Word 11 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11. ADNI AVLT - List A Recall 6 (After B) Word 11
C101992 AVL01097 AVL01-List A Recall 6 (After B) Word 12 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12. ADNI AVLT - List A Recall 6 (After B) Word 12
C101993 AVL01098 AVL01-List A Recall 6 (After B) Word 13 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13. ADNI AVLT - List A Recall 6 (After B) Word 13
C101994 AVL01099 AVL01-List A Recall 6 (After B) Word 14 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14. ADNI AVLT - List A Recall 6 (After B) Word 14
C101995 AVL01100 AVL01-List A Recall 6 (After B) Word 15 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15. ADNI AVLT - List A Recall 6 (After B) Word 15
C101996 AVL01101 AVL01-List A Recall 6 (After B) Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall). ADNI AVLT - List A Recall 6 (After B) Total
C101997 AVL01102 AVL01-List A Intrusions 6 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall). ADNI AVLT - List A Intrusions 6
C101998 AVL01103 AVL01-List B Recall Word 1 Auditory Verbal Learning Test Version A - List B, Word 1. ADNI AVLT - List B Recall Word 1
C101999 AVL01104 AVL01-List B Recall Word 2 Auditory Verbal Learning Test Version A - List B, Word 2. ADNI AVLT - List B Recall Word 2
C102000 AVL01105 AVL01-List B Recall Word 3 Auditory Verbal Learning Test Version A - List B, Word 3. ADNI AVLT - List B Recall Word 3
C102001 AVL01106 AVL01-List B Recall Word 4 Auditory Verbal Learning Test Version A - List B, Word 4. ADNI AVLT - List B Recall Word 4
C102002 AVL01107 AVL01-List B Recall Word 5 Auditory Verbal Learning Test Version A - List B, Word 5. ADNI AVLT - List B Recall Word 5
C102003 AVL01108 AVL01-List B Recall Word 6 Auditory Verbal Learning Test Version A - List B, Word 6. ADNI AVLT - List B Recall Word 6
C102004 AVL01109 AVL01-List B Recall Word 7 Auditory Verbal Learning Test Version A - List B, Word 7. ADNI AVLT - List B Recall Word 7
C102005 AVL01110 AVL01-List B Recall Word 8 Auditory Verbal Learning Test Version A - List B, Word 8. ADNI AVLT - List B Recall Word 8
C102006 AVL01111 AVL01-List B Recall Word 9 Auditory Verbal Learning Test Version A - List B, Word 9. ADNI AVLT - List B Recall Word 9
C102007 AVL01112 AVL01-List B Recall Word 10 Auditory Verbal Learning Test Version A - List B, Word 10. ADNI AVLT - List B Recall Word 10
C102008 AVL01113 AVL01-List B Recall Word 11 Auditory Verbal Learning Test Version A - List B, Word 11. ADNI AVLT - List B Recall Word 11
C102009 AVL01114 AVL01-List B Recall Word 12 Auditory Verbal Learning Test Version A - List B, Word 12. ADNI AVLT - List B Recall Word 12
C102010 AVL01115 AVL01-List B Recall Word 13 Auditory Verbal Learning Test Version A - List B, Word 13. ADNI AVLT - List B Recall Word 13
C102011 AVL01116 AVL01-List B Recall Word 14 Auditory Verbal Learning Test Version A - List B, Word 14. ADNI AVLT - List B Recall Word 14
C102012 AVL01117 AVL01-List B Recall Word 15 Auditory Verbal Learning Test Version A - List B, Word 15. ADNI AVLT - List B Recall Word 15
C102013 AVL01118 AVL01-List B Recall Total Auditory Verbal Learning Test Version A - The number of words recalled from List B. ADNI AVLT - List B Recall Total
C102014 AVL01119 AVL01-List B Intrusions Auditory Verbal Learning Test Version A - The number of intrusions while recalling List B. ADNI AVLT - List B Intrusions
C102015 AVL01120 AVL01-List A 30 Min Delay Recall Word 1 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1. ADNI AVLT - List A 30 Min Delay Recall Word 1
C102016 AVL01121 AVL01-List A 30 Min Delay Recall Word 2 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2. ADNI AVLT - List A 30 Min Delay Recall Word 2
C102017 AVL01122 AVL01-List A 30 Min Delay Recall Word 3 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3. ADNI AVLT - List A 30 Min Delay Recall Word 3
C102018 AVL01123 AVL01-List A 30 Min Delay Recall Word 4 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4. ADNI AVLT - List A 30 Min Delay Recall Word 4
C102019 AVL01124 AVL01-List A 30 Min Delay Recall Word 5 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5. ADNI AVLT - List A 30 Min Delay Recall Word 5
C102020 AVL01125 AVL01-List A 30 Min Delay Recall Word 6 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6. ADNI AVLT - List A 30 Min Delay Recall Word 6
C102021 AVL01126 AVL01-List A 30 Min Delay Recall Word 7 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7. ADNI AVLT - List A 30 Min Delay Recall Word 7
C102022 AVL01127 AVL01-List A 30 Min Delay Recall Word 8 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8. ADNI AVLT - List A 30 Min Delay Recall Word 8
C102023 AVL01128 AVL01-List A 30 Min Delay Recall Word 9 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9. ADNI AVLT - List A 30 Min Delay Recall Word 9
C102024 AVL01129 AVL01-List A 30 Min Delay Recall Word 10 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10. ADNI AVLT - List A 30 Min Delay Recall Word 10
C102025 AVL01130 AVL01-List A 30 Min Delay Recall Word 11 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11. ADNI AVLT - List A 30 Min Delay Recall Word 11
C102026 AVL01131 AVL01-List A 30 Min Delay Recall Word 12 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12. ADNI AVLT - List A 30 Min Delay Recall Word 12
C102027 AVL01132 AVL01-List A 30 Min Delay Recall Word 13 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13. ADNI AVLT - List A 30 Min Delay Recall Word 13
C102028 AVL01133 AVL01-List A 30 Min Delay Recall Word 14 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14. ADNI AVLT - List A 30 Min Delay Recall Word 14
C102029 AVL01134 AVL01-List A 30 Min Delay Recall Word 15 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15. ADNI AVLT - List A 30 Min Delay Recall Word 15
C102030 AVL01135 AVL01-List A 30 Min Delay Recall Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall. ADNI AVLT - List A 30 Min Delay Recall Total
C102031 AVL01136 AVL01-List A 30 Min Delay Intrusions Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay. ADNI AVLT - List A 30 Min Delay Intrusions
C102032 AVL01137 AVL01-List A Recognition Total Auditory Verbal Learning Test Version A - The number of words correct on recognition test. ADNI AVLT - List A Recognition Total
C102033 AVL01138 AVL01-List A Recognition Intrusions Auditory Verbal Learning Test Version A - The number of intrusions on recognition test. ADNI AVLT - List A Recognition Intrusions

AVL01TN (ADNI Auditory Verbal Learning Functional Test Test Name)

NCI Code: C101808, Codelist extensible: No
C101808 AVL01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102031 AVL01-List A 30 Min Delay Intrusions AVL01-List A 30 Min Delay Intrusions Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay. ADNI AVLT - List A 30 Min Delay Intrusions
C102030 AVL01-List A 30 Min Delay Recall Total AVL01-List A 30 Min Delay Recall Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall. ADNI AVLT - List A 30 Min Delay Recall Total
C102015 AVL01-List A 30 Min Delay Recall Word 1 AVL01-List A 30 Min Delay Recall Word 1 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1. ADNI AVLT - List A 30 Min Delay Recall Word 1
C102024 AVL01-List A 30 Min Delay Recall Word 10 AVL01-List A 30 Min Delay Recall Word 10 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10. ADNI AVLT - List A 30 Min Delay Recall Word 10
C102025 AVL01-List A 30 Min Delay Recall Word 11 AVL01-List A 30 Min Delay Recall Word 11 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11. ADNI AVLT - List A 30 Min Delay Recall Word 11
C102026 AVL01-List A 30 Min Delay Recall Word 12 AVL01-List A 30 Min Delay Recall Word 12 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12. ADNI AVLT - List A 30 Min Delay Recall Word 12
C102027 AVL01-List A 30 Min Delay Recall Word 13 AVL01-List A 30 Min Delay Recall Word 13 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13. ADNI AVLT - List A 30 Min Delay Recall Word 13
C102028 AVL01-List A 30 Min Delay Recall Word 14 AVL01-List A 30 Min Delay Recall Word 14 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14. ADNI AVLT - List A 30 Min Delay Recall Word 14
C102029 AVL01-List A 30 Min Delay Recall Word 15 AVL01-List A 30 Min Delay Recall Word 15 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15. ADNI AVLT - List A 30 Min Delay Recall Word 15
C102016 AVL01-List A 30 Min Delay Recall Word 2 AVL01-List A 30 Min Delay Recall Word 2 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2. ADNI AVLT - List A 30 Min Delay Recall Word 2
C102017 AVL01-List A 30 Min Delay Recall Word 3 AVL01-List A 30 Min Delay Recall Word 3 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3. ADNI AVLT - List A 30 Min Delay Recall Word 3
C102018 AVL01-List A 30 Min Delay Recall Word 4 AVL01-List A 30 Min Delay Recall Word 4 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4. ADNI AVLT - List A 30 Min Delay Recall Word 4
C102019 AVL01-List A 30 Min Delay Recall Word 5 AVL01-List A 30 Min Delay Recall Word 5 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5. ADNI AVLT - List A 30 Min Delay Recall Word 5
C102020 AVL01-List A 30 Min Delay Recall Word 6 AVL01-List A 30 Min Delay Recall Word 6 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6. ADNI AVLT - List A 30 Min Delay Recall Word 6
C102021 AVL01-List A 30 Min Delay Recall Word 7 AVL01-List A 30 Min Delay Recall Word 7 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7. ADNI AVLT - List A 30 Min Delay Recall Word 7
C102022 AVL01-List A 30 Min Delay Recall Word 8 AVL01-List A 30 Min Delay Recall Word 8 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8. ADNI AVLT - List A 30 Min Delay Recall Word 8
C102023 AVL01-List A 30 Min Delay Recall Word 9 AVL01-List A 30 Min Delay Recall Word 9 Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9. ADNI AVLT - List A 30 Min Delay Recall Word 9
C101912 AVL01-List A Intrusions 1 AVL01-List A Intrusions 1 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt. ADNI AVLT - List A Intrusions 1
C101929 AVL01-List A Intrusions 2 AVL01-List A Intrusions 2 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt. ADNI AVLT - List A Intrusions 2
C101946 AVL01-List A Intrusions 3 AVL01-List A Intrusions 3 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt. ADNI AVLT - List A Intrusions 3
C101963 AVL01-List A Intrusions 4 AVL01-List A Intrusions 4 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt. ADNI AVLT - List A Intrusions 4
C101980 AVL01-List A Intrusions 5 AVL01-List A Intrusions 5 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt. ADNI AVLT - List A Intrusions 5
C101997 AVL01-List A Intrusions 6 AVL01-List A Intrusions 6 Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall). ADNI AVLT - List A Intrusions 6
C101911 AVL01-List A Recall 1 Total AVL01-List A Recall 1 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt. ADNI AVLT - List A Recall 1 Total
C101896 AVL01-List A Recall 1 Word 1 AVL01-List A Recall 1 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1. ADNI AVLT - List A Recall 1 Word 1
C101905 AVL01-List A Recall 1 Word 10 AVL01-List A Recall 1 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10. ADNI AVLT - List A Recall 1 Word 10
C101906 AVL01-List A Recall 1 Word 11 AVL01-List A Recall 1 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11. ADNI AVLT - List A Recall 1 Word 11
C101907 AVL01-List A Recall 1 Word 12 AVL01-List A Recall 1 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12. ADNI AVLT - List A Recall 1 Word 12
C101908 AVL01-List A Recall 1 Word 13 AVL01-List A Recall 1 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13. ADNI AVLT - List A Recall 1 Word 13
C101909 AVL01-List A Recall 1 Word 14 AVL01-List A Recall 1 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14. ADNI AVLT - List A Recall 1 Word 14
C101910 AVL01-List A Recall 1 Word 15 AVL01-List A Recall 1 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15. ADNI AVLT - List A Recall 1 Word 15
C101897 AVL01-List A Recall 1 Word 2 AVL01-List A Recall 1 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2. ADNI AVLT - List A Recall 1 Word 2
C101898 AVL01-List A Recall 1 Word 3 AVL01-List A Recall 1 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3. ADNI AVLT - List A Recall 1 Word 3
C101899 AVL01-List A Recall 1 Word 4 AVL01-List A Recall 1 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4. ADNI AVLT - List A Recall 1 Word 4
C101900 AVL01-List A Recall 1 Word 5 AVL01-List A Recall 1 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5. ADNI AVLT - List A Recall 1 Word 5
C101901 AVL01-List A Recall 1 Word 6 AVL01-List A Recall 1 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6. ADNI AVLT - List A Recall 1 Word 6
C101902 AVL01-List A Recall 1 Word 7 AVL01-List A Recall 1 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7. ADNI AVLT - List A Recall 1 Word 7
C101903 AVL01-List A Recall 1 Word 8 AVL01-List A Recall 1 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8. ADNI AVLT - List A Recall 1 Word 8
C101904 AVL01-List A Recall 1 Word 9 AVL01-List A Recall 1 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9. ADNI AVLT - List A Recall 1 Word 9
C101928 AVL01-List A Recall 2 Total AVL01-List A Recall 2 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt. ADNI AVLT - List A Recall 2 Total
C101913 AVL01-List A Recall 2 Word 1 AVL01-List A Recall 2 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1. ADNI AVLT - List A Recall 2 Word 1
C101922 AVL01-List A Recall 2 Word 10 AVL01-List A Recall 2 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10. ADNI AVLT - List A Recall 2 Word 10
C101923 AVL01-List A Recall 2 Word 11 AVL01-List A Recall 2 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11. ADNI AVLT - List A Recall 2 Word 11
C101924 AVL01-List A Recall 2 Word 12 AVL01-List A Recall 2 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12. ADNI AVLT - List A Recall 2 Word 12
C101925 AVL01-List A Recall 2 Word 13 AVL01-List A Recall 2 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13. ADNI AVLT - List A Recall 2 Word 13
C101926 AVL01-List A Recall 2 Word 14 AVL01-List A Recall 2 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14. ADNI AVLT - List A Recall 2 Word 14
C101927 AVL01-List A Recall 2 Word 15 AVL01-List A Recall 2 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15. ADNI AVLT - List A Recall 2 Word 15
C101914 AVL01-List A Recall 2 Word 2 AVL01-List A Recall 2 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2. ADNI AVLT - List A Recall 2 Word 2
C101915 AVL01-List A Recall 2 Word 3 AVL01-List A Recall 2 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3. ADNI AVLT - List A Recall 2 Word 3
C101916 AVL01-List A Recall 2 Word 4 AVL01-List A Recall 2 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4. ADNI AVLT - List A Recall 2 Word 4
C101917 AVL01-List A Recall 2 Word 5 AVL01-List A Recall 2 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5. ADNI AVLT - List A Recall 2 Word 5
C101918 AVL01-List A Recall 2 Word 6 AVL01-List A Recall 2 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6. ADNI AVLT - List A Recall 2 Word 6
C101919 AVL01-List A Recall 2 Word 7 AVL01-List A Recall 2 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7. ADNI AVLT - List A Recall 2 Word 7
C101920 AVL01-List A Recall 2 Word 8 AVL01-List A Recall 2 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8. ADNI AVLT - List A Recall 2 Word 8
C101921 AVL01-List A Recall 2 Word 9 AVL01-List A Recall 2 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9. ADNI AVLT - List A Recall 2 Word 9
C101945 AVL01-List A Recall 3 Total AVL01-List A Recall 3 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt. ADNI AVLT - List A Recall 3 Total
C101930 AVL01-List A Recall 3 Word 1 AVL01-List A Recall 3 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1. ADNI AVLT - List A Recall 3 Word 1
C101939 AVL01-List A Recall 3 Word 10 AVL01-List A Recall 3 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10. ADNI AVLT - List A Recall 3 Word 10
C101940 AVL01-List A Recall 3 Word 11 AVL01-List A Recall 3 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11. ADNI AVLT - List A Recall 3 Word 11
C101941 AVL01-List A Recall 3 Word 12 AVL01-List A Recall 3 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12. ADNI AVLT - List A Recall 3 Word 12
C101942 AVL01-List A Recall 3 Word 13 AVL01-List A Recall 3 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13. ADNI AVLT - List A Recall 3 Word 13
C101943 AVL01-List A Recall 3 Word 14 AVL01-List A Recall 3 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14. ADNI AVLT - List A Recall 3 Word 14
C101944 AVL01-List A Recall 3 Word 15 AVL01-List A Recall 3 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15. ADNI AVLT - List A Recall 3 Word 15
C101931 AVL01-List A Recall 3 Word 2 AVL01-List A Recall 3 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2. ADNI AVLT - List A Recall 3 Word 2
C101932 AVL01-List A Recall 3 Word 3 AVL01-List A Recall 3 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3. ADNI AVLT - List A Recall 3 Word 3
C101933 AVL01-List A Recall 3 Word 4 AVL01-List A Recall 3 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4. ADNI AVLT - List A Recall 3 Word 4
C101934 AVL01-List A Recall 3 Word 5 AVL01-List A Recall 3 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5. ADNI AVLT - List A Recall 3 Word 5
C101935 AVL01-List A Recall 3 Word 6 AVL01-List A Recall 3 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6. ADNI AVLT - List A Recall 3 Word 6
C101936 AVL01-List A Recall 3 Word 7 AVL01-List A Recall 3 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7. ADNI AVLT - List A Recall 3 Word 7
C101937 AVL01-List A Recall 3 Word 8 AVL01-List A Recall 3 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8. ADNI AVLT - List A Recall 3 Word 8
C101938 AVL01-List A Recall 3 Word 9 AVL01-List A Recall 3 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9. ADNI AVLT - List A Recall 3 Word 9
C101962 AVL01-List A Recall 4 Total AVL01-List A Recall 4 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt. ADNI AVLT - List A Recall 4 Total
C101947 AVL01-List A Recall 4 Word 1 AVL01-List A Recall 4 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1. ADNI AVLT - List A Recall 4 Word 1
C101956 AVL01-List A Recall 4 Word 10 AVL01-List A Recall 4 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10. ADNI AVLT - List A Recall 4 Word 10
C101957 AVL01-List A Recall 4 Word 11 AVL01-List A Recall 4 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11. ADNI AVLT - List A Recall 4 Word 11
C101958 AVL01-List A Recall 4 Word 12 AVL01-List A Recall 4 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12. ADNI AVLT - List A Recall 4 Word 12
C101959 AVL01-List A Recall 4 Word 13 AVL01-List A Recall 4 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13. ADNI AVLT - List A Recall 4 Word 13
C101960 AVL01-List A Recall 4 Word 14 AVL01-List A Recall 4 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14. ADNI AVLT - List A Recall 4 Word 14
C101961 AVL01-List A Recall 4 Word 15 AVL01-List A Recall 4 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15. ADNI AVLT - List A Recall 4 Word 15
C101948 AVL01-List A Recall 4 Word 2 AVL01-List A Recall 4 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2. ADNI AVLT - List A Recall 4 Word 2
C101949 AVL01-List A Recall 4 Word 3 AVL01-List A Recall 4 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3. ADNI AVLT - List A Recall 4 Word 3
C101950 AVL01-List A Recall 4 Word 4 AVL01-List A Recall 4 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4. ADNI AVLT - List A Recall 4 Word 4
C101951 AVL01-List A Recall 4 Word 5 AVL01-List A Recall 4 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5. ADNI AVLT - List A Recall 4 Word 5
C101952 AVL01-List A Recall 4 Word 6 AVL01-List A Recall 4 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6. ADNI AVLT - List A Recall 4 Word 6
C101953 AVL01-List A Recall 4 Word 7 AVL01-List A Recall 4 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7. ADNI AVLT - List A Recall 4 Word 7
C101954 AVL01-List A Recall 4 Word 8 AVL01-List A Recall 4 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8. ADNI AVLT - List A Recall 4 Word 8
C101955 AVL01-List A Recall 4 Word 9 AVL01-List A Recall 4 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9. ADNI AVLT - List A Recall 4 Word 9
C101979 AVL01-List A Recall 5 Total AVL01-List A Recall 5 Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt. ADNI AVLT - List A Recall 5 Total
C101964 AVL01-List A Recall 5 Word 1 AVL01-List A Recall 5 Word 1 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1. ADNI AVLT - List A Recall 5 Word 1
C101973 AVL01-List A Recall 5 Word 10 AVL01-List A Recall 5 Word 10 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10. ADNI AVLT - List A Recall 5 Word 10
C101974 AVL01-List A Recall 5 Word 11 AVL01-List A Recall 5 Word 11 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11. ADNI AVLT - List A Recall 5 Word 11
C101975 AVL01-List A Recall 5 Word 12 AVL01-List A Recall 5 Word 12 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12. ADNI AVLT - List A Recall 5 Word 12
C101976 AVL01-List A Recall 5 Word 13 AVL01-List A Recall 5 Word 13 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13. ADNI AVLT - List A Recall 5 Word 13
C101977 AVL01-List A Recall 5 Word 14 AVL01-List A Recall 5 Word 14 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14. ADNI AVLT - List A Recall 5 Word 14
C101978 AVL01-List A Recall 5 Word 15 AVL01-List A Recall 5 Word 15 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15. ADNI AVLT - List A Recall 5 Word 15
C101965 AVL01-List A Recall 5 Word 2 AVL01-List A Recall 5 Word 2 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2. ADNI AVLT - List A Recall 5 Word 2
C101966 AVL01-List A Recall 5 Word 3 AVL01-List A Recall 5 Word 3 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3. ADNI AVLT - List A Recall 5 Word 3
C101967 AVL01-List A Recall 5 Word 4 AVL01-List A Recall 5 Word 4 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4. ADNI AVLT - List A Recall 5 Word 4
C101968 AVL01-List A Recall 5 Word 5 AVL01-List A Recall 5 Word 5 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5. ADNI AVLT - List A Recall 5 Word 5
C101969 AVL01-List A Recall 5 Word 6 AVL01-List A Recall 5 Word 6 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6. ADNI AVLT - List A Recall 5 Word 6
C101970 AVL01-List A Recall 5 Word 7 AVL01-List A Recall 5 Word 7 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7. ADNI AVLT - List A Recall 5 Word 7
C101971 AVL01-List A Recall 5 Word 8 AVL01-List A Recall 5 Word 8 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8. ADNI AVLT - List A Recall 5 Word 8
C101972 AVL01-List A Recall 5 Word 9 AVL01-List A Recall 5 Word 9 Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9. ADNI AVLT - List A Recall 5 Word 9
C101996 AVL01-List A Recall 6 (After B) Total AVL01-List A Recall 6 (After B) Total Auditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall). ADNI AVLT - List A Recall 6 (After B) Total
C101981 AVL01-List A Recall 6 (After B) Word 1 AVL01-List A Recall 6 (After B) Word 1 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1. ADNI AVLT - List A Recall 6 (After B) Word 1
C101990 AVL01-List A Recall 6 (After B) Word 10 AVL01-List A Recall 6 (After B) Word 10 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10. ADNI AVLT - List A Recall 6 (After B) Word 10
C101991 AVL01-List A Recall 6 (After B) Word 11 AVL01-List A Recall 6 (After B) Word 11 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11. ADNI AVLT - List A Recall 6 (After B) Word 11
C101992 AVL01-List A Recall 6 (After B) Word 12 AVL01-List A Recall 6 (After B) Word 12 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12. ADNI AVLT - List A Recall 6 (After B) Word 12
C101993 AVL01-List A Recall 6 (After B) Word 13 AVL01-List A Recall 6 (After B) Word 13 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13. ADNI AVLT - List A Recall 6 (After B) Word 13
C101994 AVL01-List A Recall 6 (After B) Word 14 AVL01-List A Recall 6 (After B) Word 14 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14. ADNI AVLT - List A Recall 6 (After B) Word 14
C101995 AVL01-List A Recall 6 (After B) Word 15 AVL01-List A Recall 6 (After B) Word 15 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15. ADNI AVLT - List A Recall 6 (After B) Word 15
C101982 AVL01-List A Recall 6 (After B) Word 2 AVL01-List A Recall 6 (After B) Word 2 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2. ADNI AVLT - List A Recall 6 (After B) Word 2
C101983 AVL01-List A Recall 6 (After B) Word 3 AVL01-List A Recall 6 (After B) Word 3 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3. ADNI AVLT - List A Recall 6 (After B) Word 3
C101984 AVL01-List A Recall 6 (After B) Word 4 AVL01-List A Recall 6 (After B) Word 4 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4. ADNI AVLT - List A Recall 6 (After B) Word 4
C101985 AVL01-List A Recall 6 (After B) Word 5 AVL01-List A Recall 6 (After B) Word 5 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5. ADNI AVLT - List A Recall 6 (After B) Word 5
C101986 AVL01-List A Recall 6 (After B) Word 6 AVL01-List A Recall 6 (After B) Word 6 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6. ADNI AVLT - List A Recall 6 (After B) Word 6
C101987 AVL01-List A Recall 6 (After B) Word 7 AVL01-List A Recall 6 (After B) Word 7 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7. ADNI AVLT - List A Recall 6 (After B) Word 7
C101988 AVL01-List A Recall 6 (After B) Word 8 AVL01-List A Recall 6 (After B) Word 8 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8. ADNI AVLT - List A Recall 6 (After B) Word 8
C101989 AVL01-List A Recall 6 (After B) Word 9 AVL01-List A Recall 6 (After B) Word 9 Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9. ADNI AVLT - List A Recall 6 (After B) Word 9
C102033 AVL01-List A Recognition Intrusions AVL01-List A Recognition Intrusions Auditory Verbal Learning Test Version A - The number of intrusions on recognition test. ADNI AVLT - List A Recognition Intrusions
C102032 AVL01-List A Recognition Total AVL01-List A Recognition Total Auditory Verbal Learning Test Version A - The number of words correct on recognition test. ADNI AVLT - List A Recognition Total
C102014 AVL01-List B Intrusions AVL01-List B Intrusions Auditory Verbal Learning Test Version A - The number of intrusions while recalling List B. ADNI AVLT - List B Intrusions
C102013 AVL01-List B Recall Total AVL01-List B Recall Total Auditory Verbal Learning Test Version A - The number of words recalled from List B. ADNI AVLT - List B Recall Total
C101998 AVL01-List B Recall Word 1 AVL01-List B Recall Word 1 Auditory Verbal Learning Test Version A - List B, Word 1. ADNI AVLT - List B Recall Word 1
C102007 AVL01-List B Recall Word 10 AVL01-List B Recall Word 10 Auditory Verbal Learning Test Version A - List B, Word 10. ADNI AVLT - List B Recall Word 10
C102008 AVL01-List B Recall Word 11 AVL01-List B Recall Word 11 Auditory Verbal Learning Test Version A - List B, Word 11. ADNI AVLT - List B Recall Word 11
C102009 AVL01-List B Recall Word 12 AVL01-List B Recall Word 12 Auditory Verbal Learning Test Version A - List B, Word 12. ADNI AVLT - List B Recall Word 12
C102010 AVL01-List B Recall Word 13 AVL01-List B Recall Word 13 Auditory Verbal Learning Test Version A - List B, Word 13. ADNI AVLT - List B Recall Word 13
C102011 AVL01-List B Recall Word 14 AVL01-List B Recall Word 14 Auditory Verbal Learning Test Version A - List B, Word 14. ADNI AVLT - List B Recall Word 14
C102012 AVL01-List B Recall Word 15 AVL01-List B Recall Word 15 Auditory Verbal Learning Test Version A - List B, Word 15. ADNI AVLT - List B Recall Word 15
C101999 AVL01-List B Recall Word 2 AVL01-List B Recall Word 2 Auditory Verbal Learning Test Version A - List B, Word 2. ADNI AVLT - List B Recall Word 2
C102000 AVL01-List B Recall Word 3 AVL01-List B Recall Word 3 Auditory Verbal Learning Test Version A - List B, Word 3. ADNI AVLT - List B Recall Word 3
C102001 AVL01-List B Recall Word 4 AVL01-List B Recall Word 4 Auditory Verbal Learning Test Version A - List B, Word 4. ADNI AVLT - List B Recall Word 4
C102002 AVL01-List B Recall Word 5 AVL01-List B Recall Word 5 Auditory Verbal Learning Test Version A - List B, Word 5. ADNI AVLT - List B Recall Word 5
C102003 AVL01-List B Recall Word 6 AVL01-List B Recall Word 6 Auditory Verbal Learning Test Version A - List B, Word 6. ADNI AVLT - List B Recall Word 6
C102004 AVL01-List B Recall Word 7 AVL01-List B Recall Word 7 Auditory Verbal Learning Test Version A - List B, Word 7. ADNI AVLT - List B Recall Word 7
C102005 AVL01-List B Recall Word 8 AVL01-List B Recall Word 8 Auditory Verbal Learning Test Version A - List B, Word 8. ADNI AVLT - List B Recall Word 8
C102006 AVL01-List B Recall Word 9 AVL01-List B Recall Word 9 Auditory Verbal Learning Test Version A - List B, Word 9. ADNI AVLT - List B Recall Word 9

AVL02TC (Rey Auditory Verbal Learning Test Functional Test Test Code)

NCI Code: C123655, Codelist extensible: No
C123655 AVL02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C123683 AVL0201 AVL02-List A Word 1 Auditory Verbal Learning Test - List A, Word 1. AVLT-REY - List A Word 1
C123684 AVL0202 AVL02-List A Word 2 Auditory Verbal Learning Test - List A, Word 2. AVLT-REY - List A Word 2
C123685 AVL0203 AVL02-List A Word 3 Auditory Verbal Learning Test - List A, Word 3. AVLT-REY - List A Word 3
C123686 AVL0204 AVL02-List A Word 4 Auditory Verbal Learning Test - List A, Word 4. AVLT-REY - List A Word 4
C123687 AVL0205 AVL02-List A Word 5 Auditory Verbal Learning Test - List A, Word 5. AVLT-REY - List A Word 5
C123688 AVL0206 AVL02-List A Word 6 Auditory Verbal Learning Test - List A, Word 6. AVLT-REY - List A Word 6
C123689 AVL0207 AVL02-List A Word 7 Auditory Verbal Learning Test - List A, Word 7. AVLT-REY - List A Word 7
C123690 AVL0208 AVL02-List A Word 8 Auditory Verbal Learning Test - List A, Word 8. AVLT-REY - List A Word 8
C123691 AVL0209 AVL02-List A Word 9 Auditory Verbal Learning Test - List A, Word 9. AVLT-REY - List A Word 9
C123692 AVL0210 AVL02-List A Word 10 Auditory Verbal Learning Test - List A, Word 10. AVLT-REY - List A Word 10
C123693 AVL0211 AVL02-List A Word 11 Auditory Verbal Learning Test - List A, Word 11. AVLT-REY - List A Word 11
C123694 AVL0212 AVL02-List A Word 12 Auditory Verbal Learning Test - List A, Word 12. AVLT-REY - List A Word 12
C123695 AVL0213 AVL02-List A Word 13 Auditory Verbal Learning Test - List A, Word 13. AVLT-REY - List A Word 13
C123696 AVL0214 AVL02-List A Word 14 Auditory Verbal Learning Test - List A, Word 14. AVLT-REY - List A Word 14
C123697 AVL0215 AVL02-List A Word 15 Auditory Verbal Learning Test - List A, Word 15. AVLT-REY - List A Word 15
C123698 AVL0216 AVL02-List A Total Auditory Verbal Learning Test - The number of List A words recalled from a trial. AVLT-REY - List A Total
C123699 AVL0217 AVL02-List A Intrusions Auditory Verbal Learning Test - The number of List A intrusions while recalling from a trial. AVLT-REY - List A Intrusions
C123700 AVL0218 AVL02-List B Word 1 Auditory Verbal Learning Test - List B, Word 1. AVLT-REY - List B Word 1
C123701 AVL0219 AVL02-List B Word 2 Auditory Verbal Learning Test - List B, Word 2. AVLT-REY - List B Word 2
C123702 AVL0220 AVL02-List B Word 3 Auditory Verbal Learning Test - List B, Word 3. AVLT-REY - List B Word 3
C123703 AVL0221 AVL02-List B Word 4 Auditory Verbal Learning Test - List B, Word 4. AVLT-REY - List B Word 4
C123704 AVL0222 AVL02-List B Word 5 Auditory Verbal Learning Test - List B, Word 5. AVLT-REY - List B Word 5
C123705 AVL0223 AVL02-List B Word 6 Auditory Verbal Learning Test - List B, Word 6. AVLT-REY - List B Word 6
C123706 AVL0224 AVL02-List B Word 7 Auditory Verbal Learning Test - List B, Word 7. AVLT-REY - List B Word 7
C123707 AVL0225 AVL02-List B Word 8 Auditory Verbal Learning Test - List B, Word 8. AVLT-REY - List B Word 8
C123708 AVL0226 AVL02-List B Word 9 Auditory Verbal Learning Test - List B, Word 9. AVLT-REY - List B Word 9
C123709 AVL0227 AVL02-List B Word 10 Auditory Verbal Learning Test - List B, Word 10. AVLT-REY - List B Word 10
C123710 AVL0228 AVL02-List B Word 11 Auditory Verbal Learning Test - List B, Word 11. AVLT-REY - List B Word 11
C123711 AVL0229 AVL02-List B Word 12 Auditory Verbal Learning Test - List B, Word 12. AVLT-REY - List B Word 12
C123712 AVL0230 AVL02-List B Word 13 Auditory Verbal Learning Test - List B, Word 13. AVLT-REY - List B Word 13
C123713 AVL0231 AVL02-List B Word 14 Auditory Verbal Learning Test - List B, Word 14. AVLT-REY - List B Word 14
C123714 AVL0232 AVL02-List B Word 15 Auditory Verbal Learning Test - List B, Word 15. AVLT-REY - List B Word 15
C123715 AVL0233 AVL02- List B Total Auditory Verbal Learning Test - The number of words recalled from List B trial. AVLT-REY - List B Total
C123716 AVL0234 AVL02-List B Intrusions Auditory Verbal Learning Test - The number of intrusions while recalling from List B trial. AVLT-REY - List B Intrusions
C123717 AVL0235 AVL02-Recognition Total Auditory Verbal Learning Test - The number of words correct on recognition test. AVLT-REY - Recognition Total
C123718 AVL0236 AVL02-Recognition Intrusions Auditory Verbal Learning Test - The number of intrusions on recognition test. AVLT-REY - Recognition Intrusions

AVL02TN (Rey Auditory Verbal Learning Test Functional Test Test Name)

NCI Code: C123654, Codelist extensible: No
C123654 AVL02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C123715 AVL02- List B Total AVL02- List B Total Auditory Verbal Learning Test - The number of words recalled from List B trial. AVLT-REY - List B Total
C123699 AVL02-List A Intrusions AVL02-List A Intrusions Auditory Verbal Learning Test - The number of List A intrusions while recalling from a trial. AVLT-REY - List A Intrusions
C123698 AVL02-List A Total AVL02-List A Total Auditory Verbal Learning Test - The number of List A words recalled from a trial. AVLT-REY - List A Total
C123683 AVL02-List A Word 1 AVL02-List A Word 1 Auditory Verbal Learning Test - List A, Word 1. AVLT-REY - List A Word 1
C123692 AVL02-List A Word 10 AVL02-List A Word 10 Auditory Verbal Learning Test - List A, Word 10. AVLT-REY - List A Word 10
C123693 AVL02-List A Word 11 AVL02-List A Word 11 Auditory Verbal Learning Test - List A, Word 11. AVLT-REY - List A Word 11
C123694 AVL02-List A Word 12 AVL02-List A Word 12 Auditory Verbal Learning Test - List A, Word 12. AVLT-REY - List A Word 12
C123695 AVL02-List A Word 13 AVL02-List A Word 13 Auditory Verbal Learning Test - List A, Word 13. AVLT-REY - List A Word 13
C123696 AVL02-List A Word 14 AVL02-List A Word 14 Auditory Verbal Learning Test - List A, Word 14. AVLT-REY - List A Word 14
C123697 AVL02-List A Word 15 AVL02-List A Word 15 Auditory Verbal Learning Test - List A, Word 15. AVLT-REY - List A Word 15
C123684 AVL02-List A Word 2 AVL02-List A Word 2 Auditory Verbal Learning Test - List A, Word 2. AVLT-REY - List A Word 2
C123685 AVL02-List A Word 3 AVL02-List A Word 3 Auditory Verbal Learning Test - List A, Word 3. AVLT-REY - List A Word 3
C123686 AVL02-List A Word 4 AVL02-List A Word 4 Auditory Verbal Learning Test - List A, Word 4. AVLT-REY - List A Word 4
C123687 AVL02-List A Word 5 AVL02-List A Word 5 Auditory Verbal Learning Test - List A, Word 5. AVLT-REY - List A Word 5
C123688 AVL02-List A Word 6 AVL02-List A Word 6 Auditory Verbal Learning Test - List A, Word 6. AVLT-REY - List A Word 6
C123689 AVL02-List A Word 7 AVL02-List A Word 7 Auditory Verbal Learning Test - List A, Word 7. AVLT-REY - List A Word 7
C123690 AVL02-List A Word 8 AVL02-List A Word 8 Auditory Verbal Learning Test - List A, Word 8. AVLT-REY - List A Word 8
C123691 AVL02-List A Word 9 AVL02-List A Word 9 Auditory Verbal Learning Test - List A, Word 9. AVLT-REY - List A Word 9
C123716 AVL02-List B Intrusions AVL02-List B Intrusions Auditory Verbal Learning Test - The number of intrusions while recalling from List B trial. AVLT-REY - List B Intrusions
C123700 AVL02-List B Word 1 AVL02-List B Word 1 Auditory Verbal Learning Test - List B, Word 1. AVLT-REY - List B Word 1
C123709 AVL02-List B Word 10 AVL02-List B Word 10 Auditory Verbal Learning Test - List B, Word 10. AVLT-REY - List B Word 10
C123710 AVL02-List B Word 11 AVL02-List B Word 11 Auditory Verbal Learning Test - List B, Word 11. AVLT-REY - List B Word 11
C123711 AVL02-List B Word 12 AVL02-List B Word 12 Auditory Verbal Learning Test - List B, Word 12. AVLT-REY - List B Word 12
C123712 AVL02-List B Word 13 AVL02-List B Word 13 Auditory Verbal Learning Test - List B, Word 13. AVLT-REY - List B Word 13
C123713 AVL02-List B Word 14 AVL02-List B Word 14 Auditory Verbal Learning Test - List B, Word 14. AVLT-REY - List B Word 14
C123714 AVL02-List B Word 15 AVL02-List B Word 15 Auditory Verbal Learning Test - List B, Word 15. AVLT-REY - List B Word 15
C123701 AVL02-List B Word 2 AVL02-List B Word 2 Auditory Verbal Learning Test - List B, Word 2. AVLT-REY - List B Word 2
C123702 AVL02-List B Word 3 AVL02-List B Word 3 Auditory Verbal Learning Test - List B, Word 3. AVLT-REY - List B Word 3
C123703 AVL02-List B Word 4 AVL02-List B Word 4 Auditory Verbal Learning Test - List B, Word 4. AVLT-REY - List B Word 4
C123704 AVL02-List B Word 5 AVL02-List B Word 5 Auditory Verbal Learning Test - List B, Word 5. AVLT-REY - List B Word 5
C123705 AVL02-List B Word 6 AVL02-List B Word 6 Auditory Verbal Learning Test - List B, Word 6. AVLT-REY - List B Word 6
C123706 AVL02-List B Word 7 AVL02-List B Word 7 Auditory Verbal Learning Test - List B, Word 7. AVLT-REY - List B Word 7
C123707 AVL02-List B Word 8 AVL02-List B Word 8 Auditory Verbal Learning Test - List B, Word 8. AVLT-REY - List B Word 8
C123708 AVL02-List B Word 9 AVL02-List B Word 9 Auditory Verbal Learning Test - List B, Word 9. AVLT-REY - List B Word 9
C123718 AVL02-Recognition Intrusions AVL02-Recognition Intrusions Auditory Verbal Learning Test - The number of intrusions on recognition test. AVLT-REY - Recognition Intrusions
C123717 AVL02-Recognition Total AVL02-Recognition Total Auditory Verbal Learning Test - The number of words correct on recognition test. AVLT-REY - Recognition Total

AVPU01TC (Alert Verbal Painful Unresponsive Scale Clinical Classification Test Code)

NCI Code: C161623, Codelist extensible: No
C161623 AVPU01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161740 AVPU0101 AVPU01-Responsiveness Alert Verbal Painful Unresponsive Scale - Responsivenesss. AVPU - Responsiveness

AVPU01TN (Alert Verbal Painful Unresponsive Scale Clinical Classification Test Name)

NCI Code: C161622, Codelist extensible: No
C161622 AVPU01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161740 AVPU01-Responsiveness AVPU01-Responsiveness Alert Verbal Painful Unresponsive Scale - Responsivenesss. AVPU - Responsiveness

BACS1TC (Brief Assessment of Cognition in Schizophrenia Functional Test Test Code)

NCI Code: C120983, Codelist extensible: No
C120983 BACS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121050 BACS101 BACS1-Number of Items Recalled Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial. BACS - Number of Items Recalled
C121051 BACS101A BACS1-Number of Items Recalled Total Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled. BACS - Number of Items Recalled Total
C121052 BACS102 BACS1-Number of Correct Sequences Brief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences. BACS - Number of Correct Sequences
C121053 BACS103A BACS1-Number of Tokens Left on the Table Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table. BACS - Number of Tokens Left on the Table
C121054 BACS103B BACS1-Total Number Tokens in Container Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container. BACS - Total Number Tokens in Container
C121055 BACS103C BACS1-Number Tokens Incorrectly Placed Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container. BACS - Number Tokens Incorrectly Placed
C121056 BACS103D BACS1-Number of Tokens Correctly Placed Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed. BACS - Number of Tokens Correctly Placed
C121057 BACS104A BACS1-Category Instances Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances. BACS - Category Instances
C121058 BACS104B BACS1-Letter Fluency 1 Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1. BACS - Letter Fluency 1
C121059 BACS104C BACS1-Letter Fluency 2 Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2. BACS - Letter Fluency 2
C121060 BACS104D BACS1-Verbal Fluency Total Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items. BACS - Verbal Fluency Total
C121061 BACS105 BACS1-Symbol Coding Raw Score Brief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score. BACS - Symbol Coding Raw Score
C121062 BACS106 BACS1-Tower of London Correct Responses Brief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses. BACS - Tower of London Correct Responses

BACS1TN (Brief Assessment of Cognition in Schizophrenia Functional Test Test Name)

NCI Code: C120982, Codelist extensible: No
C120982 BACS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121057 BACS1-Category Instances BACS1-Category Instances Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances. BACS - Category Instances
C121058 BACS1-Letter Fluency 1 BACS1-Letter Fluency 1 Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1. BACS - Letter Fluency 1
C121059 BACS1-Letter Fluency 2 BACS1-Letter Fluency 2 Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2. BACS - Letter Fluency 2
C121052 BACS1-Number of Correct Sequences BACS1-Number of Correct Sequences Brief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences. BACS - Number of Correct Sequences
C121051 BACS1-Number of Items Recalled Total BACS1-Number of Items Recalled Total Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled. BACS - Number of Items Recalled Total
C121050 BACS1-Number of Items Recalled BACS1-Number of Items Recalled Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial. BACS - Number of Items Recalled
C121056 BACS1-Number of Tokens Correctly Placed BACS1-Number of Tokens Correctly Placed Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed. BACS - Number of Tokens Correctly Placed
C121053 BACS1-Number of Tokens Left on the Table BACS1-Number of Tokens Left on the Table Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table. BACS - Number of Tokens Left on the Table
C121055 BACS1-Number Tokens Incorrectly Placed BACS1-Number Tokens Incorrectly Placed Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container. BACS - Number Tokens Incorrectly Placed
C121061 BACS1-Symbol Coding Raw Score BACS1-Symbol Coding Raw Score Brief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score. BACS - Symbol Coding Raw Score
C121054 BACS1-Total Number Tokens in Container BACS1-Total Number Tokens in Container Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container. BACS - Total Number Tokens in Container
C121062 BACS1-Tower of London Correct Responses BACS1-Tower of London Correct Responses Brief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses. BACS - Tower of London Correct Responses
C121060 BACS1-Verbal Fluency Total BACS1-Verbal Fluency Total Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items. BACS - Verbal Fluency Total

BARS01TC (Barnes Akathisia Rating Scale Clinical Classification Test Code)

NCI Code: C101809, Codelist extensible: No
C101809 BARS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102046 BARS0101 BARS01-Objective Barnes Akathisia Rating Scale - Objective. BARS - Objective
C102047 BARS0102 BARS01-Subjective, Awareness Barnes Akathisia Rating Scale - Subjective, awareness of restlessness. BARS - Subjective, Awareness
C102048 BARS0103 BARS01-Subjective, Distress Barnes Akathisia Rating Scale - Subjective, distress related to restlessness. BARS - Subjective, Distress
C102049 BARS0104 BARS01-Global Clinical Assessment Barnes Akathisia Rating Scale - Global clinical assessment of akathisia. BARS - Global Clinical Assessment

BARS01TN (Barnes Akathisia Rating Scale Clinical Classification Test Name)

NCI Code: C101810, Codelist extensible: No
C101810 BARS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102049 BARS01-Global Clinical Assessment BARS01-Global Clinical Assessment Barnes Akathisia Rating Scale - Global clinical assessment of akathisia. BARS - Global Clinical Assessment
C102046 BARS01-Objective BARS01-Objective Barnes Akathisia Rating Scale - Objective. BARS - Objective
C102047 BARS01-Subjective, Awareness BARS01-Subjective, Awareness Barnes Akathisia Rating Scale - Subjective, awareness of restlessness. BARS - Subjective, Awareness
C102048 BARS01-Subjective, Distress BARS01-Subjective, Distress Barnes Akathisia Rating Scale - Subjective, distress related to restlessness. BARS - Subjective, Distress

BCR101TC (Borg CR10 Scale Questionnaire Test Code)

NCI Code: C113846, Codelist extensible: No
C113846 BCR101TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113888 BCR10101 BCR101-Rating Borg CR10 Scale - Rating. Borg CR10 - Rating

BCR101TN (Borg CR10 Scale Questionnaire Test Name)

NCI Code: C113845, Codelist extensible: No
C113845 BCR101TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113888 BCR101-Rating BCR101-Rating Borg CR10 Scale - Rating. Borg CR10 - Rating

BDI01TC (Baseline Dyspnea Index Clinical Classification Test Code)

NCI Code: C106655, Codelist extensible: No
C106655 BDI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106701 BDI0101 BDI01-Functional Impairment Baseline Dyspnea Index - Functional impairment. BDI - Functional Impairment
C106702 BDI0102 BDI01-Magnitude of Task Baseline Dyspnea Index - Magnitude of task. BDI - Magnitude of Task
C106703 BDI0103 BDI01-Magnitude of Effort Baseline Dyspnea Index - Magnitude of effort. BDI - Magnitude of Effort
C161764 BDI0104 BDI01-Baseline Focal Score Baseline Dyspnea Index - Baseline focal score. BDI - Baseline Focal Score

BDI01TN (Baseline Dyspnea Index Clinical Classification Test Name)

NCI Code: C106654, Codelist extensible: No
C106654 BDI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161764 BDI01-Baseline Focal Score BDI01-Baseline Focal Score Baseline Dyspnea Index - Baseline focal score. BDI - Baseline Focal Score
C106701 BDI01-Functional Impairment BDI01-Functional Impairment Baseline Dyspnea Index - Functional impairment. BDI - Functional Impairment
C106703 BDI01-Magnitude of Effort BDI01-Magnitude of Effort Baseline Dyspnea Index - Magnitude of effort. BDI - Magnitude of Effort
C106702 BDI01-Magnitude of Task BDI01-Magnitude of Task Baseline Dyspnea Index - Magnitude of task. BDI - Magnitude of Task

BEBQ01TC (Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Code)

NCI Code: C135680, Codelist extensible: No
C135680 BEBQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135775 BEBQ0101 BEBQ01-Baby Seems Contented Feeding Baby Eating Behaviour Questionnaire - Concurrent - My baby seems contented while feeding. BEBQ Concurrent Version - Baby Seems Contented Feeding
C135776 BEBQ0102 BEBQ01-Baby Frequently Wants More Milk Baby Eating Behaviour Questionnaire - Concurrent - My baby frequently wants more milk than I provide. BEBQ Concurrent Version - Baby Frequently Wants More Milk
C135777 BEBQ0103 BEBQ01-Baby Loves Milk Baby Eating Behaviour Questionnaire - Concurrent - My baby loves milk. BEBQ Concurrent Version - Baby Loves Milk
C135778 BEBQ0104 BEBQ01-Baby Has a Big Appetite Baby Eating Behaviour Questionnaire - Concurrent - My baby has a big appetite. BEBQ Concurrent Version - Baby Has a Big Appetite
C135779 BEBQ0105 BEBQ01-Baby Finishes Feeding Quickly Baby Eating Behaviour Questionnaire - Concurrent - My baby finishes feeding quickly. BEBQ Concurrent Version - Baby Finishes Feeding Quickly
C135780 BEBQ0106 BEBQ01-Baby Becomes Distressed Feeding Baby Eating Behaviour Questionnaire - Concurrent - My baby becomes distressed while feeding. BEBQ Concurrent Version - Baby Becomes Distressed Feeding
C135781 BEBQ0107 BEBQ01-Baby Gets Full Up Easily Baby Eating Behaviour Questionnaire - Concurrent - My baby gets full up easily. BEBQ Concurrent Version - Baby Gets Full Up Easily
C135782 BEBQ0108 BEBQ01-Baby Would Take Too Much Milk Baby Eating Behaviour Questionnaire - Concurrent - If allowed to, my baby would take too much milk. BEBQ Concurrent Version - Baby Would Take Too Much Milk
C135783 BEBQ0109 BEBQ01-Baby Takes More Than 30 Minutes Baby Eating Behaviour Questionnaire - Concurrent - My baby takes more than 30 minutes to finish feeding. BEBQ Concurrent Version - Baby Takes More Than 30 Minutes
C135784 BEBQ0110 BEBQ01-Gets Full Before Taking All Milk Baby Eating Behaviour Questionnaire - Concurrent - My baby gets full before taking all the milk I think he/she should have. BEBQ Concurrent Version - Gets Full Before Taking All Milk
C135785 BEBQ0111 BEBQ01-Baby Feeds Slowly Baby Eating Behaviour Questionnaire - Concurrent - My baby feeds slowly. BEBQ Concurrent Version - Baby Feeds Slowly
C135786 BEBQ0112 BEBQ01-Just Eaten Is Happy to Feed Again Baby Eating Behaviour Questionnaire - Concurrent - Even when my baby has just eaten well he/she is happy to feed again if offered. BEBQ Concurrent Version - Just Eaten Is Happy to Feed Again
C135787 BEBQ0113 BEBQ01-Difficult Manage Complete Feed Baby Eating Behaviour Questionnaire - Concurrent - My baby finds it difficult to manage a complete feed. BEBQ Concurrent Version - Difficult Manage Complete Feed
C135788 BEBQ0114 BEBQ01-Baby Is Always Demanding a Feed Baby Eating Behaviour Questionnaire - Concurrent - My baby is always demanding a feed. BEBQ Concurrent Version - Baby Is Always Demanding a Feed
C135789 BEBQ0115 BEBQ01-Baby Sucks More and More Slowly Baby Eating Behaviour Questionnaire - Concurrent - My baby sucks more and more slowly during the course of a feed. BEBQ Concurrent Version - Baby Sucks More and More Slowly
C135790 BEBQ0116 BEBQ01-Baby Would Always Be Feeding Baby Eating Behaviour Questionnaire - Concurrent - If given the chance, my baby would always be feeding. BEBQ Concurrent Version - Baby Would Always Be Feeding
C135791 BEBQ0117 BEBQ01-Baby Enjoys Feeding Time Baby Eating Behaviour Questionnaire - Concurrent - My baby enjoys feeding time. BEBQ Concurrent Version - Baby Enjoys Feeding Time
C135792 BEBQ0118 BEBQ01-Take a Feed Within 30 Minutes Baby Eating Behaviour Questionnaire - Concurrent - My baby can easily take a feed within 30 minutes of the last one. BEBQ Concurrent Version - Take a Feed Within 30 Minutes

BEBQ01TN (Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Name)

NCI Code: C135679, Codelist extensible: No
C135679 BEBQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135780 BEBQ01-Baby Becomes Distressed Feeding BEBQ01-Baby Becomes Distressed Feeding Baby Eating Behaviour Questionnaire - Concurrent - My baby becomes distressed while feeding. BEBQ Concurrent Version - Baby Becomes Distressed Feeding
C135791 BEBQ01-Baby Enjoys Feeding Time BEBQ01-Baby Enjoys Feeding Time Baby Eating Behaviour Questionnaire - Concurrent - My baby enjoys feeding time. BEBQ Concurrent Version - Baby Enjoys Feeding Time
C135785 BEBQ01-Baby Feeds Slowly BEBQ01-Baby Feeds Slowly Baby Eating Behaviour Questionnaire - Concurrent - My baby feeds slowly. BEBQ Concurrent Version - Baby Feeds Slowly
C135779 BEBQ01-Baby Finishes Feeding Quickly BEBQ01-Baby Finishes Feeding Quickly Baby Eating Behaviour Questionnaire - Concurrent - My baby finishes feeding quickly. BEBQ Concurrent Version - Baby Finishes Feeding Quickly
C135776 BEBQ01-Baby Frequently Wants More Milk BEBQ01-Baby Frequently Wants More Milk Baby Eating Behaviour Questionnaire - Concurrent - My baby frequently wants more milk than I provide. BEBQ Concurrent Version - Baby Frequently Wants More Milk
C135781 BEBQ01-Baby Gets Full Up Easily BEBQ01-Baby Gets Full Up Easily Baby Eating Behaviour Questionnaire - Concurrent - My baby gets full up easily. BEBQ Concurrent Version - Baby Gets Full Up Easily
C135778 BEBQ01-Baby Has a Big Appetite BEBQ01-Baby Has a Big Appetite Baby Eating Behaviour Questionnaire - Concurrent - My baby has a big appetite. BEBQ Concurrent Version - Baby Has a Big Appetite
C135788 BEBQ01-Baby Is Always Demanding a Feed BEBQ01-Baby Is Always Demanding a Feed Baby Eating Behaviour Questionnaire - Concurrent - My baby is always demanding a feed. BEBQ Concurrent Version - Baby Is Always Demanding a Feed
C135777 BEBQ01-Baby Loves Milk BEBQ01-Baby Loves Milk Baby Eating Behaviour Questionnaire - Concurrent - My baby loves milk. BEBQ Concurrent Version - Baby Loves Milk
C135775 BEBQ01-Baby Seems Contented Feeding BEBQ01-Baby Seems Contented Feeding Baby Eating Behaviour Questionnaire - Concurrent - My baby seems contented while feeding. BEBQ Concurrent Version - Baby Seems Contented Feeding
C135789 BEBQ01-Baby Sucks More and More Slowly BEBQ01-Baby Sucks More and More Slowly Baby Eating Behaviour Questionnaire - Concurrent - My baby sucks more and more slowly during the course of a feed. BEBQ Concurrent Version - Baby Sucks More and More Slowly
C135783 BEBQ01-Baby Takes More Than 30 Minutes BEBQ01-Baby Takes More Than 30 Minutes Baby Eating Behaviour Questionnaire - Concurrent - My baby takes more than 30 minutes to finish feeding. BEBQ Concurrent Version - Baby Takes More Than 30 Minutes
C135790 BEBQ01-Baby Would Always Be Feeding BEBQ01-Baby Would Always Be Feeding Baby Eating Behaviour Questionnaire - Concurrent - If given the chance, my baby would always be feeding. BEBQ Concurrent Version - Baby Would Always Be Feeding
C135782 BEBQ01-Baby Would Take Too Much Milk BEBQ01-Baby Would Take Too Much Milk Baby Eating Behaviour Questionnaire - Concurrent - If allowed to, my baby would take too much milk. BEBQ Concurrent Version - Baby Would Take Too Much Milk
C135787 BEBQ01-Difficult Manage Complete Feed BEBQ01-Difficult Manage Complete Feed Baby Eating Behaviour Questionnaire - Concurrent - My baby finds it difficult to manage a complete feed. BEBQ Concurrent Version - Difficult Manage Complete Feed
C135784 BEBQ01-Gets Full Before Taking All Milk BEBQ01-Gets Full Before Taking All Milk Baby Eating Behaviour Questionnaire - Concurrent - My baby gets full before taking all the milk I think he/she should have. BEBQ Concurrent Version - Gets Full Before Taking All Milk
C135786 BEBQ01-Just Eaten Is Happy to Feed Again BEBQ01-Just Eaten Is Happy to Feed Again Baby Eating Behaviour Questionnaire - Concurrent - Even when my baby has just eaten well he/she is happy to feed again if offered. BEBQ Concurrent Version - Just Eaten Is Happy to Feed Again
C135792 BEBQ01-Take a Feed Within 30 Minutes BEBQ01-Take a Feed Within 30 Minutes Baby Eating Behaviour Questionnaire - Concurrent - My baby can easily take a feed within 30 minutes of the last one. BEBQ Concurrent Version - Take a Feed Within 30 Minutes

BEBQ02TC (Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Code)

NCI Code: C135682, Codelist extensible: No
C135682 BEBQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135793 BEBQ0201 BEBQ02-Baby Seemed Contented Feeding Baby Eating Behaviour Questionnaire - Retrospective - My baby seemed contented while feeding. BEBQ Retrospective Version - Baby Seemed Contented Feeding
C135794 BEBQ0202 BEBQ02-Baby Frequently Wanted More Milk Baby Eating Behaviour Questionnaire - Retrospective - My baby frequently wanted more milk than I provided. BEBQ Retrospective Version - Baby Frequently Wanted More Milk
C135795 BEBQ0203 BEBQ02-Baby Loved Milk Baby Eating Behaviour Questionnaire - Retrospective - My baby loved milk. BEBQ Retrospective Version - Baby Loved Milk
C135796 BEBQ0204 BEBQ02-Baby Had a Big Appetite Baby Eating Behaviour Questionnaire - Retrospective - My baby had a big appetite. BEBQ Retrospective Version - Baby Had a Big Appetite
C135797 BEBQ0205 BEBQ02-Baby Finished Feeding Quickly Baby Eating Behaviour Questionnaire - Retrospective - My baby finished feeding quickly. BEBQ Retrospective Version - Baby Finished Feeding Quickly
C135798 BEBQ0206 BEBQ02-Baby Became Distressed Feeding Baby Eating Behaviour Questionnaire - Retrospective - My baby became distressed while feeding. BEBQ Retrospective Version - Baby Became Distressed Feeding
C135799 BEBQ0207 BEBQ02-Baby Got Full Up Easily Baby Eating Behaviour Questionnaire - Retrospective - My baby got full up easily. BEBQ Retrospective Version - Baby Got Full Up Easily
C135800 BEBQ0208 BEBQ02-Baby Would Take Too Much Milk Baby Eating Behaviour Questionnaire - Retrospective - If allowed to, my baby would take too much milk. BEBQ Retrospective Version - Baby Would Take Too Much Milk
C135801 BEBQ0209 BEBQ02-Baby Took More Than 30 Minutes Baby Eating Behaviour Questionnaire - Retrospective - My baby took more than 30 minutes to finish feeding. BEBQ Retrospective Version - Baby Took More Than 30 Minutes
C135802 BEBQ0210 BEBQ02-Got Full Before Taking All Milk Baby Eating Behaviour Questionnaire - Retrospective - My baby got full before taking all the milk I think he/she should have. BEBQ Retrospective Version - Got Full Before Taking All Milk
C135803 BEBQ0211 BEBQ02-Baby Fed Slowly Baby Eating Behaviour Questionnaire - Retrospective - My baby fed slowly. BEBQ Retrospective Version - Baby Fed Slowly
C135804 BEBQ0212 BEBQ02-Just Eaten Happy to Feed Again Baby Eating Behaviour Questionnaire - Retrospective - Even when my baby had just eaten well he/she was happy to feed again if offered. BEBQ Retrospective Version - Just Eaten Happy to Feed Again
C135805 BEBQ0213 BEBQ02-Difficult Manage Complete Feed Baby Eating Behaviour Questionnaire - Retrospective - My baby found it difficult to manage a complete feed. BEBQ Retrospective Version - Difficult Manage Complete Feed
C135806 BEBQ0214 BEBQ02-Baby Was Always Demanding a Feed Baby Eating Behaviour Questionnaire - Retrospective - My baby was always demanding a feed. BEBQ Retrospective Version - Baby Was Always Demanding a Feed
C135807 BEBQ0215 BEBQ02-Baby Sucked More and More Slowly Baby Eating Behaviour Questionnaire - Retrospective - My baby sucked more and more slowly during the course of a feed. BEBQ Retrospective Version - Baby Sucked More and More Slowly
C135808 BEBQ0216 BEBQ02-Baby Would Always Be Feeding Baby Eating Behaviour Questionnaire - Retrospective - If given the chance, my baby would always be feeding. BEBQ Retrospective Version - Baby Would Always Be Feeding
C135809 BEBQ0217 BEBQ02-Baby Enjoyed Feeding Time Baby Eating Behaviour Questionnaire - Retrospective - My baby enjoyed feeding time. BEBQ Retrospective Version - Baby Enjoyed Feeding Time
C135810 BEBQ0218 BEBQ02-Take a Feed Within 30 Minutes Baby Eating Behaviour Questionnaire - Retrospective - My baby could easily take a feed within 30 minutes of the last one. BEBQ Retrospective Version - Take a Feed Within 30 Minutes

BEBQ02TN (Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Name)

NCI Code: C135681, Codelist extensible: No
C135681 BEBQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135798 BEBQ02-Baby Became Distressed Feeding BEBQ02-Baby Became Distressed Feeding Baby Eating Behaviour Questionnaire - Retrospective - My baby became distressed while feeding. BEBQ Retrospective Version - Baby Became Distressed Feeding
C135809 BEBQ02-Baby Enjoyed Feeding Time BEBQ02-Baby Enjoyed Feeding Time Baby Eating Behaviour Questionnaire - Retrospective - My baby enjoyed feeding time. BEBQ Retrospective Version - Baby Enjoyed Feeding Time
C135803 BEBQ02-Baby Fed Slowly BEBQ02-Baby Fed Slowly Baby Eating Behaviour Questionnaire - Retrospective - My baby fed slowly. BEBQ Retrospective Version - Baby Fed Slowly
C135797 BEBQ02-Baby Finished Feeding Quickly BEBQ02-Baby Finished Feeding Quickly Baby Eating Behaviour Questionnaire - Retrospective - My baby finished feeding quickly. BEBQ Retrospective Version - Baby Finished Feeding Quickly
C135794 BEBQ02-Baby Frequently Wanted More Milk BEBQ02-Baby Frequently Wanted More Milk Baby Eating Behaviour Questionnaire - Retrospective - My baby frequently wanted more milk than I provided. BEBQ Retrospective Version - Baby Frequently Wanted More Milk
C135799 BEBQ02-Baby Got Full Up Easily BEBQ02-Baby Got Full Up Easily Baby Eating Behaviour Questionnaire - Retrospective - My baby got full up easily. BEBQ Retrospective Version - Baby Got Full Up Easily
C135796 BEBQ02-Baby Had a Big Appetite BEBQ02-Baby Had a Big Appetite Baby Eating Behaviour Questionnaire - Retrospective - My baby had a big appetite. BEBQ Retrospective Version - Baby Had a Big Appetite
C135795 BEBQ02-Baby Loved Milk BEBQ02-Baby Loved Milk Baby Eating Behaviour Questionnaire - Retrospective - My baby loved milk. BEBQ Retrospective Version - Baby Loved Milk
C135793 BEBQ02-Baby Seemed Contented Feeding BEBQ02-Baby Seemed Contented Feeding Baby Eating Behaviour Questionnaire - Retrospective - My baby seemed contented while feeding. BEBQ Retrospective Version - Baby Seemed Contented Feeding
C135807 BEBQ02-Baby Sucked More and More Slowly BEBQ02-Baby Sucked More and More Slowly Baby Eating Behaviour Questionnaire - Retrospective - My baby sucked more and more slowly during the course of a feed. BEBQ Retrospective Version - Baby Sucked More and More Slowly
C135801 BEBQ02-Baby Took More Than 30 Minutes BEBQ02-Baby Took More Than 30 Minutes Baby Eating Behaviour Questionnaire - Retrospective - My baby took more than 30 minutes to finish feeding. BEBQ Retrospective Version - Baby Took More Than 30 Minutes
C135806 BEBQ02-Baby Was Always Demanding a Feed BEBQ02-Baby Was Always Demanding a Feed Baby Eating Behaviour Questionnaire - Retrospective - My baby was always demanding a feed. BEBQ Retrospective Version - Baby Was Always Demanding a Feed
C135808 BEBQ02-Baby Would Always Be Feeding BEBQ02-Baby Would Always Be Feeding Baby Eating Behaviour Questionnaire - Retrospective - If given the chance, my baby would always be feeding. BEBQ Retrospective Version - Baby Would Always Be Feeding
C135800 BEBQ02-Baby Would Take Too Much Milk BEBQ02-Baby Would Take Too Much Milk Baby Eating Behaviour Questionnaire - Retrospective - If allowed to, my baby would take too much milk. BEBQ Retrospective Version - Baby Would Take Too Much Milk
C135805 BEBQ02-Difficult Manage Complete Feed BEBQ02-Difficult Manage Complete Feed Baby Eating Behaviour Questionnaire - Retrospective - My baby found it difficult to manage a complete feed. BEBQ Retrospective Version - Difficult Manage Complete Feed
C135802 BEBQ02-Got Full Before Taking All Milk BEBQ02-Got Full Before Taking All Milk Baby Eating Behaviour Questionnaire - Retrospective - My baby got full before taking all the milk I think he/she should have. BEBQ Retrospective Version - Got Full Before Taking All Milk
C135804 BEBQ02-Just Eaten Happy to Feed Again BEBQ02-Just Eaten Happy to Feed Again Baby Eating Behaviour Questionnaire - Retrospective - Even when my baby had just eaten well he/she was happy to feed again if offered. BEBQ Retrospective Version - Just Eaten Happy to Feed Again
C135810 BEBQ02-Take a Feed Within 30 Minutes BEBQ02-Take a Feed Within 30 Minutes Baby Eating Behaviour Questionnaire - Retrospective - My baby could easily take a feed within 30 minutes of the last one. BEBQ Retrospective Version - Take a Feed Within 30 Minutes

BLCS01TC (Bladder Control Scale Questionnaire Test Code)

NCI Code: C113852, Codelist extensible: No
C113852 BLCS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113953 BLCS0101 BLCS01-Lost Control of Bladder Bladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident? BLCS - Lost Control of Your Bladder
C113954 BLCS0102 BLCS01-Almost Lost Control of Bladder Bladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident? BLCS - Almost Lost Control of Your Bladder
C113955 BLCS0103 BLCS01-Altered Activity Because Bladder Bladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems? BLCS - Altered Activities Because Bladder Problems
C113956 BLCS0104 BLCS01-Bladder Restricted Lifestyle Bladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle? BLCS - Bladder Problems Restrict Overall Lifestyle

BLCS01TN (Bladder Control Scale Questionnaire Test Name)

NCI Code: C113851, Codelist extensible: No
C113851 BLCS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113954 BLCS01-Almost Lost Control of Bladder BLCS01-Almost Lost Control of Bladder Bladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident? BLCS - Almost Lost Control of Your Bladder
C113955 BLCS01-Altered Activity Because Bladder BLCS01-Altered Activity Because Bladder Bladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems? BLCS - Altered Activities Because Bladder Problems
C113956 BLCS01-Bladder Restricted Lifestyle BLCS01-Bladder Restricted Lifestyle Bladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle? BLCS - Bladder Problems Restrict Overall Lifestyle
C113953 BLCS01-Lost Control of Bladder BLCS01-Lost Control of Bladder Bladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident? BLCS - Lost Control of Your Bladder

BODE01TC (The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code)

NCI Code: C120987, Codelist extensible: No
C120987 BODE01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121063 BODE0101 BODE01-Body-mass Index Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index. BODE Index - Body-mass Index
C121064 BODE0102 BODE01-FEV1 % Predicted Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted). BODE Index - FEV1 Percent Predicted
C121065 BODE0103 BODE01-MMRC Dyspnea Scale Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale. BODE Index - MMRC Dyspnea Scale
C121066 BODE0104 BODE01-Distance Walked in 6 Minutes Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter). BODE Index - Distance Walked in 6 Minutes
C121067 BODE0105 BODE01-BODE Score Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score. BODE Index - Score

BODE01TN (The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name)

NCI Code: C120986, Codelist extensible: No
C120986 BODE01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121067 BODE01-BODE Score BODE01-BODE Score Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score. BODE Index - Score
C121063 BODE01-Body-mass Index BODE01-Body-mass Index Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index. BODE Index - Body-mass Index
C121066 BODE01-Distance Walked in 6 Minutes BODE01-Distance Walked in 6 Minutes Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter). BODE Index - Distance Walked in 6 Minutes
C121064 BODE01-FEV1 % Predicted BODE01-FEV1 % Predicted Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted). BODE Index - FEV1 Percent Predicted
C121065 BODE01-MMRC Dyspnea Scale BODE01-MMRC Dyspnea Scale Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale. BODE Index - MMRC Dyspnea Scale

BPI1TC (Brief Pain Inventory Questionnaire Test Code)

NCI Code: C100162, Codelist extensible: No
C100162 BPI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100287 BPI101 BPI1-Marital Status Brief Pain Inventory - Marital status. BPI - Marital Status
C100288 BPI102 BPI1-Education Brief Pain Inventory - Education. BPI - Education
C100289 BPI102A BPI1-Professional Degree Brief Pain Inventory - Education. Professional degree. BPI - Professional Degree
C100290 BPI103 BPI1-Current Occupation Brief Pain Inventory - Current occupation. BPI - Current Occupation
C100291 BPI104 BPI1-Spouse's Occupation Brief Pain Inventory - Spouse's occupation. BPI - Spouse's Occupation
C100292 BPI105 BPI1-Current Job Status Brief Pain Inventory - Which of the following best describes your current job status? BPI - Current Job Status
C100293 BPI106 BPI1-How Long Since Diagnosis Brief Pain Inventory - How long has it been since you first learned your diagnosis? BPI - How Long Since Diagnosis
C100294 BPI107 BPI1-Pain Due to Present Disease Brief Pain Inventory - Have you ever had pain due to your present disease? BPI - Pain Due to Present Disease
C100295 BPI108 BPI1-Pain One of Your Symptoms Brief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms? BPI - Pain as a Symptom
C100296 BPI109 BPI1-Surgery in Past Month Brief Pain Inventory - Have you had surgery in the past month? BPI - Surgery in Past Month
C100297 BPI109A BPI1-Kind of Surgery in Past Month Brief Pain Inventory - What kind of surgery have you had in the past month? BPI - Kind of Surgery in Past Month
C100298 BPI110 BPI1-Pain Other than Everyday Kinds Brief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week? BPI - Pain Other than Everyday Kinds
C100299 BPI110A BPI1-Pain Medications in the Last 7 Days Brief Pain Inventory - Did you take pain medications in the last 7 days? BPI - Pain Medications in the Last 7 Days
C100300 BPI110B BPI1-Pain Requires Medication Daily Brief Pain Inventory - I feel I have some form of pain that requires medication each and every day. BPI - Pain Requires Medication Daily
C100301 BPI111A BPI1-Areas of Pain Brief Pain Inventory - On the diagram, shade in the areas where you feel pain. BPI - Areas of Pain
C100302 BPI111B BPI1-Area Hurts Most Brief Pain Inventory - On the diagram, put an X on the area that hurts the most. BPI - Area Hurts Most
C100303 BPI112 BPI1-Pain at its Worst in Last Week Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week. BPI - Pain at its Worst in Last Week
C100304 BPI113 BPI1-Pain at its Least in Last Week Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week. BPI - Pain at its Least in Last Week
C100305 BPI114 BPI1-Pain on the Average Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average. BPI - Pain on the Average
C100306 BPI115 BPI1-Pain Right Now Brief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now. BPI - Pain Right Now
C100307 BPI116 BPI1-Things that Make Pain Feel Better Brief Pain Inventory - What kinds of things make your pain feel better? BPI - Things that Make Pain Feel Better
C100308 BPI117 BPI1-Things that Make your Pain Worse Brief Pain Inventory - What kinds of things make your pain feel worse? BPI - Things that Make your Pain Worse
C100309 BPI118 BPI1-Treatments Receiving for Pain Brief Pain Inventory - What treatments or medications are you receiving for your pain? BPI - Treatments Receiving for Pain
C100310 BPI119 BPI1-Relief Pain Treatments Provided Brief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received. BPI - Relief Pain Treatments Provided
C100311 BPI120 BPI1-Hours before Pain Returns Brief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns? BPI - Hours before Pain Returns
C100312 BPI1211 BPI1-Pain Due to Effects of Treatment Brief Pain Inventory - I believe my pain is due to the effects of treatment. BPI - Pain Due to Effects of Treatment
C100313 BPI1212 BPI1-Pain Due to Primary Disease Brief Pain Inventory - I believe my pain is due to my primary disease. BPI - Pain Due to Primary Disease
C100314 BPI1213 BPI1-Pain Due to Unrelated Med Condition Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. BPI - Pain Due to Unrelated Medical Condition
C100315 BPI1213A BPI1-Describe Unrelated Med Condition Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition. BPI - Describe Unrelated Medical Condition
C100316 BPI122A BPI1-Aching Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching. BPI - Aching
C100317 BPI122B BPI1-Throbbing Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing. BPI - Throbbing
C100318 BPI122C BPI1-Shooting Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting. BPI - Shooting
C100319 BPI122D BPI1-Stabbing Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing. BPI - Stabbing
C100320 BPI122E BPI1-Gnawing Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing. BPI - Gnawing
C100321 BPI122F BPI1-Sharp Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp. BPI - Sharp
C100322 BPI122G BPI1-Tender Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender. BPI - Tender
C100323 BPI122H BPI1-Burning Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning. BPI - Burning
C100324 BPI122I BPI1-Exhausting Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting. BPI - Exhausting
C100325 BPI122J BPI1-Tiring Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring. BPI - Tiring
C100326 BPI122K BPI1-Penetrating Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating. BPI - Penetrating
C100327 BPI122L BPI1-Nagging Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging. BPI - Nagging
C100328 BPI122M BPI1-Numb Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb. BPI - Numb
C100329 BPI122N BPI1-Miserable Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable. BPI - Miserable
C100330 BPI122O BPI1-Unbearable Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable. BPI - Unbearable
C100331 BPI123A BPI1-Pain Interfered General Activity Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity. BPI - Pain Interfered with General Activity
C100332 BPI123B BPI1-Pain Interfered with Mood Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood. BPI - Pain Interfered with Mood
C100333 BPI123C BPI1-Pain Interfered Walking Ability Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability. BPI - Pain Interfered with Walking Ability
C100334 BPI123D BPI1-Pain Interfered with Normal Work Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work. BPI - Pain Interfered with Normal Work
C100335 BPI123E BPI1-Pain Interfered with Relations Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people. BPI - Pain Interfered with Relations
C100336 BPI123F BPI1-Pain Interfered with Sleep Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep. BPI - Pain Interfered with Sleep
C100337 BPI123G BPI1-Pain Interfered Enjoyment of Life Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life. BPI - Pain Interfered with Enjoyment of Life
C100338 BPI124 BPI1-Prefer to Take Pain Medicine Brief Pain Inventory - I prefer to take my pain medicine. BPI - Prefer to Take Pain Medicine
C100339 BPI125 BPI1-Take my Pain Medicine Brief Pain Inventory - I take my pain medicine (in a 24 hour period). BPI - Take my Pain Medicine
C100340 BPI126 BPI1-Need Stronger Type of Pain Med Brief Pain Inventory - Do you feel you need a stronger type of pain medication? BPI - Need Stronger Type of Pain Medication
C100341 BPI127 BPI1-Need more Pain Med than Prescribed Brief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed? BPI - Need more Pain Medication than Prescribed
C100342 BPI128 BPI1-Concerned Use Too Much Pain Med Brief Pain Inventory - Are you concerned that you use too much pain medication? BPI - Concerned with Too Much Pain Medication Use
C100343 BPI128A BPI1-Why Concerned Use Too Much Pain Med Brief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why? BPI - Why Concerned with Too Much Pain Medication Use
C100344 BPI129 BPI1-Problems with Side Effects Pain Med Brief Pain Inventory - Are you having problems with side effects from your pain medication? BPI - Problems with Side Effects Pain Medication
C100345 BPI129A BPI1-Which Side Effects from Pain Med Brief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects? BPI - What Side Effects from Pain Medication
C100346 BPI130 BPI1-Need Further Info about Pain Med Brief Pain Inventory - Do you feel you need to receive further information about your pain medication? BPI - Need Further Information about Pain Medication
C100347 BPI131A BPI1-Warm Compresses to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: warm compresses. BPI - Warm Compresses to Relieve Pain
C100348 BPI131B BPI1-Cold Compresses to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: cold compresses. BPI - Cold Compresses to Relieve Pain
C100349 BPI131C BPI1-Relaxation Techniques Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques. BPI - Relaxation Techniques Relieve Pain
C100350 BPI131D BPI1-Distraction to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: distraction. BPI - Distraction to Relieve Pain
C100351 BPI131E BPI1-Biofeedback to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: biofeedback. BPI - Biofeedback to Relieve Pain
C100352 BPI131F BPI1-Hypnosis to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: hypnosis. BPI - Hypnosis to Relieve Pain
C100353 BPI131G BPI1-Other to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: other. BPI - Other Methods to Relieve Pain
C100354 BPI131H BPI1-Other specify to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: other. Please specify. BPI - Specified Other Method to Relieve Pain
C100355 BPI132 BPI1-Meds not Prescribed Taken for Pain Brief Pain Inventory - Medications not prescribed by my doctor that I take for pain are. BPI - Medications not Prescribed Taken for Pain

BPI1TN (Brief Pain Inventory Questionnaire Test Name)

NCI Code: C100161, Codelist extensible: No
C100161 BPI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100316 BPI1-Aching BPI1-Aching Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching. BPI - Aching
C100302 BPI1-Area Hurts Most BPI1-Area Hurts Most Brief Pain Inventory - On the diagram, put an X on the area that hurts the most. BPI - Area Hurts Most
C100301 BPI1-Areas of Pain BPI1-Areas of Pain Brief Pain Inventory - On the diagram, shade in the areas where you feel pain. BPI - Areas of Pain
C100351 BPI1-Biofeedback to Relieve Pain BPI1-Biofeedback to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: biofeedback. BPI - Biofeedback to Relieve Pain
C100323 BPI1-Burning BPI1-Burning Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning. BPI - Burning
C100348 BPI1-Cold Compresses to Relieve Pain BPI1-Cold Compresses to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: cold compresses. BPI - Cold Compresses to Relieve Pain
C100342 BPI1-Concerned Use Too Much Pain Med BPI1-Concerned Use Too Much Pain Med Brief Pain Inventory - Are you concerned that you use too much pain medication? BPI - Concerned with Too Much Pain Medication Use
C100292 BPI1-Current Job Status BPI1-Current Job Status Brief Pain Inventory - Which of the following best describes your current job status? BPI - Current Job Status
C100290 BPI1-Current Occupation BPI1-Current Occupation Brief Pain Inventory - Current occupation. BPI - Current Occupation
C100315 BPI1-Describe Unrelated Med Condition BPI1-Describe Unrelated Med Condition Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition. BPI - Describe Unrelated Medical Condition
C100350 BPI1-Distraction to Relieve Pain BPI1-Distraction to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: distraction. BPI - Distraction to Relieve Pain
C100288 BPI1-Education BPI1-Education Brief Pain Inventory - Education. BPI - Education
C100324 BPI1-Exhausting BPI1-Exhausting Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting. BPI - Exhausting
C100320 BPI1-Gnawing BPI1-Gnawing Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing. BPI - Gnawing
C100311 BPI1-Hours before Pain Returns BPI1-Hours before Pain Returns Brief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns? BPI - Hours before Pain Returns
C100293 BPI1-How Long Since Diagnosis BPI1-How Long Since Diagnosis Brief Pain Inventory - How long has it been since you first learned your diagnosis? BPI - How Long Since Diagnosis
C100352 BPI1-Hypnosis to Relieve Pain BPI1-Hypnosis to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: hypnosis. BPI - Hypnosis to Relieve Pain
C100297 BPI1-Kind of Surgery in Past Month BPI1-Kind of Surgery in Past Month Brief Pain Inventory - What kind of surgery have you had in the past month? BPI - Kind of Surgery in Past Month
C100287 BPI1-Marital Status BPI1-Marital Status Brief Pain Inventory - Marital status. BPI - Marital Status
C100355 BPI1-Meds not Prescribed Taken for Pain BPI1-Meds not Prescribed Taken for Pain Brief Pain Inventory - Medications not prescribed by my doctor that I take for pain are. BPI - Medications not Prescribed Taken for Pain
C100329 BPI1-Miserable BPI1-Miserable Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable. BPI - Miserable
C100327 BPI1-Nagging BPI1-Nagging Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging. BPI - Nagging
C100346 BPI1-Need Further Info about Pain Med BPI1-Need Further Info about Pain Med Brief Pain Inventory - Do you feel you need to receive further information about your pain medication? BPI - Need Further Information about Pain Medication
C100341 BPI1-Need more Pain Med than Prescribed BPI1-Need more Pain Med than Prescribed Brief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed? BPI - Need more Pain Medication than Prescribed
C100340 BPI1-Need Stronger Type of Pain Med BPI1-Need Stronger Type of Pain Med Brief Pain Inventory - Do you feel you need a stronger type of pain medication? BPI - Need Stronger Type of Pain Medication
C100328 BPI1-Numb BPI1-Numb Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb. BPI - Numb
C100354 BPI1-Other specify to Relieve Pain BPI1-Other specify to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: other. Please specify. BPI - Specified Other Method to Relieve Pain
C100353 BPI1-Other to Relieve Pain BPI1-Other to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: other. BPI - Other Methods to Relieve Pain
C100304 BPI1-Pain at its Least in Last Week BPI1-Pain at its Least in Last Week Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week. BPI - Pain at its Least in Last Week
C100303 BPI1-Pain at its Worst in Last Week BPI1-Pain at its Worst in Last Week Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week. BPI - Pain at its Worst in Last Week
C100312 BPI1-Pain Due to Effects of Treatment BPI1-Pain Due to Effects of Treatment Brief Pain Inventory - I believe my pain is due to the effects of treatment. BPI - Pain Due to Effects of Treatment
C100294 BPI1-Pain Due to Present Disease BPI1-Pain Due to Present Disease Brief Pain Inventory - Have you ever had pain due to your present disease? BPI - Pain Due to Present Disease
C100313 BPI1-Pain Due to Primary Disease BPI1-Pain Due to Primary Disease Brief Pain Inventory - I believe my pain is due to my primary disease. BPI - Pain Due to Primary Disease
C100314 BPI1-Pain Due to Unrelated Med Condition BPI1-Pain Due to Unrelated Med Condition Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. BPI - Pain Due to Unrelated Medical Condition
C100337 BPI1-Pain Interfered Enjoyment of Life BPI1-Pain Interfered Enjoyment of Life Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life. BPI - Pain Interfered with Enjoyment of Life
C100331 BPI1-Pain Interfered General Activity BPI1-Pain Interfered General Activity Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity. BPI - Pain Interfered with General Activity
C100333 BPI1-Pain Interfered Walking Ability BPI1-Pain Interfered Walking Ability Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability. BPI - Pain Interfered with Walking Ability
C100332 BPI1-Pain Interfered with Mood BPI1-Pain Interfered with Mood Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood. BPI - Pain Interfered with Mood
C100334 BPI1-Pain Interfered with Normal Work BPI1-Pain Interfered with Normal Work Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work. BPI - Pain Interfered with Normal Work
C100335 BPI1-Pain Interfered with Relations BPI1-Pain Interfered with Relations Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people. BPI - Pain Interfered with Relations
C100336 BPI1-Pain Interfered with Sleep BPI1-Pain Interfered with Sleep Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep. BPI - Pain Interfered with Sleep
C100299 BPI1-Pain Medications in the Last 7 Days BPI1-Pain Medications in the Last 7 Days Brief Pain Inventory - Did you take pain medications in the last 7 days? BPI - Pain Medications in the Last 7 Days
C100305 BPI1-Pain on the Average BPI1-Pain on the Average Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average. BPI - Pain on the Average
C100295 BPI1-Pain One of Your Symptoms BPI1-Pain One of Your Symptoms Brief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms? BPI - Pain as a Symptom
C100298 BPI1-Pain Other than Everyday Kinds BPI1-Pain Other than Everyday Kinds Brief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week? BPI - Pain Other than Everyday Kinds
C100300 BPI1-Pain Requires Medication Daily BPI1-Pain Requires Medication Daily Brief Pain Inventory - I feel I have some form of pain that requires medication each and every day. BPI - Pain Requires Medication Daily
C100306 BPI1-Pain Right Now BPI1-Pain Right Now Brief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now. BPI - Pain Right Now
C100326 BPI1-Penetrating BPI1-Penetrating Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating. BPI - Penetrating
C100338 BPI1-Prefer to Take Pain Medicine BPI1-Prefer to Take Pain Medicine Brief Pain Inventory - I prefer to take my pain medicine. BPI - Prefer to Take Pain Medicine
C100344 BPI1-Problems with Side Effects Pain Med BPI1-Problems with Side Effects Pain Med Brief Pain Inventory - Are you having problems with side effects from your pain medication? BPI - Problems with Side Effects Pain Medication
C100289 BPI1-Professional Degree BPI1-Professional Degree Brief Pain Inventory - Education. Professional degree. BPI - Professional Degree
C100349 BPI1-Relaxation Techniques Relieve Pain BPI1-Relaxation Techniques Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques. BPI - Relaxation Techniques Relieve Pain
C100310 BPI1-Relief Pain Treatments Provided BPI1-Relief Pain Treatments Provided Brief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received. BPI - Relief Pain Treatments Provided
C100321 BPI1-Sharp BPI1-Sharp Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp. BPI - Sharp
C100318 BPI1-Shooting BPI1-Shooting Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting. BPI - Shooting
C100291 BPI1-Spouse's Occupation BPI1-Spouse's Occupation Brief Pain Inventory - Spouse's occupation. BPI - Spouse's Occupation
C100319 BPI1-Stabbing BPI1-Stabbing Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing. BPI - Stabbing
C100296 BPI1-Surgery in Past Month BPI1-Surgery in Past Month Brief Pain Inventory - Have you had surgery in the past month? BPI - Surgery in Past Month
C100339 BPI1-Take my Pain Medicine BPI1-Take my Pain Medicine Brief Pain Inventory - I take my pain medicine (in a 24 hour period). BPI - Take my Pain Medicine
C100322 BPI1-Tender BPI1-Tender Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender. BPI - Tender
C100307 BPI1-Things that Make Pain Feel Better BPI1-Things that Make Pain Feel Better Brief Pain Inventory - What kinds of things make your pain feel better? BPI - Things that Make Pain Feel Better
C100308 BPI1-Things that Make your Pain Worse BPI1-Things that Make your Pain Worse Brief Pain Inventory - What kinds of things make your pain feel worse? BPI - Things that Make your Pain Worse
C100317 BPI1-Throbbing BPI1-Throbbing Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing. BPI - Throbbing
C100325 BPI1-Tiring BPI1-Tiring Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring. BPI - Tiring
C100309 BPI1-Treatments Receiving for Pain BPI1-Treatments Receiving for Pain Brief Pain Inventory - What treatments or medications are you receiving for your pain? BPI - Treatments Receiving for Pain
C100330 BPI1-Unbearable BPI1-Unbearable Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable. BPI - Unbearable
C100347 BPI1-Warm Compresses to Relieve Pain BPI1-Warm Compresses to Relieve Pain Brief Pain Inventory - Other methods I use to relieve pain include: warm compresses. BPI - Warm Compresses to Relieve Pain
C100345 BPI1-Which Side Effects from Pain Med BPI1-Which Side Effects from Pain Med Brief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects? BPI - What Side Effects from Pain Medication
C100343 BPI1-Why Concerned Use Too Much Pain Med BPI1-Why Concerned Use Too Much Pain Med Brief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why? BPI - Why Concerned with Too Much Pain Medication Use

BPI2TC (Brief Pain Inventory Short Form Questionnaire Test Code)

NCI Code: C100164, Codelist extensible: No
C100164 BPI2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100356 BPI201 BPI2-Pain Other Than Everyday Kinds Brief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today? BPI Short Form - Pain Other Than Everyday Kinds
C100357 BPI202A BPI2-Areas of Pain Brief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain. BPI Short Form - Areas of Pain
C100358 BPI202B BPI2-Area Hurts Most Brief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most. BPI Short Form - Area that Hurts Most
C100359 BPI203 BPI2-Pain at its Worst in Last 24 Hours Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours. BPI Short Form - Pain at its Worst in Last 24 Hours
C100360 BPI204 BPI2-Pain at its Least in Last 24 Hours Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours. BPI Short Form - Pain at its Least in Last 24 Hours
C100361 BPI205 BPI2-Pain on the Average Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average. BPI Short Form - Pain on the Average
C100362 BPI206 BPI2-Pain Right Now Brief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now. BPI Short Form - Pain Right Now
C100363 BPI207 BPI2-Treatments Receiving for Pain Brief Pain Inventory Short Form - What treatments or medications are you receiving for your pain? BPI Short Form - Treatments or Medications Receiving for Pain
C100364 BPI208 BPI2-Relief Pain Treatments Provided Brief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received. BPI Short Form - Relief from Pain Treatments Provided
C100365 BPI209A BPI2-Pain Interfered General Activity Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity. BPI Short Form - Pain Interfered with General Activity
C100366 BPI209B BPI2-Pain Interfered with Mood Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood. BPI Short Form - Pain Interfered with Mood
C100367 BPI209C BPI2-Pain Interfered Walking Ability Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability. BPI Short Form - Pain Interfered with Walking Ability
C100368 BPI209D BPI2-Pain Interfered with Normal Work Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work. BPI Short Form - Pain Interfered with Normal Work
C100369 BPI209E BPI2-Pain Interfered with Relations Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people. BPI Short Form - Pain Interfered with Relations
C100370 BPI209F BPI2-Pain Interfered with Sleep Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep. BPI Short Form - Pain Interfered with Sleep
C100371 BPI209G BPI2-Pain Interfered Enjoyment of Life Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life. BPI Short Form - Pain Interfered with Enjoyment of Life

BPI2TN (Brief Pain Inventory Short Form Questionnaire Test Name)

NCI Code: C100163, Codelist extensible: No
C100163 BPI2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100358 BPI2-Area Hurts Most BPI2-Area Hurts Most Brief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most. BPI Short Form - Area that Hurts Most
C100357 BPI2-Areas of Pain BPI2-Areas of Pain Brief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain. BPI Short Form - Areas of Pain
C100360 BPI2-Pain at its Least in Last 24 Hours BPI2-Pain at its Least in Last 24 Hours Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours. BPI Short Form - Pain at its Least in Last 24 Hours
C100359 BPI2-Pain at its Worst in Last 24 Hours BPI2-Pain at its Worst in Last 24 Hours Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours. BPI Short Form - Pain at its Worst in Last 24 Hours
C100371 BPI2-Pain Interfered Enjoyment of Life BPI2-Pain Interfered Enjoyment of Life Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life. BPI Short Form - Pain Interfered with Enjoyment of Life
C100365 BPI2-Pain Interfered General Activity BPI2-Pain Interfered General Activity Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity. BPI Short Form - Pain Interfered with General Activity
C100367 BPI2-Pain Interfered Walking Ability BPI2-Pain Interfered Walking Ability Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability. BPI Short Form - Pain Interfered with Walking Ability
C100366 BPI2-Pain Interfered with Mood BPI2-Pain Interfered with Mood Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood. BPI Short Form - Pain Interfered with Mood
C100368 BPI2-Pain Interfered with Normal Work BPI2-Pain Interfered with Normal Work Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work. BPI Short Form - Pain Interfered with Normal Work
C100369 BPI2-Pain Interfered with Relations BPI2-Pain Interfered with Relations Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people. BPI Short Form - Pain Interfered with Relations
C100370 BPI2-Pain Interfered with Sleep BPI2-Pain Interfered with Sleep Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep. BPI Short Form - Pain Interfered with Sleep
C100361 BPI2-Pain on the Average BPI2-Pain on the Average Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average. BPI Short Form - Pain on the Average
C100356 BPI2-Pain Other Than Everyday Kinds BPI2-Pain Other Than Everyday Kinds Brief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today? BPI Short Form - Pain Other Than Everyday Kinds
C100362 BPI2-Pain Right Now BPI2-Pain Right Now Brief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now. BPI Short Form - Pain Right Now
C100364 BPI2-Relief Pain Treatments Provided BPI2-Relief Pain Treatments Provided Brief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received. BPI Short Form - Relief from Pain Treatments Provided
C100363 BPI2-Treatments Receiving for Pain BPI2-Treatments Receiving for Pain Brief Pain Inventory Short Form - What treatments or medications are you receiving for your pain? BPI Short Form - Treatments or Medications Receiving for Pain

BPRS01TC (Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test Code)

NCI Code: C161625, Codelist extensible: No
C161625 BPRS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161741 BPRS0101 BPRS01-Somatic Concern Brief Psychiatric Rating Scale 1988 Version - Somatic concern. BPRS 1988 Version - Somatic Concern
C161742 BPRS0102 BPRS01-Anxiety Brief Psychiatric Rating Scale 1988 Version - Anxiety. BPRS 1988 Version - Anxiety
C161743 BPRS0103 BPRS01-Emotional Withdrawal Brief Psychiatric Rating Scale 1988 Version - Emotional withdrawal. BPRS 1988 Version - Emotional Withdrawal
C161744 BPRS0104 BPRS01-Conceptual Disorganization Brief Psychiatric Rating Scale 1988 Version - Conceptual disorganization. BPRS 1988 Version - Conceptual Disorganization
C161745 BPRS0105 BPRS01-Guilt Feelings Brief Psychiatric Rating Scale 1988 Version - Guilt feelings. BPRS 1988 Version - Guilt Feelings
C161746 BPRS0106 BPRS01-Tension Brief Psychiatric Rating Scale 1988 Version - Tension. BPRS 1988 Version - Tension
C161747 BPRS0107 BPRS01-Mannerisms and Posturing Brief Psychiatric Rating Scale 1988 Version - Mannerisms and posturing. BPRS 1988 Version - Mannerisms and Posturing
C161748 BPRS0108 BPRS01-Grandiosity Brief Psychiatric Rating Scale 1988 Version - Grandiosity. BPRS 1988 Version - Grandiosity
C161749 BPRS0109 BPRS01-Depressive Mood Brief Psychiatric Rating Scale 1988 Version - Depressive mood. BPRS 1988 Version - Depressive Mood
C161750 BPRS0110 BPRS01-Hostility Brief Psychiatric Rating Scale 1988 Version - Hostility. BPRS 1988 Version - Hostility
C161751 BPRS0111 BPRS01-Suspiciousness Brief Psychiatric Rating Scale 1988 Version - Suspiciousness. BPRS 1988 Version - Suspiciousness
C161752 BPRS0112 BPRS01-Hallucinatory Behavior Brief Psychiatric Rating Scale 1988 Version - Hallucinatory behavior. BPRS 1988 Version - Hallucinatory Behavior
C161753 BPRS0113 BPRS01-Motor Retardation Brief Psychiatric Rating Scale 1988 Version - Motor retardation. BPRS 1988 Version - Motor Retardation
C161754 BPRS0114 BPRS01-Uncooperativeness Brief Psychiatric Rating Scale 1988 Version - Uncooperativeness. BPRS 1988 Version - Uncooperativeness
C161755 BPRS0115 BPRS01-Unusual Thought Content Brief Psychiatric Rating Scale 1988 Version - Unusual thought content. BPRS 1988 Version - Unusual Thought Content
C161756 BPRS0116 BPRS01-Blunted Affect Brief Psychiatric Rating Scale 1988 Version - Blunted affect. BPRS 1988 Version - Blunted Affect
C161757 BPRS0117 BPRS01-Excitement Brief Psychiatric Rating Scale 1988 Version - Excitement. BPRS 1988 Version - Excitement
C161758 BPRS0118 BPRS01-Disorientation Brief Psychiatric Rating Scale 1988 Version - Disorientation. BPRS 1988 Version - Disorientation
C161759 BPRS0119 BPRS01-Total Score Brief Psychiatric Rating Scale 1988 Version - Total score. BPRS 1988 Version - Total Score

BPRS01TN (Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test Name)

NCI Code: C161624, Codelist extensible: No
C161624 BPRS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161742 BPRS01-Anxiety BPRS01-Anxiety Brief Psychiatric Rating Scale 1988 Version - Anxiety. BPRS 1988 Version - Anxiety
C161756 BPRS01-Blunted Affect BPRS01-Blunted Affect Brief Psychiatric Rating Scale 1988 Version - Blunted affect. BPRS 1988 Version - Blunted Affect
C161744 BPRS01-Conceptual Disorganization BPRS01-Conceptual Disorganization Brief Psychiatric Rating Scale 1988 Version - Conceptual disorganization. BPRS 1988 Version - Conceptual Disorganization
C161749 BPRS01-Depressive Mood BPRS01-Depressive Mood Brief Psychiatric Rating Scale 1988 Version - Depressive mood. BPRS 1988 Version - Depressive Mood
C161758 BPRS01-Disorientation BPRS01-Disorientation Brief Psychiatric Rating Scale 1988 Version - Disorientation. BPRS 1988 Version - Disorientation
C161743 BPRS01-Emotional Withdrawal BPRS01-Emotional Withdrawal Brief Psychiatric Rating Scale 1988 Version - Emotional withdrawal. BPRS 1988 Version - Emotional Withdrawal
C161757 BPRS01-Excitement BPRS01-Excitement Brief Psychiatric Rating Scale 1988 Version - Excitement. BPRS 1988 Version - Excitement
C161748 BPRS01-Grandiosity BPRS01-Grandiosity Brief Psychiatric Rating Scale 1988 Version - Grandiosity. BPRS 1988 Version - Grandiosity
C161745 BPRS01-Guilt Feelings BPRS01-Guilt Feelings Brief Psychiatric Rating Scale 1988 Version - Guilt feelings. BPRS 1988 Version - Guilt Feelings
C161752 BPRS01-Hallucinatory Behavior BPRS01-Hallucinatory Behavior Brief Psychiatric Rating Scale 1988 Version - Hallucinatory behavior. BPRS 1988 Version - Hallucinatory Behavior
C161750 BPRS01-Hostility BPRS01-Hostility Brief Psychiatric Rating Scale 1988 Version - Hostility. BPRS 1988 Version - Hostility
C161747 BPRS01-Mannerisms and Posturing BPRS01-Mannerisms and Posturing Brief Psychiatric Rating Scale 1988 Version - Mannerisms and posturing. BPRS 1988 Version - Mannerisms and Posturing
C161753 BPRS01-Motor Retardation BPRS01-Motor Retardation Brief Psychiatric Rating Scale 1988 Version - Motor retardation. BPRS 1988 Version - Motor Retardation
C161741 BPRS01-Somatic Concern BPRS01-Somatic Concern Brief Psychiatric Rating Scale 1988 Version - Somatic concern. BPRS 1988 Version - Somatic Concern
C161751 BPRS01-Suspiciousness BPRS01-Suspiciousness Brief Psychiatric Rating Scale 1988 Version - Suspiciousness. BPRS 1988 Version - Suspiciousness
C161746 BPRS01-Tension BPRS01-Tension Brief Psychiatric Rating Scale 1988 Version - Tension. BPRS 1988 Version - Tension
C161759 BPRS01-Total Score BPRS01-Total Score Brief Psychiatric Rating Scale 1988 Version - Total score. BPRS 1988 Version - Total Score
C161754 BPRS01-Uncooperativeness BPRS01-Uncooperativeness Brief Psychiatric Rating Scale 1988 Version - Uncooperativeness. BPRS 1988 Version - Uncooperativeness
C161755 BPRS01-Unusual Thought Content BPRS01-Unusual Thought Content Brief Psychiatric Rating Scale 1988 Version - Unusual thought content. BPRS 1988 Version - Unusual Thought Content

BPRSA1TC (Brief Psychiatric Rating Scale-A Clinical Classification Test Code)

NCI Code: C100134, Codelist extensible: No
C100134 BPRSA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100372 BPRSA101 BPRSA1-Somatic Concern Brief Psychiatric Rating Scale-A - Somatic Concern. BPRS-A - Somatic Concern
C100373 BPRSA102 BPRSA1-Anxiety Brief Psychiatric Rating Scale-A - Anxiety. BPRS-A - Anxiety
C100374 BPRSA103 BPRSA1-Emotional Withdrawal Brief Psychiatric Rating Scale-A - Emotional Withdrawal. BPRS-A - Emotional Withdrawal
C100375 BPRSA104 BPRSA1-Conceptual Disorganization Brief Psychiatric Rating Scale-A - Conceptual Disorganization. BPRS-A - Conceptual Disorganization
C100376 BPRSA105 BPRSA1-Guilt Feelings Brief Psychiatric Rating Scale-A - Guilt Feelings. BPRS-A - Guilt Feelings
C100377 BPRSA106 BPRSA1-Tension Brief Psychiatric Rating Scale-A - Tension. BPRS-A - Tension
C100378 BPRSA107 BPRSA1-Mannerisms and Posturing Brief Psychiatric Rating Scale-A - Mannerisms and Posturing. BPRS-A - Mannerisms and Posturing
C100379 BPRSA108 BPRSA1-Grandiosity Brief Psychiatric Rating Scale-A - Grandiosity. BPRS-A - Grandiosity
C100380 BPRSA109 BPRSA1-Depressive Mood Brief Psychiatric Rating Scale-A - Depressive Mood. BPRS-A - Depressive Mood
C100381 BPRSA110 BPRSA1-Hostility Brief Psychiatric Rating Scale-A - Hostility. BPRS-A - Hostility
C100382 BPRSA111 BPRSA1-Suspiciousness Brief Psychiatric Rating Scale-A - Suspiciousness. BPRS-A - Suspiciousness
C100383 BPRSA112 BPRSA1-Hallucinatory Behavior Brief Psychiatric Rating Scale-A - Hallucinatory Behavior. BPRS-A - Hallucinatory Behavior
C100384 BPRSA113 BPRSA1-Motor Retardation Brief Psychiatric Rating Scale-A - Motor Retardation. BPRS-A - Motor Retardation
C100385 BPRSA114 BPRSA1-Uncooperativeness Brief Psychiatric Rating Scale-A - Uncooperativeness. BPRS-A - Uncooperativeness
C100386 BPRSA115 BPRSA1-Unusual Thought Content Brief Psychiatric Rating Scale-A - Unusual Thought Content. BPRS-A - Unusual Thought Content
C100387 BPRSA116 BPRSA1-Blunted Affect Brief Psychiatric Rating Scale-A - Blunted Affect. BPRS-A - Blunted Affect
C100388 BPRSA117 BPRSA1-Excitement Brief Psychiatric Rating Scale-A - Excitement. BPRS-A - Excitement
C100389 BPRSA118 BPRSA1-Disorientation Brief Psychiatric Rating Scale-A - Disorientation. BPRS-A - Disorientation

BPRSA1TN (Brief Psychiatric Rating Scale-A Clinical Classification Test Name)

NCI Code: C100133, Codelist extensible: No
C100133 BPRSA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100373 BPRSA1-Anxiety BPRSA1-Anxiety Brief Psychiatric Rating Scale-A - Anxiety. BPRS-A - Anxiety
C100387 BPRSA1-Blunted Affect BPRSA1-Blunted Affect Brief Psychiatric Rating Scale-A - Blunted Affect. BPRS-A - Blunted Affect
C100375 BPRSA1-Conceptual Disorganization BPRSA1-Conceptual Disorganization Brief Psychiatric Rating Scale-A - Conceptual Disorganization. BPRS-A - Conceptual Disorganization
C100380 BPRSA1-Depressive Mood BPRSA1-Depressive Mood Brief Psychiatric Rating Scale-A - Depressive Mood. BPRS-A - Depressive Mood
C100389 BPRSA1-Disorientation BPRSA1-Disorientation Brief Psychiatric Rating Scale-A - Disorientation. BPRS-A - Disorientation
C100374 BPRSA1-Emotional Withdrawal BPRSA1-Emotional Withdrawal Brief Psychiatric Rating Scale-A - Emotional Withdrawal. BPRS-A - Emotional Withdrawal
C100388 BPRSA1-Excitement BPRSA1-Excitement Brief Psychiatric Rating Scale-A - Excitement. BPRS-A - Excitement
C100379 BPRSA1-Grandiosity BPRSA1-Grandiosity Brief Psychiatric Rating Scale-A - Grandiosity. BPRS-A - Grandiosity
C100376 BPRSA1-Guilt Feelings BPRSA1-Guilt Feelings Brief Psychiatric Rating Scale-A - Guilt Feelings. BPRS-A - Guilt Feelings
C100383 BPRSA1-Hallucinatory Behavior BPRSA1-Hallucinatory Behavior Brief Psychiatric Rating Scale-A - Hallucinatory Behavior. BPRS-A - Hallucinatory Behavior
C100381 BPRSA1-Hostility BPRSA1-Hostility Brief Psychiatric Rating Scale-A - Hostility. BPRS-A - Hostility
C100378 BPRSA1-Mannerisms and Posturing BPRSA1-Mannerisms and Posturing Brief Psychiatric Rating Scale-A - Mannerisms and Posturing. BPRS-A - Mannerisms and Posturing
C100384 BPRSA1-Motor Retardation BPRSA1-Motor Retardation Brief Psychiatric Rating Scale-A - Motor Retardation. BPRS-A - Motor Retardation
C100372 BPRSA1-Somatic Concern BPRSA1-Somatic Concern Brief Psychiatric Rating Scale-A - Somatic Concern. BPRS-A - Somatic Concern
C100382 BPRSA1-Suspiciousness BPRSA1-Suspiciousness Brief Psychiatric Rating Scale-A - Suspiciousness. BPRS-A - Suspiciousness
C100377 BPRSA1-Tension BPRSA1-Tension Brief Psychiatric Rating Scale-A - Tension. BPRS-A - Tension
C100385 BPRSA1-Uncooperativeness BPRSA1-Uncooperativeness Brief Psychiatric Rating Scale-A - Uncooperativeness. BPRS-A - Uncooperativeness
C100386 BPRSA1-Unusual Thought Content BPRSA1-Unusual Thought Content Brief Psychiatric Rating Scale-A - Unusual Thought Content. BPRS-A - Unusual Thought Content

BUERS1TC (Brooke Upper Extremity Rating Scale Clinical Classification Test Code)

NCI Code: C130239, Codelist extensible: No
C130239 BUERS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130326 BUERS101 BUERS1-Brooke Upper Extremity Rating Brooke Upper Extremity Rating Scale - Brooke upper extremity rating scale. BUERS - Brooke Upper Extremity Rating Scale

BUERS1TN (Brooke Upper Extremity Rating Scale Clinical Classification Test Name)

NCI Code: C130238, Codelist extensible: No
C130238 BUERS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130326 BUERS1-Brooke Upper Extremity Rating BUERS1-Brooke Upper Extremity Rating Brooke Upper Extremity Rating Scale - Brooke upper extremity rating scale. BUERS - Brooke Upper Extremity Rating Scale

BWCS01TC (Bowel Control Scale Questionnaire Test Code)

NCI Code: C113854, Codelist extensible: No
C113854 BWCS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113957 BWCS0101 BWCS01-Been Constipated Bowel Control Scale - During the past 4 weeks, how often have you been constipated? BWCS - Been Constipated
C113958 BWCS0102 BWCS01-Lost Control of Bowels Bowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident? BWCS - Lost Control of Your Bowels
C113959 BWCS0103 BWCS01-Almost Lost Control of Bowels Bowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident? BWCS - Almost Lost Control of Your Bowels
C113960 BWCS0104 BWCS01-Altered Activity Because Bowels Bowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems? BWCS - Altered Activities Because Bowel Control Problems
C113961 BWCS0105 BWCS01-Bowels Restricted Lifestyle Bowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle? BWCS - Bowel Problems Restrict Overall Lifestyle

BWCS01TN (Bowel Control Scale Questionnaire Test Name)

NCI Code: C113853, Codelist extensible: No
C113853 BWCS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113959 BWCS01-Almost Lost Control of Bowels BWCS01-Almost Lost Control of Bowels Bowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident? BWCS - Almost Lost Control of Your Bowels
C113960 BWCS01-Altered Activity Because Bowels BWCS01-Altered Activity Because Bowels Bowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems? BWCS - Altered Activities Because Bowel Control Problems
C113957 BWCS01-Been Constipated BWCS01-Been Constipated Bowel Control Scale - During the past 4 weeks, how often have you been constipated? BWCS - Been Constipated
C113961 BWCS01-Bowels Restricted Lifestyle BWCS01-Bowels Restricted Lifestyle Bowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle? BWCS - Bowel Problems Restrict Overall Lifestyle
C113958 BWCS01-Lost Control of Bowels BWCS01-Lost Control of Bowels Bowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident? BWCS - Lost Control of Your Bowels

CADG01TC (Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code)

NCI Code: C119076, Codelist extensible: No
C119076 CADG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119196 CADG0101 CADG01-Coronary Dissection NHLBI Grade Coronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association. NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade

CADG01TN (Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name)

NCI Code: C119075, Codelist extensible: No
C119075 CADG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119196 CADG01-Coronary Dissection NHLBI Grade CADG01-Coronary Dissection NHLBI Grade Coronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association. NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade

CCCAT (Category of Clinical Classification)

NCI Code: C118971, Codelist extensible: Yes
C118971 CCCAT
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102111 AIMS AIMS01 Abnormal Involuntary Movement Scale (AIMS) (Guy W. Ed. ECDEU Assessment Manual for Psychopharmacology. Rockville MD: US Dept of Health, Education and Welfare. 1976, Publication No. (ADM) 76-338). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Abnormal Involuntary Movement Scale Clinical Classification
C125755 AJCC V7 AJCC1 AJCC TNM Staging System 7th Edition (AJCC V7) (Edge SB, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A, editors. AJCC cancer staging manual (7th ed). New York, NY: Springer; 2010). No part of the AJCC V7 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Springer and payment of any applicable fees. Copyright Springer 2010. All rights reserved. AJCC Cancer Staging Manual 7th Edition
C146985 AJCC V8 AJCC2 AJCC TNM Staging System 8th Edition (AJCC V8) (Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017. AJCC Cancer Staging Manual, Eighth Edition. Copyright 2017 American College of Surgeons. All rights reserved). No part of the AJCC V8 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Springer and payment of any applicable fees. Copyright American College of Surgeons 2017. All rights reserved. AJCC Cancer Staging Manual 8th Edition
C121005 APACHE II APCH1 Acute Physiology and Chronic Health Evaluation II (APACHE II) (Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine 1985; 13(10):818-29). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Acute Physiology and Chronic Health Evaluation II Clinical Classification
C176057 APGAR SCORE V1 APGR01 Apgar Score V1 (APGAR SCORE V1) (Apgar, Virginia 1953. A Proposal for a New Method of Evaluation of the Newborn Infant. Cur Res in Anesth Analg. 1953 Jul-Aug;32(4):260-7. Butterfield J, Covey MJ. Practical Epigram of the Apgar Score. JAMA. 1962; 181(4):353). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Apgar Score Version 1 Clinical Classification
C119107 ARC STC GRADE STCG01 Stent Thrombosis Coronary ARC Grade (Cutlip DE, Windecker S, Mehran R, et al. Clinical End Points in Coronary Stent Trials : A Case for Standardized Definitions. Circulation. 2007;115:2344-2351). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Stent Thrombosis Coronary ARC Grade Clinical Classification
C124705 ASCVD 10-YEAR RISK ASCVD1 Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator (Goff Jr DC et al. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014; 129: S49-S73). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification
C124706 ASSIGN CVD 10-YEAR RISK ASSG01 ASSIGN Cardiovascular Disease 10-Year Risk Score (Woodward M, Brindle P, Tunstall-Pedoe H, for the SIGN group on risk estimation. Adding social deprivation and family history to cardiovascular risk assessment: the ASSIGN score from the Scottish Heart Health Extended Cohort (SHHEC). Heart 2007; 93: 172-176). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification
C147589 ATLAS ATLAS1 Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function (ATLAS) (Miller, M.A., Louie,T., Mullane, K., Weiss, K., Lentnek, A., Golan, Y., et al. (2013). Derivation and validation of a simple clinical bedside score (ATLAS) for Clostridium difficile infection which predicts response to therapy. BMC Infectious Diseases, 13: 148). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. ATLAS Score Clinical Classification
C161656 AVPU AVPU01 Alert Verbal Painful Unresponsive (AVPU) Scale (American College of Surgeons Committee on Trauma. Advanced trauma life support course for physicians. Chicago, IL: American College of Surgeons; 1989. Kelly CA, Upex A, Bateman DN. Comparison of consciousness level assessment in the poisoned patient using the alert/verbal/painful/unresponsive scale and the Glasgow Coma Scale. Annals of Emergency Medicine 2004 Aug;44(2):108-13). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Alert Verbal Painful Unresponsive Scale Clinical Classification
C102113 BARS BARS01 Barnes Akathisia Rating Scale (BARS) (Barnes TR: A Rating Scale for Drug-Induced Akathisia. British Journal of Psychiatry 154:672-676, 1989). Barnes Akathisia Rating Scale Clinical Classification
C106693 BDI BDI01 Baseline Dyspnea Index (BDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758). No part of the BDI may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Donald A. Mahler, MD and payment of any applicable fees. Copyright Donald A. Mahler. All rights reserved. Baseline Dyspnea Index Clinical Classification
C121006 BODE INDEX BODE01 The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index (BODE Index) (Bartolome R. Celli, M.D., Claudia G. Cote, M.D., Jose M. Marin, M.D., Ciro Casanova, M.D., Maria Montes de Oca, M.D., Reina A. Mendez, M.D., Victor Pinto Plata, M.D., and Howard J. Cabral, Ph.D.; N Engl J Med 2004;350:1005-12). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification
C161657 BPRS 1988 VERSION BPRS01 Brief Psychiatric Rating Scale 1988 Version (BPRS 1988 VERSION) (Overall, JE, Gorham DR: The Brief Psychiatric Rating Scale (BPRS): recent developments in ascertainment and scaling. Psychopharmacology Bulletin 24:97-99, 1988). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Brief Psychiatric Rating Scale 1988 Version Clinical Classification
C100761 BPRS-A BPRSA1 Brief Psychiatric Rating Scale - Anchored (BPRS-A) (Woerner MB, Mannuzza S, and Kane JM. Anchoring the BPRS: An Aid to Improved Reliability. Psychopharmacology Bulletin 1988; 24(1):112-117). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Brief Psychiatric Rating Scale A Clinical Classification
C130304 BUERS BUERS1 Brooke Upper Extremity Rating Scale (BUERS) (Brooke MG, Griggs RC, Mendell JR, Fenichel, GM, Shumate JB and Peggegrino RJ (1981). Clinical trial in duchenne dystrophy. I The Design of the Protocol. Muscle and Nerve: 4:186-197). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Brooke Upper Extremity Rating Scale Clinical Classification
C176059 CDAI V1 CDAI01 Crohn's Disease Activity Index Version 1 (CDAI V1) (Best WR, Becktel JM, Singleton JW, Kern F Jr. Development of a Crohn's disease activity index. National Cooperative Crohn's Disease Study. Gastroenterology. 1976 Mar;70(3):439-44). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Crohn's Disease Activity Index Version 1 Clinical Classification
C124715 CDC HIV CLASSIFICATION FOR ADULTS AND ADOLESCENTS CHIVC1 CDC Classification System for HIV-Infected Adults and Adolescents (Centers for Disease Control and Prevention. 1993 Revised Classification System for HIV Infection and Expanded Surveillance Case Definition for AIDS Among Adolescents and Adults. MMWR Recomm Rep. 1992 Dec 18;41(RR-17):1-19). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Center for Disease Control and Prevention Classification System for HIV-Infected Adults and Adolescents Clinical Classification
C155323 CDRS-R CDRS1 Children's Depression Rating Scale, Revised (CDRS-R) (Copyright 1995 by WESTERN PSYCHOLOGICAL SERVICES. Not to be reproduced in whole or in part without written permission. All rights reserved). No part of the CDRS-R may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of WESTERN PSYCHOLOGICAL SERVICES and payment of any applicable fees. Copyright WESTERN PSYCHOLOGICAL SERVICES. All rights reserved. Children's Depression Rating Scale, Revised Clinical Classification
C121007 CHILD-PUGH CLASSIFICATION CPS01 Child-Pugh Classification (Guidance for Industry Pharmacokinetics in Patients with Impaired Hepatic Function: Study Design, Data Analysis, and Impact on Dosing and Labeling. U.S. Department of Health and Human Services; Food and Drug Administration; Center for Drug Evaluation and Research (CDER); Center for Biologics Evaluation and Research (CBER). May 2003, Clinical Pharmacology. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM072123.pdf; http://www.halaven.com/sites/default/files/ChildPugh_FlashCard.pdf). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Child-Pugh Clinical Classification
C156675 COVI COVI01 Covi Anxiety Scale (COVI) (Lipman RS. Differentiating anxiety and depression in anxiety disorders: use of rating scales. Psychopharmacol Bull 1982; 18(4):69-77). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Covi Anxiety Scale Clinical Classification
C124711 CRS-R CRSR01 JFK Coma Recovery Scale-Revised (CRS-R) (Joseph T. Giacino, Kathleen Kalmar, John Whyte. The JFK Coma Recovery Scale-Revised: Measurement Characteristics and Diagnostic Utility. Arch Phys Med Rehabil Vol 85, December 2004). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. JFK Coma Recovery Scale-Revised Clinical Classification
C112519 DISEASE STEPS DS01 Disease Steps (DS) (Hohol MJ, Orav EJ, Weiner HL. Disease steps in multiple sclerosis: a simple approach to evaluate disease progression. Neurology. 1995 Feb;45(2):251-5). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Disease Steps Clinical Classification
C115796 DRS DRS01 Disability Rating Scale (DRS) (Rappaport et al. (1982) Disability Rating Scale for Severe Head Trauma Patients: Coma to Community. Archives of Physical Medicine and Rehabilitation, 63:118-123). Disability Rating Scale Clinical Classification
C161658 E-TRIP ETRP01 Emory Treatment Resistance Interview for PTSD (E-TRIP) (Dunlop BW, Kaye JL, Youngner C, Rothbaum B. Assessing Treatment-Resistant Posttraumatic Stress Disorder: The Emory Treatment Resistance Interview for PTSD (E-TRIP). Behav Sci (Basel) 2014; Dec 8; 4(4):511-527). No part of the E-TRIP may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Boadie W. Dunlop, MD and payment of any applicable fees. Copyright Boadie W. Dunlop, MD, 2018. All rights reserved. Emory Treatment Resistance Interview for PTSD Clinical Classification
C102116 ECOG ECOG1 Eastern Cooperative Oncology Group (ECOG) Performance Status (Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982 Dec;5(6):649-55). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Eastern Cooperative Oncology Group Performance Status Clinical Classification
C112520 EDSS EDSS01 Kurtzke Expanded Disability Status Scale (EDSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52). Kurtzke Expanded Disability Status Scale Clinical Classification
C117997 ESRSA ESRSA1 Extrapyramidal Symptom Rating Scale-Abbreviated (ESRS-A) (Copyright 2006 Larry Alphs, MD, PhD, Guy Chouinard, MD, All Rights Reserved). Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification
C111381 FAQ FAQ01 Functional Activities Questionnaire (FAQ) (Pfeiffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). No part of the FAQ may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Robert I Pfeffer and payment of any applicable fees. Copyright Robert I Pfeffer 1987. All rights reserved. Functional Activities Questionnaire Clinical Classification
C111382 FAQ-NACC UDS V2.0 FAQNA1 Functional Assessment Questionnaire-NACC UDS V2.0 (FAQ-NACC UDS V2.0) (Pfeffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). (Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force. John C. Morris, MD, Chair, and the National Alzheimer's Coordinating Center. U01 AG016976 - Walter A. Kukull, PhD, Director). No part of the FAQ-NACC UDS V2.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the University of Washington and payment of any applicable fees. Copyright University of Washington 2011. All rights reserved. Functional Assessment Questionnaire-NACC UDS Version 2.0 Clinical Classification
C170643 FAS-NACC UDS V3.0 FASNA1 Functional Assessment Scale-NACC UDS v3.0 (FAS-NACC UDS V3.0) (These materials discuss and/or include NACC Functional Assessment Scale (FAS) v3.0 which is owned exclusively by the University of Washington. Copyright Reproduced with permission. Copyright 2006, 2008, 2015, 2017 University of Washington. Created and published by the ADC Clinical Task Force (John C. Morris, MD, Chair) and the National Alzheimer's Coordinating Center (U01 AG016976 - Walter A. Kukull, PhD, Director). All rights reserved). No part of the FAS-NACC UDS V3.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without prior written permission of the University of Washington and payment of any applicable fees. Copyright 2006, 2008, 2015, 2017 University of Washington. All rights reserved. Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification
C124707 FHS CVD 10-YEAR RISK FCVD1 Framingham Heart Study Cardiovascular Disease 10-Year Risk Score (D'Agostino Sr RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, and Kannel WB. General Cardiovascular Risk Profile for Use in Primary Care: The Framingham Heart Study. Circulation 2008; 117: 743-753). Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification
C124710 GCS NINDS VERSION GCS01 Glasgow Coma Scale (GCS) The National Institute of Neurological Disorders and Stroke (NINDS) Version (Graham Teasdale and Bryan Jennett. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13; 2(7872):81-4). Glasgow Coma Scale-NINDS Version Clinical Classification
C102118 HAM-A HAMA1 The Hamilton Anxiety Rating Scale (HAM-A) (Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32:50-55). Hamilton Anxiety Rating Scale Clinical Classification
C100767 HAMD 17 HAMD1 The Hamilton Depression Rating Scale 17-Item (HAMD 17) (Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23:56-62. Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 1967; 6(4):278-96. Assessment Scales in Depression, Mania and Anxiety, Raymond W Lam, Erin E. Michalak, Richard P Swinson, Copyright 2005 Taylor & Francis, an imprint of the Taylor & Francis Group. Guy W, ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: US Department of Health, Education, and Welfare, 1976. The Hamilton Rating Scale for Depression: The making of a ''gold standard'' and the unmaking of a chronic illness, 1960-1980). Hamilton Depression Rating Scale 17 Item Clinical Classification
C102119 HAMD 21 HAMD2 The Hamilton Depression Rating Scale 21-Item (HAMD 21) (Hedlund and Vieweg, The Hamilton rating scale for depression. Journal of Operational Psychiatry, 1979;10(2):149-165). Hamilton Depression Rating Scale 21-Item Clinical Classification
C130307 HAMD 24 HAMD3 The Hamilton Depression Rating Scale 24-Item (HAM-D24) (Clinical Psychometrics: Per Bech, MD; John Wiley & Sons, Ltd. 2012). Hamilton Depression Rating Scale-24 Item Clinical Classification
C130306 HAMD 6 CLINICIAN VERSION HAMD4 The Hamilton Depression Rating Scale 6 - Clinician Version (HAM-D6 - Clinician Version) (Clinical Research: Rating scales in depression: limitations and pitfalls; Per Bech, MD; Copyright 2006 LLS SAS. All rights reserved). Hamilton Depression Rating Scale 6 Clinician Version Clinical Classification
C138332 HAS-BLED HSB01 HAS-BLED Bleeding Risk Score (HAS-BLED) (This image was published in Chest, 138 (5), Pisters R, Lane DA, Nieuwlaat R, de Vos CB, Crijns HJ, Lip GY, A Novel User-Friendly Score (HAS-BLED) To Assess 1-Year Risk of Major Bleeding in Patients With Atrial Fibrillation: The Euro Heart Survey, Copyright Elsevier (2010). http://www.sciencedirect.com/science/journal/00123692). HAS-BLED Bleeding Risk Score Clinical Classification
C130308 IDS-C IDSC1 Inventory of Depressive Symptomatology - Clinician-Rated (IDS-C) (Copyright UT Southwestern Medical Center at Dallas. Rush, A.J., Giles, D.E., Schlesser, M.A., Fulton, C.L.,Weissenburger, J.E. and Burns, C.T. The Inventory of Depressive Symptomatology (IDS): Preliminary findings. Psychiatry Research, 18:65-87, 1986). Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification
C170645 KDIGO AKI KDIGO1 Kidney Disease: Improving Global Outcomes Staging For Acute Kidney Injury (KDIGO AKI) (Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney inter., Suppl. 2012; 2:1-138). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification
C130310 KDPI KDPI01 Kidney Donor Profile Index (KDPI) (OPTN/UNOS. A guide to calculating and interpreting the Kidney Donor Profile Index (KDPI). [Accessed April 18, 2016]. Available at: https://optn.transplant.hrsa.gov/media/1512/guide_to_calculating_interpreting_kdpi.pdf. Rao PS, Schaubel DE, Guidinger MK, et al. A comprehensive risk quantification score for deceased donor kidneys: the kidney donor risk index. Transplantation 2009 Jul 27;88(2):231-6). Kidney Donor Profile Index Clinical Classification
C112522 KFSS KFSS1 Kurtzke Functional Systems Scores (FSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52). Kurtzke Functional Systems Scores Clinical Classification
C100768 KPS SCALE KPSS01 The Karnofsky Performance Status Scale (KPSS) (Karnofsky DA, Burchenal JH. (1949). "The Clinical Evaluation of Chemotherapeutic Agents in Cancer." In: MacLeod CM (Ed), Evaluation of Chemotherapeutic Agents. Columbia Univ Press. Page 196). Karnofsky Performance Status Scale Clinical Classification
C138333 LPPS SCALE LPPSS1 The Lansky Play-Performance Status Scale (LPSS) (Lansky SB, List MA, Lansky LL, Ritter-Sterr C, Miller DR. The measurement of performance in childhood cancer patients. Cancer. 1987 Oct 1;60(7):1651-6). The Lansky Play-Performance Status Scale Clinical Classification
C121008 MELD MELD01 Model for End Stage Liver Disease (MELD) (Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC (April 2000). A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. Hepatology 31 (4): 864-71). Model for End Stage Liver Disease Clinical Classification
C171357 NEWS2 NEWS1 National Early Warning Score 2 (NEWS2) (Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017). National Early Warning Score 2 Clinical Classification
C119105 NHLBI CAD GRADE CADG01 Coronary Artery Dissection NHLBI Grade (Coronary Artery angiographic changes after PTCA: Manual of Operations NHBLI PTCA Registry 1985-6:9). Coronary Artery Dissection NHLBI Grade Clinical Classification
C121009 NSA-16 NSA01 Negative Symptom Assessment-16 (NSA-16) (Version 2.0, Copyright 2006, Larry Alphs, MD, PhD, All Right Reserved). Negative Symptom Assessment-16 Clinical Classification
C132531 NSAA NSAA1 North Star Ambulatory Assessment (NSAA) (Copyright the North Star Clinical Network UK. Scott E, Eagle M, Mayhew A, Freeman J, Main M, Sheehan J, Manzur A, Muntoni F; North Star Clinical Network for Paediatric Neuromuscular Disease. Development of a functional assessment scale for ambulatory boys with Duchenne muscular dystrophy. Physiother Res Int. 2012 Jun;17(2):101-9. The support of Muscular Dystrophy United Kingdom in developing the North Star Ambulatory Assessment is gratefully acknowledged). North Star Ambulatory Assessment Clinical Classification
C124712 PANSS PANSS1 Positive and Negative Syndrome Scale (PANSS) (Copyright 1992 Multi-Health Systems Inc. All rights reserved). Positive and Negative Syndrome Scale Clinical Classification
C179972 PASI V2 PASI02 Psoriasis Area and Severity Index Version 2 (PASI V2) (Feldman SR, Krueger GG. Psoriasis assessment tools in clinical trials. Ann Rheum Dis. 2005;64(Suppl 2):ii65-ii73). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Psoriasis Area and Severity Index Version 2 Clinical Classification
C135734 PASI PASI01 Psoriasis Area and Severity Index (PASI) (Fredriksson T, Pettersson U. Severe psoriasis--Oral Therapy with a New Retinoid. Dermatologica. 1978;157(4):238-244. Feldman SR, Krueger GG. Psoriasis assessment tools in clinical trials. Ann Rheum Dis. 2005;64(Suppl 2):ii65-ii73). Psoriasis Area and Severity Index Clinical Classification
C130309 QIDS-C QIDSC1 Quick Inventory of Depressive Symptomatology - Clinician-Rated (QIDS-C) (Copyright UT Southwestern Medical Center at Dallas. Rush AJ, Trivedi MH, Ibrahim HM, Carmody TJ, Arnow B, Klein DN, Markowitz JC, Ninan PT, Kornstein S, Manber R, Thase ME, Kocsis JH, Keller MB. The 16-item Quick Inventory of Depressive Symptomatology (QIDS) Clinician Rating (QIDS-C) and Self-Report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54:573-583, 2003). Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification
C171417 RASS RASS01 Richmond Agitation-Sedation Scale (RASS) (Sessler CN, Gosnell M, Grap MJ, Brophy GT, O'Neal PV, Keane KA et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care patients. Am J Respir Crit Care Med. 2002 Nov 15;166:1338-1344. Copyright Virginia Commonwealth University 2000. All Rights Reserved). Richmond Agitation-Sedation Scale Clinical Classification
C124708 REYNOLDS CVD 10-YEAR RISK RCVD01 Reynolds Cardiovascular Disease 10-Year Risk Score (Ridker PM, Buring JE, Rifai N, Cook NR. Development and Validation of Improved Algorithms for the Assessment of Global Cardiovascular Risk in Women: The Reynolds Risk Score. Jama 2007; 297: 611-619), (Ridker PM, Paynter NP, Rifai N, Gaziano JM, Cook NR. C-Reactive Protein and Parental History Improve Global Cardiovascular Risk Prediction: The Reynolds Risk Score for Men. Circulation2008; 118(22): 2243-2251). Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification
C174061 RSSS RSSS01 Rett Syndrome Severity Scale (RSSS) (Kalkwarf HJ, Zemel BS, Gilsanz V, Lappe JM, Horlick M, Oberfield S, Mahboubi S, Fan B, Frederick MM, Winer K, Shepherd JA. The bone mineral density in childhood study: bone mineral content and density according to age, sex, and race. J Clin Endocrinol Metab. 2007 Jun;92(6):2087-99). Rett Syndrome Severity Scale Clinical Classification
C171418 SAS SAS01 Riker Sedation-Agitation Scale (SAS) (Riker, Richard R. MD, FCCP; Picard, Jean T. BSN, CCRN; Fraser, Gilles L. PharmD. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Critical Care Medicine. July 1999; 27:7:1325-1329. Copyright Lippincott Williams & Wilkins, Inc. 1999. All Rights Reserved). Riker Sedation-Agitation Scale Clinical Classification
C176060 SES-CD V1 SES01 Simple Endoscopic Score for Crohn's Disease Version 1 (SES-CD V1) (Daperno M, D'Haens G, Van Assche G, Baert F, Bulois P, Maunoury V, Sostegni R, Rocca R, Pera A, Gevers A, Mary JY, Colombel JF, Rutgeerts P. Development and validation of a new, simplified endoscopic activity score for Crohn's disease: the SES-CD. Gastrointest Endosc 2004; 60 (4): 505-512). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification
C124703 TANNER SCALE BOY TANN02 Tanner Scale Boy (Marshall WA, Tanner JM. Variations in pattern of pubertal changes in boys. Arch Dis Child 1970 Feb;45(239):13-23). Tanner Scale Boy Version
C124704 TANNER SCALE GIRL TANN01 Tanner Scale Girl (Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child 1969 Jun; 44(235): 291-303). Tanner Scale Girl Version
C106694 TDI TDI01 Transition Dyspnea Index (TDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758). Transition Dyspnea Index Clinical Classification
C119104 TIMI THROMBUS GRADE TIMG01 Coronary Thrombus TIMI Grade (TIMI Definitions for Commonly Used Terms in Clinical Trials. Available at http://www.timi.org/wp-content/uploads/2010/10/TIMI-Definitions.pdf. Accessed November 30, 2013). Coronary Thrombus TIMI Grade Clinical Classification
C155324 UHDRS 1999 UHDR1 Unified Huntington's Disease Rating Scale '99 (UHDRS 1999) (Huntington Study Group. (1996). Unified Huntington's Disease Rating Scale: Reliability and Consistency. Movement Disorders, 11(2), 136-142). Unified Huntington's Disease Rating Scale 1999 Version Clinical Classification
C100778 UPDRS UPD1 Unified Parkinson's Disease Rating Scale (UPDRS) (Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson's Disease, Vol 2. Florham Park, NJ. Macmillan Health Care Information 1987, pp 153-163, 293-304). Unified Parkinson's Disease Rating Scale Clinical Classification
C141685 VALG VALG01 Veterans Administration Lung Study Group (VALG) (Staging small cell lung cancer: Veterans Administration Lung Study Group versus International Association for the Study of Lung Cancer--what limits limited disease? Micke P, Faldum A, Metz T, Beeh K.-M, Bittinger F, Hengstler J.-G, Buhl R, Lung Cancer 2002;37:271-276). Veterans Administration Lung Study Group Clinical Classification
C130305 VLERS VLERS1 Vignos Lower Extremity Rating Scale (VLERS) (Vignos PJ, Spencer CE, Archibald KC. (1963) Management of progressive muscular dystrophy in childhood.JAMA 184:389-96. Brooke MG, Griggs RC, Mendell JR, Fenichel, GM, Shumate JB and Peggegrino RJ (1981). Clinical trial in duchenne dystrophy. I The Design of the Protocol. Muscle and Nerve: 4:186-197). Vignos Lower Extremity Rating Scale Clinical Classification
C124709 WEST HAVEN HEPATIC ENCEPHALOPATHY GRADE WHEG01 West Haven Hepatic Encephalopathy Grade (Blei AT, Cordoba J. Hepatic Encephalopathy. Am J Gastroenterol. 2001 Jul. 96(7):1968-76). West Haven Hepatic Encephalopathy Grade Clinical Classification
C124713 WHO HIV STAGING FOR ADULTS AND ADOLESCENTS WHIVS1 WHO Clinical Staging of HIV/AIDS for Adults and Adolescents (Copyright World Health Organization 2007, World Health Organization. WHO case definitions of HIV for surveillance and revised clinical staging and immunological classification of HIV-related disease in adults and children; 2007. Retrieved from http://www.who.int/hiv/pub/vct/hivstaging/en/). World Health Organization Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification
C124714 WHO HIV STAGING FOR CHILDREN WHIVS2 WHO Clinical Staging of HIV/AIDS for Children (Copyright World Health Organization 2007, World Health Organization. WHO case definitions of HIV for surveillance and revised clinical staging and immunological classification of HIV-related disease in adults and children; 2007. Retrieved from http://www.who.int/hiv/pub/vct/hivstaging/en/). World Health Organization Clinical Staging of HIV/AIDS for Children Clinical Classification

CCQ01TC (Clinical COPD Questionnaire 24 Hour Version Questionnaire Test Code)

NCI Code: C119064, Codelist extensible: No
C119064 CCQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119122 CCQ0101 CCQ01-Short of Breath at Rest Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest? CCQ 24 Hour Version - Short of Breath at Rest
C119123 CCQ0102 CCQ01-Short of Breath Physical Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities? CCQ 24 Hour Version - Short of Breath Doing Physical Activity
C119124 CCQ0103 CCQ01-Concern About Breathing Get Worse Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse? CCQ 24 Hour Version - Concern About Breathing Get Worse
C119125 CCQ0104 CCQ01-Depressed for Breathing Problem Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems? CCQ 24 Hour Version - Depressed Because of Breathing Problem
C119126 CCQ0105 CCQ01-Cough Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough? CCQ 24 Hour Version - Did You Cough
C119127 CCQ0106 CCQ01-Produce Sputum or Phlegm Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm? CCQ 24 Hour Version - Produce Sputum or Phlegm
C119128 CCQ0107 CCQ01-Breathing Limit Strenuous Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities? CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity
C119129 CCQ0108 CCQ01-Breathing Limit Moderate Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities? CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity
C119130 CCQ0109 CCQ01-Breathing Limit Daily Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home? CCQ 24 Hour Version - Breathing Problems Limit Daily Activity
C119131 CCQ0110 CCQ01-Breathing Limit Social Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities? CCQ 24 Hour Version - Breathing Problems Limit Social Activity

CCQ01TN (Clinical COPD Questionnaire 24 Hour Version Questionnaire Test Name)

NCI Code: C119063, Codelist extensible: No
C119063 CCQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119130 CCQ01-Breathing Limit Daily Activity CCQ01-Breathing Limit Daily Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home? CCQ 24 Hour Version - Breathing Problems Limit Daily Activity
C119129 CCQ01-Breathing Limit Moderate Activity CCQ01-Breathing Limit Moderate Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities? CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity
C119131 CCQ01-Breathing Limit Social Activity CCQ01-Breathing Limit Social Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities? CCQ 24 Hour Version - Breathing Problems Limit Social Activity
C119128 CCQ01-Breathing Limit Strenuous Activity CCQ01-Breathing Limit Strenuous Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities? CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity
C119124 CCQ01-Concern About Breathing Get Worse CCQ01-Concern About Breathing Get Worse Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse? CCQ 24 Hour Version - Concern About Breathing Get Worse
C119126 CCQ01-Cough CCQ01-Cough Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough? CCQ 24 Hour Version - Did You Cough
C119125 CCQ01-Depressed for Breathing Problem CCQ01-Depressed for Breathing Problem Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems? CCQ 24 Hour Version - Depressed Because of Breathing Problem
C119127 CCQ01-Produce Sputum or Phlegm CCQ01-Produce Sputum or Phlegm Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm? CCQ 24 Hour Version - Produce Sputum or Phlegm
C119122 CCQ01-Short of Breath at Rest CCQ01-Short of Breath at Rest Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest? CCQ 24 Hour Version - Short of Breath at Rest
C119123 CCQ01-Short of Breath Physical Activity CCQ01-Short of Breath Physical Activity Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities? CCQ 24 Hour Version - Short of Breath Doing Physical Activity

CCQ02TC (Clinical COPD Questionnaire 1 Week Version Questionnaire Test Code)

NCI Code: C119066, Codelist extensible: No
C119066 CCQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119132 CCQ0201 CCQ02-Short of Breath at Rest Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest? CCQ 1 Week Version - Short of Breath at Rest
C119133 CCQ0202 CCQ02-Short of Breath Physical Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities? CCQ 1 Week Version - Short of Breath Doing Physical Activity
C119134 CCQ0203 CCQ02-Concern About Breathing Get Worse Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse? CCQ 1 Week Version - Concern About Breathing Get Worse
C119135 CCQ0204 CCQ02-Depressed for Breathing Problem Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems? CCQ 1 Week Version - Depressed Because of Breathing Problem
C119136 CCQ0205 CCQ02-Cough Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough? CCQ 1 Week Version - Did You Cough
C119137 CCQ0206 CCQ02-Produce Sputum or Phlegm Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm? CCQ 1 Week Version - Produce Sputum or Phlegm
C119138 CCQ0207 CCQ02-Breathing Limit Strenuous Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities? CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity
C119139 CCQ0208 CCQ02-Breathing Limit Moderate Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities? CCQ 1 Week Version - Breathing Problems Limit Moderate Activity
C119140 CCQ0209 CCQ02-Breathing Limit Daily Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home? CCQ 1 Week Version - Breathing Problems Limit Daily Activity
C119141 CCQ0210 CCQ02-Breathing Limit Social Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities? CCQ 1 Week Version - Breathing Problems Limit Social Activity

CCQ02TN (Clinical COPD Questionnaire 1 Week Version Questionnaire Test Name)

NCI Code: C119065, Codelist extensible: No
C119065 CCQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119140 CCQ02-Breathing Limit Daily Activity CCQ02-Breathing Limit Daily Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home? CCQ 1 Week Version - Breathing Problems Limit Daily Activity
C119139 CCQ02-Breathing Limit Moderate Activity CCQ02-Breathing Limit Moderate Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities? CCQ 1 Week Version - Breathing Problems Limit Moderate Activity
C119141 CCQ02-Breathing Limit Social Activity CCQ02-Breathing Limit Social Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities? CCQ 1 Week Version - Breathing Problems Limit Social Activity
C119138 CCQ02-Breathing Limit Strenuous Activity CCQ02-Breathing Limit Strenuous Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities? CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity
C119134 CCQ02-Concern About Breathing Get Worse CCQ02-Concern About Breathing Get Worse Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse? CCQ 1 Week Version - Concern About Breathing Get Worse
C119136 CCQ02-Cough CCQ02-Cough Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough? CCQ 1 Week Version - Did You Cough
C119135 CCQ02-Depressed for Breathing Problem CCQ02-Depressed for Breathing Problem Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems? CCQ 1 Week Version - Depressed Because of Breathing Problem
C119137 CCQ02-Produce Sputum or Phlegm CCQ02-Produce Sputum or Phlegm Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm? CCQ 1 Week Version - Produce Sputum or Phlegm
C119132 CCQ02-Short of Breath at Rest CCQ02-Short of Breath at Rest Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest? CCQ 1 Week Version - Short of Breath at Rest
C119133 CCQ02-Short of Breath Physical Activity CCQ02-Short of Breath Physical Activity Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities? CCQ 1 Week Version - Short of Breath Doing Physical Activity

CDAI01TC (Crohn's Disease Activity Index Version 1 Clinical Classification Test Code)

NCI Code: C176049, Codelist extensible: No
C176049 CDAI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176067 CDAI0101 CDAI01-Weight Crohn's Disease Activity Index Version 1 - Weight. CDAI Version 1 - Weight
C176068 CDAI0102 CDAI01-Standard Body Weight Crohn's Disease Activity Index Version 1 - Standard body weight. CDAI Version 1 - Standard Body Weight
C176069 CDAI0103 CDAI01-Daily Number of Stools Crohn's Disease Activity Index Version 1 - Daily number of very soft/liquid stools in the last 7 days. CDAI Version 1 - Daily Number of Stools
C176070 CDAI0104 CDAI01-Daily Average Abdominal Pain Crohn's Disease Activity Index Version 1 - Daily average abdominal pain (average daily rating for each of the past 7 days). CDAI Version 1 - Daily Average Abdominal Pain
C176071 CDAI0105 CDAI01-Daily Average General Well-being Crohn's Disease Activity Index Version 1 - Daily average general well-being (average daily rating for each of the past 7 days). CDAI Version 1 - Daily Average General Well-being
C176072 CDAI0106 CDAI01-Anti-diarrhea/Opiate Use Crohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use during past 7 days. CDAI Version 1 - Anti-diarrhea/Opiate Use
C176073 CDAI0107 CDAI01-Abdominal Mass Crohn's Disease Activity Index Version 1 - Abdominal mass. CDAI Version 1 - Abdominal Mass
C176074 CDAI0108 CDAI01-Hematocrit Crohn's Disease Activity Index Version 1 - Hematocrit. CDAI Version 1 - Hematocrit
C176075 CDAI0109 CDAI01-Arthritis/Arthralgia Crohn's Disease Activity Index Version 1 - Arthritis/arthralgia. CDAI Version 1 - Arthritis/Arthralgia
C176076 CDAI0110 CDAI01-Iritis/Uveitis Crohn's Disease Activity Index Version 1 - Iritis/uveitis. CDAI Version 1 - Iritis/Uveitis
C176077 CDAI0111 CDAI01-Erythema Nodosum Crohn's Disease Activity Index Version 1 - Erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis. CDAI Version 1 - Erythema Nodosum
C176078 CDAI0112 CDAI01-Anal Fissure/Fistula/Abscess Crohn's Disease Activity Index Version 1 - Anal fissure, fistula, or abscess. CDAI Version 1 - Anal Fissure, Fistula or Abscess
C176079 CDAI0113 CDAI01-Other Fistula Crohn's Disease Activity Index Version 1 - Other fistula. CDAI Version 1 - Other Fistula
C176080 CDAI0114 CDAI01-Fever Crohn's Disease Activity Index Version 1 - Fever/temperature > 100F/37.8C during the past 7 days. CDAI Version 1 - Fever
C176081 CDAI0115 CDAI01-Weight Subscore Crohn's Disease Activity Index Version 1 - Weight subscore. CDAI Version 1 - Weight Subscore
C176082 CDAI0116 CDAI01-Total Number Stools Subscore Crohn's Disease Activity Index Version 1 - Total number of very soft/liquid stools in the last 7 days: Subscore. CDAI Version 1 - Total Number Stools Subscore
C176083 CDAI0117 CDAI01-Abdominal Pain Subscore Crohn's Disease Activity Index Version 1 - Abdominal pain (daily rating for the past 7 days): Subscore. CDAI Version 1 - Abdominal Pain Subscore
C176084 CDAI0118 CDAI01-General Well-being Subscore Crohn's Disease Activity Index Version 1 - General well-being (daily rating for the past 7 days): Subscore. CDAI Version 1 - General Well-being Subscore
C176085 CDAI0119 CDAI01-Anti-diarrhea/Opiate Use Subscore Crohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use subscore. CDAI Version 1 - Anti-diarrhea/Opiate Use Subscore
C176086 CDAI0120 CDAI01-Abdominal Mass Subscore Crohn's Disease Activity Index Version 1 - Abdominal mass subscore. CDAI Version 1 - Abdominal Mass Subscore
C176087 CDAI0121 CDAI01-Hematocrit Subscore Crohn's Disease Activity Index Version 1 - Hematocrit subscore. CDAI Version 1 - Hematocrit Subscore
C176088 CDAI0122 CDAI01-Symptoms Manifested Subscore Crohn's Disease Activity Index Version 1 - Arthritis/arthralgia; iritis/uveitis; erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis; anal fissure, fistula, or abscess; other fistula; fever subscore. CDAI Version 1 - Symptoms Manifested Subscore
C176089 CDAI0123 CDAI01-CDAI Total Score Crohn's Disease Activity Index Version 1 - CDAI total score. CDAI Version 1 - CDAI Total Score

CDAI01TN (Crohn's Disease Activity Index Version 1 Clinical Classification Test Name)

NCI Code: C176048, Codelist extensible: No
C176048 CDAI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176086 CDAI01-Abdominal Mass Subscore CDAI01-Abdominal Mass Subscore Crohn's Disease Activity Index Version 1 - Abdominal mass subscore. CDAI Version 1 - Abdominal Mass Subscore
C176073 CDAI01-Abdominal Mass CDAI01-Abdominal Mass Crohn's Disease Activity Index Version 1 - Abdominal mass. CDAI Version 1 - Abdominal Mass
C176083 CDAI01-Abdominal Pain Subscore CDAI01-Abdominal Pain Subscore Crohn's Disease Activity Index Version 1 - Abdominal pain (daily rating for the past 7 days): Subscore. CDAI Version 1 - Abdominal Pain Subscore
C176078 CDAI01-Anal Fissure/Fistula/Abscess CDAI01-Anal Fissure/Fistula/Abscess Crohn's Disease Activity Index Version 1 - Anal fissure, fistula, or abscess. CDAI Version 1 - Anal Fissure, Fistula or Abscess
C176085 CDAI01-Anti-diarrhea/Opiate Use Subscore CDAI01-Anti-diarrhea/Opiate Use Subscore Crohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use subscore. CDAI Version 1 - Anti-diarrhea/Opiate Use Subscore
C176072 CDAI01-Anti-diarrhea/Opiate Use CDAI01-Anti-diarrhea/Opiate Use Crohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use during past 7 days. CDAI Version 1 - Anti-diarrhea/Opiate Use
C176075 CDAI01-Arthritis/Arthralgia CDAI01-Arthritis/Arthralgia Crohn's Disease Activity Index Version 1 - Arthritis/arthralgia. CDAI Version 1 - Arthritis/Arthralgia
C176089 CDAI01-CDAI Total Score CDAI01-CDAI Total Score Crohn's Disease Activity Index Version 1 - CDAI total score. CDAI Version 1 - CDAI Total Score
C176070 CDAI01-Daily Average Abdominal Pain CDAI01-Daily Average Abdominal Pain Crohn's Disease Activity Index Version 1 - Daily average abdominal pain (average daily rating for each of the past 7 days). CDAI Version 1 - Daily Average Abdominal Pain
C176071 CDAI01-Daily Average General Well-being CDAI01-Daily Average General Well-being Crohn's Disease Activity Index Version 1 - Daily average general well-being (average daily rating for each of the past 7 days). CDAI Version 1 - Daily Average General Well-being
C176069 CDAI01-Daily Number of Stools CDAI01-Daily Number of Stools Crohn's Disease Activity Index Version 1 - Daily number of very soft/liquid stools in the last 7 days. CDAI Version 1 - Daily Number of Stools
C176077 CDAI01-Erythema Nodosum CDAI01-Erythema Nodosum Crohn's Disease Activity Index Version 1 - Erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis. CDAI Version 1 - Erythema Nodosum
C176080 CDAI01-Fever CDAI01-Fever Crohn's Disease Activity Index Version 1 - Fever/temperature > 100F/37.8C during the past 7 days. CDAI Version 1 - Fever
C176084 CDAI01-General Well-being Subscore CDAI01-General Well-being Subscore Crohn's Disease Activity Index Version 1 - General well-being (daily rating for the past 7 days): Subscore. CDAI Version 1 - General Well-being Subscore
C176087 CDAI01-Hematocrit Subscore CDAI01-Hematocrit Subscore Crohn's Disease Activity Index Version 1 - Hematocrit subscore. CDAI Version 1 - Hematocrit Subscore
C176074 CDAI01-Hematocrit CDAI01-Hematocrit Crohn's Disease Activity Index Version 1 - Hematocrit. CDAI Version 1 - Hematocrit
C176076 CDAI01-Iritis/Uveitis CDAI01-Iritis/Uveitis Crohn's Disease Activity Index Version 1 - Iritis/uveitis. CDAI Version 1 - Iritis/Uveitis
C176079 CDAI01-Other Fistula CDAI01-Other Fistula Crohn's Disease Activity Index Version 1 - Other fistula. CDAI Version 1 - Other Fistula
C176068 CDAI01-Standard Body Weight CDAI01-Standard Body Weight Crohn's Disease Activity Index Version 1 - Standard body weight. CDAI Version 1 - Standard Body Weight
C176088 CDAI01-Symptoms Manifested Subscore CDAI01-Symptoms Manifested Subscore Crohn's Disease Activity Index Version 1 - Arthritis/arthralgia; iritis/uveitis; erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis; anal fissure, fistula, or abscess; other fistula; fever subscore. CDAI Version 1 - Symptoms Manifested Subscore
C176082 CDAI01-Total Number Stools Subscore CDAI01-Total Number Stools Subscore Crohn's Disease Activity Index Version 1 - Total number of very soft/liquid stools in the last 7 days: Subscore. CDAI Version 1 - Total Number Stools Subscore
C176081 CDAI01-Weight Subscore CDAI01-Weight Subscore Crohn's Disease Activity Index Version 1 - Weight subscore. CDAI Version 1 - Weight Subscore
C176067 CDAI01-Weight CDAI01-Weight Crohn's Disease Activity Index Version 1 - Weight. CDAI Version 1 - Weight

CDR01TC (Clinical Dementia Rating Questionnaire Test Code)

NCI Code: C101811, Codelist extensible: No
C101811 CDR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102050 CDR0101 CDR01-Memory Clinical Dementia Rating - Memory. CDR - Memory
C102051 CDR0102 CDR01-Orientation Clinical Dementia Rating - Orientation. CDR - Orientation
C102052 CDR0103 CDR01-Judgment and Problem Solving Clinical Dementia Rating - Judgment and problem solving. CDR - Judgment and Problem Solving
C102053 CDR0104 CDR01-Community Affairs Clinical Dementia Rating - Community affairs. CDR - Community Affairs
C102054 CDR0105 CDR01-Home and Hobbies Clinical Dementia Rating - Home and hobbies. CDR - Home and Hobbies
C102055 CDR0106 CDR01-Personal Care Clinical Dementia Rating - Personal care. CDR - Personal Care
C113880 CDR0107 CDR01-Sum of Boxes Clinical Dementia Rating - Sum of Boxes. CDR - Sum of Boxes
C113881 CDR0108 CDR01-Global CDR Clinical Dementia Rating - Global CDR. CDR - Global CDR

CDR01TN (Clinical Dementia Rating Questionnaire Test Name)

NCI Code: C101812, Codelist extensible: No
C101812 CDR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102053 CDR01-Community Affairs CDR01-Community Affairs Clinical Dementia Rating - Community affairs. CDR - Community Affairs
C113881 CDR01-Global CDR CDR01-Global CDR Clinical Dementia Rating - Global CDR. CDR - Global CDR
C102054 CDR01-Home and Hobbies CDR01-Home and Hobbies Clinical Dementia Rating - Home and hobbies. CDR - Home and Hobbies
C102052 CDR01-Judgment and Problem Solving CDR01-Judgment and Problem Solving Clinical Dementia Rating - Judgment and problem solving. CDR - Judgment and Problem Solving
C102050 CDR01-Memory CDR01-Memory Clinical Dementia Rating - Memory. CDR - Memory
C102051 CDR01-Orientation CDR01-Orientation Clinical Dementia Rating - Orientation. CDR - Orientation
C102055 CDR01-Personal Care CDR01-Personal Care Clinical Dementia Rating - Personal care. CDR - Personal Care
C113880 CDR01-Sum of Boxes CDR01-Sum of Boxes Clinical Dementia Rating - Sum of Boxes. CDR - Sum of Boxes

CDRS1TC (Children's Depression Rating Scale, Revised Clinical Classification Test Code)

NCI Code: C154447, Codelist extensible: No
C154447 CDRS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155329 CDRS101 CDRS1-Impaired Schoolwork Children's Depression Rating Scale, Revised - Impaired schoolwork. CDRS-R - Impaired Schoolwork
C155330 CDRS101A CDRS1-Impaired Schoolwork Comment Children's Depression Rating Scale, Revised - Impaired schoolwork comment. CDRS-R - Impaired Schoolwork Comment
C155331 CDRS102 CDRS1-Difficulty Having Fun Children's Depression Rating Scale, Revised - Difficulty having fun. CDRS-R - Difficulty Having Fun
C155332 CDRS102A CDRS1-Difficulty Having Fun Comment Children's Depression Rating Scale, Revised - Difficulty having fun comment. CDRS-R - Difficulty Having Fun Comment
C155333 CDRS103 CDRS1-Social Withdrawal Children's Depression Rating Scale, Revised - Social withdrawal. CDRS-R - Social Withdrawal
C155334 CDRS103A CDRS1-Social Withdrawal Comment Children's Depression Rating Scale, Revised - Social withdrawal comment. CDRS-R - Social Withdrawal Comment
C155335 CDRS104 CDRS1-Sleep Disturbance Children's Depression Rating Scale, Revised - Sleep disturbance. CDRS-R - Sleep Disturbance
C155336 CDRS104A CDRS1-Sleep Disturbance Comment Children's Depression Rating Scale, Revised - Sleep disturbance comment. CDRS-R - Sleep Disturbance Comment
C155337 CDRS105 CDRS1-Appetite Disturbance Children's Depression Rating Scale, Revised - Appetite disturbance. CDRS-R - Appetite Disturbance
C155338 CDRS105A CDRS1-Appetite Disturbance Comment Children's Depression Rating Scale, Revised - Appetite disturbance comment. CDRS-R - Appetite Disturbance Comment
C155339 CDRS106 CDRS1-Excessive Fatigue Children's Depression Rating Scale, Revised - Excessive fatigue. CDRS-R - Excessive Fatigue
C155340 CDRS106A CDRS1-Excessive Fatigue Comment Children's Depression Rating Scale, Revised - Excessive fatigue comment. CDRS-R - Excessive Fatigue Comment
C155341 CDRS107 CDRS1-Physical Complaints Children's Depression Rating Scale, Revised - Physical complaints. CDRS-R - Physical Complaints
C155342 CDRS107A CDRS1-Physical Complaints Comment Children's Depression Rating Scale, Revised - Physical complaints comment. CDRS-R - Physical Complaints Comment
C155343 CDRS108 CDRS1-Irritability Children's Depression Rating Scale, Revised - Irritability. CDRS-R - Irritability
C155344 CDRS108A CDRS1-Irritability Comment Children's Depression Rating Scale, Revised - Irritability comment. CDRS-R - Irritability Comment
C155345 CDRS109 CDRS1-Excessive Guilt Children's Depression Rating Scale, Revised - Excessive guilt. CDRS-R - Excessive Guilt
C155346 CDRS109A CDRS1-Excessive Guilt Comment Children's Depression Rating Scale, Revised - Excessive guilt comment. CDRS-R - Excessive Guilt Comment
C155347 CDRS110 CDRS1-Low Self-esteem Children's Depression Rating Scale, Revised - Low self-esteem. CDRS-R - Low Self-esteem
C155348 CDRS110A CDRS1-Low Self-esteem Comment Children's Depression Rating Scale, Revised - Low self-esteem comment. CDRS-R - Low Self-esteem Comment
C155349 CDRS111 CDRS1-Depressed Feelings Children's Depression Rating Scale, Revised - Depressed feelings. CDRS-R - Depressed Feelings
C155350 CDRS111A CDRS1-Depressed Feelings Comment Children's Depression Rating Scale, Revised - Depressed feelings comment. CDRS-R - Depressed Feelings Comment
C155351 CDRS112 CDRS1-Morbid Ideation Children's Depression Rating Scale, Revised - Morbid ideation. CDRS-R - Morbid Ideation
C155352 CDRS112A CDRS1-Morbid Ideation Comment Children's Depression Rating Scale, Revised - Morbid ideation comment. CDRS-R - Morbid Ideation Comment
C155353 CDRS113 CDRS1-Suicidal Ideation Children's Depression Rating Scale, Revised - Suicidal ideation. CDRS-R - Suicidal Ideation
C155354 CDRS113A CDRS1-Suicidal Ideation Comment Children's Depression Rating Scale, Revised - Suicidal ideation comment. CDRS-R - Suicidal Ideation Comment
C155355 CDRS114 CDRS1-Excessive Weeping Children's Depression Rating Scale, Revised - Excessive weeping. CDRS-R - Excessive Weeping
C155356 CDRS114A CDRS1-Excessive Weeping Comment Children's Depression Rating Scale, Revised - Excessive weeping comment. CDRS-R - Excessive Weeping Comment
C155357 CDRS115 CDRS1-Depressed Facial Affect Children's Depression Rating Scale, Revised - Depressed facial affect. CDRS-R - Depressed Facial Affect
C155358 CDRS115A CDRS1-Depressed Facial Affect Comment Children's Depression Rating Scale, Revised - Depressed facial affect comment. CDRS-R - Depressed Facial Affect Comment
C155359 CDRS116 CDRS1-Listless Speech Children's Depression Rating Scale, Revised - Listless speech. CDRS-R - Listless Speech
C155360 CDRS116A CDRS1-Listless Speech Comment Children's Depression Rating Scale, Revised - Listless speech comment. CDRS-R - Listless Speech Comment
C155361 CDRS117 CDRS1-Hypoactivity Children's Depression Rating Scale, Revised - Hypoactivity. CDRS-R - Hypoactivity
C155362 CDRS117A CDRS1-Hypoactivity Comment Children's Depression Rating Scale, Revised - Hypoactivity comment. CDRS-R - Hypoactivity Comment
C155363 CDRS118 CDRS1-Subtotal 1 Children's Depression Rating Scale, Revised - Subtotal 1 - sum of questions 1 to 6. CDRS-R - Subtotal 1
C155364 CDRS119 CDRS1-Subtotal 2 Children's Depression Rating Scale, Revised - Subtotal 2 - sum of questions 7 to 14. CDRS-R - Subtotal 2
C155365 CDRS120 CDRS1-Subtotal 3 Children's Depression Rating Scale, Revised - Subtotal 3 - sum of questions 15 to 17. CDRS-R - Subtotal 3
C155366 CDRS121 CDRS1-CDRS-R Raw Summary Score Children's Depression Rating Scale, Revised - CDRS-R raw summary score. CDRS-R - CDRS-R Raw Summary Score
C155367 CDRS122 CDRS1-CDRS-R T-Score Children's Depression Rating Scale, Revised - CDRS-R T-score. CDRS-R - CDRS-R T-Score
C155368 CDRS123 CDRS1-CDRS-R Percentile Children's Depression Rating Scale, Revised - CDRS-R Percentile. CDRS-R - CDRS-R Percentile
C155369 CDRS124 CDRS1-CDRS-R T-Score Range Children's Depression Rating Scale, Revised - CDRS-R T-score range. CDRS-R - CDRS-R T-Score Range

CDRS1TN (Children's Depression Rating Scale, Revised Clinical Classification Test Name)

NCI Code: C154446, Codelist extensible: No
C154446 CDRS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155338 CDRS1-Appetite Disturbance Comment CDRS1-Appetite Disturbance Comment Children's Depression Rating Scale, Revised - Appetite disturbance comment. CDRS-R - Appetite Disturbance Comment
C155337 CDRS1-Appetite Disturbance CDRS1-Appetite Disturbance Children's Depression Rating Scale, Revised - Appetite disturbance. CDRS-R - Appetite Disturbance
C155368 CDRS1-CDRS-R Percentile CDRS1-CDRS-R Percentile Children's Depression Rating Scale, Revised - CDRS-R Percentile. CDRS-R - CDRS-R Percentile
C155366 CDRS1-CDRS-R Raw Summary Score CDRS1-CDRS-R Raw Summary Score Children's Depression Rating Scale, Revised - CDRS-R raw summary score. CDRS-R - CDRS-R Raw Summary Score
C155369 CDRS1-CDRS-R T-Score Range CDRS1-CDRS-R T-Score Range Children's Depression Rating Scale, Revised - CDRS-R T-score range. CDRS-R - CDRS-R T-Score Range
C155367 CDRS1-CDRS-R T-Score CDRS1-CDRS-R T-Score Children's Depression Rating Scale, Revised - CDRS-R T-score. CDRS-R - CDRS-R T-Score
C155358 CDRS1-Depressed Facial Affect Comment CDRS1-Depressed Facial Affect Comment Children's Depression Rating Scale, Revised - Depressed facial affect comment. CDRS-R - Depressed Facial Affect Comment
C155357 CDRS1-Depressed Facial Affect CDRS1-Depressed Facial Affect Children's Depression Rating Scale, Revised - Depressed facial affect. CDRS-R - Depressed Facial Affect
C155350 CDRS1-Depressed Feelings Comment CDRS1-Depressed Feelings Comment Children's Depression Rating Scale, Revised - Depressed feelings comment. CDRS-R - Depressed Feelings Comment
C155349 CDRS1-Depressed Feelings CDRS1-Depressed Feelings Children's Depression Rating Scale, Revised - Depressed feelings. CDRS-R - Depressed Feelings
C155332 CDRS1-Difficulty Having Fun Comment CDRS1-Difficulty Having Fun Comment Children's Depression Rating Scale, Revised - Difficulty having fun comment. CDRS-R - Difficulty Having Fun Comment
C155331 CDRS1-Difficulty Having Fun CDRS1-Difficulty Having Fun Children's Depression Rating Scale, Revised - Difficulty having fun. CDRS-R - Difficulty Having Fun
C155340 CDRS1-Excessive Fatigue Comment CDRS1-Excessive Fatigue Comment Children's Depression Rating Scale, Revised - Excessive fatigue comment. CDRS-R - Excessive Fatigue Comment
C155339 CDRS1-Excessive Fatigue CDRS1-Excessive Fatigue Children's Depression Rating Scale, Revised - Excessive fatigue. CDRS-R - Excessive Fatigue
C155346 CDRS1-Excessive Guilt Comment CDRS1-Excessive Guilt Comment Children's Depression Rating Scale, Revised - Excessive guilt comment. CDRS-R - Excessive Guilt Comment
C155345 CDRS1-Excessive Guilt CDRS1-Excessive Guilt Children's Depression Rating Scale, Revised - Excessive guilt. CDRS-R - Excessive Guilt
C155356 CDRS1-Excessive Weeping Comment CDRS1-Excessive Weeping Comment Children's Depression Rating Scale, Revised - Excessive weeping comment. CDRS-R - Excessive Weeping Comment
C155355 CDRS1-Excessive Weeping CDRS1-Excessive Weeping Children's Depression Rating Scale, Revised - Excessive weeping. CDRS-R - Excessive Weeping
C155362 CDRS1-Hypoactivity Comment CDRS1-Hypoactivity Comment Children's Depression Rating Scale, Revised - Hypoactivity comment. CDRS-R - Hypoactivity Comment
C155361 CDRS1-Hypoactivity CDRS1-Hypoactivity Children's Depression Rating Scale, Revised - Hypoactivity. CDRS-R - Hypoactivity
C155330 CDRS1-Impaired Schoolwork Comment CDRS1-Impaired Schoolwork Comment Children's Depression Rating Scale, Revised - Impaired schoolwork comment. CDRS-R - Impaired Schoolwork Comment
C155329 CDRS1-Impaired Schoolwork CDRS1-Impaired Schoolwork Children's Depression Rating Scale, Revised - Impaired schoolwork. CDRS-R - Impaired Schoolwork
C155344 CDRS1-Irritability Comment CDRS1-Irritability Comment Children's Depression Rating Scale, Revised - Irritability comment. CDRS-R - Irritability Comment
C155343 CDRS1-Irritability CDRS1-Irritability Children's Depression Rating Scale, Revised - Irritability. CDRS-R - Irritability
C155360 CDRS1-Listless Speech Comment CDRS1-Listless Speech Comment Children's Depression Rating Scale, Revised - Listless speech comment. CDRS-R - Listless Speech Comment
C155359 CDRS1-Listless Speech CDRS1-Listless Speech Children's Depression Rating Scale, Revised - Listless speech. CDRS-R - Listless Speech
C155348 CDRS1-Low Self-esteem Comment CDRS1-Low Self-esteem Comment Children's Depression Rating Scale, Revised - Low self-esteem comment. CDRS-R - Low Self-esteem Comment
C155347 CDRS1-Low Self-esteem CDRS1-Low Self-esteem Children's Depression Rating Scale, Revised - Low self-esteem. CDRS-R - Low Self-esteem
C155352 CDRS1-Morbid Ideation Comment CDRS1-Morbid Ideation Comment Children's Depression Rating Scale, Revised - Morbid ideation comment. CDRS-R - Morbid Ideation Comment
C155351 CDRS1-Morbid Ideation CDRS1-Morbid Ideation Children's Depression Rating Scale, Revised - Morbid ideation. CDRS-R - Morbid Ideation
C155342 CDRS1-Physical Complaints Comment CDRS1-Physical Complaints Comment Children's Depression Rating Scale, Revised - Physical complaints comment. CDRS-R - Physical Complaints Comment
C155341 CDRS1-Physical Complaints CDRS1-Physical Complaints Children's Depression Rating Scale, Revised - Physical complaints. CDRS-R - Physical Complaints
C155336 CDRS1-Sleep Disturbance Comment CDRS1-Sleep Disturbance Comment Children's Depression Rating Scale, Revised - Sleep disturbance comment. CDRS-R - Sleep Disturbance Comment
C155335 CDRS1-Sleep Disturbance CDRS1-Sleep Disturbance Children's Depression Rating Scale, Revised - Sleep disturbance. CDRS-R - Sleep Disturbance
C155334 CDRS1-Social Withdrawal Comment CDRS1-Social Withdrawal Comment Children's Depression Rating Scale, Revised - Social withdrawal comment. CDRS-R - Social Withdrawal Comment
C155333 CDRS1-Social Withdrawal CDRS1-Social Withdrawal Children's Depression Rating Scale, Revised - Social withdrawal. CDRS-R - Social Withdrawal
C155363 CDRS1-Subtotal 1 CDRS1-Subtotal 1 Children's Depression Rating Scale, Revised - Subtotal 1 - sum of questions 1 to 6. CDRS-R - Subtotal 1
C155364 CDRS1-Subtotal 2 CDRS1-Subtotal 2 Children's Depression Rating Scale, Revised - Subtotal 2 - sum of questions 7 to 14. CDRS-R - Subtotal 2
C155365 CDRS1-Subtotal 3 CDRS1-Subtotal 3 Children's Depression Rating Scale, Revised - Subtotal 3 - sum of questions 15 to 17. CDRS-R - Subtotal 3
C155354 CDRS1-Suicidal Ideation Comment CDRS1-Suicidal Ideation Comment Children's Depression Rating Scale, Revised - Suicidal ideation comment. CDRS-R - Suicidal Ideation Comment
C155353 CDRS1-Suicidal Ideation CDRS1-Suicidal Ideation Children's Depression Rating Scale, Revised - Suicidal ideation. CDRS-R - Suicidal Ideation

CES0101OR (Combat Exposure Scale Questionnaire ORRES for CES0101 TN/TC)

NCI Code: C179945, Codelist extensible: No
C179945 CES0101OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180262 1-3 times CES0101-1-3 times Combat Exposure Scale original result for CES0101-1-3 times. Combat Exposure Scale CES0101 Original Result - 1-3 Times
C180264 13-50 times CES0101-13-50 times Combat Exposure Scale original result for CES0101-13-50 times. Combat Exposure Scale CES0101 Original Result - 13-50 Times
C180263 4-12 times CES0101-4-12 times Combat Exposure Scale original result for CES0101-4-12 times. Combat Exposure Scale CES0101 Original Result - 4-12 Times
C180265 51+ times CES0101-51+times Combat Exposure Scale original result for CES0101-51+times. Combat Exposure Scale CES0101 Original Result - 51+ Times
C180261 No CES0101-No Combat Exposure Scale original result for CES0101-No. Combat Exposure Scale CES0101 Original Result - No

CES0101STR (Combat Exposure Scale Questionnaire STRESC for CES0101 TN/TC)

NCI Code: C179950, Codelist extensible: No
C179950 CES0101STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180286 1 CES0101-1 Combat Exposure Scale standardized character result for CES0101-No. Combat Exposure Scale CES0101 Standardized Character Result 1
C180287 2 CES0101-2 Combat Exposure Scale standardized character result for CES0101-1-3 times. Combat Exposure Scale CES0101 Standardized Character Result 2
C180288 3 CES0101-3 Combat Exposure Scale standardized character result for CES0101-4-12 times. Combat Exposure Scale CES0101 Standardized Character Result 3
C180289 4 CES0101-4 Combat Exposure Scale standardized character result for CES0101-13-50 times. Combat Exposure Scale CES0101 Standardized Character Result 4
C180290 5 CES0101-5 Combat Exposure Scale standardized character result for CES0101-51+times. Combat Exposure Scale CES0101 Standardized Character Result 5

CES0102OR (Combat Exposure Scale Questionnaire ORRES for CES0102 TN/TC)

NCI Code: C179946, Codelist extensible: No
C179946 CES0102OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180268 1-3 months CES0102-1-3 months Combat Exposure Scale original result for CES0102-1-3 months. Combat Exposure Scale CES0102 Original Result - 1-3 Months
C180269 4-6 months CES0102-4-6 months Combat Exposure Scale original result for CES0102-4-6 months. Combat Exposure Scale CES0102 Original Result - 4-6 Months
C180270 7+ months CES0102-7+ months Combat Exposure Scale original result for CES0102-7+ months. Combat Exposure Scale CES0102 Original Result - 7+ Months
C180267 <1 month CES0102-<1 month Combat Exposure Scale original result for CES0102-<1 month. Combat Exposure Scale CES0102 Original Result - <1 Month
C180266 Never CES0102-Never Combat Exposure Scale original result for CES0102-Never. Combat Exposure Scale CES0102 Original Result - Never

CES0102STR (Combat Exposure Scale Questionnaire STRESC for CES0102 TN/TC)

NCI Code: C179951, Codelist extensible: No
C179951 CES0102STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180291 1 CES0102-1 Combat Exposure Scale standardized character result for CES0102-Never. Combat Exposure Scale CES0102 Standardized Character Result 1
C180292 2 CES0102-2 Combat Exposure Scale standardized character result for CES0102-<1 month. Combat Exposure Scale CES0102 Standardized Character Result 2
C180293 3 CES0102-3 Combat Exposure Scale standardized character result for CES0102-1-3 months. Combat Exposure Scale CES0102 Standardized Character Result 3
C180294 4 CES0102-4 Combat Exposure Scale standardized character result for CES0102-4-6 months. Combat Exposure Scale CES0102 Standardized Character Result 4
C180295 5 CES0102-5 Combat Exposure Scale standardized character result for CES0102-7+ months. Combat Exposure Scale CES0102 Standardized Character Result 5

CES0103OR (Combat Exposure Scale Questionnaire ORRES for CES0103 TN/TC)

NCI Code: C179947, Codelist extensible: No
C179947 CES0103OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180272 1-2 times CES0103-1-2 times Combat Exposure Scale original result for CES0103-1-2 times. Combat Exposure Scale CES0103 Original Result - 1-2 Times
C180274 13-25 times CES0103-13-25 times Combat Exposure Scale original result for CES0103-13-25 times. Combat Exposure Scale CES0103 Original Result - 13-25 Times
C180275 26+ times CES0103-26+times Combat Exposure Scale original result for CES0103-26+times. Combat Exposure Scale CES0103 Original Result - 26+ Times
C180273 3-12 times CES0103-3-12 times Combat Exposure Scale original result for CES0103-3-12 times. Combat Exposure Scale CES0103 Original Result - 3-12 Times
C180271 No CES0103-No Combat Exposure Scale original result for CES0103-No. Combat Exposure Scale CES0103 Original Result - No

CES0103STR (Combat Exposure Scale Questionnaire STRESC for CES0103 TN/TC)

NCI Code: C179952, Codelist extensible: No
C179952 CES0103STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180296 1 CES0103-1 Combat Exposure Scale standardized character result for CES0103-No. Combat Exposure Scale CES0103 Standardized Character Result 1
C180297 2 CES0103-2 Combat Exposure Scale standardized character result for CES0103-1-2 times. Combat Exposure Scale CES0103 Standardized Character Result 2
C180298 3 CES0103-3 Combat Exposure Scale standardized character result for CES0103-3-12 times. Combat Exposure Scale CES0103 Standardized Character Result 3
C180299 4 CES0103-4 Combat Exposure Scale standardized character result for CES0103-13-25 times. Combat Exposure Scale CES0103 Standardized Character Result 4
C180300 5 CES0103-5 Combat Exposure Scale standardized character result for CES0103-26+times. Combat Exposure Scale CES0103 Standardized Character Result 5

CES0104OR (Combat Exposure Scale Questionnaire ORRES for CES0104 TN/TC)

NCI Code: C179948, Codelist extensible: No
C179948 CES0104OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180277 1-25% CES0104-1-25% Combat Exposure Scale original result for CES0104-1-25%. Combat Exposure Scale CES0104 Original Result - 1-25%
C180278 26-50% CES0104-26-50% Combat Exposure Scale original result for CES0104-26-50%. Combat Exposure Scale CES0104 Original Result - 26-50%
C180279 51-75% CES0104-51-75% Combat Exposure Scale original result for CES0104-51-75%. Combat Exposure Scale CES0104 Original Result - 51-75%
C180280 76% or more CES0104-76% or more Combat Exposure Scale original result for CES0104-76% or more. Combat Exposure Scale CES0104 Original Result - 76% or More
C180276 None CES0104-None Combat Exposure Scale original result for CES0104-None. Combat Exposure Scale CES0104 Original Result - None

CES0104STR (Combat Exposure Scale Questionnaire STRESC for CES0104 TN/TC)

NCI Code: C179953, Codelist extensible: No
C179953 CES0104STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180301 1 CES0104-1 Combat Exposure Scale standardized character result for CES0104-None. Combat Exposure Scale CES0104 Standardized Character Result 1
C180302 2 CES0104-2 Combat Exposure Scale standardized character result for CES0104-1-25%. Combat Exposure Scale CES0104 Standardized Character Result 2
C180303 3 CES0104-3 Combat Exposure Scale standardized character result for CES0104-26-50%. Combat Exposure Scale CES0104 Standardized Character Result 3
C180304 4 CES0104-4 Combat Exposure Scale standardized character result for CES0104-51-75%. Combat Exposure Scale CES0104 Standardized Character Result 4
C180305 5 CES0104-5 Combat Exposure Scale standardized character result for CES0104-76% or more. Combat Exposure Scale CES0104 Standardized Character Result 5

CES0105T07OR (Combat Exposure Scale Questionnaire ORRES for CES0105 Through CES0107 TN/TC)

NCI Code: C179949, Codelist extensible: No
C179949 CES0105T07OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180282 1-2 times CES0105 through CES0107-1-2 times Combat Exposure Scale original result for CES0105 through CES0107-1-2 times. Combat Exposure Scale CES0105 Through CES0107 Original Result - 1-2 Times
C180284 13-50 times CES0105 through CES0107-13-50 times Combat Exposure Scale original result for CES0105 through CES0107-13-50 times. Combat Exposure Scale CES0105 Through CES0107 Original Result - 13-50 Times
C180283 3-12 times CES0105 through CES0107-3-12 times Combat Exposure Scale original result for CES0105 through CES0107-3-12 times. Combat Exposure Scale CES0105 Through CES0107 Original Result - 3-12 Times
C180285 51+ times CES0105 through CES0107-51+ times Combat Exposure Scale original result for CES0105 through CES0107-51+ times. Combat Exposure Scale CES0105 Through CES0107 Original Result - 51+ Times
C180281 Never CES0105 through CES0107-Never Combat Exposure Scale original result for CES0105 through CES0107-Never. Combat Exposure Scale CES0105 Through CES0107 Original Result - Never

CES0105T07STR (Combat Exposure Scale Questionnaire STRESC for CES0105 Through CES0107 TN/TC)

NCI Code: C179954, Codelist extensible: No
C179954 CES0105T07STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180306 1 CES0105 through CES0107-1 Combat Exposure Scale standardized character result for CES0105 through CES0107-Never. Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 1
C180307 2 CES0105 through CES0107-2 Combat Exposure Scale standardized character result for CES0105 through CES0107-1-2 times. Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 2
C180308 3 CES0105 through CES0107-3 Combat Exposure Scale standardized character result for CES0105 through CES0107-3-12 times. Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 3
C180309 4 CES0105 through CES0107-4 Combat Exposure Scale standardized character result for CES0105 through CES0107-13-50 times. Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 4
C180310 5 CES0105 through CES0107-5 Combat Exposure Scale standardized character result for CES0105 through CES0107-51+ times. Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 5

CES01TC (Combat Exposure Scale Questionnaire Test Code)

NCI Code: C132519, Codelist extensible: No
C132519 CES01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132556 CES0101 CES01-Ever Combat Patrols/Dangerous Duty Combat Exposure Scale - Did you ever go on combat patrols or have other dangerous duty? CES - Ever Combat Patrols or Dangerous Duty
C132557 CES0102 CES01-Were You Ever Under Enemy Fire Combat Exposure Scale - Were you ever under enemy fire? CES - Were You Ever Under Enemy Fire
C132558 CES0103 CES01-Ever Surrounded by the Enemy Combat Exposure Scale - Were you ever surrounded by the enemy? CES - Ever Surrounded by the Enemy
C132559 CES0104 CES01-Soldiers in Unit KIA, Wounded, MIA Combat Exposure Scale - What percentage of the soldiers in your unit were killed (KIA), wounded or missing in action (MIA)? CES - Soldiers in Unit Killed (KIA), Wounded, Missing (MIA)
C132560 CES0105 CES01-How Often Fire Rounds at Enemy Combat Exposure Scale - How often did you fire rounds at the enemy? CES - How Often Fire Rounds at Enemy
C132561 CES0106 CES01-See Someone Hit by Rounds Combat Exposure Scale - How often did you see someone hit by incoming or outgoing rounds? CES - See Someone Hit by Rounds
C132562 CES0107 CES01-In Danger of Being Injured/Killed Combat Exposure Scale - How often were you in danger of being injured or killed (i.e., being pinned down, overrun, ambushed, near miss, etc.)? CES - In Danger of Being Injured or Killed

CES01TN (Combat Exposure Scale Questionnaire Test Name)

NCI Code: C132518, Codelist extensible: No
C132518 CES01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132556 CES01-Ever Combat Patrols/Dangerous Duty CES01-Ever Combat Patrols/Dangerous Duty Combat Exposure Scale - Did you ever go on combat patrols or have other dangerous duty? CES - Ever Combat Patrols or Dangerous Duty
C132558 CES01-Ever Surrounded by the Enemy CES01-Ever Surrounded by the Enemy Combat Exposure Scale - Were you ever surrounded by the enemy? CES - Ever Surrounded by the Enemy
C132560 CES01-How Often Fire Rounds at Enemy CES01-How Often Fire Rounds at Enemy Combat Exposure Scale - How often did you fire rounds at the enemy? CES - How Often Fire Rounds at Enemy
C132562 CES01-In Danger of Being Injured/Killed CES01-In Danger of Being Injured/Killed Combat Exposure Scale - How often were you in danger of being injured or killed (i.e., being pinned down, overrun, ambushed, near miss, etc.)? CES - In Danger of Being Injured or Killed
C132561 CES01-See Someone Hit by Rounds CES01-See Someone Hit by Rounds Combat Exposure Scale - How often did you see someone hit by incoming or outgoing rounds? CES - See Someone Hit by Rounds
C132559 CES01-Soldiers in Unit KIA, Wounded, MIA CES01-Soldiers in Unit KIA, Wounded, MIA Combat Exposure Scale - What percentage of the soldiers in your unit were killed (KIA), wounded or missing in action (MIA)? CES - Soldiers in Unit Killed (KIA), Wounded, Missing (MIA)
C132557 CES01-Were You Ever Under Enemy Fire CES01-Were You Ever Under Enemy Fire Combat Exposure Scale - Were you ever under enemy fire? CES - Were You Ever Under Enemy Fire

CGI02TC (Clinical Global Impression Generic Modification Version Questionnaire Test Code)

NCI Code: C135686, Codelist extensible: No
C135686 CGI02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135814 CGI0201 CGI02-Severity Clinical Global Impression - Considering your total clinical experience with this particular population, how severe is the subject's condition at this time? CGI Generic Modification Version - Severity
C135815 CGI0202 CGI02-Change Clinical Global Impression - Rate total change whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject changed? CGI Generic Modification Version - Change
C135816 CGI0203 CGI02-Improvement Clinical Global Impression - Rate total improvement whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject improved? CGI Generic Modification Version - Improvement

CGI02TN (Clinical Global Impression Generic Modification Version Questionnaire Test Name)

NCI Code: C135685, Codelist extensible: No
C135685 CGI02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135815 CGI02-Change CGI02-Change Clinical Global Impression - Rate total change whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject changed? CGI Generic Modification Version - Change
C135816 CGI02-Improvement CGI02-Improvement Clinical Global Impression - Rate total improvement whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject improved? CGI Generic Modification Version - Improvement
C135814 CGI02-Severity CGI02-Severity Clinical Global Impression - Considering your total clinical experience with this particular population, how severe is the subject's condition at this time? CGI Generic Modification Version - Severity

CHIVC1TC (CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Code)

NCI Code: C124678, Codelist extensible: No
C124678 CHIVC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124779 CHIVC101 CHIVC1-CDC HIV Infection Category CDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV infection category. CDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV Infection Category

CHIVC1TN (CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Name)

NCI Code: C124677, Codelist extensible: No
C124677 CHIVC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124779 CHIVC1-CDC HIV Infection Category CHIVC1-CDC HIV Infection Category CDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV infection category. CDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV Infection Category

CHSF1TC (Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code)

NCI Code: C117987, Codelist extensible: No
C117987 CHSF1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C117998 CHSF101A CHSF1-Paid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). CHART-SF Interview Version - Paid Personal Care per Day
C117999 CHSF101B CHSF1-Unpaid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). CHART-SF Interview Version - Unpaid Personal Care per Day
C118000 CHSF102 CHSF1-Home Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? CHART-SF Interview Version - Cognitive Assistance at Home per Day
C118001 CHSF103 CHSF1-Away Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? CHART-SF Interview Version - Cognitive Assistance Away From Home per Day
C118002 CHSF104 CHSF1-Hours Out of Bed per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed? CHART-SF Interview Version - Hours Out of Bed per Day
C118003 CHSF105 CHSF1-Days Out of the House per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere? CHART-SF Interview Version - Days Out of the House per Week
C118004 CHSF106 CHSF1-Nights Away From Home Last Year Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home? CHART-SF Interview Version - Nights Away From Home Last Year
C118005 CHSF107A CHSF1-Hours of Paid Work per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? CHART-SF Interview Version - Hours of Paid Work per Week
C118006 CHSF107B CHSF1-Occupation of Paid Work Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation). CHART-SF Interview Version - Occupation of Paid Work
C118007 CHSF108 CHSF1-Hours of Schoolwork per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? CHART-SF Interview Version - Hours of Schoolwork per Week
C118008 CHSF109 CHSF1-Hours of Homemaking per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? CHART-SF Interview Version - Hours of Homemaking per Week
C118009 CHSF110 CHSF1-Hours of Home Maintenance per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? CHART-SF Interview Version - Hours of Home Maintenance per Week
C118010 CHSF111 CHSF1-Hours of Recreation per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? CHART-SF Interview Version - Hours of Recreational Activities per Week
C118011 CHSF112 CHSF1-Number of People You Live With Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with? CHART-SF Interview Version - Number of People You Live With
C118012 CHSF113 CHSF1-Live With Spouse or Signif Other Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other? CHART-SF Interview Version - Live With Spouse or Significant Other
C118013 CHSF114 CHSF1-Number of Relatives You Live With Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives? CHART-SF Interview Version - Number of Relatives You Live With
C118014 CHSF115 CHSF1-Associates Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month? CHART-SF Interview Version - Associates Contacted per Month
C118015 CHSF116 CHSF1-Friends Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month? CHART-SF Interview Version - Friends Contacted per Month
C118016 CHSF117 CHSF1-Strangers Spoke with Last Month Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month? CHART-SF Interview Version - Initiated Conversation With Strangers Last Month
C118017 CHSF118 CHSF1-Combined Household Income Last Yr Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household? CHART-SF Interview Version - Combined Annual Household Income Last Year
C118018 CHSF119 CHSF1-Medical Care Expenses Last Year Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses? CHART-SF Interview Version - Medical Care Expense Last Year

CHSF1TN (Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name)

NCI Code: C117986, Codelist extensible: No
C117986 CHSF1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C118014 CHSF1-Associates Contacted per Month CHSF1-Associates Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month? CHART-SF Interview Version - Associates Contacted per Month
C118001 CHSF1-Away Cognitive Assistance per Day CHSF1-Away Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? CHART-SF Interview Version - Cognitive Assistance Away From Home per Day
C118017 CHSF1-Combined Household Income Last Yr CHSF1-Combined Household Income Last Yr Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household? CHART-SF Interview Version - Combined Annual Household Income Last Year
C118003 CHSF1-Days Out of the House per Week CHSF1-Days Out of the House per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere? CHART-SF Interview Version - Days Out of the House per Week
C118015 CHSF1-Friends Contacted per Month CHSF1-Friends Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month? CHART-SF Interview Version - Friends Contacted per Month
C118000 CHSF1-Home Cognitive Assistance per Day CHSF1-Home Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? CHART-SF Interview Version - Cognitive Assistance at Home per Day
C118009 CHSF1-Hours of Home Maintenance per Week CHSF1-Hours of Home Maintenance per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? CHART-SF Interview Version - Hours of Home Maintenance per Week
C118008 CHSF1-Hours of Homemaking per Week CHSF1-Hours of Homemaking per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? CHART-SF Interview Version - Hours of Homemaking per Week
C118005 CHSF1-Hours of Paid Work per Week CHSF1-Hours of Paid Work per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? CHART-SF Interview Version - Hours of Paid Work per Week
C118010 CHSF1-Hours of Recreation per Week CHSF1-Hours of Recreation per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? CHART-SF Interview Version - Hours of Recreational Activities per Week
C118007 CHSF1-Hours of Schoolwork per Week CHSF1-Hours of Schoolwork per Week Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? CHART-SF Interview Version - Hours of Schoolwork per Week
C118002 CHSF1-Hours Out of Bed per Day CHSF1-Hours Out of Bed per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed? CHART-SF Interview Version - Hours Out of Bed per Day
C118012 CHSF1-Live With Spouse or Signif Other CHSF1-Live With Spouse or Signif Other Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other? CHART-SF Interview Version - Live With Spouse or Significant Other
C118018 CHSF1-Medical Care Expenses Last Year CHSF1-Medical Care Expenses Last Year Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses? CHART-SF Interview Version - Medical Care Expense Last Year
C118004 CHSF1-Nights Away From Home Last Year CHSF1-Nights Away From Home Last Year Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home? CHART-SF Interview Version - Nights Away From Home Last Year
C118011 CHSF1-Number of People You Live With CHSF1-Number of People You Live With Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with? CHART-SF Interview Version - Number of People You Live With
C118013 CHSF1-Number of Relatives You Live With CHSF1-Number of Relatives You Live With Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives? CHART-SF Interview Version - Number of Relatives You Live With
C118006 CHSF1-Occupation of Paid Work CHSF1-Occupation of Paid Work Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation). CHART-SF Interview Version - Occupation of Paid Work
C117998 CHSF1-Paid Personal Care per Day CHSF1-Paid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). CHART-SF Interview Version - Paid Personal Care per Day
C118016 CHSF1-Strangers Spoke with Last Month CHSF1-Strangers Spoke with Last Month Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month? CHART-SF Interview Version - Initiated Conversation With Strangers Last Month
C117999 CHSF1-Unpaid Personal Care per Day CHSF1-Unpaid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). CHART-SF Interview Version - Unpaid Personal Care per Day

CHSF2TC (Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code)

NCI Code: C119068, Codelist extensible: No
C119068 CHSF2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119142 CHSF201A CHSF2-Paid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). CHART-SF Paper Version - Paid Personal Care per Day
C119143 CHSF201B CHSF2-Unpaid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). CHART-SF Paper Version - Unpaid Personal Care per Day
C119144 CHSF202 CHSF2-Home Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? CHART-SF Paper Version - Cognitive Assistance at Home per Day
C119145 CHSF203 CHSF2-Away Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? CHART-SF Paper Version - Cognitive Assistance Away From Home per Day
C119146 CHSF204 CHSF2-Hours Out of Bed per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed? CHART-SF Paper Version - Hours Out of Bed per Day
C119147 CHSF205 CHSF2-Days Out of the House per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere? CHART-SF Paper Version - Days Out of the House per Week
C119148 CHSF206 CHSF2-Nights Away From Home Last Year Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home? CHART-SF Paper Version - Nights Away From Home Last Year
C119149 CHSF207A CHSF2-Hours of Paid Work per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? CHART-SF Paper Version - Hours of Paid Work per Week
C119150 CHSF207B CHSF2-Occupation of Paid Work Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation). CHART-SF Paper Version - Occupation of Paid Work
C119151 CHSF208 CHSF2-Hours of Schoolwork per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? CHART-SF Paper Version - Hours of Schoolwork per Week
C119152 CHSF209 CHSF2-Hours of Homemaking per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? CHART-SF Paper Version - Hours of Homemaking per Week
C119153 CHSF210 CHSF2-Hours of Home Maintenance per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? CHART-SF Paper Version - Hours of Home Maintenance per Week
C119154 CHSF211 CHSF2-Hours of Recreation per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? CHART-SF Paper Version - Hours of Recreational Activities per Week
C119155 CHSF212 CHSF2-Number of People You Live With Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with? CHART-SF Paper Version - Number of People You Live With
C119156 CHSF213 CHSF2-Live With Spouse or Signif Other Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other? CHART-SF Paper Version - Live With Spouse or Significant Other
C119157 CHSF214 CHSF2-Number of Relatives You Live With Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives? CHART-SF Paper Version - Number of Relatives You Live With
C119158 CHSF215 CHSF2-Associates Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month? CHART-SF Paper Version - Associates Contacted per Month
C119159 CHSF216 CHSF2-Friends Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month? CHART-SF Paper Version - Friends Contacted per Month
C119160 CHSF217 CHSF2-Strangers Spoke with Last Month Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month? CHART-SF Paper Version - Initiated Conversation With Strangers Last Month
C119161 CHSF218 CHSF2-Combined Household Income Last Yr Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household? CHART-SF Paper Version - Combined Annual Household Income Last Year
C119162 CHSF219 CHSF2-Medical Care Expenses Last Year Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses? CHART-SF Paper Version - Medical Care Expense Last Year

CHSF2TN (Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name)

NCI Code: C119067, Codelist extensible: No
C119067 CHSF2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119158 CHSF2-Associates Contacted per Month CHSF2-Associates Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month? CHART-SF Paper Version - Associates Contacted per Month
C119145 CHSF2-Away Cognitive Assistance per Day CHSF2-Away Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? CHART-SF Paper Version - Cognitive Assistance Away From Home per Day
C119161 CHSF2-Combined Household Income Last Yr CHSF2-Combined Household Income Last Yr Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household? CHART-SF Paper Version - Combined Annual Household Income Last Year
C119147 CHSF2-Days Out of the House per Week CHSF2-Days Out of the House per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere? CHART-SF Paper Version - Days Out of the House per Week
C119159 CHSF2-Friends Contacted per Month CHSF2-Friends Contacted per Month Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month? CHART-SF Paper Version - Friends Contacted per Month
C119144 CHSF2-Home Cognitive Assistance per Day CHSF2-Home Cognitive Assistance per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? CHART-SF Paper Version - Cognitive Assistance at Home per Day
C119153 CHSF2-Hours of Home Maintenance per Week CHSF2-Hours of Home Maintenance per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? CHART-SF Paper Version - Hours of Home Maintenance per Week
C119152 CHSF2-Hours of Homemaking per Week CHSF2-Hours of Homemaking per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? CHART-SF Paper Version - Hours of Homemaking per Week
C119149 CHSF2-Hours of Paid Work per Week CHSF2-Hours of Paid Work per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? CHART-SF Paper Version - Hours of Paid Work per Week
C119154 CHSF2-Hours of Recreation per Week CHSF2-Hours of Recreation per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? CHART-SF Paper Version - Hours of Recreational Activities per Week
C119151 CHSF2-Hours of Schoolwork per Week CHSF2-Hours of Schoolwork per Week Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? CHART-SF Paper Version - Hours of Schoolwork per Week
C119146 CHSF2-Hours Out of Bed per Day CHSF2-Hours Out of Bed per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed? CHART-SF Paper Version - Hours Out of Bed per Day
C119156 CHSF2-Live With Spouse or Signif Other CHSF2-Live With Spouse or Signif Other Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other? CHART-SF Paper Version - Live With Spouse or Significant Other
C119162 CHSF2-Medical Care Expenses Last Year CHSF2-Medical Care Expenses Last Year Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses? CHART-SF Paper Version - Medical Care Expense Last Year
C119148 CHSF2-Nights Away From Home Last Year CHSF2-Nights Away From Home Last Year Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home? CHART-SF Paper Version - Nights Away From Home Last Year
C119155 CHSF2-Number of People You Live With CHSF2-Number of People You Live With Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with? CHART-SF Paper Version - Number of People You Live With
C119157 CHSF2-Number of Relatives You Live With CHSF2-Number of Relatives You Live With Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives? CHART-SF Paper Version - Number of Relatives You Live With
C119150 CHSF2-Occupation of Paid Work CHSF2-Occupation of Paid Work Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation). CHART-SF Paper Version - Occupation of Paid Work
C119142 CHSF2-Paid Personal Care per Day CHSF2-Paid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). CHART-SF Paper Version - Paid Personal Care per Day
C119160 CHSF2-Strangers Spoke with Last Month CHSF2-Strangers Spoke with Last Month Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month? CHART-SF Paper Version - Initiated Conversation With Strangers Last Month
C119143 CHSF2-Unpaid Personal Care per Day CHSF2-Unpaid Personal Care per Day Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). CHART-SF Paper Version - Unpaid Personal Care per Day

COMM1TC (Current Opioid Misuse Measure Questionnaire Test Code)

NCI Code: C100158, Codelist extensible: No
C100158 COMM1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100958 COMM101 COMM1-Trouble Thinking Clearly/Memory Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems? COMM - Trouble Thinking Clearly or Memory Problems
C100959 COMM102 COMM1-Complaints Not Completing Tasks Current Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments) COMM - Complaints Not Completing Tasks
C100960 COMM103 COMM1-Other Sources For Pain Medication Current Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source) COMM - Other Sources for Pain Medication
C100961 COMM104 COMM1-Taken Meds Other Than Prescribed Current Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed? COMM - Taken Medications Other Than Prescribed
C100962 COMM105 COMM1-Seriously Thought of Hurting Self Current Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself? COMM - Seriously Thought of Hurting Self
C100963 COMM106 COMM1-Time Spent Thinking About Opioids Current Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)? COMM - Time Spent Thinking About Opioids
C100964 COMM107 COMM1-Been in an Argument Current Opioid Misuse Measure - In the past 30 days, how often have you been in an argument? COMM - Been in an Argument
C100965 COMM108 COMM1-Trouble Controlling Anger Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)? COMM - Trouble Controlling Anger
C100966 COMM109 COMM1-Take Meds Belonging to Others Current Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else? COMM - Take Medications Belonging to Others
C100967 COMM110 COMM1-Worry About Handling Meds Current Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications? COMM - Worry About Handling Medications
C100968 COMM111 COMM1-Others Worry About Your Meds Current Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications? COMM - Others Worry About Your Medications
C100969 COMM112 COMM1-Emergency Phone Call/Clinic Visit Current Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment? COMM - Emergency Phone Call or Clinic Visit
C100970 COMM113 COMM1-Gotten Angry With People Current Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people? COMM - Gotten Angry With People
C100971 COMM114 COMM1-Take More Meds Than Prescribed Current Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed? COMM - Take More Medication Than Prescribed
C100972 COMM115 COMM1-Borrowed Meds From Others Current Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else? COMM - Borrowed Medication From Others
C100973 COMM116 COMM1-Used Pain Meds For Other Symptoms Current Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)? COMM - Used Pain Medicine For Other Symptoms
C100974 COMM117 COMM1-Visit Emergency Room Current Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room? COMM - Visit Emergency Room
C100975 COMM118 COMM1-Score Current Opioid Misuse Measure - Score. COMM - Score

COMM1TN (Current Opioid Misuse Measure Questionnaire Test Name)

NCI Code: C100157, Codelist extensible: No
C100157 COMM1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100964 COMM1-Been in an Argument COMM1-Been in an Argument Current Opioid Misuse Measure - In the past 30 days, how often have you been in an argument? COMM - Been in an Argument
C100972 COMM1-Borrowed Meds From Others COMM1-Borrowed Meds From Others Current Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else? COMM - Borrowed Medication From Others
C100959 COMM1-Complaints Not Completing Tasks COMM1-Complaints Not Completing Tasks Current Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments) COMM - Complaints Not Completing Tasks
C100969 COMM1-Emergency Phone Call/Clinic Visit COMM1-Emergency Phone Call/Clinic Visit Current Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment? COMM - Emergency Phone Call or Clinic Visit
C100970 COMM1-Gotten Angry With People COMM1-Gotten Angry With People Current Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people? COMM - Gotten Angry With People
C100960 COMM1-Other Sources For Pain Medication COMM1-Other Sources For Pain Medication Current Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source) COMM - Other Sources for Pain Medication
C100968 COMM1-Others Worry About Your Meds COMM1-Others Worry About Your Meds Current Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications? COMM - Others Worry About Your Medications
C100975 COMM1-Score COMM1-Score Current Opioid Misuse Measure - Score. COMM - Score
C100962 COMM1-Seriously Thought of Hurting Self COMM1-Seriously Thought of Hurting Self Current Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself? COMM - Seriously Thought of Hurting Self
C100966 COMM1-Take Meds Belonging to Others COMM1-Take Meds Belonging to Others Current Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else? COMM - Take Medications Belonging to Others
C100971 COMM1-Take More Meds Than Prescribed COMM1-Take More Meds Than Prescribed Current Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed? COMM - Take More Medication Than Prescribed
C100961 COMM1-Taken Meds Other Than Prescribed COMM1-Taken Meds Other Than Prescribed Current Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed? COMM - Taken Medications Other Than Prescribed
C100963 COMM1-Time Spent Thinking About Opioids COMM1-Time Spent Thinking About Opioids Current Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)? COMM - Time Spent Thinking About Opioids
C100965 COMM1-Trouble Controlling Anger COMM1-Trouble Controlling Anger Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)? COMM - Trouble Controlling Anger
C100958 COMM1-Trouble Thinking Clearly/Memory COMM1-Trouble Thinking Clearly/Memory Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems? COMM - Trouble Thinking Clearly or Memory Problems
C100973 COMM1-Used Pain Meds For Other Symptoms COMM1-Used Pain Meds For Other Symptoms Current Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)? COMM - Used Pain Medicine For Other Symptoms
C100974 COMM1-Visit Emergency Room COMM1-Visit Emergency Room Current Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room? COMM - Visit Emergency Room
C100967 COMM1-Worry About Handling Meds COMM1-Worry About Handling Meds Current Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications? COMM - Worry About Handling Medications

COVI01TC (Covi Anxiety Scale Clinical Classification Test Code)

NCI Code: C156673, Codelist extensible: No
C156673 COVI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C156676 COVI0101 COVI01-Verbal Report Covi Anxiety Scale - Verbal report. COVI - Verbal Report
C156677 COVI0102 COVI01-Behavior Covi Anxiety Scale - Behavior. COVI - Behavior
C156678 COVI0103 COVI01-Somatic Symptoms of Anxiety Covi Anxiety Scale - Somatic symptoms of anxiety. COVI - Somatic Symptoms of Anxiety
C156679 COVI0104 COVI01-Total Score Covi Anxiety Scale - Total score. COVI - Total Score

COVI01TN (Covi Anxiety Scale Clinical Classification Test Name)

NCI Code: C156672, Codelist extensible: No
C156672 COVI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C156677 COVI01-Behavior COVI01-Behavior Covi Anxiety Scale - Behavior. COVI - Behavior
C156678 COVI01-Somatic Symptoms of Anxiety COVI01-Somatic Symptoms of Anxiety Covi Anxiety Scale - Somatic symptoms of anxiety. COVI - Somatic Symptoms of Anxiety
C156679 COVI01-Total Score COVI01-Total Score Covi Anxiety Scale - Total score. COVI - Total Score
C156676 COVI01-Verbal Report COVI01-Verbal Report Covi Anxiety Scale - Verbal report. COVI - Verbal Report

COWAT1TC (Controlled Oral Word Association Test Functional Test Test Code)

NCI Code: C150766, Codelist extensible: No
C150766 COWAT1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C150922 COWAT101 COWAT1-Another Word That Begins With R Controlled Oral Word Association Test - Can you tell me another word that begins with R? COWAT - Another Word That Begins With R
C150923 COWAT102 COWAT1-Number Correct Words: C Controlled Oral Word Association Test - Number correct words: Now I'm going to give you another letter, and again, say all words beginning with that letter that you can think of. You will have a minute for each one. The first letter is C. COWAT - Number Correct Words: C
C150924 COWAT103 COWAT1-Number Correct Words: F Controlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with F. Tell me as many words as quickly as you can that begin with F. COWAT - Number Correct Words: F
C150925 COWAT104 COWAT1-Number Correct Words: L Controlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with L. Tell me as many words as quickly as you can that begin with L. COWAT - Number Correct Words: L

COWAT1TN (Controlled Oral Word Association Test Functional Test Test Name)

NCI Code: C150765, Codelist extensible: No
C150765 COWAT1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C150922 COWAT1-Another Word That Begins With R COWAT1-Another Word That Begins With R Controlled Oral Word Association Test - Can you tell me another word that begins with R? COWAT - Another Word That Begins With R
C150923 COWAT1-Number Correct Words: C COWAT1-Number Correct Words: C Controlled Oral Word Association Test - Number correct words: Now I'm going to give you another letter, and again, say all words beginning with that letter that you can think of. You will have a minute for each one. The first letter is C. COWAT - Number Correct Words: C
C150924 COWAT1-Number Correct Words: F COWAT1-Number Correct Words: F Controlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with F. Tell me as many words as quickly as you can that begin with F. COWAT - Number Correct Words: F
C150925 COWAT1-Number Correct Words: L COWAT1-Number Correct Words: L Controlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with L. Tell me as many words as quickly as you can that begin with L. COWAT - Number Correct Words: L

COWS1TC (Clinical Opiate Withdrawal Scale Questionnaire Test Code)

NCI Code: C101813, Codelist extensible: No
C101813 COWS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102056 COWS101 COWS1-Resting Pulse Rate Clinical Opiate Withdrawal Scale - Resting pulse rate. COWS - Resting Pulse Rate
C112467 COWS101A COWS1-Resting Pulse Rate Beats/Minute Clinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute. COWS - Resting Pulse Rate: Beats/Minute
C102057 COWS102 COWS1-Sweating Clinical Opiate Withdrawal Scale - Sweating. COWS - Sweating
C102058 COWS103 COWS1-Restlessness Clinical Opiate Withdrawal Scale - Restlessness. COWS - Restlessness
C102059 COWS104 COWS1-Pupil Size Clinical Opiate Withdrawal Scale - Pupil size. COWS - Pupil Size
C102060 COWS105 COWS1-Bone or Joint Aches Clinical Opiate Withdrawal Scale - Bone or joint aches. COWS - Bone or Joint Aches
C102061 COWS106 COWS1-Runny Nose or Tearing Clinical Opiate Withdrawal Scale - Runny nose or tearing. COWS - Runny Nose or Tearing
C102062 COWS107 COWS1-GI Upset Clinical Opiate Withdrawal Scale - GI upset. COWS - GI Upset
C102063 COWS108 COWS1-Tremor Clinical Opiate Withdrawal Scale - Tremor. COWS - Tremor
C102064 COWS109 COWS1-Yawning Clinical Opiate Withdrawal Scale - Yawning. COWS - Yawning
C102065 COWS110 COWS1-Anxiety or Irritability Clinical Opiate Withdrawal Scale - Anxiety or irritability. COWS - Anxiety or Irritability
C102066 COWS111 COWS1-Gooseflesh Skin Clinical Opiate Withdrawal Scale - Gooseflesh skin. COWS - Gooseflesh Skin
C112468 COWS112 COWS1-Total Score Clinical Opiate Withdrawal Scale - Total score. COWS - Total Score

COWS1TN (Clinical Opiate Withdrawal Scale Questionnaire Test Name)

NCI Code: C101814, Codelist extensible: No
C101814 COWS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102065 COWS1-Anxiety or Irritability COWS1-Anxiety or Irritability Clinical Opiate Withdrawal Scale - Anxiety or irritability. COWS - Anxiety or Irritability
C102060 COWS1-Bone or Joint Aches COWS1-Bone or Joint Aches Clinical Opiate Withdrawal Scale - Bone or joint aches. COWS - Bone or Joint Aches
C102062 COWS1-GI Upset COWS1-GI Upset Clinical Opiate Withdrawal Scale - GI upset. COWS - GI Upset
C102066 COWS1-Gooseflesh Skin COWS1-Gooseflesh Skin Clinical Opiate Withdrawal Scale - Gooseflesh skin. COWS - Gooseflesh Skin
C102059 COWS1-Pupil Size COWS1-Pupil Size Clinical Opiate Withdrawal Scale - Pupil size. COWS - Pupil Size
C112467 COWS1-Resting Pulse Rate Beats/Minute COWS1-Resting Pulse Rate Beats/Minute Clinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute. COWS - Resting Pulse Rate: Beats/Minute
C102056 COWS1-Resting Pulse Rate COWS1-Resting Pulse Rate Clinical Opiate Withdrawal Scale - Resting pulse rate. COWS - Resting Pulse Rate
C102058 COWS1-Restlessness COWS1-Restlessness Clinical Opiate Withdrawal Scale - Restlessness. COWS - Restlessness
C102061 COWS1-Runny Nose or Tearing COWS1-Runny Nose or Tearing Clinical Opiate Withdrawal Scale - Runny nose or tearing. COWS - Runny Nose or Tearing
C102057 COWS1-Sweating COWS1-Sweating Clinical Opiate Withdrawal Scale - Sweating. COWS - Sweating
C112468 COWS1-Total Score COWS1-Total Score Clinical Opiate Withdrawal Scale - Total score. COWS - Total Score
C102063 COWS1-Tremor COWS1-Tremor Clinical Opiate Withdrawal Scale - Tremor. COWS - Tremor
C102064 COWS1-Yawning COWS1-Yawning Clinical Opiate Withdrawal Scale - Yawning. COWS - Yawning

CPS01TC (Child-Pugh Classification Clinical Classification Test Code)

NCI Code: C120989, Codelist extensible: No
C120989 CPS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121068 CPS0101 CPS01-Encephalopathy Grade Child-Pugh Classification - Encephalopathy grade. Child-Pugh - Encephalopathy Grade
C121069 CPS0102 CPS01-Ascites Child-Pugh Classification - Ascites. Child-Pugh - Ascites
C121070 CPS0103 CPS01-Serum Bilirubin Child-Pugh Classification - Serum bilirubin, mg/dL. Child-Pugh - Serum Bilirubin
C121071 CPS0104 CPS01-Serum Albumin Child-Pugh Classification - Serum albumin, g/dL. Child-Pugh - Serum Albumin
C121072 CPS0105A CPS01-PT, Sec Prolonged Child-Pugh Classification - Prothrombin time, sec prolonged. Child-Pugh - PT, Sec Prolonged
C121073 CPS0105B CPS01-PT, INR Child-Pugh Classification - Prothrombin time, international normalized ratio (INR). Child-Pugh - PT, INR
C121074 CPS0106 CPS01-Total Score Child-Pugh Classification - Child-Pugh total score. Child-Pugh - Total Score
C121075 CPS0107 CPS01-Grade Child-Pugh Classification - Child-Pugh grade. Child-Pugh - Grade

CPS01TN (Child-Pugh Classification Clinical Classification Test Name)

NCI Code: C120988, Codelist extensible: No
C120988 CPS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121069 CPS01-Ascites CPS01-Ascites Child-Pugh Classification - Ascites. Child-Pugh - Ascites
C121068 CPS01-Encephalopathy Grade CPS01-Encephalopathy Grade Child-Pugh Classification - Encephalopathy grade. Child-Pugh - Encephalopathy Grade
C121075 CPS01-Grade CPS01-Grade Child-Pugh Classification - Child-Pugh grade. Child-Pugh - Grade
C121073 CPS01-PT, INR CPS01-PT, INR Child-Pugh Classification - Prothrombin time, international normalized ratio (INR). Child-Pugh - PT, INR
C121072 CPS01-PT, Sec Prolonged CPS01-PT, Sec Prolonged Child-Pugh Classification - Prothrombin time, sec prolonged. Child-Pugh - PT, Sec Prolonged
C121071 CPS01-Serum Albumin CPS01-Serum Albumin Child-Pugh Classification - Serum albumin, g/dL. Child-Pugh - Serum Albumin
C121070 CPS01-Serum Bilirubin CPS01-Serum Bilirubin Child-Pugh Classification - Serum bilirubin, mg/dL. Child-Pugh - Serum Bilirubin
C121074 CPS01-Total Score CPS01-Total Score Child-Pugh Classification - Child-Pugh total score. Child-Pugh - Total Score

CRQ01TC (Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Code)

NCI Code: C120979, Codelist extensible: No
C120979 CRQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121010 CRQ0101 CRQ01-Feeling Emotional Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset. CRQ-SAS First Administration Version - Feeling Emotional
C121011 CRQ0102 CRQ01-Take Care of Basic Needs Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs. CRQ-SAS First Administration Version - Take Care of Basic Needs
C121012 CRQ0103 CRQ01-Walking Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking. CRQ-SAS First Administration Version - Walking
C121013 CRQ0104 CRQ01-Performing Chores Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores. CRQ-SAS First Administration Version - Performing Chores
C121014 CRQ0105 CRQ01-Participate in Social Activities Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities. CRQ-SAS First Administration Version - Participate in Social Activities
C121015 CRQ0106 CRQ01-Felt Frustrated or Impatient Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? CRQ-SAS First Administration Version - Felt Frustrated or Impatient
C121016 CRQ0107 CRQ01-Feeling of Fear or Panic Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? CRQ-SAS First Administration Version - Feeling of Fear or Panic
C121017 CRQ0108 CRQ01-Fatigue Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? CRQ-SAS First Administration Version - Fatigue
C121018 CRQ0109 CRQ01-Embarrassed by Coughing Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? CRQ-SAS First Administration Version - Embarrassed by Coughing
C121019 CRQ0110 CRQ01-Confident to Deal With Illness Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? CRQ-SAS First Administration Version - Feel Confident to Deal With Illness
C121020 CRQ0111 CRQ01-Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks? CRQ-SAS First Administration Version - Energy
C121021 CRQ0112 CRQ01-Feel Upset, Worried or Depressed Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed
C121022 CRQ0113 CRQ01-Control of Breathing Problems Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? CRQ-SAS First Administration Version - Had Control of Breathing Problems
C121023 CRQ0114 CRQ01-Feel Relaxed and Free of Tension Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension
C121024 CRQ0115 CRQ01-Felt Low in Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy? CRQ-SAS First Administration Version - Felt Low in Energy
C121025 CRQ0116 CRQ01-Felt Discouraged or Down Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? CRQ-SAS First Administration Version - Felt Discouraged or Down
C121026 CRQ0117 CRQ01-Felt Worn Out or Sluggish Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? CRQ-SAS First Administration Version - Felt Worn Out or Sluggish
C121027 CRQ0118 CRQ01-Happy, Satisfied or Pleased Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life
C121028 CRQ0119 CRQ01-Feel Upset Diff Getting Breath Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath
C121029 CRQ0120 CRQ01-Felt Restless, Tense or Uptight Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight

CRQ01TN (Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Name)

NCI Code: C120978, Codelist extensible: No
C120978 CRQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121019 CRQ01-Confident to Deal With Illness CRQ01-Confident to Deal With Illness Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? CRQ-SAS First Administration Version - Feel Confident to Deal With Illness
C121022 CRQ01-Control of Breathing Problems CRQ01-Control of Breathing Problems Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? CRQ-SAS First Administration Version - Had Control of Breathing Problems
C121018 CRQ01-Embarrassed by Coughing CRQ01-Embarrassed by Coughing Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? CRQ-SAS First Administration Version - Embarrassed by Coughing
C121020 CRQ01-Energy CRQ01-Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks? CRQ-SAS First Administration Version - Energy
C121017 CRQ01-Fatigue CRQ01-Fatigue Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? CRQ-SAS First Administration Version - Fatigue
C121023 CRQ01-Feel Relaxed and Free of Tension CRQ01-Feel Relaxed and Free of Tension Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension
C121028 CRQ01-Feel Upset Diff Getting Breath CRQ01-Feel Upset Diff Getting Breath Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath
C121021 CRQ01-Feel Upset, Worried or Depressed CRQ01-Feel Upset, Worried or Depressed Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed
C121010 CRQ01-Feeling Emotional CRQ01-Feeling Emotional Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset. CRQ-SAS First Administration Version - Feeling Emotional
C121016 CRQ01-Feeling of Fear or Panic CRQ01-Feeling of Fear or Panic Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? CRQ-SAS First Administration Version - Feeling of Fear or Panic
C121025 CRQ01-Felt Discouraged or Down CRQ01-Felt Discouraged or Down Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? CRQ-SAS First Administration Version - Felt Discouraged or Down
C121015 CRQ01-Felt Frustrated or Impatient CRQ01-Felt Frustrated or Impatient Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? CRQ-SAS First Administration Version - Felt Frustrated or Impatient
C121024 CRQ01-Felt Low in Energy CRQ01-Felt Low in Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy? CRQ-SAS First Administration Version - Felt Low in Energy
C121029 CRQ01-Felt Restless, Tense or Uptight CRQ01-Felt Restless, Tense or Uptight Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight
C121026 CRQ01-Felt Worn Out or Sluggish CRQ01-Felt Worn Out or Sluggish Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? CRQ-SAS First Administration Version - Felt Worn Out or Sluggish
C121027 CRQ01-Happy, Satisfied or Pleased CRQ01-Happy, Satisfied or Pleased Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life
C121014 CRQ01-Participate in Social Activities CRQ01-Participate in Social Activities Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities. CRQ-SAS First Administration Version - Participate in Social Activities
C121013 CRQ01-Performing Chores CRQ01-Performing Chores Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores. CRQ-SAS First Administration Version - Performing Chores
C121011 CRQ01-Take Care of Basic Needs CRQ01-Take Care of Basic Needs Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs. CRQ-SAS First Administration Version - Take Care of Basic Needs
C121012 CRQ01-Walking CRQ01-Walking Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking. CRQ-SAS First Administration Version - Walking

CRQ02TC (Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Code)

NCI Code: C120981, Codelist extensible: No
C120981 CRQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121030 CRQ0201 CRQ02-Feeling Emotional Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset. CRQ-SAS Follow-Up Administration Version - Feeling Emotional
C121031 CRQ0202 CRQ02-Take Care of Basic Needs Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs. CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs
C121032 CRQ0203 CRQ02-Walking Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking. CRQ-SAS Follow-Up Administration Version - Walking
C121033 CRQ0204 CRQ02-Performing Chores Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores. CRQ-SAS Follow-Up Administration Version - Performing Chores
C121034 CRQ0205 CRQ02-Participate in Social Activities Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities. CRQ-SAS Follow-Up Administration Version - Participate in Social Activities
C121035 CRQ0206 CRQ02-Felt Frustrated or Impatient Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient
C121036 CRQ0207 CRQ02-Feeling of Fear or Panic Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic
C121037 CRQ0208 CRQ02-Fatigue Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Fatigue
C121038 CRQ0209 CRQ02-Embarrassed by Coughing Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing
C121039 CRQ0210 CRQ02-Confident to Deal With Illness Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness
C121040 CRQ0211 CRQ02-Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Energy
C121041 CRQ0212 CRQ02-Feel Upset, Worried or Depressed Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed
C121042 CRQ0213 CRQ02-Control of Breathing Problems Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems
C121043 CRQ0214 CRQ02-Feel Relaxed and Free of Tension Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension
C121044 CRQ0215 CRQ02-Felt Low in Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy? CRQ-SAS Follow-Up Administration Version - Felt Low in Energy
C121045 CRQ0216 CRQ02-Felt Discouraged or Down Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down
C121046 CRQ0217 CRQ02-Felt Worn Out or Sluggish Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish
C121047 CRQ0218 CRQ02-Happy, Satisfied or Pleased Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life
C121048 CRQ0219 CRQ02-Feel Upset Diff Getting Breath Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath
C121049 CRQ0220 CRQ02-Felt Restless, Tense or Uptight Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight

CRQ02TN (Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Name)

NCI Code: C120980, Codelist extensible: No
C120980 CRQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121039 CRQ02-Confident to Deal With Illness CRQ02-Confident to Deal With Illness Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness
C121042 CRQ02-Control of Breathing Problems CRQ02-Control of Breathing Problems Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems
C121038 CRQ02-Embarrassed by Coughing CRQ02-Embarrassed by Coughing Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing
C121040 CRQ02-Energy CRQ02-Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Energy
C121037 CRQ02-Fatigue CRQ02-Fatigue Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Fatigue
C121043 CRQ02-Feel Relaxed and Free of Tension CRQ02-Feel Relaxed and Free of Tension Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension
C121048 CRQ02-Feel Upset Diff Getting Breath CRQ02-Feel Upset Diff Getting Breath Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath
C121041 CRQ02-Feel Upset, Worried or Depressed CRQ02-Feel Upset, Worried or Depressed Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed
C121030 CRQ02-Feeling Emotional CRQ02-Feeling Emotional Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset. CRQ-SAS Follow-Up Administration Version - Feeling Emotional
C121036 CRQ02-Feeling of Fear or Panic CRQ02-Feeling of Fear or Panic Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic
C121045 CRQ02-Felt Discouraged or Down CRQ02-Felt Discouraged or Down Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down
C121035 CRQ02-Felt Frustrated or Impatient CRQ02-Felt Frustrated or Impatient Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient
C121044 CRQ02-Felt Low in Energy CRQ02-Felt Low in Energy Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy? CRQ-SAS Follow-Up Administration Version - Felt Low in Energy
C121049 CRQ02-Felt Restless, Tense or Uptight CRQ02-Felt Restless, Tense or Uptight Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight
C121046 CRQ02-Felt Worn Out or Sluggish CRQ02-Felt Worn Out or Sluggish Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish
C121047 CRQ02-Happy, Satisfied or Pleased CRQ02-Happy, Satisfied or Pleased Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life
C121034 CRQ02-Participate in Social Activities CRQ02-Participate in Social Activities Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities. CRQ-SAS Follow-Up Administration Version - Participate in Social Activities
C121033 CRQ02-Performing Chores CRQ02-Performing Chores Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores. CRQ-SAS Follow-Up Administration Version - Performing Chores
C121031 CRQ02-Take Care of Basic Needs CRQ02-Take Care of Basic Needs Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs. CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs
C121032 CRQ02-Walking CRQ02-Walking Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking. CRQ-SAS Follow-Up Administration Version - Walking

CRSR01TC (JFK Coma Recovery Scale-Revised Clinical Classification Test Code)

NCI Code: C124684, Codelist extensible: No
C124684 CRSR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124736 CRSR0101 CRSR01-Diagnosis JFK Coma Recovery Scale-Revised - Diagnosis. CRS-R - Diagnosis
C124737 CRSR0102 CRSR01-Etiology JFK Coma Recovery Scale-Revised - Etiology. CRS-R - Etiology
C124738 CRSR0103 CRSR01-Date of Onset JFK Coma Recovery Scale-Revised - Date of onset. CRS-R - Date of Onset
C124739 CRSR0104 CRSR01-Date of Admission JFK Coma Recovery Scale-Revised - Date of admission. CRS-R - Date of Admission
C124740 CRSR0105 CRSR01-Auditory Function Scale JFK Coma Recovery Scale-Revised - Auditory function scale. CRS-R - Auditory Function Scale
C124741 CRSR0106 CRSR01-Visual Function Scale JFK Coma Recovery Scale-Revised - Visual function scale. CRS-R - Visual Function Scale
C124742 CRSR0107 CRSR01-Motor Function Scale JFK Coma Recovery Scale-Revised - Motor function scale. CRS-R - Motor Function Scale
C124743 CRSR0108 CRSR01-Oromotor/Verbal Function JFK Coma Recovery Scale-Revised - Oromotor/verbal function scale. CRS-R - Oromotor/Verbal Function
C124744 CRSR0109 CRSR01-Communication Scale JFK Coma Recovery Scale-Revised - Communication scale. CRS-R - Communication Scale
C124745 CRSR0110 CRSR01-Arousal Scale JFK Coma Recovery Scale-Revised - Arousal scale. CRS-R - Arousal Scale
C124746 CRSR0111 CRSR01-Total Score JFK Coma Recovery Scale-Revised - Total score. CRS-R - Total Score

CRSR01TN (JFK Coma Recovery Scale-Revised Clinical Classification Test Name)

NCI Code: C124683, Codelist extensible: No
C124683 CRSR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124745 CRSR01-Arousal Scale CRSR01-Arousal Scale JFK Coma Recovery Scale-Revised - Arousal scale. CRS-R - Arousal Scale
C124740 CRSR01-Auditory Function Scale CRSR01-Auditory Function Scale JFK Coma Recovery Scale-Revised - Auditory function scale. CRS-R - Auditory Function Scale
C124744 CRSR01-Communication Scale CRSR01-Communication Scale JFK Coma Recovery Scale-Revised - Communication scale. CRS-R - Communication Scale
C124739 CRSR01-Date of Admission CRSR01-Date of Admission JFK Coma Recovery Scale-Revised - Date of admission. CRS-R - Date of Admission
C124738 CRSR01-Date of Onset CRSR01-Date of Onset JFK Coma Recovery Scale-Revised - Date of onset. CRS-R - Date of Onset
C124736 CRSR01-Diagnosis CRSR01-Diagnosis JFK Coma Recovery Scale-Revised - Diagnosis. CRS-R - Diagnosis
C124737 CRSR01-Etiology CRSR01-Etiology JFK Coma Recovery Scale-Revised - Etiology. CRS-R - Etiology
C124742 CRSR01-Motor Function Scale CRSR01-Motor Function Scale JFK Coma Recovery Scale-Revised - Motor function scale. CRS-R - Motor Function Scale
C124743 CRSR01-Oromotor/Verbal Function CRSR01-Oromotor/Verbal Function JFK Coma Recovery Scale-Revised - Oromotor/verbal function scale. CRS-R - Oromotor/Verbal Function
C124746 CRSR01-Total Score CRSR01-Total Score JFK Coma Recovery Scale-Revised - Total score. CRS-R - Total Score
C124741 CRSR01-Visual Function Scale CRSR01-Visual Function Scale JFK Coma Recovery Scale-Revised - Visual function scale. CRS-R - Visual Function Scale

CSS01TC (Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test Code)

NCI Code: C100168, Codelist extensible: No
C100168 CSS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100976 CSS0101 CSS01-Wish to be Dead Columbia-Suicide Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up? C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
C100977 CSS0101A CSS01-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of wishing to be dead. C-SSRS Baseline - Description of Wish to be Dead
C100978 CSS0102 CSS01-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself? C-SSRS Baseline - Non-Specific Suicidal Thought
C100979 CSS0102A CSS01-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts. C-SSRS Baseline - Description of Non-Specific Suicide Thought
C100980 CSS0103 CSS01-Suicidal Ideation-No Intent Columbia-Suicide Severity Rating Scale Baseline - Have you been thinking about how you might do this? C-SSRS Baseline - Suicidal Ideation-No Intent
C100981 CSS0103A CSS01-Suicidal Ideation-No Intent, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Baseline - Description of Suicidal Ideation-No Intent
C101014 CSS0104 CSS01-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them? C-SSRS Baseline - Ideation With Intent, No Plan
C101015 CSS0104A CSS01-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Baseline - Description of Ideation With Intent, No Plan
C100982 CSS0105 CSS01-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? C-SSRS Baseline - Ideation With Plan/Intent
C100983 CSS0105A CSS01-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent. C-SSRS Baseline - Description of Ideation With Plan and Intent
C100984 CSS0106 CSS01-Most Severe Ideation Columbia-Suicide Severity Rating Scale Baseline - Most severe ideation. C-SSRS Baseline - Most Severe Ideation
C100985 CSS0106A CSS01-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Baseline - Description of most severe ideation. C-SSRS Baseline - Describe Most Severe Ideation
C100986 CSS0107 CSS01-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Baseline - How many times have you had these thoughts? C-SSRS Baseline - Frequency of Most Severe Ideation
C100987 CSS0108 CSS01-Most Severe Ideation, Duration Columbia-Suicide Severity Rating Scale Baseline - When you have the thoughts, how long do they last? C-SSRS Baseline - Duration of Most Severe Ideation
C100988 CSS0109 CSS01-Most Severe Ideation, Control Columbia-Suicide Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to? C-SSRS Baseline - Control over Most Severe Ideation
C100989 CSS0110 CSS01-Most Severe Ideation, Deterrents Columbia-Suicide Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? C-SSRS Baseline - Deterrents to Most Severe Ideation
C100990 CSS0111 CSS01-Most Severe Ideation, Reasons Columbia-Suicide Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? C-SSRS Baseline - Reasons for Most Severe Ideation
C100991 CSS0112 CSS01-Actual Attempt Columbia-Suicide Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Baseline - Actual Suicide Attempt
C100992 CSS0113 CSS01-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Baseline - Total number of actual attempts. C-SSRS Baseline - Number of Actual Suicide Attempts
C100993 CSS0113A CSS01-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of actual attempt. C-SSRS Baseline - Description of Actual Suicide Attempts
C100994 CSS0114 CSS01-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior. C-SSRS Baseline - Non-suicidal Self-injurious Behavior
C100995 CSS0115 CSS01-Interrupted Attempt Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? C-SSRS Baseline - Interrupted Suicide Attempt
C100996 CSS0116 CSS01-Number of Interrupted Attempts Columbia-Suicide Severity Rating Scale Baseline - Total number of interrupted attempts. C-SSRS Baseline - Number of Interrupted Suicide Attempts
C100997 CSS0116A CSS01-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of interrupted attempt. C-SSRS Baseline - Description of Interrupted Suicide Attempt
C100998 CSS0117 CSS01-Aborted Attempt Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Baseline - Aborted Suicide Attempt
C100999 CSS0118 CSS01-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Baseline - Total number of aborted attempts. C-SSRS Baseline - Number of Aborted Suicide Attempts
C101000 CSS0118A CSS01-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of aborted attempt. C-SSRS Baseline - Description of Aborted Suicide Attempt
C101001 CSS0119 CSS01-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Baseline - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
C101002 CSS0119A CSS01-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of preparatory acts or behavior. C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C101003 CSS0120 CSS01-Suicidal Behavior Columbia-Suicide Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period? C-SSRS Baseline - Suicidal Behavior
C101004 CSS0121A CSS01-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt date. C-SSRS Baseline - Most Recent Suicide Attempt Date
C101005 CSS0121B CSS01-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage. C-SSRS Baseline - Most Recent Suicide Attempt Damage
C101006 CSS0121C CSS01-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt potential lethality. C-SSRS Baseline - Most Recent Suicide Attempt Potential
C101007 CSS0122A CSS01-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt date. C-SSRS Baseline - Most Lethal Suicide Attempt Date
C101008 CSS0122B CSS01-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage. C-SSRS Baseline - Most Lethal Suicide Attempt Damage
C101009 CSS0122C CSS01-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt potential lethality. C-SSRS Baseline - Most Lethal Suicide Attempt Potential
C101010 CSS0123A CSS01-First Attempt Date Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt date. C-SSRS Baseline - First Suicide Attempt Date
C101011 CSS0123B CSS01-First Attempt Damage Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage. C-SSRS Baseline - First Suicide Attempt Damage
C101012 CSS0123C CSS01-First Attempt Potential Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt potential lethality. C-SSRS Baseline - First Suicide Attempt Potential

CSS01TN (Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test Name)

NCI Code: C100167, Codelist extensible: No
C100167 CSS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100998 CSS01-Aborted Attempt CSS01-Aborted Attempt Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Baseline - Aborted Suicide Attempt
C101000 CSS01-Aborted Attempt, Describe CSS01-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of aborted attempt. C-SSRS Baseline - Description of Aborted Suicide Attempt
C100991 CSS01-Actual Attempt CSS01-Actual Attempt Columbia-Suicide Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Baseline - Actual Suicide Attempt
C100993 CSS01-Actual Attempt, Describe CSS01-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of actual attempt. C-SSRS Baseline - Description of Actual Suicide Attempts
C101011 CSS01-First Attempt Damage CSS01-First Attempt Damage Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage. C-SSRS Baseline - First Suicide Attempt Damage
C101010 CSS01-First Attempt Date CSS01-First Attempt Date Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt date. C-SSRS Baseline - First Suicide Attempt Date
C101012 CSS01-First Attempt Potential CSS01-First Attempt Potential Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt potential lethality. C-SSRS Baseline - First Suicide Attempt Potential
C101015 CSS01-Ideation With Intent No Plan Descr CSS01-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Baseline - Description of Ideation With Intent, No Plan
C101014 CSS01-Ideation With Intent, No Plan CSS01-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them? C-SSRS Baseline - Ideation With Intent, No Plan
C100982 CSS01-Ideation With Plan/Intent CSS01-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? C-SSRS Baseline - Ideation With Plan/Intent
C100983 CSS01-Ideation With Plan/Intent, Descr CSS01-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent. C-SSRS Baseline - Description of Ideation With Plan and Intent
C100995 CSS01-Interrupted Attempt CSS01-Interrupted Attempt Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? C-SSRS Baseline - Interrupted Suicide Attempt
C100997 CSS01-Interrupted Attempt, Describe CSS01-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of interrupted attempt. C-SSRS Baseline - Description of Interrupted Suicide Attempt
C101008 CSS01-Most Lethal Attempt Damage CSS01-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage. C-SSRS Baseline - Most Lethal Suicide Attempt Damage
C101007 CSS01-Most Lethal Attempt Date CSS01-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt date. C-SSRS Baseline - Most Lethal Suicide Attempt Date
C101009 CSS01-Most Lethal Attempt Potential CSS01-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt potential lethality. C-SSRS Baseline - Most Lethal Suicide Attempt Potential
C101005 CSS01-Most Recent Attempt Damage CSS01-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage. C-SSRS Baseline - Most Recent Suicide Attempt Damage
C101004 CSS01-Most Recent Attempt Date CSS01-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt date. C-SSRS Baseline - Most Recent Suicide Attempt Date
C101006 CSS01-Most Recent Attempt Potential CSS01-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt potential lethality. C-SSRS Baseline - Most Recent Suicide Attempt Potential
C100984 CSS01-Most Severe Ideation CSS01-Most Severe Ideation Columbia-Suicide Severity Rating Scale Baseline - Most severe ideation. C-SSRS Baseline - Most Severe Ideation
C100988 CSS01-Most Severe Ideation, Control CSS01-Most Severe Ideation, Control Columbia-Suicide Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to? C-SSRS Baseline - Control over Most Severe Ideation
C100985 CSS01-Most Severe Ideation, Description CSS01-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Baseline - Description of most severe ideation. C-SSRS Baseline - Describe Most Severe Ideation
C100989 CSS01-Most Severe Ideation, Deterrents CSS01-Most Severe Ideation, Deterrents Columbia-Suicide Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? C-SSRS Baseline - Deterrents to Most Severe Ideation
C100987 CSS01-Most Severe Ideation, Duration CSS01-Most Severe Ideation, Duration Columbia-Suicide Severity Rating Scale Baseline - When you have the thoughts, how long do they last? C-SSRS Baseline - Duration of Most Severe Ideation
C100986 CSS01-Most Severe Ideation, Frequency CSS01-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Baseline - How many times have you had these thoughts? C-SSRS Baseline - Frequency of Most Severe Ideation
C100990 CSS01-Most Severe Ideation, Reasons CSS01-Most Severe Ideation, Reasons Columbia-Suicide Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? C-SSRS Baseline - Reasons for Most Severe Ideation
C100979 CSS01-Non-Specific Suicid Thought, Descr CSS01-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts. C-SSRS Baseline - Description of Non-Specific Suicide Thought
C100978 CSS01-Non-Specific Suicidal Thought CSS01-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself? C-SSRS Baseline - Non-Specific Suicidal Thought
C100994 CSS01-Non-suicidal Self-injurious Behav CSS01-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior. C-SSRS Baseline - Non-suicidal Self-injurious Behavior
C100999 CSS01-Number of Aborted Attempts CSS01-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Baseline - Total number of aborted attempts. C-SSRS Baseline - Number of Aborted Suicide Attempts
C100992 CSS01-Number of Actual Attempts CSS01-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Baseline - Total number of actual attempts. C-SSRS Baseline - Number of Actual Suicide Attempts
C100996 CSS01-Number of Interrupted Attempts CSS01-Number of Interrupted Attempts Columbia-Suicide Severity Rating Scale Baseline - Total number of interrupted attempts. C-SSRS Baseline - Number of Interrupted Suicide Attempts
C101001 CSS01-Preparatory Acts/Behavior CSS01-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Baseline - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
C101002 CSS01-Preparatory Acts/Behavior, Descr CSS01-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of preparatory acts or behavior. C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C101003 CSS01-Suicidal Behavior CSS01-Suicidal Behavior Columbia-Suicide Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period? C-SSRS Baseline - Suicidal Behavior
C100980 CSS01-Suicidal Ideation-No Intent CSS01-Suicidal Ideation-No Intent Columbia-Suicide Severity Rating Scale Baseline - Have you been thinking about how you might do this? C-SSRS Baseline - Suicidal Ideation-No Intent
C100981 CSS01-Suicidal Ideation-No Intent, Descr CSS01-Suicidal Ideation-No Intent, Descr Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Baseline - Description of Suicidal Ideation-No Intent
C100976 CSS01-Wish to be Dead CSS01-Wish to be Dead Columbia-Suicide Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up? C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
C100977 CSS01-Wish to be Dead, Describe CSS01-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Baseline - Description of wishing to be dead. C-SSRS Baseline - Description of Wish to be Dead

CSS02TC (Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code)

NCI Code: C103461, Codelist extensible: No
C103461 CSS02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103772 CSS0201 CSS02-Wish to be Dead Columbia-Suicide Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up? C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
C103773 CSS0201A CSS02-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of wishing to be dead. C-SSRS Since Last Visit - Description of Wish to be Dead
C103774 CSS0202 CSS02-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself? C-SSRS Since Last Visit - Non-Specific Suicidal Thought
C103775 CSS0202A CSS02-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts. C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
C103776 CSS0203 CSS02-Suicidal Ideation-No Intent Columbia-Suicide Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this? C-SSRS Since Last Visit - Suicidal Ideation-No Intent
C103777 CSS0203A CSS02-Suicidal Ideation-No Intent, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
C103799 CSS0204 CSS02-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them? C-SSRS Since Last Visit - Ideation With Intent, No Plan
C103800 CSS0204A CSS02-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
C103801 CSS0205 CSS02-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? C-SSRS Since Last Visit - Ideation With Plan/Intent
C103778 CSS0205A CSS02-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent. C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
C103779 CSS0206 CSS02-Most Severe Ideation Columbia-Suicide Severity Rating Scale Since Last Visit - Most severe ideation. C-SSRS Since Last Visit - Most Severe Ideation
C103780 CSS0206A CSS02-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Since Last Visit - Description of most severe ideation. C-SSRS Since Last Visit - Describe Most Severe Ideation
C103781 CSS0207 CSS02-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Since Last Visit - How many times have you had these thoughts? C-SSRS Since Last Visit - Frequency of Most Severe Ideation
C103782 CSS0208 CSS02-Most Severe Ideation, Duration Columbia-Suicide Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last? C-SSRS Since Last Visit - Duration of Most Severe Ideation
C103783 CSS0209 CSS02-Most Severe Ideation, Control Columbia-Suicide Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to? C-SSRS Since Last Visit - Control over Most Severe Ideation
C103784 CSS0210 CSS02-Most Severe Ideation, Deterrents Columbia-Suicide Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
C103785 CSS0211 CSS02-Most Severe Ideation, Reasons Columbia-Suicide Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? C-SSRS Since Last Visit - Reasons for Most Severe Ideation
C103786 CSS0212 CSS02-Actual Attempt Columbia-Suicide Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Since Last Visit - Actual Suicide Attempt
C103787 CSS0213 CSS02-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of actual attempts. C-SSRS Since Last Visit - Number of Actual Suicide Attempts
C103788 CSS0213A CSS02-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of actual attempt. C-SSRS Since Last Visit - Description of Actual Suicide Attempts
C103789 CSS0214 CSS02-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior. C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
C103790 CSS0215 CSS02-Interrupted Attempt Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? C-SSRS Since Last Visit - Interrupted Suicide Attempt
C103791 CSS0216 CSS02-Number of Interrupted Attempts Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of interrupted attempts. C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
C103792 CSS0216A CSS02-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of interrupted attempt. C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
C103793 CSS0217 CSS02-Aborted Attempt Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Since Last Visit - Aborted Suicide Attempt
C103794 CSS0218 CSS02-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of aborted attempts. C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
C103795 CSS0218A CSS02-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of aborted attempt. C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
C103796 CSS0219 CSS02-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Since Last Visit - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
C103797 CSS0219A CSS02-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior. C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C103798 CSS0220 CSS02-Suicidal Behavior Columbia-Suicide Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period? C-SSRS Since Last Visit - Suicidal Behavior
C103532 CSS0221 CSS02-Suicide Columbia-Suicide Severity Rating Scale Since Last Visit - Suicide. C-SSRS Since Last Visit - Suicide
C103533 CSS0222A CSS02-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt date. C-SSRS Since Last Visit - Most Lethal Attempt Date
C103534 CSS0222B CSS02-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage. C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
C103535 CSS0222C CSS02-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality. C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality

CSS02TN (Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name)

NCI Code: C103460, Codelist extensible: No
C103460 CSS02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103793 CSS02-Aborted Attempt CSS02-Aborted Attempt Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Since Last Visit - Aborted Suicide Attempt
C103795 CSS02-Aborted Attempt, Describe CSS02-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of aborted attempt. C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
C103786 CSS02-Actual Attempt CSS02-Actual Attempt Columbia-Suicide Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Since Last Visit - Actual Suicide Attempt
C103788 CSS02-Actual Attempt, Describe CSS02-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of actual attempt. C-SSRS Since Last Visit - Description of Actual Suicide Attempts
C103800 CSS02-Ideation With Intent No Plan Descr CSS02-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
C103799 CSS02-Ideation With Intent, No Plan CSS02-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them? C-SSRS Since Last Visit - Ideation With Intent, No Plan
C103801 CSS02-Ideation With Plan/Intent CSS02-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? C-SSRS Since Last Visit - Ideation With Plan/Intent
C103778 CSS02-Ideation With Plan/Intent, Descr CSS02-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent. C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
C103790 CSS02-Interrupted Attempt CSS02-Interrupted Attempt Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? C-SSRS Since Last Visit - Interrupted Suicide Attempt
C103792 CSS02-Interrupted Attempt, Describe CSS02-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of interrupted attempt. C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
C103534 CSS02-Most Lethal Attempt Damage CSS02-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage. C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
C103533 CSS02-Most Lethal Attempt Date CSS02-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt date. C-SSRS Since Last Visit - Most Lethal Attempt Date
C103535 CSS02-Most Lethal Attempt Potential CSS02-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality. C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
C103779 CSS02-Most Severe Ideation CSS02-Most Severe Ideation Columbia-Suicide Severity Rating Scale Since Last Visit - Most severe ideation. C-SSRS Since Last Visit - Most Severe Ideation
C103783 CSS02-Most Severe Ideation, Control CSS02-Most Severe Ideation, Control Columbia-Suicide Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to? C-SSRS Since Last Visit - Control over Most Severe Ideation
C103780 CSS02-Most Severe Ideation, Description CSS02-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Since Last Visit - Description of most severe ideation. C-SSRS Since Last Visit - Describe Most Severe Ideation
C103784 CSS02-Most Severe Ideation, Deterrents CSS02-Most Severe Ideation, Deterrents Columbia-Suicide Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
C103782 CSS02-Most Severe Ideation, Duration CSS02-Most Severe Ideation, Duration Columbia-Suicide Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last? C-SSRS Since Last Visit - Duration of Most Severe Ideation
C103781 CSS02-Most Severe Ideation, Frequency CSS02-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Since Last Visit - How many times have you had these thoughts? C-SSRS Since Last Visit - Frequency of Most Severe Ideation
C103785 CSS02-Most Severe Ideation, Reasons CSS02-Most Severe Ideation, Reasons Columbia-Suicide Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? C-SSRS Since Last Visit - Reasons for Most Severe Ideation
C103775 CSS02-Non-Specific Suicid Thought, Descr CSS02-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts. C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
C103774 CSS02-Non-Specific Suicidal Thought CSS02-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself? C-SSRS Since Last Visit - Non-Specific Suicidal Thought
C103789 CSS02-Non-suicidal Self-injurious Behav CSS02-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior. C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
C103794 CSS02-Number of Aborted Attempts CSS02-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of aborted attempts. C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
C103787 CSS02-Number of Actual Attempts CSS02-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of actual attempts. C-SSRS Since Last Visit - Number of Actual Suicide Attempts
C103791 CSS02-Number of Interrupted Attempts CSS02-Number of Interrupted Attempts Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of interrupted attempts. C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
C103796 CSS02-Preparatory Acts/Behavior CSS02-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Since Last Visit - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
C103797 CSS02-Preparatory Acts/Behavior, Descr CSS02-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior. C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C103798 CSS02-Suicidal Behavior CSS02-Suicidal Behavior Columbia-Suicide Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period? C-SSRS Since Last Visit - Suicidal Behavior
C103776 CSS02-Suicidal Ideation-No Intent CSS02-Suicidal Ideation-No Intent Columbia-Suicide Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this? C-SSRS Since Last Visit - Suicidal Ideation-No Intent
C103777 CSS02-Suicidal Ideation-No Intent, Descr CSS02-Suicidal Ideation-No Intent, Descr Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
C103532 CSS02-Suicide CSS02-Suicide Columbia-Suicide Severity Rating Scale Since Last Visit - Suicide. C-SSRS Since Last Visit - Suicide
C103772 CSS02-Wish to be Dead CSS02-Wish to be Dead Columbia-Suicide Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up? C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
C103773 CSS02-Wish to be Dead, Describe CSS02-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Since Last Visit - Description of wishing to be dead. C-SSRS Since Last Visit - Description of Wish to be Dead

CSS03TC (Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code)

NCI Code: C105132, Codelist extensible: No
C105132 CSS03TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105210 CSS0301A CSS03-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
C105211 CSS0301B CSS03-Wish to be Dead-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
C105212 CSS0301C CSS03-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
C105213 CSS0302A CSS03-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
C105214 CSS0302B CSS03-Non-Spec Suicid Thought-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
C105215 CSS0302C CSS03-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
C105216 CSS0303A CSS03-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C105217 CSS0303B CSS03-Idea, No Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
C105218 CSS0303C CSS03-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C105219 CSS0304A CSS03-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C105220 CSS0304B CSS03-Idea, Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
C105221 CSS0304C CSS03-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C105222 CSS0305A CSS03-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C105223 CSS0305B CSS03-Idea, Plan, Intent-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
C105224 CSS0305C CSS03-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C105225 CSS0306A CSS03-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
C105226 CSS0306B CSS03-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
C105227 CSS0306C CSS03-Most Severe Idea-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
C105228 CSS0306D CSS03-Most Severe Idea, Desc-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
C105229 CSS0307A CSS03-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
C105230 CSS0307B CSS03-Most Severe Idea, Frequency-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
C105231 CSS0308A CSS03-Most Severe Idea, Duration-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
C105232 CSS0308B CSS03-Most Severe Idea, Duration-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
C105233 CSS0309A CSS03-Most Severe Idea, Control-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
C105234 CSS0309B CSS03-Most Severe Idea, Control-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
C105235 CSS0310A CSS03-Most Severe Idea, Deterrents-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
C105236 CSS0310B CSS03-Most Severe Idea, Deterrents-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
C105237 CSS0311A CSS03-Most Severe Idea, Reasons-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
C105238 CSS0311B CSS03-Most Severe Idea, Reasons-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
C105239 CSS0312 CSS03-Actual Attempt Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
C105240 CSS0313 CSS03-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts. C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
C105241 CSS0313A CSS03-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
C105242 CSS0314 CSS03-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior. C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
C105243 CSS0315 CSS03-Interrupted Attempt Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
C105244 CSS0316 CSS03-Number of Interrupted Attempts Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts. C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
C105245 CSS0316A CSS03-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
C105246 CSS0317 CSS03-Aborted Attempt Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
C105247 CSS0318 CSS03-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts. C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
C105248 CSS0318A CSS03-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
C105249 CSS0319 CSS03-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
C105250 CSS0319A CSS03-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C105251 CSS0320 CSS03-Suicidal Behavior Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period? C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
C105252 CSS0321A CSS03-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date. C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
C105253 CSS0321B CSS03-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C105254 CSS0321C CSS03-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality. C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
C105255 CSS0322A CSS03-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date. C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
C105256 CSS0322B CSS03-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C105257 CSS0322C CSS03-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality. C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
C105258 CSS0323A CSS03-First Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date. C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
C105259 CSS0323B CSS03-First Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
C105260 CSS0323C CSS03-First Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality. C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality

CSS03TN (Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name)

NCI Code: C105131, Codelist extensible: No
C105131 CSS03TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105246 CSS03-Aborted Attempt CSS03-Aborted Attempt Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
C105248 CSS03-Aborted Attempt, Describe CSS03-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
C105239 CSS03-Actual Attempt CSS03-Actual Attempt Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
C105241 CSS03-Actual Attempt, Describe CSS03-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
C105259 CSS03-First Attempt Damage CSS03-First Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
C105258 CSS03-First Attempt Date CSS03-First Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date. C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
C105260 CSS03-First Attempt Potential CSS03-First Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality. C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
C105221 CSS03-Idea, Intent, No Plan, Describe CSS03-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C105219 CSS03-Idea, Intent, No Plan-Life CSS03-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C105220 CSS03-Idea, Intent, No Plan-P6M CSS03-Idea, Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
C105218 CSS03-Idea, No Intent, No Plan, Describe CSS03-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C105216 CSS03-Idea, No Intent, No Plan-Life CSS03-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C105217 CSS03-Idea, No Intent, No Plan-P6M CSS03-Idea, No Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
C105224 CSS03-Idea, Plan, Intent, Describe CSS03-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C105222 CSS03-Idea, Plan, Intent-Life CSS03-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C105223 CSS03-Idea, Plan, Intent-P6M CSS03-Idea, Plan, Intent-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
C105243 CSS03-Interrupted Attempt CSS03-Interrupted Attempt Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
C105245 CSS03-Interrupted Attempt, Describe CSS03-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
C105256 CSS03-Most Lethal Attempt Damage CSS03-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C105255 CSS03-Most Lethal Attempt Date CSS03-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date. C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
C105257 CSS03-Most Lethal Attempt Potential CSS03-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality. C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
C105253 CSS03-Most Recent Attempt Damage CSS03-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C105252 CSS03-Most Recent Attempt Date CSS03-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date. C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
C105254 CSS03-Most Recent Attempt Potential CSS03-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality. C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
C105233 CSS03-Most Severe Idea, Control-Life CSS03-Most Severe Idea, Control-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
C105234 CSS03-Most Severe Idea, Control-P6M CSS03-Most Severe Idea, Control-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
C105226 CSS03-Most Severe Idea, Desc-Life CSS03-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
C105228 CSS03-Most Severe Idea, Desc-P6M CSS03-Most Severe Idea, Desc-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
C105235 CSS03-Most Severe Idea, Deterrents-Life CSS03-Most Severe Idea, Deterrents-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
C105236 CSS03-Most Severe Idea, Deterrents-P6M CSS03-Most Severe Idea, Deterrents-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
C105231 CSS03-Most Severe Idea, Duration-Life CSS03-Most Severe Idea, Duration-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
C105232 CSS03-Most Severe Idea, Duration-P6M CSS03-Most Severe Idea, Duration-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
C105229 CSS03-Most Severe Idea, Frequency-Life CSS03-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
C105230 CSS03-Most Severe Idea, Frequency-P6M CSS03-Most Severe Idea, Frequency-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
C105237 CSS03-Most Severe Idea, Reasons-Life CSS03-Most Severe Idea, Reasons-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
C105238 CSS03-Most Severe Idea, Reasons-P6M CSS03-Most Severe Idea, Reasons-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
C105225 CSS03-Most Severe Idea-Life CSS03-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
C105227 CSS03-Most Severe Idea-P6M CSS03-Most Severe Idea-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
C105215 CSS03-Non-Spec Suicid Thought, Describe CSS03-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
C105213 CSS03-Non-Spec Suicid Thought-Life CSS03-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
C105214 CSS03-Non-Spec Suicid Thought-P6M CSS03-Non-Spec Suicid Thought-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
C105242 CSS03-Non-suicidal Self-injurious Behav CSS03-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior. C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
C105247 CSS03-Number of Aborted Attempts CSS03-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts. C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
C105240 CSS03-Number of Actual Attempts CSS03-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts. C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
C105244 CSS03-Number of Interrupted Attempts CSS03-Number of Interrupted Attempts Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts. C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
C105249 CSS03-Preparatory Acts/Behavior CSS03-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
C105250 CSS03-Preparatory Acts/Behavior, Descr CSS03-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C105251 CSS03-Suicidal Behavior CSS03-Suicidal Behavior Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period? C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
C105212 CSS03-Wish to be Dead, Describe CSS03-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead. C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
C105210 CSS03-Wish to be Dead-Life CSS03-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
C105211 CSS03-Wish to be Dead-P6M CSS03-Wish to be Dead-P6M Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months). C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)

CSS04TC (Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code)

NCI Code: C106661, Codelist extensible: No
C106661 CSS04TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106707 CSS0401A CSS04-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
C106708 CSS0401B CSS04-Wish to be Dead-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months). C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
C106709 CSS0401C CSS04-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead. C-SSRS Baseline/Screening Version - Description of Wish to be Dead
C106710 CSS0402A CSS04-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime). C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
C106711 CSS0402B CSS04-Non-Spec Suicid Thought-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months). C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
C106712 CSS0402C CSS04-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts. C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
C106713 CSS0403A CSS04-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C106714 CSS0403B CSS04-Idea, No Intent, No Plan-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
C106715 CSS0403C CSS04-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C107017 CSS0404A CSS04-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C107018 CSS0404B CSS04-Idea, Intent, No Plan-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
C107019 CSS0404C CSS04-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C106716 CSS0405A CSS04-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C106717 CSS0405B CSS04-Idea, Plan, Intent-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
C106718 CSS0405C CSS04-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent. C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
C106719 CSS0406A CSS04-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
C106720 CSS0406B CSS04-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
C106721 CSS0406C CSS04-Most Severe Idea-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months). C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
C106722 CSS0406D CSS04-Most Severe Idea, Desc-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months). C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
C106723 CSS0407A CSS04-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime). C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
C106724 CSS0407B CSS04-Most Severe Idea, Frequency-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months). C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
C106725 CSS0408A CSS04-Most Severe Idea, Duration-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime). C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
C106726 CSS0408B CSS04-Most Severe Idea, Duration-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months). C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
C106727 CSS0409A CSS04-Most Severe Idea, Control-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
C106728 CSS0409B CSS04-Most Severe Idea, Control-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months). C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
C106729 CSS0410A CSS04-Most Severe Idea, Deterrents-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime). C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
C106730 CSS0410B CSS04-Most Severe Idea, Deterrents-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months). C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
C106731 CSS0411A CSS04-Most Severe Idea, Reasons-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime). C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
C106732 CSS0411B CSS04-Most Severe Idea, Reasons-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months). C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
C106733 CSS0412A CSS04-Actual Attempt-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime). C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
C106734 CSS0412B CSS04-Actual Attempt-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years). C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
C106735 CSS0413A CSS04-Number of Actual Attempts-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime). C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
C106736 CSS0413B CSS04-Number of Actual Attempts-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years). C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
C106737 CSS0413C CSS04-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of actual attempt. C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
C106738 CSS0414A CSS04-Non-suicidal Self-injur Behav-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime). C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
C106739 CSS0414B CSS04-Non-suicidal Self-injur Behav-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years). C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
C106740 CSS0415A CSS04-Interrupted Attempt-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime). C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
C106741 CSS0415B CSS04-Interrupted Attempt-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years). C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
C106742 CSS0416A CSS04-Number of Interrupt Attempts-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime). C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
C106743 CSS0416B CSS04-Number of Interrupt Attempts-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years). C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
C106744 CSS0416C CSS04-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt. C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
C106745 CSS0417A CSS04-Aborted Attempt-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime). C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
C106746 CSS0417B CSS04-Aborted Attempt-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years). C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
C106747 CSS0418A CSS04-Number of Aborted Attempts-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime). C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
C106748 CSS0418B CSS04-Number of Aborted Attempts-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years). C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
C106749 CSS0418C CSS04-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of aborted attempt. C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
C106750 CSS0419A CSS04-Preparatory Acts/Behavior-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime). C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
C106751 CSS0419B CSS04-Preparatory Acts/Behavior-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years). C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
C106752 CSS0419C CSS04-Preparatory Acts/Behav, Descr Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior. C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C106753 CSS0420A CSS04-Suicidal Behavior-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime). C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
C106754 CSS0420B CSS04-Suicidal Behavior-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years). C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
C106755 CSS0421A CSS04-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt date. C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
C106756 CSS0421B CSS04-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C106757 CSS0421C CSS04-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality. C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
C106758 CSS0422A CSS04-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt date. C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
C106759 CSS0422B CSS04-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C106760 CSS0422C CSS04-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality. C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
C106761 CSS0423A CSS04-First Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt date. C-SSRS Baseline/Screening Version - First Suicide Attempt Date
C106762 CSS0423B CSS04-First Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
C106763 CSS0423C CSS04-First Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality. C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality

CSS04TN (Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name)

NCI Code: C106660, Codelist extensible: No
C106660 CSS04TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106749 CSS04-Aborted Attempt, Describe CSS04-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of aborted attempt. C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
C106745 CSS04-Aborted Attempt-Life CSS04-Aborted Attempt-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime). C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
C106746 CSS04-Aborted Attempt-P_Y CSS04-Aborted Attempt-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years). C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
C106737 CSS04-Actual Attempt, Describe CSS04-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of actual attempt. C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
C106733 CSS04-Actual Attempt-Life CSS04-Actual Attempt-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime). C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
C106734 CSS04-Actual Attempt-P_Y CSS04-Actual Attempt-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years). C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
C106762 CSS04-First Attempt Damage CSS04-First Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
C106761 CSS04-First Attempt Date CSS04-First Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt date. C-SSRS Baseline/Screening Version - First Suicide Attempt Date
C106763 CSS04-First Attempt Potential CSS04-First Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality. C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
C107019 CSS04-Idea, Intent, No Plan, Describe CSS04-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C107017 CSS04-Idea, Intent, No Plan-Life CSS04-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C107018 CSS04-Idea, Intent, No Plan-P_M CSS04-Idea, Intent, No Plan-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
C106715 CSS04-Idea, No Intent, No Plan, Describe CSS04-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C106713 CSS04-Idea, No Intent, No Plan-Life CSS04-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C106714 CSS04-Idea, No Intent, No Plan-P_M CSS04-Idea, No Intent, No Plan-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
C106718 CSS04-Idea, Plan, Intent, Describe CSS04-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent. C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
C106716 CSS04-Idea, Plan, Intent-Life CSS04-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C106717 CSS04-Idea, Plan, Intent-P_M CSS04-Idea, Plan, Intent-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months). C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
C106744 CSS04-Interrupted Attempt, Describe CSS04-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt. C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
C106740 CSS04-Interrupted Attempt-Life CSS04-Interrupted Attempt-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime). C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
C106741 CSS04-Interrupted Attempt-P_Y CSS04-Interrupted Attempt-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years). C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
C106759 CSS04-Most Lethal Attempt Damage CSS04-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C106758 CSS04-Most Lethal Attempt Date CSS04-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt date. C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
C106760 CSS04-Most Lethal Attempt Potential CSS04-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality. C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
C106756 CSS04-Most Recent Attempt Damage CSS04-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage. C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C106755 CSS04-Most Recent Attempt Date CSS04-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt date. C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
C106757 CSS04-Most Recent Attempt Potential CSS04-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality. C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
C106727 CSS04-Most Severe Idea, Control-Life CSS04-Most Severe Idea, Control-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
C106728 CSS04-Most Severe Idea, Control-P_M CSS04-Most Severe Idea, Control-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months). C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
C106720 CSS04-Most Severe Idea, Desc-Life CSS04-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
C106722 CSS04-Most Severe Idea, Desc-P_M CSS04-Most Severe Idea, Desc-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months). C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
C106729 CSS04-Most Severe Idea, Deterrents-Life CSS04-Most Severe Idea, Deterrents-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime). C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
C106730 CSS04-Most Severe Idea, Deterrents-P_M CSS04-Most Severe Idea, Deterrents-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months). C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
C106725 CSS04-Most Severe Idea, Duration-Life CSS04-Most Severe Idea, Duration-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime). C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
C106726 CSS04-Most Severe Idea, Duration-P_M CSS04-Most Severe Idea, Duration-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months). C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
C106723 CSS04-Most Severe Idea, Frequency-Life CSS04-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime). C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
C106724 CSS04-Most Severe Idea, Frequency-P_M CSS04-Most Severe Idea, Frequency-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months). C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
C106731 CSS04-Most Severe Idea, Reasons-Life CSS04-Most Severe Idea, Reasons-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime). C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
C106732 CSS04-Most Severe Idea, Reasons-P_M CSS04-Most Severe Idea, Reasons-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months). C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
C106719 CSS04-Most Severe Idea-Life CSS04-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime). C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
C106721 CSS04-Most Severe Idea-P_M CSS04-Most Severe Idea-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months). C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
C106712 CSS04-Non-Spec Suicid Thought, Describe CSS04-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts. C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
C106710 CSS04-Non-Spec Suicid Thought-Life CSS04-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime). C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
C106711 CSS04-Non-Spec Suicid Thought-P_M CSS04-Non-Spec Suicid Thought-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months). C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
C106738 CSS04-Non-suicidal Self-injur Behav-Life CSS04-Non-suicidal Self-injur Behav-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime). C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
C106739 CSS04-Non-suicidal Self-injur Behav-P_Y CSS04-Non-suicidal Self-injur Behav-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years). C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
C106747 CSS04-Number of Aborted Attempts-Life CSS04-Number of Aborted Attempts-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime). C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
C106748 CSS04-Number of Aborted Attempts-P_Y CSS04-Number of Aborted Attempts-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years). C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
C106735 CSS04-Number of Actual Attempts-Life CSS04-Number of Actual Attempts-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime). C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
C106736 CSS04-Number of Actual Attempts-P_Y CSS04-Number of Actual Attempts-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years). C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
C106742 CSS04-Number of Interrupt Attempts-Life CSS04-Number of Interrupt Attempts-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime). C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
C106743 CSS04-Number of Interrupt Attempts-P_Y CSS04-Number of Interrupt Attempts-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years). C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
C106752 CSS04-Preparatory Acts/Behav, Descr CSS04-Preparatory Acts/Behav, Descr Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior. C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C106750 CSS04-Preparatory Acts/Behavior-Life CSS04-Preparatory Acts/Behavior-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime). C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
C106751 CSS04-Preparatory Acts/Behavior-P_Y CSS04-Preparatory Acts/Behavior-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years). C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
C106753 CSS04-Suicidal Behavior-Life CSS04-Suicidal Behavior-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime). C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
C106754 CSS04-Suicidal Behavior-P_Y CSS04-Suicidal Behavior-P_Y Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years). C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
C106709 CSS04-Wish to be Dead, Describe CSS04-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead. C-SSRS Baseline/Screening Version - Description of Wish to be Dead
C106707 CSS04-Wish to be Dead-Life CSS04-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
C106708 CSS04-Wish to be Dead-P_M CSS04-Wish to be Dead-P_M Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months). C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)

CSS05TC (Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code)

NCI Code: C106659, Codelist extensible: No
C106659 CSS05TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C107027 CSS0501A CSS05-Wish to be Dead-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
C107028 CSS0501B CSS05-Wish to be Dead-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start). C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
C107029 CSS0501C CSS05-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead. C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
C107030 CSS0502A CSS05-Non-Spec Suicid Thought-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
C107031 CSS0502B CSS05-Non-Spec Suicid Thought-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start). C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
C107032 CSS0502C CSS05-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts. C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
C107033 CSS0503A CSS05-Idea, No Intent, No Plan-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
C107034 CSS0503B CSS05-Idea, No Intent, No Plan-Since Columbia-Suicide Suicide Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
C107035 CSS0503C CSS05-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
C107036 CSS0504A CSS05-Idea, Intent, No Plan-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
C107037 CSS0504B CSS05-Idea, Intent, No Plan-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
C107038 CSS0504C CSS05-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
C107039 CSS0505A CSS05-Idea, Plan, Intent-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
C107040 CSS0505B CSS05-Idea, Plan, Intent-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
C107041 CSS0505C CSS05-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent. C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
C107042 CSS0506A CSS05-Most Severe Idea-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
C107043 CSS0506B CSS05-Most Severe Idea, Desc-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
C107044 CSS0506C CSS05-Most Severe Idea-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start). C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
C107045 CSS0506D CSS05-Most Severe Idea, Desc-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start). C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
C107046 CSS0507A CSS05-Most Severe Idea, Frequency-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
C107047 CSS0507B CSS05-Most Severe Idea, Frequency-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start). C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
C107048 CSS0508A CSS05-Most Severe Idea, Duration-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
C107049 CSS0508B CSS05-Most Severe Idea, Duration-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start). C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
C107050 CSS0509A CSS05-Most Severe Idea, Control-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
C107051 CSS0509B CSS05-Most Severe Idea, Control-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start). C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
C107052 CSS0510A CSS05-Most Severe Idea, Deterrents-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
C107053 CSS0510B CSS05-Most Severe Idea, Deterrents-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start). C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
C107054 CSS0511A CSS05-Most Severe Idea, Reasons-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
C107055 CSS0511B CSS05-Most Severe Idea, Reasons-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start). C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
C107056 CSS0512A CSS05-Actual Attempt-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
C107057 CSS0512B CSS05-Actual Attempt-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start). C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
C107058 CSS0513A CSS05-Number of Actual Attempts-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
C107059 CSS0513B CSS05-Number of Actual Attempts-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start). C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
C107060 CSS0513C CSS05-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of actual attempt. C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
C107061 CSS0514A CSS05-Non-suicid Self-injur Behav-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
C107062 CSS0514B CSS05-Non-suicid Self-injur Behav-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start). C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
C107063 CSS0515A CSS05-Interrupted Attempt-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
C107064 CSS0515B CSS05-Interrupted Attempt-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start). C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
C107065 CSS0516A CSS05-Num of Interrupted Attempts-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
C107066 CSS0516B CSS05-Num of Interrupted Attempts-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start). C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
C107067 CSS0516C CSS05-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt. C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
C107068 CSS0517A CSS05-Aborted Attempt-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
C107069 CSS0517B CSS05-Aborted Attempt-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start). C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
C107070 CSS0518A CSS05-Number of Aborted Attempts-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
C107071 CSS0518B CSS05-Number of Aborted Attempts-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start). C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
C107072 CSS0518C CSS05-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt. C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
C107073 CSS0519A CSS05-Preparatory Acts/Behavior-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
C107074 CSS0519B CSS05-Preparatory Acts/Behavior-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start). C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
C107075 CSS0519C CSS05-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior. C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C107076 CSS0520A CSS05-Suicidal Behavior-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
C107077 CSS0520B CSS05-Suicidal Behavior-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start). C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
C107078 CSS0521A CSS05-Completed Suicide-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
C107079 CSS0521B CSS05-Completed Suicide-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start). C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
C107080 CSS0522A CSS05-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt date. C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
C107081 CSS0522B CSS05-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage. C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C107082 CSS0522C CSS05-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality. C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
C107083 CSS0523A CSS05-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date. C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
C107084 CSS0523B CSS05-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage. C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C107085 CSS0523C CSS05-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality. C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
C107086 CSS0524A CSS05-First Attempt Date Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date. C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
C107087 CSS0524B CSS05-First Attempt Damage Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage. C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
C107088 CSS0524C CSS05-First Attempt Potential Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality. C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality

CSS05TN (Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name)

NCI Code: C106658, Codelist extensible: No
C106658 CSS05TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C107072 CSS05-Aborted Attempt, Describe CSS05-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt. C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
C107068 CSS05-Aborted Attempt-Prior CSS05-Aborted Attempt-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
C107069 CSS05-Aborted Attempt-Since CSS05-Aborted Attempt-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start). C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
C107060 CSS05-Actual Attempt, Describe CSS05-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of actual attempt. C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
C107056 CSS05-Actual Attempt-Prior CSS05-Actual Attempt-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
C107057 CSS05-Actual Attempt-Since CSS05-Actual Attempt-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start). C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
C107078 CSS05-Completed Suicide-Prior CSS05-Completed Suicide-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
C107079 CSS05-Completed Suicide-Since CSS05-Completed Suicide-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start). C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
C107087 CSS05-First Attempt Damage CSS05-First Attempt Damage Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage. C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
C107086 CSS05-First Attempt Date CSS05-First Attempt Date Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date. C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
C107088 CSS05-First Attempt Potential CSS05-First Attempt Potential Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality. C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
C107038 CSS05-Idea, Intent, No Plan, Describe CSS05-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
C107036 CSS05-Idea, Intent, No Plan-Prior CSS05-Idea, Intent, No Plan-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
C107037 CSS05-Idea, Intent, No Plan-Since CSS05-Idea, Intent, No Plan-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
C107035 CSS05-Idea, No Intent, No Plan, Describe CSS05-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
C107033 CSS05-Idea, No Intent, No Plan-Prior CSS05-Idea, No Intent, No Plan-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
C107034 CSS05-Idea, No Intent, No Plan-Since CSS05-Idea, No Intent, No Plan-Since Columbia-Suicide Suicide Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
C107041 CSS05-Idea, Plan, Intent, Describe CSS05-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent. C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
C107039 CSS05-Idea, Plan, Intent-Prior CSS05-Idea, Plan, Intent-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
C107040 CSS05-Idea, Plan, Intent-Since CSS05-Idea, Plan, Intent-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start). C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
C107067 CSS05-Interrupted Attempt, Describe CSS05-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt. C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
C107063 CSS05-Interrupted Attempt-Prior CSS05-Interrupted Attempt-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
C107064 CSS05-Interrupted Attempt-Since CSS05-Interrupted Attempt-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start). C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
C107084 CSS05-Most Lethal Attempt Damage CSS05-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage. C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C107083 CSS05-Most Lethal Attempt Date CSS05-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date. C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
C107085 CSS05-Most Lethal Attempt Potential CSS05-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality. C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
C107081 CSS05-Most Recent Attempt Damage CSS05-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage. C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C107080 CSS05-Most Recent Attempt Date CSS05-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt date. C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
C107082 CSS05-Most Recent Attempt Potential CSS05-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality. C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
C107050 CSS05-Most Severe Idea, Control-Prior CSS05-Most Severe Idea, Control-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
C107051 CSS05-Most Severe Idea, Control-Since CSS05-Most Severe Idea, Control-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start). C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
C107043 CSS05-Most Severe Idea, Desc-Prior CSS05-Most Severe Idea, Desc-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
C107045 CSS05-Most Severe Idea, Desc-Since CSS05-Most Severe Idea, Desc-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start). C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
C107052 CSS05-Most Severe Idea, Deterrents-Prior CSS05-Most Severe Idea, Deterrents-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
C107053 CSS05-Most Severe Idea, Deterrents-Since CSS05-Most Severe Idea, Deterrents-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start). C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
C107048 CSS05-Most Severe Idea, Duration-Prior CSS05-Most Severe Idea, Duration-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
C107049 CSS05-Most Severe Idea, Duration-Since CSS05-Most Severe Idea, Duration-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start). C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
C107046 CSS05-Most Severe Idea, Frequency-Prior CSS05-Most Severe Idea, Frequency-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
C107047 CSS05-Most Severe Idea, Frequency-Since CSS05-Most Severe Idea, Frequency-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start). C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
C107054 CSS05-Most Severe Idea, Reasons-Prior CSS05-Most Severe Idea, Reasons-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
C107055 CSS05-Most Severe Idea, Reasons-Since CSS05-Most Severe Idea, Reasons-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start). C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
C107042 CSS05-Most Severe Idea-Prior CSS05-Most Severe Idea-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
C107044 CSS05-Most Severe Idea-Since CSS05-Most Severe Idea-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start). C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
C107032 CSS05-Non-Spec Suicid Thought, Describe CSS05-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts. C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
C107030 CSS05-Non-Spec Suicid Thought-Prior CSS05-Non-Spec Suicid Thought-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
C107031 CSS05-Non-Spec Suicid Thought-Since CSS05-Non-Spec Suicid Thought-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start). C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
C107061 CSS05-Non-suicid Self-injur Behav-Prior CSS05-Non-suicid Self-injur Behav-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
C107062 CSS05-Non-suicid Self-injur Behav-Since CSS05-Non-suicid Self-injur Behav-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start). C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
C107065 CSS05-Num of Interrupted Attempts-Prior CSS05-Num of Interrupted Attempts-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
C107066 CSS05-Num of Interrupted Attempts-Since CSS05-Num of Interrupted Attempts-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start). C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
C107070 CSS05-Number of Aborted Attempts-Prior CSS05-Number of Aborted Attempts-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
C107071 CSS05-Number of Aborted Attempts-Since CSS05-Number of Aborted Attempts-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start). C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
C107058 CSS05-Number of Actual Attempts-Prior CSS05-Number of Actual Attempts-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
C107059 CSS05-Number of Actual Attempts-Since CSS05-Number of Actual Attempts-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start). C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
C107075 CSS05-Preparatory Acts/Behavior, Descr CSS05-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior. C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C107073 CSS05-Preparatory Acts/Behavior-Prior CSS05-Preparatory Acts/Behavior-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
C107074 CSS05-Preparatory Acts/Behavior-Since CSS05-Preparatory Acts/Behavior-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start). C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
C107076 CSS05-Suicidal Behavior-Prior CSS05-Suicidal Behavior-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
C107077 CSS05-Suicidal Behavior-Since CSS05-Suicidal Behavior-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start). C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
C107029 CSS05-Wish to be Dead, Describe CSS05-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead. C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
C107027 CSS05-Wish to be Dead-Prior CSS05-Wish to be Dead-Prior Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry). C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
C107028 CSS05-Wish to be Dead-Since CSS05-Wish to be Dead-Since Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start). C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)

CSS06TC (Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code)

NCI Code: C111336, Codelist extensible: No
C111336 CSS06TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111527 CSS0601 CSS06-Wish to be Dead Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? C-SSRS Children's Baseline - Wish to be Dead
C111528 CSS0601A CSS06-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of wishing to be dead. C-SSRS Children's Baseline - Description of Wish to be Dead
C111529 CSS0602 CSS06-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
C111530 CSS0602A CSS06-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts. C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
C111531 CSS0603 CSS06-Idea, No Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111532 CSS0603A CSS06-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111533 CSS0604 CSS06-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111534 CSS0604A CSS06-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111535 CSS0605 CSS06-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
C111536 CSS0605A CSS06-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent. C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
C111537 CSS0606 CSS06-Most Severe Ideation Columbia-Suicide Severity Rating Scale Children's Baseline - Most severe ideation. C-SSRS Children's Baseline - Most Severe Ideation
C111538 CSS0606A CSS06-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Children's Baseline - Description of most severe ideation. C-SSRS Children's Baseline - Describe Most Severe Ideation
C111539 CSS0607 CSS06-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Children's Baseline - How many times have you had these thoughts? C-SSRS Children's Baseline - Frequency of Most Severe Ideation
C111540 CSS0607A CSS06-Frequency, Write Response Columbia-Suicide Severity Rating Scale Children's Baseline - Frequency, write response. C-SSRS Children's Baseline - Frequency, Write Response
C111541 CSS0608 CSS06-Actual Attempt Columbia-Suicide Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? C-SSRS Children's Baseline - Actual Suicide Attempt
C111542 CSS0609 CSS06-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of actual attempts. C-SSRS Children's Baseline - Number of Actual Suicide Attempts
C111543 CSS0609A CSS06-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of actual attempt. C-SSRS Children's Baseline - Description of Actual Suicide Attempt
C111544 CSS0610 CSS06-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
C111545 CSS0611 CSS06-Self-injur Behav, Intent Unknown Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown? C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
C111546 CSS0612 CSS06-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? C-SSRS Children's Baseline - Interrupted Suicide Attempt
C111547 CSS0613 CSS06-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of interrupted attempts. C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
C111548 CSS0613A CSS06-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of interrupted attempt. C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
C111549 CSS0614 CSS06-Aborted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? C-SSRS Children's Baseline - Aborted Suicide Attempt
C111550 CSS0615 CSS06-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of aborted attempts. C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
C111551 CSS0615A CSS06-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of aborted attempt. C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
C111552 CSS0616 CSS06-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
C111553 CSS0616A CSS06-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior. C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111554 CSS0617 CSS06-Suicidal Behavior Columbia-Suicide Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period? C-SSRS Children's Baseline - Suicidal Behavior
C111555 CSS0618A CSS06-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt date. C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
C111556 CSS0618B CSS06-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage. C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C111557 CSS0618C CSS06-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt potential lethality. C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
C111558 CSS0619A CSS06-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt date. C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
C111559 CSS0619B CSS06-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage. C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111560 CSS0619C CSS06-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality. C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
C111561 CSS0620A CSS06-First Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt date. C-SSRS Children's Baseline - First Suicide Attempt Date
C111562 CSS0620B CSS06-First Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage. C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
C111563 CSS0620C CSS06-First Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality. C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality

CSS06TN (Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name)

NCI Code: C111335, Codelist extensible: No
C111335 CSS06TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111549 CSS06-Aborted Attempt CSS06-Aborted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? C-SSRS Children's Baseline - Aborted Suicide Attempt
C111551 CSS06-Aborted Attempt, Describe CSS06-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of aborted attempt. C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
C111541 CSS06-Actual Attempt CSS06-Actual Attempt Columbia-Suicide Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? C-SSRS Children's Baseline - Actual Suicide Attempt
C111543 CSS06-Actual Attempt, Describe CSS06-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of actual attempt. C-SSRS Children's Baseline - Description of Actual Suicide Attempt
C111562 CSS06-First Attempt Damage CSS06-First Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage. C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
C111561 CSS06-First Attempt Date CSS06-First Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt date. C-SSRS Children's Baseline - First Suicide Attempt Date
C111563 CSS06-First Attempt Potential CSS06-First Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality. C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
C111540 CSS06-Frequency, Write Response CSS06-Frequency, Write Response Columbia-Suicide Severity Rating Scale Children's Baseline - Frequency, write response. C-SSRS Children's Baseline - Frequency, Write Response
C111531 CSS06-Idea, No Intent, No Plan CSS06-Idea, No Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111532 CSS06-Idea, No Intent, No Plan, Describe CSS06-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111534 CSS06-Ideation With Intent No Plan Descr CSS06-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111533 CSS06-Ideation With Intent, No Plan CSS06-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111535 CSS06-Ideation With Plan/Intent CSS06-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
C111536 CSS06-Ideation With Plan/Intent, Descr CSS06-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent. C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
C111546 CSS06-Interrupted Attempt CSS06-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? C-SSRS Children's Baseline - Interrupted Suicide Attempt
C111548 CSS06-Interrupted Attempt, Describe CSS06-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of interrupted attempt. C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
C111559 CSS06-Most Lethal Attempt Damage CSS06-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage. C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111558 CSS06-Most Lethal Attempt Date CSS06-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt date. C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
C111560 CSS06-Most Lethal Attempt Potential CSS06-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality. C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
C111556 CSS06-Most Recent Attempt Damage CSS06-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage. C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C111555 CSS06-Most Recent Attempt Date CSS06-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt date. C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
C111557 CSS06-Most Recent Attempt Potential CSS06-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt potential lethality. C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
C111537 CSS06-Most Severe Ideation CSS06-Most Severe Ideation Columbia-Suicide Severity Rating Scale Children's Baseline - Most severe ideation. C-SSRS Children's Baseline - Most Severe Ideation
C111538 CSS06-Most Severe Ideation, Description CSS06-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Children's Baseline - Description of most severe ideation. C-SSRS Children's Baseline - Describe Most Severe Ideation
C111539 CSS06-Most Severe Ideation, Frequency CSS06-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Children's Baseline - How many times have you had these thoughts? C-SSRS Children's Baseline - Frequency of Most Severe Ideation
C111530 CSS06-Non-Specific Suicid Thought, Descr CSS06-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts. C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
C111529 CSS06-Non-Specific Suicidal Thought CSS06-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
C111544 CSS06-Non-suicidal Self-injurious Behav CSS06-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
C111550 CSS06-Number of Aborted Attempts CSS06-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of aborted attempts. C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
C111542 CSS06-Number of Actual Attempts CSS06-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of actual attempts. C-SSRS Children's Baseline - Number of Actual Suicide Attempts
C111547 CSS06-Number of Interrupt Attempts CSS06-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of interrupted attempts. C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
C111552 CSS06-Preparatory Acts/Behavior CSS06-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
C111553 CSS06-Preparatory Acts/Behavior, Descr CSS06-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior. C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111545 CSS06-Self-injur Behav, Intent Unknown CSS06-Self-injur Behav, Intent Unknown Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown? C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
C111554 CSS06-Suicidal Behavior CSS06-Suicidal Behavior Columbia-Suicide Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period? C-SSRS Children's Baseline - Suicidal Behavior
C111527 CSS06-Wish to be Dead CSS06-Wish to be Dead Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? C-SSRS Children's Baseline - Wish to be Dead
C111528 CSS06-Wish to be Dead, Describe CSS06-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Children's Baseline - Description of wishing to be dead. C-SSRS Children's Baseline - Description of Wish to be Dead

CSS07TC (Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code)

NCI Code: C111338, Codelist extensible: No
C111338 CSS07TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111385 CSS0701A CSS07-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime). C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
C111386 CSS0701B CSS07-Wish to be Dead-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months). C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
C111387 CSS0701C CSS07-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead. C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
C111388 CSS0702A CSS07-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime). C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
C111389 CSS0702B CSS07-Non-Spec Suicid Thought-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months). C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
C111390 CSS0702C CSS07-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts. C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
C111391 CSS0703A CSS07-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C111392 CSS0703B CSS07-Idea, No Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
C111393 CSS0703C CSS07-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111394 CSS0704A CSS07-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C111395 CSS0704B CSS07-Idea, Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
C111396 CSS0704C CSS07-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111397 CSS0705A CSS07-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C111398 CSS0705B CSS07-Idea, Plan, Intent-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
C111399 CSS0705C CSS07-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent. C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
C111400 CSS0706A CSS07-Most Severe Idea Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most severe ideation. C-SSRS Children's Baseline/Screening - Most Severe Ideation
C111401 CSS0706B CSS07-Most Severe Idea, Desc Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation. C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
C111402 CSS0707A CSS07-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime). C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
C111403 CSS0707B CSS07-Most Severe Idea, Frequency-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months). C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
C111404 CSS0707C CSS07-Frequency, Write Response Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Frequency, write response. C-SSRS Children's Baseline/Screening - Frequency, Write Response
C111405 CSS0708 CSS07-Actual Attempt Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
C111406 CSS0709 CSS07-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts. C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
C111407 CSS0709A CSS07-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of actual attempt. C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
C111408 CSS0710 CSS07-Non-suicidal Self-injur Behav Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
C111409 CSS0711 CSS07-Self-injur Behav, Intent Unknown Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown? C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
C111410 CSS0712 CSS07-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
C111411 CSS0713 CSS07-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts. C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
C111412 CSS0713A CSS07-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt. C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
C111413 CSS0714 CSS07-Aborted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
C111414 CSS0715 CSS07-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts. C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
C111415 CSS0715A CSS07-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt. C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
C111416 CSS0716 CSS07-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
C111417 CSS0716A CSS07-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior. C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111418 CSS0717 CSS07-Suicidal Behavior Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period? C-SSRS Children's Baseline/Screening - Suicidal Behavior
C111419 CSS0718A CSS07-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt date. C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
C111420 CSS0718B CSS07-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage. C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C111421 CSS0718C CSS07-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality. C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
C111422 CSS0719A CSS07-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date. C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
C111423 CSS0719B CSS07-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage. C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111424 CSS0719C CSS07-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality. C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
C111425 CSS0720A CSS07-First Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date. C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
C111426 CSS0720B CSS07-First Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage. C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
C111427 CSS0720C CSS07-First Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality. C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality

CSS07TN (Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name)

NCI Code: C111337, Codelist extensible: No
C111337 CSS07TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111413 CSS07-Aborted Attempt CSS07-Aborted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
C111415 CSS07-Aborted Attempt, Describe CSS07-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt. C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
C111405 CSS07-Actual Attempt CSS07-Actual Attempt Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
C111407 CSS07-Actual Attempt, Describe CSS07-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of actual attempt. C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
C111426 CSS07-First Attempt Damage CSS07-First Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage. C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
C111425 CSS07-First Attempt Date CSS07-First Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date. C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
C111427 CSS07-First Attempt Potential CSS07-First Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality. C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
C111404 CSS07-Frequency, Write Response CSS07-Frequency, Write Response Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Frequency, write response. C-SSRS Children's Baseline/Screening - Frequency, Write Response
C111396 CSS07-Idea, Intent, No Plan, Describe CSS07-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111394 CSS07-Idea, Intent, No Plan-Life CSS07-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C111395 CSS07-Idea, Intent, No Plan-P6M CSS07-Idea, Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
C111393 CSS07-Idea, No Intent, No Plan, Describe CSS07-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111391 CSS07-Idea, No Intent, No Plan-Life CSS07-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C111392 CSS07-Idea, No Intent, No Plan-P6M CSS07-Idea, No Intent, No Plan-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
C111399 CSS07-Idea, Plan, Intent, Describe CSS07-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent. C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
C111397 CSS07-Idea, Plan, Intent-Life CSS07-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C111398 CSS07-Idea, Plan, Intent-P6M CSS07-Idea, Plan, Intent-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months). C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
C111410 CSS07-Interrupted Attempt CSS07-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
C111412 CSS07-Interrupted Attempt, Describe CSS07-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt. C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
C111423 CSS07-Most Lethal Attempt Damage CSS07-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage. C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111422 CSS07-Most Lethal Attempt Date CSS07-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date. C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
C111424 CSS07-Most Lethal Attempt Potential CSS07-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality. C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
C111420 CSS07-Most Recent Attempt Damage CSS07-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage. C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C111419 CSS07-Most Recent Attempt Date CSS07-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt date. C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
C111421 CSS07-Most Recent Attempt Potential CSS07-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality. C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
C111400 CSS07-Most Severe Idea CSS07-Most Severe Idea Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most severe ideation. C-SSRS Children's Baseline/Screening - Most Severe Ideation
C111401 CSS07-Most Severe Idea, Desc CSS07-Most Severe Idea, Desc Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation. C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
C111402 CSS07-Most Severe Idea, Frequency-Life CSS07-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime). C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
C111403 CSS07-Most Severe Idea, Frequency-P6M CSS07-Most Severe Idea, Frequency-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months). C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
C111390 CSS07-Non-Spec Suicid Thought, Describe CSS07-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts. C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
C111388 CSS07-Non-Spec Suicid Thought-Life CSS07-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime). C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
C111389 CSS07-Non-Spec Suicid Thought-P6M CSS07-Non-Spec Suicid Thought-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months). C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
C111408 CSS07-Non-suicidal Self-injur Behav CSS07-Non-suicidal Self-injur Behav Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
C111414 CSS07-Number of Aborted Attempts CSS07-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts. C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
C111406 CSS07-Number of Actual Attempts CSS07-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts. C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
C111411 CSS07-Number of Interrupt Attempts CSS07-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts. C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
C111416 CSS07-Preparatory Acts/Behavior CSS07-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
C111417 CSS07-Preparatory Acts/Behavior, Descr CSS07-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior. C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111409 CSS07-Self-injur Behav, Intent Unknown CSS07-Self-injur Behav, Intent Unknown Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown? C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
C111418 CSS07-Suicidal Behavior CSS07-Suicidal Behavior Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period? C-SSRS Children's Baseline/Screening - Suicidal Behavior
C111387 CSS07-Wish to be Dead, Describe CSS07-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead. C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
C111385 CSS07-Wish to be Dead-Life CSS07-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime). C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
C111386 CSS07-Wish to be Dead-P6M CSS07-Wish to be Dead-P6M Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months). C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)

CSS08TC (Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code)

NCI Code: C111340, Codelist extensible: No
C111340 CSS08TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111428 CSS0801 CSS08-Wish to be Dead Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? C-SSRS Children's Since Last Visit - Wish to be Dead
C111429 CSS0801A CSS08-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead. C-SSRS Children's Since Last Visit - Description of Wish to be Dead
C111430 CSS0802 CSS08-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
C111431 CSS0802A CSS08-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts. C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
C111432 CSS0803 CSS08-Idea, No Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111433 CSS0803A CSS08-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111434 CSS0804 CSS08-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111435 CSS0804A CSS08-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111436 CSS0805 CSS08-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
C111437 CSS0805A CSS08-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent. C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
C111438 CSS0806 CSS08-Most Severe Ideation Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most severe ideation. C-SSRS Children's Since Last Visit - Most Severe Ideation
C111439 CSS0806A CSS08-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of most severe ideation. C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
C111440 CSS0807 CSS08-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts? C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
C111441 CSS0807A CSS08-Frequency, Write Response Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Frequency, write response. C-SSRS Children's Since Last Visit - Frequency, Write Response
C111442 CSS0808 CSS08-Actual Attempt Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that? C-SSRS Children's Since Last Visit - Actual Suicide Attempt
C111443 CSS0809 CSS08-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of actual attempts. C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
C111444 CSS0809A CSS08-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of actual attempt. C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
C111445 CSS0810 CSS08-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
C111446 CSS0811 CSS08-Self-injur Behav, Intent Unknown Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown? C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
C111447 CSS0812 CSS08-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
C111448 CSS0813 CSS08-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts. C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
C111449 CSS0813A CSS08-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt. C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
C111450 CSS0814 CSS08-Aborted/Self-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
C111451 CSS0815 CSS08-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts. C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
C111452 CSS0815A CSS08-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt. C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
C111453 CSS0816 CSS08-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
C111454 CSS0816A CSS08-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior. C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111455 CSS0817 CSS08-Suicidal Behavior Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period? C-SSRS Children's Since Last Visit - Suicidal Behavior
C111456 CSS0818 CSS08-Suicide Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicide. C-SSRS Children's Since Last Visit - Suicide
C111457 CSS0819A CSS08-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt date. C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
C111458 CSS0819B CSS08-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage. C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111459 CSS0819C CSS08-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality. C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality

CSS08TN (Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name)

NCI Code: C111339, Codelist extensible: No
C111339 CSS08TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111452 CSS08-Aborted Attempt, Describe CSS08-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt. C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
C111450 CSS08-Aborted/Self-Interrupted Attempt CSS08-Aborted/Self-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
C111442 CSS08-Actual Attempt CSS08-Actual Attempt Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that? C-SSRS Children's Since Last Visit - Actual Suicide Attempt
C111444 CSS08-Actual Attempt, Describe CSS08-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of actual attempt. C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
C111441 CSS08-Frequency, Write Response CSS08-Frequency, Write Response Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Frequency, write response. C-SSRS Children's Since Last Visit - Frequency, Write Response
C111432 CSS08-Idea, No Intent, No Plan CSS08-Idea, No Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111433 CSS08-Idea, No Intent, No Plan, Describe CSS08-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111435 CSS08-Ideation With Intent No Plan Descr CSS08-Ideation With Intent No Plan Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111434 CSS08-Ideation With Intent, No Plan CSS08-Ideation With Intent, No Plan Columbia-Suicide Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111436 CSS08-Ideation With Plan/Intent CSS08-Ideation With Plan/Intent Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
C111437 CSS08-Ideation With Plan/Intent, Descr CSS08-Ideation With Plan/Intent, Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent. C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
C111447 CSS08-Interrupted Attempt CSS08-Interrupted Attempt Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
C111449 CSS08-Interrupted Attempt, Describe CSS08-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt. C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
C111458 CSS08-Most Lethal Attempt Damage CSS08-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage. C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111457 CSS08-Most Lethal Attempt Date CSS08-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt date. C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
C111459 CSS08-Most Lethal Attempt Potential CSS08-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality. C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
C111438 CSS08-Most Severe Ideation CSS08-Most Severe Ideation Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most severe ideation. C-SSRS Children's Since Last Visit - Most Severe Ideation
C111439 CSS08-Most Severe Ideation, Description CSS08-Most Severe Ideation, Description Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of most severe ideation. C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
C111440 CSS08-Most Severe Ideation, Frequency CSS08-Most Severe Ideation, Frequency Columbia-Suicide Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts? C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
C111431 CSS08-Non-Specific Suicid Thought, Descr CSS08-Non-Specific Suicid Thought, Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts. C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
C111430 CSS08-Non-Specific Suicidal Thought CSS08-Non-Specific Suicidal Thought Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
C111445 CSS08-Non-suicidal Self-injurious Behav CSS08-Non-suicidal Self-injurious Behav Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
C111451 CSS08-Number of Aborted Attempts CSS08-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts. C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
C111443 CSS08-Number of Actual Attempts CSS08-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of actual attempts. C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
C111448 CSS08-Number of Interrupt Attempts CSS08-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts. C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
C111453 CSS08-Preparatory Acts/Behavior CSS08-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
C111454 CSS08-Preparatory Acts/Behavior, Descr CSS08-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior. C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111446 CSS08-Self-injur Behav, Intent Unknown CSS08-Self-injur Behav, Intent Unknown Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown? C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
C111455 CSS08-Suicidal Behavior CSS08-Suicidal Behavior Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period? C-SSRS Children's Since Last Visit - Suicidal Behavior
C111456 CSS08-Suicide CSS08-Suicide Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicide. C-SSRS Children's Since Last Visit - Suicide
C111428 CSS08-Wish to be Dead CSS08-Wish to be Dead Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? C-SSRS Children's Since Last Visit - Wish to be Dead
C111429 CSS08-Wish to be Dead, Describe CSS08-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead. C-SSRS Children's Since Last Visit - Description of Wish to be Dead

CSS09TC (Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code)

NCI Code: C111342, Codelist extensible: No
C111342 CSS09TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111460 CSS0901 CSS09-Wish to be Dead Columbia-Suicide Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up? C-SSRS Screening - Wish to be Dead
C111461 CSS0901A CSS09-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Screening - Description of wishing to be dead. C-SSRS Screening - Description of Wish to be Dead
C111462 CSS0902 CSS09-Non-Spec Suicid Thought Columbia-Suicide Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself? C-SSRS Screening - Non-Specific Active Suicidal Thoughts
C111463 CSS0902A CSS09-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Screening - Description of non-specific active suicidal thoughts. C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
C111464 CSS0903 CSS09-Idea, No Intent, No Plan Columbia-Suicide Severity Rating Scale Screening - Have you been thinking about how you might do this? C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111465 CSS0903A CSS09-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111466 CSS0904 CSS09-Idea, Intent, No Plan Columbia-Suicide Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them? C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111467 CSS0904A CSS09-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111468 CSS0905 CSS09-Idea, Plan, Intent Columbia-Suicide Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
C111469 CSS0905A CSS09-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent. C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
C111470 CSS0906 CSS09-Most Severe Idea Columbia-Suicide Severity Rating Scale Screening - Most severe ideation. C-SSRS Screening - Most Severe Ideation
C111471 CSS0906A CSS09-Most Severe Idea, Desc Columbia-Suicide Severity Rating Scale Screening - Description of most severe ideation. C-SSRS Screening - Describe Most Severe Ideation
C111472 CSS0907 CSS09-Most Severe Idea, Frequency Columbia-Suicide Severity Rating Scale Screening - How many times have you had these thoughts? C-SSRS Screening - Frequency of Most Severe Ideation
C111473 CSS0908 CSS09-Most Severe Idea, Duration Columbia-Suicide Severity Rating Scale Screening - When you have the thoughts, how long do they last? C-SSRS Screening - Duration of Most Severe Ideation
C111474 CSS0909 CSS09-Most Severe Idea, Controllability Columbia-Suicide Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to? C-SSRS Screening - Controllability of Most Severe Ideation
C111475 CSS0910 CSS09-Most Severe Idea, Deterrents Columbia-Suicide Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? C-SSRS Screening - Deterrents to Most Severe Ideation
C111476 CSS0911 CSS09-Most Severe Idea, Reasons Columbia-Suicide Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? C-SSRS Screening - Reasons for Most Severe Ideation
C111477 CSS0912 CSS09-Actual Attempt Columbia-Suicide Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Screening - Actual Suicide Attempt
C111478 CSS0913 CSS09-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Screening - Total number of actual attempts. C-SSRS Screening - Number of Actual Suicide Attempts
C111479 CSS0913A CSS09-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Screening - Description of actual attempt. C-SSRS Screening - Description of Actual Suicide Attempt
C111480 CSS0914 CSS09-Non-suicidal Self-injur Behav Columbia-Suicide Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Screening - Non-suicidal Self-injurious Behavior
C111481 CSS0915 CSS09-Interrupted Attempt Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? C-SSRS Screening - Interrupted Suicide Attempt
C111482 CSS0916 CSS09-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Screening - Total number of interrupted attempts. C-SSRS Screening - Number of Interrupted Suicide Attempts
C111483 CSS0916A CSS09-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Screening - Description of interrupted attempt. C-SSRS Screening - Description of Interrupted Suicide Attempt
C111484 CSS0917 CSS09-Aborted Attempt Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Screening - Aborted Suicide Attempt
C111485 CSS0918 CSS09-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Screening - Total number of aborted attempts. C-SSRS Screening - Number of Aborted Suicide Attempts
C111486 CSS0918A CSS09-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Screening - Description of aborted attempt. C-SSRS Screening - Description of Aborted Suicide Attempt
C111487 CSS0919 CSS09-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
C111488 CSS0919A CSS09-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Screening - Description of preparatory acts or behavior. C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111489 CSS0920 CSS09-Suicidal Behavior Columbia-Suicide Severity Rating Scale Screening - Suicidal behavior was present during the assessment period? C-SSRS Screening - Suicidal Behavior
C111490 CSS0921A CSS09-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Screening - Most recent attempt date. C-SSRS Screening - Most Recent Suicide Attempt Date
C111491 CSS0921B CSS09-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage. C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C111492 CSS0921C CSS09-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Screening - Most recent attempt potential lethality. C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
C111493 CSS0922A CSS09-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt date. C-SSRS Screening - Most Lethal Suicide Attempt Date
C111494 CSS0922B CSS09-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage. C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111495 CSS0922C CSS09-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt potential lethality. C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
C111496 CSS0923A CSS09-First Attempt Date Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt date. C-SSRS Screening - First Suicide Attempt Date
C111497 CSS0923B CSS09-First Attempt Damage Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage. C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
C111498 CSS0923C CSS09-First Attempt Potential Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt potential lethality. C-SSRS Screening - First Suicide Attempt Potential Lethality

CSS09TN (Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name)

NCI Code: C111341, Codelist extensible: No
C111341 CSS09TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111484 CSS09-Aborted Attempt CSS09-Aborted Attempt Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? C-SSRS Screening - Aborted Suicide Attempt
C111486 CSS09-Aborted Attempt, Describe CSS09-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Screening - Description of aborted attempt. C-SSRS Screening - Description of Aborted Suicide Attempt
C111477 CSS09-Actual Attempt CSS09-Actual Attempt Columbia-Suicide Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? C-SSRS Screening - Actual Suicide Attempt
C111479 CSS09-Actual Attempt, Describe CSS09-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Screening - Description of actual attempt. C-SSRS Screening - Description of Actual Suicide Attempt
C111497 CSS09-First Attempt Damage CSS09-First Attempt Damage Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage. C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
C111496 CSS09-First Attempt Date CSS09-First Attempt Date Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt date. C-SSRS Screening - First Suicide Attempt Date
C111498 CSS09-First Attempt Potential CSS09-First Attempt Potential Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt potential lethality. C-SSRS Screening - First Suicide Attempt Potential Lethality
C111466 CSS09-Idea, Intent, No Plan CSS09-Idea, Intent, No Plan Columbia-Suicide Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them? C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111467 CSS09-Idea, Intent, No Plan, Describe CSS09-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C111464 CSS09-Idea, No Intent, No Plan CSS09-Idea, No Intent, No Plan Columbia-Suicide Severity Rating Scale Screening - Have you been thinking about how you might do this? C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111465 CSS09-Idea, No Intent, No Plan, Describe CSS09-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C111468 CSS09-Idea, Plan, Intent CSS09-Idea, Plan, Intent Columbia-Suicide Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
C111469 CSS09-Idea, Plan, Intent, Describe CSS09-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent. C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
C111481 CSS09-Interrupted Attempt CSS09-Interrupted Attempt Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? C-SSRS Screening - Interrupted Suicide Attempt
C111483 CSS09-Interrupted Attempt, Describe CSS09-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Screening - Description of interrupted attempt. C-SSRS Screening - Description of Interrupted Suicide Attempt
C111494 CSS09-Most Lethal Attempt Damage CSS09-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage. C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C111493 CSS09-Most Lethal Attempt Date CSS09-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt date. C-SSRS Screening - Most Lethal Suicide Attempt Date
C111495 CSS09-Most Lethal Attempt Potential CSS09-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt potential lethality. C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
C111491 CSS09-Most Recent Attempt Damage CSS09-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage. C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C111490 CSS09-Most Recent Attempt Date CSS09-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Screening - Most recent attempt date. C-SSRS Screening - Most Recent Suicide Attempt Date
C111492 CSS09-Most Recent Attempt Potential CSS09-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Screening - Most recent attempt potential lethality. C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
C111470 CSS09-Most Severe Idea CSS09-Most Severe Idea Columbia-Suicide Severity Rating Scale Screening - Most severe ideation. C-SSRS Screening - Most Severe Ideation
C111474 CSS09-Most Severe Idea, Controllability CSS09-Most Severe Idea, Controllability Columbia-Suicide Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to? C-SSRS Screening - Controllability of Most Severe Ideation
C111471 CSS09-Most Severe Idea, Desc CSS09-Most Severe Idea, Desc Columbia-Suicide Severity Rating Scale Screening - Description of most severe ideation. C-SSRS Screening - Describe Most Severe Ideation
C111475 CSS09-Most Severe Idea, Deterrents CSS09-Most Severe Idea, Deterrents Columbia-Suicide Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? C-SSRS Screening - Deterrents to Most Severe Ideation
C111473 CSS09-Most Severe Idea, Duration CSS09-Most Severe Idea, Duration Columbia-Suicide Severity Rating Scale Screening - When you have the thoughts, how long do they last? C-SSRS Screening - Duration of Most Severe Ideation
C111472 CSS09-Most Severe Idea, Frequency CSS09-Most Severe Idea, Frequency Columbia-Suicide Severity Rating Scale Screening - How many times have you had these thoughts? C-SSRS Screening - Frequency of Most Severe Ideation
C111476 CSS09-Most Severe Idea, Reasons CSS09-Most Severe Idea, Reasons Columbia-Suicide Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? C-SSRS Screening - Reasons for Most Severe Ideation
C111462 CSS09-Non-Spec Suicid Thought CSS09-Non-Spec Suicid Thought Columbia-Suicide Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself? C-SSRS Screening - Non-Specific Active Suicidal Thoughts
C111463 CSS09-Non-Spec Suicid Thought, Describe CSS09-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Screening - Description of non-specific active suicidal thoughts. C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
C111480 CSS09-Non-suicidal Self-injur Behav CSS09-Non-suicidal Self-injur Behav Columbia-Suicide Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior? C-SSRS Screening - Non-suicidal Self-injurious Behavior
C111485 CSS09-Number of Aborted Attempts CSS09-Number of Aborted Attempts Columbia-Suicide Severity Rating Scale Screening - Total number of aborted attempts. C-SSRS Screening - Number of Aborted Suicide Attempts
C111478 CSS09-Number of Actual Attempts CSS09-Number of Actual Attempts Columbia-Suicide Severity Rating Scale Screening - Total number of actual attempts. C-SSRS Screening - Number of Actual Suicide Attempts
C111482 CSS09-Number of Interrupt Attempts CSS09-Number of Interrupt Attempts Columbia-Suicide Severity Rating Scale Screening - Total number of interrupted attempts. C-SSRS Screening - Number of Interrupted Suicide Attempts
C111487 CSS09-Preparatory Acts/Behavior CSS09-Preparatory Acts/Behavior Columbia-Suicide Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
C111488 CSS09-Preparatory Acts/Behavior, Descr CSS09-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Screening - Description of preparatory acts or behavior. C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C111489 CSS09-Suicidal Behavior CSS09-Suicidal Behavior Columbia-Suicide Severity Rating Scale Screening - Suicidal behavior was present during the assessment period? C-SSRS Screening - Suicidal Behavior
C111460 CSS09-Wish to be Dead CSS09-Wish to be Dead Columbia-Suicide Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up? C-SSRS Screening - Wish to be Dead
C111461 CSS09-Wish to be Dead, Describe CSS09-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Screening - Description of wishing to be dead. C-SSRS Screening - Description of Wish to be Dead

CSS10TC (Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Code)

NCI Code: C113848, Codelist extensible: No
C113848 CSS10TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113889 CSS1001A CSS10-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
C113890 CSS1001B CSS10-Wish to be Dead-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
C113891 CSS1001C CSS10-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
C113892 CSS1002A CSS10-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
C113893 CSS1002B CSS10-Non-Spec Suicid Thought-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
C113894 CSS1002C CSS10-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
C113895 CSS1003A CSS10-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
C113896 CSS1003B CSS10-Idea, No Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
C113897 CSS1003C CSS10-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
C113898 CSS1004A CSS10-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
C113899 CSS1004B CSS10-Idea, Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
C113900 CSS1004C CSS10-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
C113901 CSS1005A CSS10-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
C113902 CSS1005B CSS10-Idea, Plan, Intent-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
C113903 CSS1005C CSS10-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
C113904 CSS1006A CSS10-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
C113905 CSS1006B CSS10-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
C113906 CSS1006C CSS10-Most Severe Idea-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
C113907 CSS1006D CSS10-Most Severe Idea, Desc-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
C113908 CSS1007A CSS10-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
C113909 CSS1007B CSS10-Most Severe Idea, Frequency-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
C113910 CSS1007C CSS10-Frequency, Write Response Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
C113911 CSS1008A CSS10-Actual Attempt-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
C113912 CSS1008B CSS10-Actual Attempt-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
C113913 CSS1009A CSS10-Number of Actual Attempts-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
C113914 CSS1009B CSS10-Number of Actual Attempts-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
C113915 CSS1009C CSS10-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
C113916 CSS1010A CSS10-Non-suicidal Self-injur Behav-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
C113917 CSS1010B CSS10-Non-suicidal Self-injur Behav-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
C113918 CSS1011A CSS10-Self-injur Behav, Intent Unk-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
C113919 CSS1011B CSS10-Self-injur Behav, Intent Unk-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
C113920 CSS1012A CSS10-Interrupted Attempt-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
C113921 CSS1012B CSS10-Interrupted Attempt-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
C113922 CSS1013A CSS10-Number of Interrupt Attempts-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
C113923 CSS1013B CSS10-Number of Interrupt Attempts-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
C113924 CSS1013C CSS10-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
C113925 CSS1014A CSS10-Aborted Attempt-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
C113926 CSS1014B CSS10-Aborted Attempt-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
C113927 CSS1015A CSS10-Number of Aborted Attempts-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
C113928 CSS1015B CSS10-Number of Aborted Attempts-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
C113929 CSS1015C CSS10-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
C113930 CSS1016A CSS10-Preparatory Acts/Behavior-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
C113931 CSS1016B CSS10-Preparatory Acts/Behavior-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
C113932 CSS1016C CSS10-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C113933 CSS1017A CSS10-Suicidal Behavior-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
C113934 CSS1017B CSS10-Suicidal Behavior-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
C113935 CSS1018A CSS10-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
C113936 CSS1018B CSS10-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C113937 CSS1018C CSS10-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
C113938 CSS1019A CSS10-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
C113939 CSS1019B CSS10-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C113940 CSS1019C CSS10-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
C113941 CSS1020A CSS10-First Attempt Date Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
C113942 CSS1020B CSS10-First Attempt Damage Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
C113943 CSS1020C CSS10-First Attempt Potential Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality

CSS10TN (Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Name)

NCI Code: C113847, Codelist extensible: No
C113847 CSS10TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113929 CSS10-Aborted Attempt, Describe CSS10-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
C113925 CSS10-Aborted Attempt-Life CSS10-Aborted Attempt-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
C113926 CSS10-Aborted Attempt-P3M CSS10-Aborted Attempt-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
C113915 CSS10-Actual Attempt, Describe CSS10-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
C113911 CSS10-Actual Attempt-Life CSS10-Actual Attempt-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
C113912 CSS10-Actual Attempt-P3M CSS10-Actual Attempt-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
C113942 CSS10-First Attempt Damage CSS10-First Attempt Damage Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
C113941 CSS10-First Attempt Date CSS10-First Attempt Date Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
C113943 CSS10-First Attempt Potential CSS10-First Attempt Potential Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
C113910 CSS10-Frequency, Write Response CSS10-Frequency, Write Response Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
C113900 CSS10-Idea, Intent, No Plan, Describe CSS10-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
C113898 CSS10-Idea, Intent, No Plan-Life CSS10-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
C113899 CSS10-Idea, Intent, No Plan-P1M CSS10-Idea, Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
C113897 CSS10-Idea, No Intent, No Plan, Describe CSS10-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
C113895 CSS10-Idea, No Intent, No Plan-Life CSS10-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
C113896 CSS10-Idea, No Intent, No Plan-P1M CSS10-Idea, No Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
C113903 CSS10-Idea, Plan, Intent, Describe CSS10-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
C113901 CSS10-Idea, Plan, Intent-Life CSS10-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
C113902 CSS10-Idea, Plan, Intent-P1M CSS10-Idea, Plan, Intent-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
C113924 CSS10-Interrupted Attempt, Describe CSS10-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
C113920 CSS10-Interrupted Attempt-Life CSS10-Interrupted Attempt-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
C113921 CSS10-Interrupted Attempt-P3M CSS10-Interrupted Attempt-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
C113939 CSS10-Most Lethal Attempt Damage CSS10-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C113938 CSS10-Most Lethal Attempt Date CSS10-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
C113940 CSS10-Most Lethal Attempt Potential CSS10-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
C113936 CSS10-Most Recent Attempt Damage CSS10-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C113935 CSS10-Most Recent Attempt Date CSS10-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
C113937 CSS10-Most Recent Attempt Potential CSS10-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
C113905 CSS10-Most Severe Idea, Desc-Life CSS10-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
C113907 CSS10-Most Severe Idea, Desc-P1M CSS10-Most Severe Idea, Desc-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
C113908 CSS10-Most Severe Idea, Frequency-Life CSS10-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
C113909 CSS10-Most Severe Idea, Frequency-P1M CSS10-Most Severe Idea, Frequency-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
C113904 CSS10-Most Severe Idea-Life CSS10-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
C113906 CSS10-Most Severe Idea-P1M CSS10-Most Severe Idea-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
C113894 CSS10-Non-Spec Suicid Thought, Describe CSS10-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
C113892 CSS10-Non-Spec Suicid Thought-Life CSS10-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
C113893 CSS10-Non-Spec Suicid Thought-P1M CSS10-Non-Spec Suicid Thought-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
C113916 CSS10-Non-suicidal Self-injur Behav-Life CSS10-Non-suicidal Self-injur Behav-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
C113917 CSS10-Non-suicidal Self-injur Behav-P3M CSS10-Non-suicidal Self-injur Behav-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
C113927 CSS10-Number of Aborted Attempts-Life CSS10-Number of Aborted Attempts-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
C113928 CSS10-Number of Aborted Attempts-P3M CSS10-Number of Aborted Attempts-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
C113913 CSS10-Number of Actual Attempts-Life CSS10-Number of Actual Attempts-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
C113914 CSS10-Number of Actual Attempts-P3M CSS10-Number of Actual Attempts-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
C113922 CSS10-Number of Interrupt Attempts-Life CSS10-Number of Interrupt Attempts-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
C113923 CSS10-Number of Interrupt Attempts-P3M CSS10-Number of Interrupt Attempts-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
C113932 CSS10-Preparatory Acts/Behavior, Descr CSS10-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C113930 CSS10-Preparatory Acts/Behavior-Life CSS10-Preparatory Acts/Behavior-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
C113931 CSS10-Preparatory Acts/Behavior-P3M CSS10-Preparatory Acts/Behavior-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
C113918 CSS10-Self-injur Behav, Intent Unk-Life CSS10-Self-injur Behav, Intent Unk-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
C113919 CSS10-Self-injur Behav, Intent Unk-P3M CSS10-Self-injur Behav, Intent Unk-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
C113933 CSS10-Suicidal Behavior-Life CSS10-Suicidal Behavior-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
C113934 CSS10-Suicidal Behavior-P3M CSS10-Suicidal Behavior-P3M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
C113891 CSS10-Wish to be Dead, Describe CSS10-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead. C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
C113889 CSS10-Wish to be Dead-Life CSS10-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
C113890 CSS10-Wish to be Dead-P1M CSS10-Wish to be Dead-P1M Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month). C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)

CSS11TC (Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code)

NCI Code: C117989, Codelist extensible: No
C117989 CSS11TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C118019 CSS1101A CSS11-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime)
C118020 CSS1101B CSS11-Wish to be Dead-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month). C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month)
C118021 CSS1101C CSS11-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead. C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
C118022 CSS1102A CSS11-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime). C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime)
C118023 CSS1102B CSS11-Non-Spec Suicid Thought-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month). C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months)
C118024 CSS1102C CSS11-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts. C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts
C118025 CSS1103A CSS11-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C118026 CSS1103B CSS11-Idea, No Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month)
C118027 CSS1103C CSS11-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C118028 CSS1104A CSS11-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C118029 CSS1104B CSS11-Idea, Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month)
C118030 CSS1104C CSS11-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C118031 CSS1105A CSS11-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C118032 CSS1105B CSS11-Idea, Plan, Intent-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 1 Month). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month)
C118033 CSS1105C CSS11-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent. C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent
C118034 CSS1106A CSS11-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime). C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
C118035 CSS1106B CSS11-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime). C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
C118036 CSS1106C CSS11-Most Severe Idea-Recent-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month). C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month)
C118037 CSS1106D CSS11-Most Severe Idea, Desc-Recent-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month). C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month)
C118038 CSS1107A CSS11-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime). C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime)
C118039 CSS1107B CSS11-Most Severe Idea, Frequency-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month). C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month)
C118040 CSS1108A CSS11-Most Severe Idea, Duration-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime). C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime)
C118041 CSS1108B CSS11-Most Severe Idea, Duration-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month). C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month)
C118042 CSS1109A CSS11-Most Severe Idea, Control-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime)
C118043 CSS1109B CSS11-Most Severe Idea, Control-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month). C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month)
C118044 CSS1110A CSS11-Most Severe Idea, Deterrents-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime). C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime)
C118045 CSS1110B CSS11-Most Severe Idea, Deterrents-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 1 Month). C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month)
C118046 CSS1111A CSS11-Most Severe Idea, Reasons-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime). C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime)
C118047 CSS1111B CSS11-Most Severe Idea, Reasons-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 1 Month). C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month)
C118048 CSS1112A CSS11-Actual Attempt-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime). C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Lifetime)
C118049 CSS1112B CSS11-Actual Attempt-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past 3 Months). C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months)
C118050 CSS1113A CSS11-Number of Actual Attempts-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime). C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
C118051 CSS1113B CSS11-Number of Actual Attempts-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months). C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months)
C118052 CSS1113C CSS11-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of actual attempt. C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
C118053 CSS1114A CSS11-Non-suicid Self-injur Behav-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime). C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime)
C118054 CSS1114B CSS11-Non-suicid Self-injur Behav-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months). C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months)
C118055 CSS1115A CSS11-Interrupted Attempt-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Lifetime). C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime)
C118056 CSS1115B CSS11-Interrupted Attempt-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Past 3 Months). C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months)
C118057 CSS1116A CSS11-Num of Interrupted Attempts-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime). C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
C118058 CSS1116B CSS11-Num of Interrupted Attempts-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months). C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months)
C118059 CSS1116C CSS11-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt. C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
C118060 CSS1117A CSS11-Aborted Attempt-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime). C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime)
C118061 CSS1117B CSS11-Aborted Attempt-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past 3 Months). C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months)
C118062 CSS1118A CSS11-Number of Aborted Attempts-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime). C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime)
C118063 CSS1118B CSS11-Number of Aborted Attempts-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months). C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months)
C118064 CSS1118C CSS11-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt. C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
C118065 CSS1119A CSS11-Preparatory Acts/Behavior-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime). C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
C118066 CSS1119B CSS11-Preparatory Acts/Behavior-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past 3 Months). C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
C118067 CSS1119C CSS11-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior. C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C118068 CSS1120A CSS11-Suicidal Behavior-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime). C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
C118069 CSS1120B CSS11-Suicidal Behavior-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months). C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months)
C118070 CSS1121A CSS11-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt date. C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
C118071 CSS1121B CSS11-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage. C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C118072 CSS1121C CSS11-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality. C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
C118073 CSS1122A CSS11-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date. C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
C118074 CSS1122B CSS11-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage. C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C118075 CSS1122C CSS11-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality. C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
C118076 CSS1123A CSS11-First Attempt Date Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date. C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
C118077 CSS1123B CSS11-First Attempt Damage Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage. C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage
C118078 CSS1123C CSS11-First Attempt Potential Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality. C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality

CSS11TN (Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name)

NCI Code: C117988, Codelist extensible: No
C117988 CSS11TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C118064 CSS11-Aborted Attempt, Describe CSS11-Aborted Attempt, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt. C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
C118060 CSS11-Aborted Attempt-Life CSS11-Aborted Attempt-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime). C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime)
C118061 CSS11-Aborted Attempt-P3M CSS11-Aborted Attempt-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past 3 Months). C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months)
C118052 CSS11-Actual Attempt, Describe CSS11-Actual Attempt, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of actual attempt. C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
C118048 CSS11-Actual Attempt-Life CSS11-Actual Attempt-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime). C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Lifetime)
C118049 CSS11-Actual Attempt-P3M CSS11-Actual Attempt-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past 3 Months). C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months)
C118077 CSS11-First Attempt Damage CSS11-First Attempt Damage Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage. C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage
C118076 CSS11-First Attempt Date CSS11-First Attempt Date Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date. C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
C118078 CSS11-First Attempt Potential CSS11-First Attempt Potential Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality. C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality
C118030 CSS11-Idea, Intent, No Plan, Describe CSS11-Idea, Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan. C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
C118028 CSS11-Idea, Intent, No Plan-Life CSS11-Idea, Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
C118029 CSS11-Idea, Intent, No Plan-P1M CSS11-Idea, Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month)
C118027 CSS11-Idea, No Intent, No Plan, Describe CSS11-Idea, No Intent, No Plan, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act. C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
C118025 CSS11-Idea, No Intent, No Plan-Life CSS11-Idea, No Intent, No Plan-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
C118026 CSS11-Idea, No Intent, No Plan-P1M CSS11-Idea, No Intent, No Plan-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month)
C118033 CSS11-Idea, Plan, Intent, Describe CSS11-Idea, Plan, Intent, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent. C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent
C118031 CSS11-Idea, Plan, Intent-Life CSS11-Idea, Plan, Intent-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
C118032 CSS11-Idea, Plan, Intent-P1M CSS11-Idea, Plan, Intent-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 1 Month). C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month)
C118059 CSS11-Interrupted Attempt, Describe CSS11-Interrupted Attempt, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt. C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
C118055 CSS11-Interrupted Attempt-Life CSS11-Interrupted Attempt-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Lifetime). C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime)
C118056 CSS11-Interrupted Attempt-P3M CSS11-Interrupted Attempt-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Past 3 Months). C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months)
C118074 CSS11-Most Lethal Attempt Damage CSS11-Most Lethal Attempt Damage Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage. C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
C118073 CSS11-Most Lethal Attempt Date CSS11-Most Lethal Attempt Date Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date. C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
C118075 CSS11-Most Lethal Attempt Potential CSS11-Most Lethal Attempt Potential Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality. C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
C118071 CSS11-Most Recent Attempt Damage CSS11-Most Recent Attempt Damage Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage. C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
C118070 CSS11-Most Recent Attempt Date CSS11-Most Recent Attempt Date Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt date. C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
C118072 CSS11-Most Recent Attempt Potential CSS11-Most Recent Attempt Potential Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality. C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
C118042 CSS11-Most Severe Idea, Control-Life CSS11-Most Severe Idea, Control-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime)
C118043 CSS11-Most Severe Idea, Control-P1M CSS11-Most Severe Idea, Control-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month). C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month)
C118035 CSS11-Most Severe Idea, Desc-Life CSS11-Most Severe Idea, Desc-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime). C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
C118037 CSS11-Most Severe Idea, Desc-Recent-P1M CSS11-Most Severe Idea, Desc-Recent-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month). C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month)
C118044 CSS11-Most Severe Idea, Deterrents-Life CSS11-Most Severe Idea, Deterrents-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime). C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime)
C118045 CSS11-Most Severe Idea, Deterrents-P1M CSS11-Most Severe Idea, Deterrents-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 1 Month). C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month)
C118040 CSS11-Most Severe Idea, Duration-Life CSS11-Most Severe Idea, Duration-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime). C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime)
C118041 CSS11-Most Severe Idea, Duration-P1M CSS11-Most Severe Idea, Duration-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month). C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month)
C118038 CSS11-Most Severe Idea, Frequency-Life CSS11-Most Severe Idea, Frequency-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime). C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime)
C118039 CSS11-Most Severe Idea, Frequency-P1M CSS11-Most Severe Idea, Frequency-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month). C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month)
C118046 CSS11-Most Severe Idea, Reasons-Life CSS11-Most Severe Idea, Reasons-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime). C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime)
C118047 CSS11-Most Severe Idea, Reasons-P1M CSS11-Most Severe Idea, Reasons-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 1 Month). C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month)
C118034 CSS11-Most Severe Idea-Life CSS11-Most Severe Idea-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime). C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
C118036 CSS11-Most Severe Idea-Recent-P1M CSS11-Most Severe Idea-Recent-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month). C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month)
C118024 CSS11-Non-Spec Suicid Thought, Describe CSS11-Non-Spec Suicid Thought, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts. C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts
C118022 CSS11-Non-Spec Suicid Thought-Life CSS11-Non-Spec Suicid Thought-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime). C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime)
C118023 CSS11-Non-Spec Suicid Thought-P1M CSS11-Non-Spec Suicid Thought-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month). C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months)
C118053 CSS11-Non-suicid Self-injur Behav-Life CSS11-Non-suicid Self-injur Behav-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime). C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime)
C118054 CSS11-Non-suicid Self-injur Behav-P3M CSS11-Non-suicid Self-injur Behav-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months). C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months)
C118057 CSS11-Num of Interrupted Attempts-Life CSS11-Num of Interrupted Attempts-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime). C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
C118058 CSS11-Num of Interrupted Attempts-P3M CSS11-Num of Interrupted Attempts-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months). C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months)
C118062 CSS11-Number of Aborted Attempts-Life CSS11-Number of Aborted Attempts-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime). C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime)
C118063 CSS11-Number of Aborted Attempts-P3M CSS11-Number of Aborted Attempts-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months). C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months)
C118050 CSS11-Number of Actual Attempts-Life CSS11-Number of Actual Attempts-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime). C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
C118051 CSS11-Number of Actual Attempts-P3M CSS11-Number of Actual Attempts-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months). C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months)
C118067 CSS11-Preparatory Acts/Behavior, Descr CSS11-Preparatory Acts/Behavior, Descr Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior. C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
C118065 CSS11-Preparatory Acts/Behavior-Life CSS11-Preparatory Acts/Behavior-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime). C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
C118066 CSS11-Preparatory Acts/Behavior-P3M CSS11-Preparatory Acts/Behavior-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past 3 Months). C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
C118068 CSS11-Suicidal Behavior-Life CSS11-Suicidal Behavior-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime). C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
C118069 CSS11-Suicidal Behavior-P3M CSS11-Suicidal Behavior-P3M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months). C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months)
C118021 CSS11-Wish to be Dead, Describe CSS11-Wish to be Dead, Describe Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead. C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
C118019 CSS11-Wish to be Dead-Life CSS11-Wish to be Dead-Life Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime)
C118020 CSS11-Wish to be Dead-P1M CSS11-Wish to be Dead-P1M Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month). C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month)

D4STR1TC (4-Stair Descend Functional Test Test Code)

NCI Code: C141661, Codelist extensible: No
C141661 D4STR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C174104 D4STR101 D4STR1-Was 4-Stair Descend Performed 4-Stair Descend - Was the 4-stair descend performed? 4-Stair Descend - Was 4-Stair Descend Performed
C141704 D4STR102 D4STR1-Time to Do 4-Stair Descend 4-Stair Descend - If yes, time taken to do 4-stair descend. 4-Stair Descend - Time to Do 4-Stair Descend
C147591 D4STR103 D4STR1-Wear Orthoses 4-Stair Descend - If yes, did subject wear orthoses? 4-Stair Descend - Wear Orthoses
C141705 D4STR104 D4STR1-Test Grade 4-Stair Descend - Test grade. 4-Stair Descend - Test Grade

D4STR1TN (4-Stair Descend Functional Test Test Name)

NCI Code: C141660, Codelist extensible: No
C141660 D4STR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141705 D4STR1-Test Grade D4STR1-Test Grade 4-Stair Descend - Test grade. 4-Stair Descend - Test Grade
C141704 D4STR1-Time to Do 4-Stair Descend D4STR1-Time to Do 4-Stair Descend 4-Stair Descend - If yes, time taken to do 4-stair descend. 4-Stair Descend - Time to Do 4-Stair Descend
C174104 D4STR1-Was 4-Stair Descend Performed D4STR1-Was 4-Stair Descend Performed 4-Stair Descend - Was the 4-stair descend performed? 4-Stair Descend - Was 4-Stair Descend Performed
C147591 D4STR1-Wear Orthoses D4STR1-Wear Orthoses 4-Stair Descend - If yes, did subject wear orthoses? 4-Stair Descend - Wear Orthoses

DAD01TC (Disability Assessment for Dementia Questionnaire Test Code)

NCI Code: C105130, Codelist extensible: No
C105130 DAD01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105170 DAD0101 DAD01-Decide to Wash Disability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower? DAD - Decide to Wash or Take a Bath or Shower
C105171 DAD0102 DAD01-Decide to Brush Teeth Dentures Disability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures? DAD - Decide to Brush Teeth or Care for Dentures
C105172 DAD0103 DAD01-Decide to Care For Hair Disability Assessment for Dementia - Decide to care for his/her hair (wash and comb)? DAD - Decide to Care for His/Her Hair
C105173 DAD0104 DAD01-Prepare For Washing Bath Shower Disability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower? DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
C105174 DAD0105 DAD01-Wash and Dry Body Safely Disability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely? DAD - Wash and Dry All Parts of Body Safely and Completely
C105175 DAD0106 DAD01-Brush Teeth Take Care of Dentures Disability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately? DAD - Brush Teeth or Take Care of Dentures Appropriately
C105176 DAD0107 DAD01-Take Care of Hair Disability Assessment for Dementia - Take care of his/her hair (wash and comb)? DAD - Take Care of His/Her Hair
C105177 DAD0108 DAD01-Decide to Dress Disability Assessment for Dementia - Decide to dress himself/herself? DAD - Decide to Dress Himself/Herself
C105178 DAD0109 DAD01-Choose Appropriate Clothing Disability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)? DAD - Choose Appropriate Clothing
C105179 DAD0110 DAD01-Dress in Appropriate Order Disability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)? DAD - Dress in the Appropriate Order
C105180 DAD0111 DAD01-Dress Completely Disability Assessment for Dementia - Dress himself/herself completely? DAD - Dress Himself/Herself Completely
C105181 DAD0112 DAD01-Undress Completely Disability Assessment for Dementia - Undress himself/herself completely? DAD - Undress Himself/Herself Completely
C105182 DAD0113 DAD01-Use Toilet at Appropriate Times Disability Assessment for Dementia - Decide to use the toilet at appropriate times? DAD - Decide to Use the Toilet at Appropriate Times
C105183 DAD0114 DAD01-Use Toilet Without Accidents Disability Assessment for Dementia - Use the toilet without 'accidents'? DAD - Use the Toilet Without Accidents
C105184 DAD0115 DAD01-Decide That He/She Needs to Eat Disability Assessment for Dementia - Decide that he/she needs to eat? DAD - Decide That He/She Needs to Eat
C105185 DAD0116 DAD01-Choose Appropriate Utensils Disability Assessment for Dementia - Choose appropriate utensils and seasonings when eating? DAD - Choose Appropriate Utensils and Seasonings When Eating
C105186 DAD0117 DAD01-Eat at Normal Pace With Manners Disability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners? DAD - Eat Meals at a Normal Pace and with Appropriate Manners
C105187 DAD0118 DAD01-Decide to Prepare Meal Snack Disability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself? DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
C105188 DAD0119 DAD01-Adequately Plan Light Meal Snack Disability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)? DAD - Adequately Plan a Light Meal or Snack
C105189 DAD0120 DAD01-Prepare or Cook Light Meal Snack Disability Assessment for Dementia - Prepare or cook a light meal or a snack safely? DAD - Safely Prepare or Cook a Light Meal or Snack
C105190 DAD0121 DAD01-Telephone Someone at Suitable Time Disability Assessment for Dementia - Attempt to telephone someone at a suitable time? DAD - Attempt to Telephone Someone at a Suitable Time
C105191 DAD0122 DAD01-Find and Dial Telephone Number Disability Assessment for Dementia - Find and dial a telephone number correctly? DAD - Find and Dial a Telephone Number Correctly
C105192 DAD0123 DAD01-Carry Out Telephone Conversation Disability Assessment for Dementia - Carry out an appropriate telephone conversation? DAD - Carry Out an Appropriate Telephone Conversation
C105193 DAD0124 DAD01-Write Convey Telephone Message Disability Assessment for Dementia - Write and convey a telephone message adequately? DAD - Write and Convey a Telephone Message Adequately
C105194 DAD0125 DAD01-Decide to Go Out Disability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time? DAD - Decide to Go Out at an Appropriate Time
C105195 DAD0126 DAD01-Adequately Organize an Outing Disability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list? DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
C105196 DAD0127 DAD01-Go Out Without Getting Lost Disability Assessment for Dementia - Go out and reach a familiar destination without getting lost? DAD - Go Out and Reach a Familiar Destination Without Getting Lost
C105197 DAD0128 DAD01-Safely Take Transportation Disability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)? DAD - Safely Take the Adequate Mode of Transportation
C105198 DAD0129 DAD01-Return From Store With Items Disability Assessment for Dementia - Return from the store with the appropriate items? DAD - Return From the Store with Appropriate Items
C105199 DAD0130 DAD01-Show Interest in Personal Affairs Disability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence? DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
C105200 DAD0131 DAD01-Organize Finances to Pay Bills Disability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)? DAD - Organize Finances to Pay Bills
C105201 DAD0132 DAD01-Adequately Organize Correspondence Disability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps? DAD - Adequately Organize Correspondence
C105202 DAD0133 DAD01-Handle Money Adequately Disability Assessment for Dementia - Handle his/her money adequately (deal with cash)? DAD - Handle Money Adequately
C105203 DAD0134 DAD01-Take Medications at Correct Time Disability Assessment for Dementia - Decide to take his/her medications at the correct time? DAD - Decide to Take Medications at the Correct Time
C105204 DAD0135 DAD01-Take Medications as Prescribed Disability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)? DAD - Take Medications as Prescribed
C105205 DAD0136 DAD01-Show Interest in Leisure Activity Disability Assessment for Dementia - Show an interest in leisure activity(ies)? DAD - Show an Interest in Leisure Activities
C105206 DAD0137 DAD01-Take Interest in Household Chores Disability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past? DAD - Take an Interest in Household Chores as in the Past
C105207 DAD0138 DAD01-Plan Organize Household Chores Disability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past? DAD - Plan and Organize Adequately Household Chores as in the Past
C105208 DAD0139 DAD01-Complete Household Chores Disability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past? DAD - Complete Household Chores Adequately as in the Past
C105209 DAD0140 DAD01-Stay Safely at Home When Needed Disability Assessment for Dementia - Stay safely at home by himself/herself when needed? DAD - Stay Safely at Home When Needed
C111577 DAD0141 DAD01-Sub-Total Initiation Disability Assessment for Dementia - Sub-Total Initiation. DAD - Sub-Total Initiation
C111578 DAD0142 DAD01-Initiation Num Applic Items Disability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items. DAD - Total Initiation Number of Applicable Items
C111579 DAD0143 DAD01-Sub-Total Planning & Organization Disability Assessment for Dementia - Sub-Total Planning & Organization. DAD - Sub-Total Planning and Organization
C111617 DAD0144 DAD01-Plan & Org Num Applic Items Disability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items. DAD - Plan and Organize Number of Applicable Items
C111580 DAD0145 DAD01-Sub-Total Effective Performance Disability Assessment for Dementia - Sub-Total Effective Performance. DAD - Sub-Total Effective Performance
C111581 DAD0146 DAD01-Effective Perf Num Applic Items Disability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items. DAD - Sub-Total Effective Performance Number of Applicable Items
C111582 DAD0147 DAD01-Total Score Disability Assessment for Dementia - Total Score. DAD - Total Score
C111583 DAD0148 DAD01-Total Num of Applic Items Disability Assessment for Dementia - Total Number of Applicable Items. DAD - Total Number of Applicable Items
C111584 DAD0149 DAD01-Total % Disability Assessment for Dementia - Total %. DAD - Total Percent

DAD01TN (Disability Assessment for Dementia Questionnaire Test Name)

NCI Code: C105129, Codelist extensible: No
C105129 DAD01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105195 DAD01-Adequately Organize an Outing DAD01-Adequately Organize an Outing Disability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list? DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
C105201 DAD01-Adequately Organize Correspondence DAD01-Adequately Organize Correspondence Disability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps? DAD - Adequately Organize Correspondence
C105188 DAD01-Adequately Plan Light Meal Snack DAD01-Adequately Plan Light Meal Snack Disability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)? DAD - Adequately Plan a Light Meal or Snack
C105175 DAD01-Brush Teeth Take Care of Dentures DAD01-Brush Teeth Take Care of Dentures Disability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately? DAD - Brush Teeth or Take Care of Dentures Appropriately
C105192 DAD01-Carry Out Telephone Conversation DAD01-Carry Out Telephone Conversation Disability Assessment for Dementia - Carry out an appropriate telephone conversation? DAD - Carry Out an Appropriate Telephone Conversation
C105178 DAD01-Choose Appropriate Clothing DAD01-Choose Appropriate Clothing Disability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)? DAD - Choose Appropriate Clothing
C105185 DAD01-Choose Appropriate Utensils DAD01-Choose Appropriate Utensils Disability Assessment for Dementia - Choose appropriate utensils and seasonings when eating? DAD - Choose Appropriate Utensils and Seasonings When Eating
C105208 DAD01-Complete Household Chores DAD01-Complete Household Chores Disability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past? DAD - Complete Household Chores Adequately as in the Past
C105184 DAD01-Decide That He/She Needs to Eat DAD01-Decide That He/She Needs to Eat Disability Assessment for Dementia - Decide that he/she needs to eat? DAD - Decide That He/She Needs to Eat
C105171 DAD01-Decide to Brush Teeth Dentures DAD01-Decide to Brush Teeth Dentures Disability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures? DAD - Decide to Brush Teeth or Care for Dentures
C105172 DAD01-Decide to Care For Hair DAD01-Decide to Care For Hair Disability Assessment for Dementia - Decide to care for his/her hair (wash and comb)? DAD - Decide to Care for His/Her Hair
C105177 DAD01-Decide to Dress DAD01-Decide to Dress Disability Assessment for Dementia - Decide to dress himself/herself? DAD - Decide to Dress Himself/Herself
C105194 DAD01-Decide to Go Out DAD01-Decide to Go Out Disability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time? DAD - Decide to Go Out at an Appropriate Time
C105187 DAD01-Decide to Prepare Meal Snack DAD01-Decide to Prepare Meal Snack Disability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself? DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
C105170 DAD01-Decide to Wash DAD01-Decide to Wash Disability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower? DAD - Decide to Wash or Take a Bath or Shower
C105180 DAD01-Dress Completely DAD01-Dress Completely Disability Assessment for Dementia - Dress himself/herself completely? DAD - Dress Himself/Herself Completely
C105179 DAD01-Dress in Appropriate Order DAD01-Dress in Appropriate Order Disability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)? DAD - Dress in the Appropriate Order
C105186 DAD01-Eat at Normal Pace With Manners DAD01-Eat at Normal Pace With Manners Disability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners? DAD - Eat Meals at a Normal Pace and with Appropriate Manners
C111581 DAD01-Effective Perf Num Applic Items DAD01-Effective Perf Num Applic Items Disability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items. DAD - Sub-Total Effective Performance Number of Applicable Items
C105191 DAD01-Find and Dial Telephone Number DAD01-Find and Dial Telephone Number Disability Assessment for Dementia - Find and dial a telephone number correctly? DAD - Find and Dial a Telephone Number Correctly
C105196 DAD01-Go Out Without Getting Lost DAD01-Go Out Without Getting Lost Disability Assessment for Dementia - Go out and reach a familiar destination without getting lost? DAD - Go Out and Reach a Familiar Destination Without Getting Lost
C105202 DAD01-Handle Money Adequately DAD01-Handle Money Adequately Disability Assessment for Dementia - Handle his/her money adequately (deal with cash)? DAD - Handle Money Adequately
C111578 DAD01-Initiation Num Applic Items DAD01-Initiation Num Applic Items Disability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items. DAD - Total Initiation Number of Applicable Items
C105200 DAD01-Organize Finances to Pay Bills DAD01-Organize Finances to Pay Bills Disability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)? DAD - Organize Finances to Pay Bills
C111617 DAD01-Plan & Org Num Applic Items DAD01-Plan & Org Num Applic Items Disability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items. DAD - Plan and Organize Number of Applicable Items
C105207 DAD01-Plan Organize Household Chores DAD01-Plan Organize Household Chores Disability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past? DAD - Plan and Organize Adequately Household Chores as in the Past
C105173 DAD01-Prepare For Washing Bath Shower DAD01-Prepare For Washing Bath Shower Disability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower? DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
C105189 DAD01-Prepare or Cook Light Meal Snack DAD01-Prepare or Cook Light Meal Snack Disability Assessment for Dementia - Prepare or cook a light meal or a snack safely? DAD - Safely Prepare or Cook a Light Meal or Snack
C105198 DAD01-Return From Store With Items DAD01-Return From Store With Items Disability Assessment for Dementia - Return from the store with the appropriate items? DAD - Return From the Store with Appropriate Items
C105197 DAD01-Safely Take Transportation DAD01-Safely Take Transportation Disability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)? DAD - Safely Take the Adequate Mode of Transportation
C105205 DAD01-Show Interest in Leisure Activity DAD01-Show Interest in Leisure Activity Disability Assessment for Dementia - Show an interest in leisure activity(ies)? DAD - Show an Interest in Leisure Activities
C105199 DAD01-Show Interest in Personal Affairs DAD01-Show Interest in Personal Affairs Disability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence? DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
C105209 DAD01-Stay Safely at Home When Needed DAD01-Stay Safely at Home When Needed Disability Assessment for Dementia - Stay safely at home by himself/herself when needed? DAD - Stay Safely at Home When Needed
C111580 DAD01-Sub-Total Effective Performance DAD01-Sub-Total Effective Performance Disability Assessment for Dementia - Sub-Total Effective Performance. DAD - Sub-Total Effective Performance
C111577 DAD01-Sub-Total Initiation DAD01-Sub-Total Initiation Disability Assessment for Dementia - Sub-Total Initiation. DAD - Sub-Total Initiation
C111579 DAD01-Sub-Total Planning & Organization DAD01-Sub-Total Planning & Organization Disability Assessment for Dementia - Sub-Total Planning & Organization. DAD - Sub-Total Planning and Organization
C105176 DAD01-Take Care of Hair DAD01-Take Care of Hair Disability Assessment for Dementia - Take care of his/her hair (wash and comb)? DAD - Take Care of His/Her Hair
C105206 DAD01-Take Interest in Household Chores DAD01-Take Interest in Household Chores Disability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past? DAD - Take an Interest in Household Chores as in the Past
C105204 DAD01-Take Medications as Prescribed DAD01-Take Medications as Prescribed Disability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)? DAD - Take Medications as Prescribed
C105203 DAD01-Take Medications at Correct Time DAD01-Take Medications at Correct Time Disability Assessment for Dementia - Decide to take his/her medications at the correct time? DAD - Decide to Take Medications at the Correct Time
C105190 DAD01-Telephone Someone at Suitable Time DAD01-Telephone Someone at Suitable Time Disability Assessment for Dementia - Attempt to telephone someone at a suitable time? DAD - Attempt to Telephone Someone at a Suitable Time
C111584 DAD01-Total % DAD01-Total % Disability Assessment for Dementia - Total %. DAD - Total Percent
C111583 DAD01-Total Num of Applic Items DAD01-Total Num of Applic Items Disability Assessment for Dementia - Total Number of Applicable Items. DAD - Total Number of Applicable Items
C111582 DAD01-Total Score DAD01-Total Score Disability Assessment for Dementia - Total Score. DAD - Total Score
C105181 DAD01-Undress Completely DAD01-Undress Completely Disability Assessment for Dementia - Undress himself/herself completely? DAD - Undress Himself/Herself Completely
C105182 DAD01-Use Toilet at Appropriate Times DAD01-Use Toilet at Appropriate Times Disability Assessment for Dementia - Decide to use the toilet at appropriate times? DAD - Decide to Use the Toilet at Appropriate Times
C105183 DAD01-Use Toilet Without Accidents DAD01-Use Toilet Without Accidents Disability Assessment for Dementia - Use the toilet without 'accidents'? DAD - Use the Toilet Without Accidents
C105174 DAD01-Wash and Dry Body Safely DAD01-Wash and Dry Body Safely Disability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely? DAD - Wash and Dry All Parts of Body Safely and Completely
C105193 DAD01-Write Convey Telephone Message DAD01-Write Convey Telephone Message Disability Assessment for Dementia - Write and convey a telephone message adequately? DAD - Write and Convey a Telephone Message Adequately

DDS01TC (Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Code)

NCI Code: C161621, Codelist extensible: No
C161621 DDS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161704 DDS0101 DDS01-Not Skilled at Managing Diabetes Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not as skilled at managing diabetes as I should be. T1-DDS - Not Skilled at Managing Diabetes
C161705 DDS0102 DDS01-I Don't Eat Carefully as I Should Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't eat as carefully as I probably should. T1-DDS - I Don't Eat Carefully as I Should
C161706 DDS0103 DDS01-Don't Notice Signs of Hypoglycemia Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't notice the warning signs of hypoglycemia as well as I used to. T1-DDS - Don't Notice Signs of Hypoglycemia
C161707 DDS0104 DDS01-People Treat Me Differently Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people treat me differently when they find out I have diabetes. T1-DDS - People Treat Me Differently
C161708 DDS0105 DDS01-Discouraged See High Blood Glucose Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling discouraged when I see high blood glucose numbers that I can't explain. T1-DDS - Discouraged See High Blood Glucose
C161709 DDS0106 DDS01-Family Make Bigger Deal Diabetes Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my family and friends make a bigger deal out of diabetes than they should. T1-DDS - Family Make Bigger Deal Diabetes
C161710 DDS0107 DDS01-Can't Tell Doctor What on My Mind Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't tell my diabetes doctor what is really on my mind. T1-DDS - Can't Tell Doctor What on My Mind
C161711 DDS0108 DDS01-Not Taking Insulin as I Should Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not taking as much insulin as I should. T1-DDS - Not Taking Insulin as I Should
C161712 DDS0109 DDS01-Too Much Diabetes Equipment w/Me Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that there is too much diabetes equipment and stuff I must always have with me. T1-DDS - Too Much Diabetes Equipment With Me
C161713 DDS0110 DDS01-Have to Hide My Diabetes Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling like I have to hide my diabetes from other people. T1-DDS - Have to Hide My Diabetes
C161714 DDS0111 DDS01-Family Worry About Hypoglycemia Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends and family worry more about hypoglycemia than I want them to. T1-DDS - Family Worry About Hypoglycemia
C161715 DDS0112 DDS01-Don't Check Glucose as I Should Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't check my blood glucose level as often as I probably should. T1-DDS - Don't Check Glucose as I Should
C161716 DDS0113 DDS01-Worried Develop Complications Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling worried that I will develop serious long-term complications, no matter how hard I try. T1-DDS - Worried Develop Complications
C161717 DDS0114 DDS01-Don't Get Help From Doctor Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't get help I really need from my diabetes doctor about managing diabetes. T1-DDS - Don't Get Help From Doctor
C161718 DDS0115 DDS01-Hypoglycemic Event When Asleep Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event when I'm asleep. T1-DDS - Hypoglycemic Event When Asleep
C161719 DDS0116 DDS01-Food and Eating Control My Life Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that thoughts about food and eating control my life. T1-DDS - Food and Eating Control My Life
C161720 DDS0117 DDS01-Family Treat Me More Fragile Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family treat me as if I were more fragile or sicker than I really am. T1-DDS - Family Treat Me More Fragile
C161721 DDS0118 DDS01-Doctor Doesn't Understand Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't really understand what it's like to have diabetes. T1-DDS - Doctor Doesn't Understand
C161722 DDS0119 DDS01-Less Attractive to Employers Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling concerned that diabetes may make me less attractive to employers. T1-DDS - Less Attractive to Employers
C161723 DDS0120 DDS01-Family Act Like Diabetes Police Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family act like 'diabetes police' (bother me too much). T1-DDS - Family Act Like Diabetes Police
C161724 DDS0121 DDS01-Be Perfect w/Diabetes Management Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I've got to be perfect with my diabetes management. T1-DDS - Be Perfect With Diabetes Management
C161725 DDS0122 DDS01-Hypoglycemic Event While Driving Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event while driving. T1-DDS - Hypoglycemic Event While Driving
C161726 DDS0123 DDS01-Eating Is Out of Control Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my eating is out of control. T1-DDS - Eating Is Out of Control
C161727 DDS0124 DDS01-People Think Less of Me Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people will think less of me if they knew I had diabetes. T1-DDS - People Think Less of Me
C161728 DDS0125 DDS01-Never Be Good Enough Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that no matter how hard I try with my diabetes, it will never be good enough. T1-DDS - Never Be Good Enough
C161729 DDS0126 DDS01-Doctor Doesn't Know Enough Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't know enough about diabetes and diabetes care. T1-DDS - Doctor Doesn't Know Enough
C161730 DDS0127 DDS01-Be Safe From Hypoglycemic Event Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't ever be safe from the possibility of a serious hypoglycemic event. T1-DDS - Be Safe From Hypoglycemic Event
C161731 DDS0128 DDS01-Don't Give Diabetes Attention Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't give my diabetes as much attention as I probably should. T1-DDS - Don't Give Diabetes Attention
C161732 DDS0129 DDS01-Total Scale Diabetes Distress Scale for Adults with Type 1 Diabetes - Total scale. T1-DDS - Total Scale
C161733 DDS0130 DDS01-Subscale 1: Powerlessness Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 1 - Powerlessness. T1-DDS - Subscale 1: Powerlessness
C161734 DDS0131 DDS01-Subscale 2: Management Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 2 - Management distress. T1-DDS - Subscale 2: Management Distress
C161735 DDS0132 DDS01-Subscale 3: Hypoglycemia Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 3 - Hypoglycemia distress. T1-DDS - Subscale 3: Hypoglycemia Distress
C161736 DDS0133 DDS01-Subscale 4: Neg Social Perceptions Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 4 - Negative social perceptions. T1-DDS - Subscale 4: Negative Social Perceptions
C161737 DDS0134 DDS01-Subscale 5: Eating Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 5 - Eating distress. T1-DDS - Subscale 5: Eating Distress
C161738 DDS0135 DDS01-Subscale 6: Physician Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 6 - Physician distress. T1-DDS - Subscale 6: Physician Distress
C161739 DDS0136 DDS01-Subscale 7: Friend/Family Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 7 - Friend/family distress. T1-DDS - Subscale 7: Friend/Family Distress

DDS01TN (Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Name)

NCI Code: C161620, Codelist extensible: No
C161620 DDS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161724 DDS01-Be Perfect w/Diabetes Management DDS01-Be Perfect w/Diabetes Management Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I've got to be perfect with my diabetes management. T1-DDS - Be Perfect With Diabetes Management
C161730 DDS01-Be Safe From Hypoglycemic Event DDS01-Be Safe From Hypoglycemic Event Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't ever be safe from the possibility of a serious hypoglycemic event. T1-DDS - Be Safe From Hypoglycemic Event
C161710 DDS01-Can't Tell Doctor What on My Mind DDS01-Can't Tell Doctor What on My Mind Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't tell my diabetes doctor what is really on my mind. T1-DDS - Can't Tell Doctor What on My Mind
C161708 DDS01-Discouraged See High Blood Glucose DDS01-Discouraged See High Blood Glucose Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling discouraged when I see high blood glucose numbers that I can't explain. T1-DDS - Discouraged See High Blood Glucose
C161729 DDS01-Doctor Doesn't Know Enough DDS01-Doctor Doesn't Know Enough Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't know enough about diabetes and diabetes care. T1-DDS - Doctor Doesn't Know Enough
C161721 DDS01-Doctor Doesn't Understand DDS01-Doctor Doesn't Understand Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't really understand what it's like to have diabetes. T1-DDS - Doctor Doesn't Understand
C161715 DDS01-Don't Check Glucose as I Should DDS01-Don't Check Glucose as I Should Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't check my blood glucose level as often as I probably should. T1-DDS - Don't Check Glucose as I Should
C161717 DDS01-Don't Get Help From Doctor DDS01-Don't Get Help From Doctor Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't get help I really need from my diabetes doctor about managing diabetes. T1-DDS - Don't Get Help From Doctor
C161731 DDS01-Don't Give Diabetes Attention DDS01-Don't Give Diabetes Attention Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't give my diabetes as much attention as I probably should. T1-DDS - Don't Give Diabetes Attention
C161706 DDS01-Don't Notice Signs of Hypoglycemia DDS01-Don't Notice Signs of Hypoglycemia Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't notice the warning signs of hypoglycemia as well as I used to. T1-DDS - Don't Notice Signs of Hypoglycemia
C161726 DDS01-Eating Is Out of Control DDS01-Eating Is Out of Control Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my eating is out of control. T1-DDS - Eating Is Out of Control
C161723 DDS01-Family Act Like Diabetes Police DDS01-Family Act Like Diabetes Police Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family act like 'diabetes police' (bother me too much). T1-DDS - Family Act Like Diabetes Police
C161709 DDS01-Family Make Bigger Deal Diabetes DDS01-Family Make Bigger Deal Diabetes Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my family and friends make a bigger deal out of diabetes than they should. T1-DDS - Family Make Bigger Deal Diabetes
C161720 DDS01-Family Treat Me More Fragile DDS01-Family Treat Me More Fragile Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family treat me as if I were more fragile or sicker than I really am. T1-DDS - Family Treat Me More Fragile
C161714 DDS01-Family Worry About Hypoglycemia DDS01-Family Worry About Hypoglycemia Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends and family worry more about hypoglycemia than I want them to. T1-DDS - Family Worry About Hypoglycemia
C161719 DDS01-Food and Eating Control My Life DDS01-Food and Eating Control My Life Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that thoughts about food and eating control my life. T1-DDS - Food and Eating Control My Life
C161713 DDS01-Have to Hide My Diabetes DDS01-Have to Hide My Diabetes Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling like I have to hide my diabetes from other people. T1-DDS - Have to Hide My Diabetes
C161718 DDS01-Hypoglycemic Event When Asleep DDS01-Hypoglycemic Event When Asleep Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event when I'm asleep. T1-DDS - Hypoglycemic Event When Asleep
C161725 DDS01-Hypoglycemic Event While Driving DDS01-Hypoglycemic Event While Driving Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event while driving. T1-DDS - Hypoglycemic Event While Driving
C161705 DDS01-I Don't Eat Carefully as I Should DDS01-I Don't Eat Carefully as I Should Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't eat as carefully as I probably should. T1-DDS - I Don't Eat Carefully as I Should
C161722 DDS01-Less Attractive to Employers DDS01-Less Attractive to Employers Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling concerned that diabetes may make me less attractive to employers. T1-DDS - Less Attractive to Employers
C161728 DDS01-Never Be Good Enough DDS01-Never Be Good Enough Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that no matter how hard I try with my diabetes, it will never be good enough. T1-DDS - Never Be Good Enough
C161704 DDS01-Not Skilled at Managing Diabetes DDS01-Not Skilled at Managing Diabetes Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not as skilled at managing diabetes as I should be. T1-DDS - Not Skilled at Managing Diabetes
C161711 DDS01-Not Taking Insulin as I Should DDS01-Not Taking Insulin as I Should Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not taking as much insulin as I should. T1-DDS - Not Taking Insulin as I Should
C161727 DDS01-People Think Less of Me DDS01-People Think Less of Me Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people will think less of me if they knew I had diabetes. T1-DDS - People Think Less of Me
C161707 DDS01-People Treat Me Differently DDS01-People Treat Me Differently Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people treat me differently when they find out I have diabetes. T1-DDS - People Treat Me Differently
C161733 DDS01-Subscale 1: Powerlessness DDS01-Subscale 1: Powerlessness Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 1 - Powerlessness. T1-DDS - Subscale 1: Powerlessness
C161734 DDS01-Subscale 2: Management Distress DDS01-Subscale 2: Management Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 2 - Management distress. T1-DDS - Subscale 2: Management Distress
C161735 DDS01-Subscale 3: Hypoglycemia Distress DDS01-Subscale 3: Hypoglycemia Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 3 - Hypoglycemia distress. T1-DDS - Subscale 3: Hypoglycemia Distress
C161736 DDS01-Subscale 4: Neg Social Perceptions DDS01-Subscale 4: Neg Social Perceptions Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 4 - Negative social perceptions. T1-DDS - Subscale 4: Negative Social Perceptions
C161737 DDS01-Subscale 5: Eating Distress DDS01-Subscale 5: Eating Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 5 - Eating distress. T1-DDS - Subscale 5: Eating Distress
C161738 DDS01-Subscale 6: Physician Distress DDS01-Subscale 6: Physician Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 6 - Physician distress. T1-DDS - Subscale 6: Physician Distress
C161739 DDS01-Subscale 7: Friend/Family Distress DDS01-Subscale 7: Friend/Family Distress Diabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 7 - Friend/family distress. T1-DDS - Subscale 7: Friend/Family Distress
C161712 DDS01-Too Much Diabetes Equipment w/Me DDS01-Too Much Diabetes Equipment w/Me Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that there is too much diabetes equipment and stuff I must always have with me. T1-DDS - Too Much Diabetes Equipment With Me
C161732 DDS01-Total Scale DDS01-Total Scale Diabetes Distress Scale for Adults with Type 1 Diabetes - Total scale. T1-DDS - Total Scale
C161716 DDS01-Worried Develop Complications DDS01-Worried Develop Complications Diabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling worried that I will develop serious long-term complications, no matter how hard I try. T1-DDS - Worried Develop Complications

DDS02TC (Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Code)

NCI Code: C163395, Codelist extensible: No
C163395 DDS02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163870 DDS0201 DDS02-Don't Work Well Together Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen and I just don't work well together when it comes to diabetes. PARENT-DDS - Don't Work Well Together
C163871 DDS0202 DDS02-Unappreciated for Ways I Help Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling unappreciated for all the ways I try to help my teen manage diabetes. PARENT-DDS - Unappreciated for Ways I Help
C163872 DDS0203 DDS02-Trust Teen Take Care of Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that I can't trust my teen to take good care of his/her diabetes. PARENT-DDS - Trust Teen Take Care of Diabetes
C163873 DDS0204 DDS02-Low Blood Sugars Away From Home Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is away from home. PARENT-DDS - Low Blood Sugars Away From Home
C163874 DDS0205 DDS02-Teen Ignore/Forget Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will ignore or forget diabetes if I don't keep reminding him/her. PARENT-DDS - Teen Ignore or Forget Diabetes
C163875 DDS0206 DDS02-Taking Too Much of My Energy Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day. PARENT-DDS - Taking Too Much of My Energy
C163876 DDS0207 DDS02-Help Teen Is a Battle Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my teen with his/her diabetes is always a battle. PARENT-DDS - Help Teen Is a Battle
C163877 DDS0208 DDS02-Low Blood Sugars When Sleeping Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is sleeping. PARENT-DDS - Low Blood Sugars When Sleeping
C163878 DDS0209 DDS02-No One Notices Diabetes Hard on Me Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my teen. PARENT-DDS - No One Notices Diabetes Hard on Me
C163879 DDS0210 DDS02-Doesn't Do Enough Manage Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen doesn't do enough to manage his/her diabetes. PARENT-DDS - Doesn't Do Enough Manage Diabetes
C163880 DDS0211 DDS02-Teen Doesn't Have Right Doctor Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't have the right doctor for him/her. PARENT-DDS - Teen Doesn't Have Right Doctor
C163881 DDS0212 DDS02-Blame Me If Not Well-controlled Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that others will blame me if my teen's diabetes is not well-controlled. PARENT-DDS - Blame Me If Not Well-controlled
C163882 DDS0213 DDS02-Leave Home and Cannot Protect Him Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will soon leave home and I cannot protect him. PARENT-DDS - Leave Home and Cannot Protect Him
C163883 DDS0214 DDS02-Teen Ignores My Suggestions Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated because my teen ignores my suggestions about diabetes. PARENT-DDS - Teen Ignores My Suggestions
C163884 DDS0215 DDS02-Lack Support From Friends/Family Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated by the lack of understanding and support for diabetes I get from friends and family members. PARENT-DDS - Lack Support From Friends and Family
C163885 DDS0216 DDS02-Doesn't Get Expert Medical Help Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't get all of the expert medical help he/she needs. PARENT-DDS - Doesn't Get Expert Medical Help
C163886 DDS0217 DDS02-Motivate Teen Take Care Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling uncertain about how to motivate my teen to take better care of his/her diabetes. PARENT-DDS - Motivate Teen Take Care Diabetes
C163887 DDS0218 DDS02-Teen Not Prepared Once Adult Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Concerned that my teen is not prepared to deal with the world of insurance and doctors once he/she is an adult. PARENT-DDS - Teen Not Prepared Once Adult
C163888 DDS0219 DDS02-Only One Takes Responsibility Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated that I am the only one who takes responsibility for helping my teen manage diabetes. PARENT-DDS - Only One Takes Responsibility
C163889 DDS0220 DDS02-My Nagging Hurting Relationship Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my nagging about diabetes is hurting my relationship with my teen. PARENT-DDS - My Nagging Hurting Relationship
C163890 DDS0221 DDS02-Total DDS Score: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Sum of 20 item scores. PARENT-DDS - Total DDS Score: Sum
C163891 DDS0222 DDS02-Total DDS Score: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Mean item score. PARENT-DDS - Total DDS Score: Mean
C163892 DDS0223 DDS02-Total DDS Score: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2). PARENT-DDS - Total DDS Score: Moderate
C163893 DDS0224 DDS02-Personal Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Sum of 6 items (2, 6, 9, 12, 15, 19). PARENT-DDS - Personal Distress: Sum
C163894 DDS0225 DDS02-Personal Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Mean item score. PARENT-DDS - Personal Distress: Mean
C163895 DDS0226 DDS02-Personal Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Personal Distress: Moderate
C163896 DDS0227 DDS02-Teen Management Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Sum of 4 items (4, 8, 13, 18). PARENT-DDS - Teen Management Distress: Sum
C163897 DDS0228 DDS02-Teen Management Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Mean item score. PARENT-DDS - Teen Management Distress: Mean
C163898 DDS0229 DDS02-Teen Management Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Teen Management Distress: Moderate
C163899 DDS0230 DDS02-Parent/Teen Rel Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Sum of 8 items (1, 3, 5, 7, 10, 14, 17, 20). PARENT-DDS - Parent/Teen Relationship Distress: Sum
C163900 DDS0231 DDS02-Parent/Teen Rel Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Mean item score. PARENT-DDS - Parent/Teen Relationship Distress: Mean
C163901 DDS0232 DDS02-Parent/Teen Rel Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Parent/Teen Relationship Distress: Moderate
C163902 DDS0233 DDS02-Healthcare Team Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Sum of 2 items (11, 16). PARENT-DDS - Healthcare Team Distress: Sum
C163903 DDS0234 DDS02-Healthcare Team Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Mean item score. PARENT-DDS - Healthcare Team Distress: Mean
C163904 DDS0235 DDS02-Healthcare Team Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Healthcare Team Distress: Moderate

DDS02TN (Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Name)

NCI Code: C163394, Codelist extensible: No
C163394 DDS02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163881 DDS02-Blame Me If Not Well-controlled DDS02-Blame Me If Not Well-controlled Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that others will blame me if my teen's diabetes is not well-controlled. PARENT-DDS - Blame Me If Not Well-controlled
C163879 DDS02-Doesn't Do Enough Manage Diabetes DDS02-Doesn't Do Enough Manage Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen doesn't do enough to manage his/her diabetes. PARENT-DDS - Doesn't Do Enough Manage Diabetes
C163885 DDS02-Doesn't Get Expert Medical Help DDS02-Doesn't Get Expert Medical Help Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't get all of the expert medical help he/she needs. PARENT-DDS - Doesn't Get Expert Medical Help
C163870 DDS02-Don't Work Well Together DDS02-Don't Work Well Together Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen and I just don't work well together when it comes to diabetes. PARENT-DDS - Don't Work Well Together
C163903 DDS02-Healthcare Team Distress: Mean DDS02-Healthcare Team Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Mean item score. PARENT-DDS - Healthcare Team Distress: Mean
C163904 DDS02-Healthcare Team Distress: Moderate DDS02-Healthcare Team Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Healthcare Team Distress: Moderate
C163902 DDS02-Healthcare Team Distress: Sum DDS02-Healthcare Team Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Sum of 2 items (11, 16). PARENT-DDS - Healthcare Team Distress: Sum
C163876 DDS02-Help Teen Is a Battle DDS02-Help Teen Is a Battle Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my teen with his/her diabetes is always a battle. PARENT-DDS - Help Teen Is a Battle
C163884 DDS02-Lack Support From Friends/Family DDS02-Lack Support From Friends/Family Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated by the lack of understanding and support for diabetes I get from friends and family members. PARENT-DDS - Lack Support From Friends and Family
C163882 DDS02-Leave Home and Cannot Protect Him DDS02-Leave Home and Cannot Protect Him Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will soon leave home and I cannot protect him. PARENT-DDS - Leave Home and Cannot Protect Him
C163873 DDS02-Low Blood Sugars Away From Home DDS02-Low Blood Sugars Away From Home Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is away from home. PARENT-DDS - Low Blood Sugars Away From Home
C163877 DDS02-Low Blood Sugars When Sleeping DDS02-Low Blood Sugars When Sleeping Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is sleeping. PARENT-DDS - Low Blood Sugars When Sleeping
C163886 DDS02-Motivate Teen Take Care Diabetes DDS02-Motivate Teen Take Care Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling uncertain about how to motivate my teen to take better care of his/her diabetes. PARENT-DDS - Motivate Teen Take Care Diabetes
C163889 DDS02-My Nagging Hurting Relationship DDS02-My Nagging Hurting Relationship Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my nagging about diabetes is hurting my relationship with my teen. PARENT-DDS - My Nagging Hurting Relationship
C163878 DDS02-No One Notices Diabetes Hard on Me DDS02-No One Notices Diabetes Hard on Me Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my teen. PARENT-DDS - No One Notices Diabetes Hard on Me
C163888 DDS02-Only One Takes Responsibility DDS02-Only One Takes Responsibility Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated that I am the only one who takes responsibility for helping my teen manage diabetes. PARENT-DDS - Only One Takes Responsibility
C163900 DDS02-Parent/Teen Rel Distress: Mean DDS02-Parent/Teen Rel Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Mean item score. PARENT-DDS - Parent/Teen Relationship Distress: Mean
C163901 DDS02-Parent/Teen Rel Distress: Moderate DDS02-Parent/Teen Rel Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Parent/Teen Relationship Distress: Moderate
C163899 DDS02-Parent/Teen Rel Distress: Sum DDS02-Parent/Teen Rel Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Sum of 8 items (1, 3, 5, 7, 10, 14, 17, 20). PARENT-DDS - Parent/Teen Relationship Distress: Sum
C163894 DDS02-Personal Distress: Mean DDS02-Personal Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Mean item score. PARENT-DDS - Personal Distress: Mean
C163895 DDS02-Personal Distress: Moderate DDS02-Personal Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Personal Distress: Moderate
C163893 DDS02-Personal Distress: Sum DDS02-Personal Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Sum of 6 items (2, 6, 9, 12, 15, 19). PARENT-DDS - Personal Distress: Sum
C163875 DDS02-Taking Too Much of My Energy DDS02-Taking Too Much of My Energy Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day. PARENT-DDS - Taking Too Much of My Energy
C163880 DDS02-Teen Doesn't Have Right Doctor DDS02-Teen Doesn't Have Right Doctor Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't have the right doctor for him/her. PARENT-DDS - Teen Doesn't Have Right Doctor
C163874 DDS02-Teen Ignore/Forget Diabetes DDS02-Teen Ignore/Forget Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will ignore or forget diabetes if I don't keep reminding him/her. PARENT-DDS - Teen Ignore or Forget Diabetes
C163883 DDS02-Teen Ignores My Suggestions DDS02-Teen Ignores My Suggestions Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated because my teen ignores my suggestions about diabetes. PARENT-DDS - Teen Ignores My Suggestions
C163897 DDS02-Teen Management Distress: Mean DDS02-Teen Management Distress: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Mean item score. PARENT-DDS - Teen Management Distress: Mean
C163898 DDS02-Teen Management Distress: Moderate DDS02-Teen Management Distress: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Moderate distress or greater? (mean score > 2). PARENT-DDS - Teen Management Distress: Moderate
C163896 DDS02-Teen Management Distress: Sum DDS02-Teen Management Distress: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Sum of 4 items (4, 8, 13, 18). PARENT-DDS - Teen Management Distress: Sum
C163887 DDS02-Teen Not Prepared Once Adult DDS02-Teen Not Prepared Once Adult Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Concerned that my teen is not prepared to deal with the world of insurance and doctors once he/she is an adult. PARENT-DDS - Teen Not Prepared Once Adult
C163891 DDS02-Total DDS Score: Mean DDS02-Total DDS Score: Mean Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Mean item score. PARENT-DDS - Total DDS Score: Mean
C163892 DDS02-Total DDS Score: Moderate DDS02-Total DDS Score: Moderate Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2). PARENT-DDS - Total DDS Score: Moderate
C163890 DDS02-Total DDS Score: Sum DDS02-Total DDS Score: Sum Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Sum of 20 item scores. PARENT-DDS - Total DDS Score: Sum
C163872 DDS02-Trust Teen Take Care of Diabetes DDS02-Trust Teen Take Care of Diabetes Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that I can't trust my teen to take good care of his/her diabetes. PARENT-DDS - Trust Teen Take Care of Diabetes
C163871 DDS02-Unappreciated for Ways I Help DDS02-Unappreciated for Ways I Help Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling unappreciated for all the ways I try to help my teen manage diabetes. PARENT-DDS - Unappreciated for Ways I Help

DDS03TC (Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Code)

NCI Code: C163397, Codelist extensible: No
C163397 DDS03TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163905 DDS0301 DDS03-Worry About Low Blood Sugars Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars. PARTNER-DDS - Worry About Low Blood Sugars
C163906 DDS0302 DDS03-How Involved Managing Diabetes Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling unclear about exactly how much I should be involved in managing my partner's diabetes. PARTNER-DDS - How Involved Managing Diabetes
C163907 DDS0303 DDS03-Partner Shuts Me Out Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that my partner shuts me out of his/her diabetes. PARTNER-DDS - Partner Shuts Me Out
C163908 DDS0304 DDS03-Partner Doesn't Try Hard Enough Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that my partner doesn't try hard enough to manage his/her diabetes. PARTNER-DDS - Partner Doesn't Try Hard Enough
C163909 DDS0305 DDS03-Overwhelmed by Constant Demands Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling overwhelmed by the constant demands of my partner's diabetes. PARTNER-DDS - Overwhelmed by Constant Demands
C163910 DDS0306 DDS03-How to Best Help Partner Manage Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that don't know how to best help my partner manage diabetes. PARTNER-DDS - How to Best Help Partner Manage
C163911 DDS0307 DDS03-Silent About My Partner's Diabetes Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I stay silent about my partner's diabetes more than I really should. PARTNER-DDS - Silent About My Partner's Diabetes
C163912 DDS0308 DDS03-Taking Too Much of My Energy Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day. PARTNER-DDS - Taking Too Much of My Energy
C163913 DDS0309 DDS03-No One Notices Diabetes Hard On Me Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my partner. PARTNER-DDS - No One Notices Diabetes Hard On Me
C163914 DDS0310 DDS03-More I Try The Worse Things Get Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that the more I try to help my partner manage his/her diabetes, the worse things get between us. PARTNER-DDS - More I Try The Worse Things Get
C163915 DDS0311 DDS03-Guilty Not Doing Enough to Help Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling guilty about not doing enough to help my partner with diabetes. PARTNER-DDS - Guilty Not Doing Enough to Help
C163916 DDS0312 DDS03-Can't Get Partner Improve Attitude Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that I can't get my partner to improve his/her attitude about diabetes. PARTNER-DDS - Can't Get Partner Improve Attitude
C163917 DDS0313 DDS03-Failing to Help Partner Manage Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that I am failing to help my partner manage diabetes more successfully. PARTNER-DDS - Failing to Help Partner Manage
C163918 DDS0314 DDS03-Help My Partner Always a Battle Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my partner with his/her diabetes is always a battle. PARTNER-DDS - Help My Partner Always a Battle
C163919 DDS0315 DDS03-Partner Ignores My Suggestions Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated because my partner ignores my suggestions about diabetes. PARTNER-DDS - Partner Ignores My Suggestions
C163920 DDS0316 DDS03-Diabetes Often Interrupts Plans Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that diabetes often interrupts our plans. PARTNER-DDS - Diabetes Often Interrupts Plans
C163921 DDS0317 DDS03-Low Blood Sugars When Sleeping Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars when he/she is sleeping. PARTNER-DDS - Low Blood Sugars When Sleeping
C163922 DDS0318 DDS03-Partner Driving Low Blood Sugars Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's driving because of possible low blood sugars. PARTNER-DDS - Partner Driving Low Blood Sugars
C163923 DDS0319 DDS03-Leaving Alone Low Blood Sugars Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about leaving my partner alone because of the possible danger of low blood sugars. PARTNER-DDS - Leaving Alone Low Blood Sugars
C163924 DDS0320 DDS03-Not Working Well Together Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Concerned that my partner and I are not working well together when it comes to diabetes. PARTNER-DDS - Not Working Well Together
C163925 DDS0321 DDS03-Never Get a Break From Worrying Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I never get a break from worrying about my partner's diabetes. PARTNER-DDS - Never Get a Break From Worrying
C163926 DDS0322 DDS03-Total DDS Score: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Sum of 21 item scores. PARTNER-DDS - Total DDS Score: Sum
C163927 DDS0323 DDS03-Total DDS Score: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Mean item score. PARTNER-DDS - Total DDS Score: Mean
C163928 DDS0324 DDS03-Total DDS Score: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Total DDS Score: Moderate
C163929 DDS0325 DDS03-Partner Diabetes Management: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Sum of 7 items (3, 4, 10, 12, 14, 15, 20). PARTNER-DDS - Partner Diabetes Management: Sum
C163930 DDS0326 DDS03-Partner Diabetes Management: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Mean item score. PARTNER-DDS - Partner Diabetes Management: Mean
C163931 DDS0327 DDS03-Partner Diabetes Manage: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Partner Diabetes Manage: Moderate
C163932 DDS0328 DDS03-How Best to Help: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Sum of 5 items (2, 6, 7, 11, 13). PARTNER-DDS - How Best to Help: Sum
C163933 DDS0329 DDS03-How Best to Help: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Mean item score. PARTNER-DDS - How Best to Help: Mean
C163934 DDS0330 DDS03-How Best to Help: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Moderate distress or greater? (mean score > 2). PARTNER-DDS - How Best to Help: Moderate
C163935 DDS0331 DDS03-Diabetes and Me: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Sum of 5 items (5, 8, 9, 16, 21). PARTNER-DDS - Diabetes and Me: Sum
C163936 DDS0332 DDS03-Diabetes and Me: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Mean item score. PARTNER-DDS - Diabetes and Me: Mean
C163937 DDS0333 DDS03-Diabetes and Me: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Diabetes and Me: Moderate
C163938 DDS0334 DDS03-Hypoglycemia: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Sum of 4 items (1, 17, 18, 19). PARTNER-DDS - Hypoglycemia: Sum
C163939 DDS0335 DDS03-Hypoglycemia: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Mean item score. PARTNER-DDS - Hypoglycemia: Mean
C163940 DDS0336 DDS03-Hypoglycemia: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Hypoglycemia: Moderate

DDS03TN (Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Name)

NCI Code: C163396, Codelist extensible: No
C163396 DDS03TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163916 DDS03-Can't Get Partner Improve Attitude DDS03-Can't Get Partner Improve Attitude Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that I can't get my partner to improve his/her attitude about diabetes. PARTNER-DDS - Can't Get Partner Improve Attitude
C163936 DDS03-Diabetes and Me: Mean DDS03-Diabetes and Me: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Mean item score. PARTNER-DDS - Diabetes and Me: Mean
C163937 DDS03-Diabetes and Me: Moderate DDS03-Diabetes and Me: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Diabetes and Me: Moderate
C163935 DDS03-Diabetes and Me: Sum DDS03-Diabetes and Me: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Sum of 5 items (5, 8, 9, 16, 21). PARTNER-DDS - Diabetes and Me: Sum
C163920 DDS03-Diabetes Often Interrupts Plans DDS03-Diabetes Often Interrupts Plans Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that diabetes often interrupts our plans. PARTNER-DDS - Diabetes Often Interrupts Plans
C163917 DDS03-Failing to Help Partner Manage DDS03-Failing to Help Partner Manage Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that I am failing to help my partner manage diabetes more successfully. PARTNER-DDS - Failing to Help Partner Manage
C163915 DDS03-Guilty Not Doing Enough to Help DDS03-Guilty Not Doing Enough to Help Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling guilty about not doing enough to help my partner with diabetes. PARTNER-DDS - Guilty Not Doing Enough to Help
C163918 DDS03-Help My Partner Always a Battle DDS03-Help My Partner Always a Battle Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my partner with his/her diabetes is always a battle. PARTNER-DDS - Help My Partner Always a Battle
C163933 DDS03-How Best to Help: Mean DDS03-How Best to Help: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Mean item score. PARTNER-DDS - How Best to Help: Mean
C163934 DDS03-How Best to Help: Moderate DDS03-How Best to Help: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Moderate distress or greater? (mean score > 2). PARTNER-DDS - How Best to Help: Moderate
C163932 DDS03-How Best to Help: Sum DDS03-How Best to Help: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Sum of 5 items (2, 6, 7, 11, 13). PARTNER-DDS - How Best to Help: Sum
C163906 DDS03-How Involved Managing Diabetes DDS03-How Involved Managing Diabetes Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling unclear about exactly how much I should be involved in managing my partner's diabetes. PARTNER-DDS - How Involved Managing Diabetes
C163910 DDS03-How to Best Help Partner Manage DDS03-How to Best Help Partner Manage Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that don't know how to best help my partner manage diabetes. PARTNER-DDS - How to Best Help Partner Manage
C163939 DDS03-Hypoglycemia: Mean DDS03-Hypoglycemia: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Mean item score. PARTNER-DDS - Hypoglycemia: Mean
C163940 DDS03-Hypoglycemia: Moderate DDS03-Hypoglycemia: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Hypoglycemia: Moderate
C163938 DDS03-Hypoglycemia: Sum DDS03-Hypoglycemia: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Sum of 4 items (1, 17, 18, 19). PARTNER-DDS - Hypoglycemia: Sum
C163923 DDS03-Leaving Alone Low Blood Sugars DDS03-Leaving Alone Low Blood Sugars Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about leaving my partner alone because of the possible danger of low blood sugars. PARTNER-DDS - Leaving Alone Low Blood Sugars
C163921 DDS03-Low Blood Sugars When Sleeping DDS03-Low Blood Sugars When Sleeping Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars when he/she is sleeping. PARTNER-DDS - Low Blood Sugars When Sleeping
C163914 DDS03-More I Try The Worse Things Get DDS03-More I Try The Worse Things Get Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that the more I try to help my partner manage his/her diabetes, the worse things get between us. PARTNER-DDS - More I Try The Worse Things Get
C163925 DDS03-Never Get a Break From Worrying DDS03-Never Get a Break From Worrying Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I never get a break from worrying about my partner's diabetes. PARTNER-DDS - Never Get a Break From Worrying
C163913 DDS03-No One Notices Diabetes Hard On Me DDS03-No One Notices Diabetes Hard On Me Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my partner. PARTNER-DDS - No One Notices Diabetes Hard On Me
C163924 DDS03-Not Working Well Together DDS03-Not Working Well Together Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Concerned that my partner and I are not working well together when it comes to diabetes. PARTNER-DDS - Not Working Well Together
C163909 DDS03-Overwhelmed by Constant Demands DDS03-Overwhelmed by Constant Demands Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling overwhelmed by the constant demands of my partner's diabetes. PARTNER-DDS - Overwhelmed by Constant Demands
C163931 DDS03-Partner Diabetes Manage: Moderate DDS03-Partner Diabetes Manage: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Partner Diabetes Manage: Moderate
C163930 DDS03-Partner Diabetes Management: Mean DDS03-Partner Diabetes Management: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Mean item score. PARTNER-DDS - Partner Diabetes Management: Mean
C163929 DDS03-Partner Diabetes Management: Sum DDS03-Partner Diabetes Management: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Sum of 7 items (3, 4, 10, 12, 14, 15, 20). PARTNER-DDS - Partner Diabetes Management: Sum
C163908 DDS03-Partner Doesn't Try Hard Enough DDS03-Partner Doesn't Try Hard Enough Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that my partner doesn't try hard enough to manage his/her diabetes. PARTNER-DDS - Partner Doesn't Try Hard Enough
C163922 DDS03-Partner Driving Low Blood Sugars DDS03-Partner Driving Low Blood Sugars Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's driving because of possible low blood sugars. PARTNER-DDS - Partner Driving Low Blood Sugars
C163919 DDS03-Partner Ignores My Suggestions DDS03-Partner Ignores My Suggestions Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated because my partner ignores my suggestions about diabetes. PARTNER-DDS - Partner Ignores My Suggestions
C163907 DDS03-Partner Shuts Me Out DDS03-Partner Shuts Me Out Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that my partner shuts me out of his/her diabetes. PARTNER-DDS - Partner Shuts Me Out
C163911 DDS03-Silent About My Partner's Diabetes DDS03-Silent About My Partner's Diabetes Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I stay silent about my partner's diabetes more than I really should. PARTNER-DDS - Silent About My Partner's Diabetes
C163912 DDS03-Taking Too Much of My Energy DDS03-Taking Too Much of My Energy Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day. PARTNER-DDS - Taking Too Much of My Energy
C163927 DDS03-Total DDS Score: Mean DDS03-Total DDS Score: Mean Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Mean item score. PARTNER-DDS - Total DDS Score: Mean
C163928 DDS03-Total DDS Score: Moderate DDS03-Total DDS Score: Moderate Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2). PARTNER-DDS - Total DDS Score: Moderate
C163926 DDS03-Total DDS Score: Sum DDS03-Total DDS Score: Sum Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Sum of 21 item scores. PARTNER-DDS - Total DDS Score: Sum
C163905 DDS03-Worry About Low Blood Sugars DDS03-Worry About Low Blood Sugars Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars. PARTNER-DDS - Worry About Low Blood Sugars

DIBC01TC (Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Code)

NCI Code: C183549, Codelist extensible: No
C183549 DIBC01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183608 DIBC0101 DIBC01-Rate Worst Abdominal Pain Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal pain in the past 24 hours? DIBSS-C Version 1.0 - Rate Worst Abdominal Pain
C183609 DIBC0102 DIBC01-Rate Worst Abdominal Discomfort Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal discomfort in the past 24 hours? DIBSS-C Version 1.0 - Rate Worst Abdominal Discomfort
C183610 DIBC0103 DIBC01-Rate Worst Abdominal Bloating Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal bloating in the past 24 hours? DIBSS-C Version 1.0 - Rate Worst Abdominal Bloating
C183611 DIBC0104 DIBC01-Other Bowel Movements to Report Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Do you have any other bowel movements to report? DIBSS-C Version 1.0 - Other Bowel Movements to Report
C183612 DIBC0105 DIBC01-Completely Emptied Bowels Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Did you feel like you completely emptied your bowels after your bowel movement? DIBSS-C Version 1.0 - Completely Emptied Bowels
C183613 DIBC0106 DIBC01-How Much Did You Strain Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How much did you strain during your bowel movement? DIBSS-C Version 1.0 - How Much Did You Strain
C183614 DIBC0107 DIBC01-Describe Consistency of Stool Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you describe the consistency of your stool? DIBSS-C Version 1.0 - Describe Consistency of Stool
C183615 DIBC0108 DIBC01-Stool Frequency Weekly Total Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, total number of BMs across days on which no laxative, enema, or suppository use was reported. DIBSS-C Version 1.0 - Stool Frequency Weekly Total
C183616 DIBC0109 DIBC01-Stool Frequency Weekly Complete Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, the weekly total score minus any BMs reported as not complete. DIBSS-C Version 1.0 - Stool Frequency Weekly Complete
C183617 DIBC0110 DIBC01-Abdominal Symptom Subscale Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Abdominal symptom subscale. DIBSS-C Version 1.0 - Abdominal Symptom Subscale

DIBC01TN (Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Name)

NCI Code: C183548, Codelist extensible: No
C183548 DIBC01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183617 DIBC01-Abdominal Symptom Subscale DIBC01-Abdominal Symptom Subscale Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Abdominal symptom subscale. DIBSS-C Version 1.0 - Abdominal Symptom Subscale
C183612 DIBC01-Completely Emptied Bowels DIBC01-Completely Emptied Bowels Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Did you feel like you completely emptied your bowels after your bowel movement? DIBSS-C Version 1.0 - Completely Emptied Bowels
C183614 DIBC01-Describe Consistency of Stool DIBC01-Describe Consistency of Stool Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you describe the consistency of your stool? DIBSS-C Version 1.0 - Describe Consistency of Stool
C183613 DIBC01-How Much Did You Strain DIBC01-How Much Did You Strain Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How much did you strain during your bowel movement? DIBSS-C Version 1.0 - How Much Did You Strain
C183611 DIBC01-Other Bowel Movements to Report DIBC01-Other Bowel Movements to Report Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Do you have any other bowel movements to report? DIBSS-C Version 1.0 - Other Bowel Movements to Report
C183610 DIBC01-Rate Worst Abdominal Bloating DIBC01-Rate Worst Abdominal Bloating Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal bloating in the past 24 hours? DIBSS-C Version 1.0 - Rate Worst Abdominal Bloating
C183609 DIBC01-Rate Worst Abdominal Discomfort DIBC01-Rate Worst Abdominal Discomfort Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal discomfort in the past 24 hours? DIBSS-C Version 1.0 - Rate Worst Abdominal Discomfort
C183608 DIBC01-Rate Worst Abdominal Pain DIBC01-Rate Worst Abdominal Pain Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal pain in the past 24 hours? DIBSS-C Version 1.0 - Rate Worst Abdominal Pain
C183616 DIBC01-Stool Frequency Weekly Complete DIBC01-Stool Frequency Weekly Complete Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, the weekly total score minus any BMs reported as not complete. DIBSS-C Version 1.0 - Stool Frequency Weekly Complete
C183615 DIBC01-Stool Frequency Weekly Total DIBC01-Stool Frequency Weekly Total Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, total number of BMs across days on which no laxative, enema, or suppository use was reported. DIBSS-C Version 1.0 - Stool Frequency Weekly Total

DLQI1TC (Dermatology Life Quality Index Questionnaire Test Code)

NCI Code: C119070, Codelist extensible: No
C119070 DLQI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119163 DLQI101 DLQI1-How Itchy, Sore, Painful, Stinging Dermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been? DLQI - Itchy, Sore, Painful or Stinging Skin
C119164 DLQI102 DLQI1-How Embarrassed, Self Conscious Dermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin? DLQI - Embarrassed Because of Skin
C119165 DLQI103 DLQI1-Interfered Shopping, Home, Yard Dermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard? DLQI - Skin Interfere With Shopping, Looking After Home or Yard
C119166 DLQI104 DLQI1-Influenced Clothes You Wear Dermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear? DLQI - Skin Influence Clothes You Wear
C119167 DLQI105 DLQI1-Affected Social, Leisure Activity Dermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities? DLQI - Skin Affect Social or Leisure Activities
C119168 DLQI106 DLQI1-Made It Difficult to Do Any Sports Dermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport? DLQI - Skin Made Difficult to Do Sport
C119169 DLQI107 DLQI1-Prevented Working or Studying Dermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying? DLQI - Skin Prevent Work or Study
C119170 DLQI107A DLQI1-Problem at Work or Studying Dermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying? DLQI - Skin Has Been a Problem at Work or Study
C119171 DLQI108 DLQI1-Problem Partner, Friends, Relative Dermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives? DLQI - Skin Create Problem With Partner, Friends or Relatives
C119172 DLQI109 DLQI1-Caused Any Sexual Difficulties Dermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties? DLQI - Skin Cause Sexual Difficulties
C119173 DLQI110 DLQI1-How Much a Problem is Treatment Dermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time? DLQI - Treatment for Skin Make Home Messy
C119174 DLQI111 DLQI1-Score Dermatology Life Quality Index - Score. DLQI - Score

DLQI1TN (Dermatology Life Quality Index Questionnaire Test Name)

NCI Code: C119069, Codelist extensible: No
C119069 DLQI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119167 DLQI1-Affected Social, Leisure Activity DLQI1-Affected Social, Leisure Activity Dermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities? DLQI - Skin Affect Social or Leisure Activities
C119172 DLQI1-Caused Any Sexual Difficulties DLQI1-Caused Any Sexual Difficulties Dermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties? DLQI - Skin Cause Sexual Difficulties
C119164 DLQI1-How Embarrassed, Self Conscious DLQI1-How Embarrassed, Self Conscious Dermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin? DLQI - Embarrassed Because of Skin
C119163 DLQI1-How Itchy, Sore, Painful, Stinging DLQI1-How Itchy, Sore, Painful, Stinging Dermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been? DLQI - Itchy, Sore, Painful or Stinging Skin
C119173 DLQI1-How Much a Problem is Treatment DLQI1-How Much a Problem is Treatment Dermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time? DLQI - Treatment for Skin Make Home Messy
C119166 DLQI1-Influenced Clothes You Wear DLQI1-Influenced Clothes You Wear Dermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear? DLQI - Skin Influence Clothes You Wear
C119165 DLQI1-Interfered Shopping, Home, Yard DLQI1-Interfered Shopping, Home, Yard Dermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard? DLQI - Skin Interfere With Shopping, Looking After Home or Yard
C119168 DLQI1-Made It Difficult to Do Any Sports DLQI1-Made It Difficult to Do Any Sports Dermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport? DLQI - Skin Made Difficult to Do Sport
C119169 DLQI1-Prevented Working or Studying DLQI1-Prevented Working or Studying Dermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying? DLQI - Skin Prevent Work or Study
C119170 DLQI1-Problem at Work or Studying DLQI1-Problem at Work or Studying Dermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying? DLQI - Skin Has Been a Problem at Work or Study
C119171 DLQI1-Problem Partner, Friends, Relative DLQI1-Problem Partner, Friends, Relative Dermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives? DLQI - Skin Create Problem With Partner, Friends or Relatives
C119174 DLQI1-Score DLQI1-Score Dermatology Life Quality Index - Score. DLQI - Score

DRRI1TC (Deployment Risk and Resilience Inventory-2 Questionnaire Test Code)

NCI Code: C141673, Codelist extensible: No
C141673 DRRI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141867 DRRI1A01 DRRI1-A: Someone Close to Me Died Deployment Risk & Resilience Inventory-2 - Before deployment: someone close to me died. DRRI-2 - A: Someone Close to Me Died
C141868 DRRI1A02 DRRI1-A: Went Through Divorce/Was Left Deployment Risk & Resilience Inventory-2 - Before deployment: I went through a divorce or was left by a significant other. DRRI-2 - A: Went Through Divorce/Was Left
C141869 DRRI1A03 DRRI1-A: Robbed/Had My Home Broken Into Deployment Risk & Resilience Inventory-2 - Before deployment: I was robbed or had my home broken into. DRRI-2 - A: Robbed/Had My Home Broken Into
C141870 DRRI1A04 DRRI1-A: Saw/Heard Physical Fight Parent Deployment Risk & Resilience Inventory-2 - Before deployment: I saw or heard physical fighting between my parents or caregivers. DRRI-2 - A: Saw/Heard Physical Fight Parent
C141871 DRRI1A05 DRRI1-A: Physically Punished by Parent Deployment Risk & Resilience Inventory-2 - Before deployment: I was physically punished by a parent or primary caregiver. DRRI-2 - A: Physically Punished by Parent
C141872 DRRI1A06 DRRI1-A: Unwanted Sex Activity Childhood Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during childhood (before age 18). DRRI-2 - A: Unwanted Sex Activity Childhood
C141873 DRRI1A07 DRRI1-A: Unwanted Sex Activity Adulthood Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during adulthood (age 18 or later). DRRI-2 - A: Unwanted Sex Activity Adulthood
C141874 DRRI1A08 DRRI1-A: Experienced Natural Disaster Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage. DRRI-2 - A: Experienced Natural Disaster
C141875 DRRI1A09 DRRI1-A: Someone Close Serious Illness Deployment Risk & Resilience Inventory-2 - Before deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem). DRRI-2 - A: Someone Close Serious Illness
C141876 DRRI1A10 DRRI1-A: Witnessed Someone Assaulted Deployment Risk & Resilience Inventory-2 - Before deployment: I witnessed someone being seriously assaulted or killed. DRRI-2 - A: Witnessed Someone Assaulted
C141877 DRRI1A11 DRRI1-A: Lost My Job/Trouble Finding Job Deployment Risk & Resilience Inventory-2 - Before deployment: I lost my job or had serious trouble finding a job. DRRI-2 - A: Lost My Job/Trouble Finding Job
C141878 DRRI1A12 DRRI1-A: Emotionally Mistreated Deployment Risk & Resilience Inventory-2 - Before deployment: I was emotionally mistreated (for example, ignored or repeatedly told I was no good). DRRI-2 - A: Emotionally Mistreated
C141879 DRRI1A13 DRRI1-A: Serious Financial Problems Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious financial problems. DRRI-2 - A: Serious Financial Problems
C141880 DRRI1A14 DRRI1-A: Serious Physical Health Problem Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious physical or mental health problems. DRRI-2 - A: Serious Physical Health Problem
C141881 DRRI1A15 DRRI1-A: Dangerous Military Duties Deployment Risk & Resilience Inventory-2 - Before deployment: I participated in dangerous military duties. DRRI-2 - A: Dangerous Military Duties
C141882 DRRI1A16 DRRI1-A: Injured by Person - Childhood Deployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during childhood (before age 18). DRRI-2 - A: Injured by Person - Childhood
C141883 DRRI1A17 DRRI1-A: Injured by Person - Adulthood Deployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during adulthood (age 18 or later). DRRI-2 - A: Injured by Person - Adulthood
C141884 DRRI1A18 DRRI1-A: Stressful Legal Problems Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle). DRRI-2 - A: Stressful Legal Problems
C141885 DRRI1B01 DRRI1-B: Got Along Well With My Family Deployment Risk & Resilience Inventory-2 - During childhood: I got along well with my family members. DRRI-2 - B: Got Along Well With My Family
C141886 DRRI1B02 DRRI1-B: Felt Like I Fit in With Family Deployment Risk & Resilience Inventory-2 - During childhood: I felt like I fit in with my family. DRRI-2 - B: Felt Like I Fit in With Family
C141887 DRRI1B03 DRRI1-B: Family Knew What I Thought/Felt Deployment Risk & Resilience Inventory-2 - During childhood: family members knew what I thought and how I felt about things. DRRI-2 - B: Family Knew What I Thought/Felt
C141888 DRRI1B04 DRRI1-B: Contribution Family Appreciated Deployment Risk & Resilience Inventory-2 - During childhood: I felt like my contributions to my family were appreciated. DRRI-2 - B: Contribution Family Appreciated
C141889 DRRI1B05 DRRI1-B: Shared Interests With Family Deployment Risk & Resilience Inventory-2 - During childhood: I shared many common interests and activities with family members. DRRI-2 - B: Shared Interests With Family
C141890 DRRI1B06 DRRI1-B: Opinions Were Valued by Family Deployment Risk & Resilience Inventory-2 - During childhood: my opinions were valued by other family members. DRRI-2 - B: Opinions Were Valued by Family
C141891 DRRI1B07 DRRI1-B: I Was Affectionate With Family Deployment Risk & Resilience Inventory-2 - During childhood: I was affectionate with family members. DRRI-2 - B: I Was Affectionate With Family
C141892 DRRI1B08 DRRI1-B: Played Important Role in Family Deployment Risk & Resilience Inventory-2 - During childhood: I played an important role in my family. DRRI-2 - B: Played Important Role in Family
C141893 DRRI1B09 DRRI1-B: Spent My Free Time With Family Deployment Risk & Resilience Inventory-2 - During childhood: I spent as much of my free time with family members as possible. DRRI-2 - B: Spent My Free Time With Family
C141894 DRRI1B10 DRRI1-B: Family Told Me When Problem Deployment Risk & Resilience Inventory-2 - During childhood: family members told me when they were having a problem. DRRI-2 - B: Family Told Me When Problem
C141895 DRRI1B11 DRRI1-B: I Could Be Myself Around Family Deployment Risk & Resilience Inventory-2 - During childhood: I could be myself around family members. DRRI-2 - B: I Could Be Myself Around Family
C141896 DRRI1B12 DRRI1-B: Input Sought Family Decisions Deployment Risk & Resilience Inventory-2 - During childhood: my input was sought on important family decisions. DRRI-2 - B: Input Sought Family Decisions
C141897 DRRI1C01 DRRI1-C: Climate Was Uncomfortable Deployment Risk & Resilience Inventory-2 - During deployment: the climate was uncomfortable. DRRI-2 - C: Climate Was Uncomfortable
C141898 DRRI1C02 DRRI1-C: Deal With Annoying Animals Deployment Risk & Resilience Inventory-2 - During deployment: I had to deal with annoying animals, insects, or plants. DRRI-2 - C: Deal With Annoying Animals
C141899 DRRI1C03 DRRI1-C: Food Was of Very Poor Quality Deployment Risk & Resilience Inventory-2 - During deployment: the food I had to eat was of very poor quality (for example, bad or old MREs). DRRI-2 - C: Food Was of Very Poor Quality
C141900 DRRI1C04 DRRI1-C: Conditions Extremely Unsanitary Deployment Risk & Resilience Inventory-2 - During deployment: the conditions I lived in were extremely unsanitary. DRRI-2 - C: Conditions Extremely Unsanitary
C141901 DRRI1C05 DRRI1-C: Didn't Have Bathrooms Deployment Risk & Resilience Inventory-2 - During deployment: I didn't have access to bathrooms or showers when I needed them. DRRI-2 - C: Didn't Have Bathrooms
C141902 DRRI1C06 DRRI1-C: Wasn't Able to Get Privacy Deployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get as much privacy as I needed. DRRI-2 - C: Wasn't Able to Get Privacy
C141903 DRRI1C07 DRRI1-C: I Was Exposed to Awful Smells Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to awful smells. DRRI-2 - C: I Was Exposed to Awful Smells
C141904 DRRI1C08 DRRI1-C: I Was Subjected to Loud Noises Deployment Risk & Resilience Inventory-2 - During deployment: I was subjected to loud noises. DRRI-2 - C: I Was Subjected to Loud Noises
C141905 DRRI1C09 DRRI1-C: Restricted Because Local Custom Deployment Risk & Resilience Inventory-2 - During deployment: my daily activities were restricted because of local religious or ethnic customs. DRRI-2 - C: Restricted Because Local Custom
C141906 DRRI1C10 DRRI1-C: Wasn't Able to Rest Deployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get rest when I needed it. DRRI-2 - C: Wasn't Able to Rest
C141907 DRRI1C11 DRRI1-C: Wasn't Able to Contact Home Deployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to contact home when I needed to. DRRI-2 - C: Wasn't Able to Contact Home
C141908 DRRI1C12 DRRI1-C: Hassle With Heavy/Annoying Gear Deployment Risk & Resilience Inventory-2 - During deployment: I had to hassle with putting on and taking off heavy or annoying gear. DRRI-2 - C: Hassle With Heavy/Annoying Gear
C141909 DRRI1C13 DRRI1-C: Not Allowed to Get Job Done Deployment Risk & Resilience Inventory-2 - During deployment: I was not allowed to do the things I needed to do to get my job done. DRRI-2 - C: Not Allowed to Get Job Done
C141910 DRRI1C14 DRRI1-C: Not Have Adequate Shelter Deployment Risk & Resilience Inventory-2 - During deployment: I did not have adequate shelter from uncomfortable living conditions (for example, heat, cold, wet, etc.). DRRI-2 - C: Not Have Adequate Shelter
C141911 DRRI1D01 DRRI1-D: Went on Combat Patrols/Missions Deployment Risk & Resilience Inventory-2 - During deployment: I went on combat patrols or missions. DRRI-2 - D: Went on Combat Patrols/Missions
C141912 DRRI1D02 DRRI1-D: Assault on Entrenched Positions Deployment Risk & Resilience Inventory-2 - During deployment: I took part in an assault on entrenched or fortified positions that involved naval and/or land forces. DRRI-2 - D: Assault on Entrenched Positions
C141913 DRRI1D03 DRRI1-D: Witnessed Someone Unit Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed someone from my unit or an ally unit being seriously wounded or killed. DRRI-2 - D: Witnessed Someone Unit Wounded
C141914 DRRI1D04 DRRI1-D: Encountered Land Mines Deployment Risk & Resilience Inventory-2 - During deployment: I encountered land or water mines, booby traps, or roadside bombs (for example, IEDs). DRRI-2 - D: Encountered Land Mines
C141915 DRRI1D05 DRRI1-D: Exposed Hostile Incoming Fire Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to hostile incoming fire. DRRI-2 - D: Exposed Hostile Incoming Fire
C141916 DRRI1D06 DRRI1-D: Exposed to Friendly Fire Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to "friendly" fire. DRRI-2 - D: Exposed to Friendly Fire
C141917 DRRI1D07 DRRI1-D: Vehicle/Part of Convoy Attacked Deployment Risk & Resilience Inventory-2 - During deployment: I was in a vehicle (for example, a "humvee", helicopter, or boat) or part of a convoy that was attacked. DRRI-2 - D: Vehicle/Part of Convoy Attacked
C141918 DRRI1D08 DRRI1-D: Part of Unit Fired on Enemy Deployment Risk & Resilience Inventory-2 - During deployment: I was part of a land or naval artillery unit that fired on enemy combatants. DRRI-2 - D: Part of Unit Fired on Enemy
C141919 DRRI1D09 DRRI1-D: Witnessed Enemy Wounded/Killed Deployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed enemy combatants being seriously wounded or killed. DRRI-2 - D: Witnessed Enemy Wounded/Killed
C141920 DRRI1D10 DRRI1-D: Witnessed Civilians Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed civilians (for example, women and children) being seriously wounded or killed. DRRI-2 - D: Witnessed Civilians Wounded
C141921 DRRI1D11 DRRI1-D: Injured Combat-Related Incident Deployment Risk & Resilience Inventory-2 - During deployment: I was injured in a combat-related incident. DRRI-2 - D: Injured Combat-Related Incident
C141922 DRRI1D12 DRRI1-D: Fired My Weapon Enemy Combatant Deployment Risk & Resilience Inventory-2 - During deployment: I fired my weapon at enemy combatants. DRRI-2 - D: Fired My Weapon Enemy Combatant
C141923 DRRI1D13 DRRI1-D: Think I Wounded/Killed Someone Deployment Risk & Resilience Inventory-2 - During deployment: I think I wounded or killed someone during combat operations. DRRI-2 - D: Think I Wounded/Killed Someone
C141924 DRRI1D14 DRRI1-D: Locating Explosive Devices Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in locating or disarming explosive devices. DRRI-2 - D: Locating Explosive Devices
C141925 DRRI1D15 DRRI1-D: Searching Homes/Buildings Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching or clearing homes, buildings, or other locations. DRRI-2 - D: Searching Homes/Buildings
C141926 DRRI1D16 DRRI1-D: Participate Hand-to-hand Combat Deployment Risk & Resilience Inventory-2 - During deployment: I participated in hand-to-hand combat. DRRI-2 - D: Participate Hand-to-hand Combat
C141927 DRRI1D17 DRRI1-D: Search/Disarm Potential Enemy Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching and/or disarming potential enemy combatants. DRRI-2 - D: Search/Disarm Potential Enemy
C141928 DRRI1E01 DRRI1-E: Saw People Begging for Food Deployment Risk & Resilience Inventory-2 - During deployment: I saw people begging for food. DRRI-2 - E: Saw People Begging for Food
C141929 DRRI1E02 DRRI1-E: Saw Refugees Who Had Lost Homes Deployment Risk & Resilience Inventory-2 - During deployment: I saw refugees who had lost their homes or belongings. DRRI-2 - E: Saw Refugees Who Had Lost Homes
C141930 DRRI1E03 DRRI1-E: Observed Homes Been Destroyed Deployment Risk & Resilience Inventory-2 - During deployment: I observed homes or communities that had been destroyed. DRRI-2 - E: Observed Homes Been Destroyed
C141931 DRRI1E04 DRRI1-E: Took Care Injured/Dying People Deployment Risk & Resilience Inventory-2 - During deployment: I took care of injured or dying people. DRRI-2 - E: Took Care Injured/Dying People
C141932 DRRI1E05 DRRI1-E: Saw Civilians After Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I saw civilians after they had been severely wounded or disfigured. DRRI-2 - E: Saw Civilians After Wounded
C141933 DRRI1E06 DRRI1-E: Saw Combatants Had Been Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I saw enemy combatants after they had been severely wounded or disfigured. DRRI-2 - E: Saw Combatants Had Been Wounded
C141934 DRRI1E07 DRRI1-E: Saw Americans Had Been Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I saw Americans or allies after they had been severely wounded or disfigured. DRRI-2 - E: Saw Americans Had Been Wounded
C141935 DRRI1E08 DRRI1-E: Saw Bodies of Dead Enemy Deployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead enemy combatants. DRRI-2 - E: Saw Bodies of Dead Enemy
C141936 DRRI1E09 DRRI1-E: Saw Bodies of Dead Americans Deployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead Americans or allies. DRRI-2 - E: Saw Bodies of Dead Americans
C141937 DRRI1E10 DRRI1-E: Saw Bodies of Dead Civilians Deployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead civilians. DRRI-2 - E: Saw Bodies of Dead Civilians
C141938 DRRI1E11 DRRI1-E: Interacted With Detainees Deployment Risk & Resilience Inventory-2 - During deployment: I interacted with detainees or prisoners of war. DRRI-2 - E: Interacted With Detainees
C141939 DRRI1E12 DRRI1-E: Sight/Sound/Smell Dead Animals Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to the sight, sound, or smell of dead or dying animals. DRRI-2 - E: Sight/Sound/Smell Dead Animals
C141940 DRRI1E13 DRRI1-E: Involved Handling Human Remains Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in handling human remains. DRRI-2 - E: Involved Handling Human Remains
C141941 DRRI1F01 DRRI1-F: Took Preventative Pills Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I took preventative pills (for example, to protect against nerve gas). DRRI-2 - F: Took Preventative Pills
C141942 DRRI1F02 DRRI1-F: Received Vaccinations Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I received preventative vaccinations by injection (for example, to prevent anthrax or botulism). DRRI-2 - F: Received Vaccinations
C141943 DRRI1F03 DRRI1-F: Exposed to Nerve Gas Agents Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nerve gas agents (for example, sarin). DRRI-2 - F: Exposed to Nerve Gas Agents
C141944 DRRI1F04 DRRI1-F: Exposed to Mustard Gas Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to mustard gas or other blistering agents. DRRI-2 - F: Exposed to Mustard Gas
C141945 DRRI1F05 DRRI1-F: Exposed Government-issued DEET Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to government-issued DEET-containing insect repellents. DRRI-2 - F: Exposed Government-issued DEET
C141946 DRRI1F06 DRRI1-F: Exposed to Other Pesticides Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to other pesticides (for example, in flea collars, uniforms, or the environment). DRRI-2 - F: Exposed to Other Pesticides
C141947 DRRI1F07 DRRI1-F: Exposed to Smoke/Air Pollution Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to smoke or other air pollution. DRRI-2 - F: Exposed to Smoke/Air Pollution
C141948 DRRI1F08 DRRI1-F: Exposed to Diesel/Fuel on Skin Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to diesel or other petrochemical fuel on my skin. DRRI-2 - F: Exposed to Diesel/Fuel on Skin
C141949 DRRI1F09 DRRI1-F: Exposed to Fumes From Heaters Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to fumes or exhaust from heaters or generators, including heaters in tents. DRRI-2 - F: Exposed to Fumes From Heaters
C141950 DRRI1F10 DRRI1-F: Exposed to Depleted Uranium Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to depleted uranium in munitions. DRRI-2 - F: Exposed to Depleted Uranium
C141951 DRRI1F11 DRRI1-F: Exposed to Burning Trash/Feces Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to burning trash or burning feces. DRRI-2 - F: Exposed to Burning Trash/Feces
C141952 DRRI1F12 DRRI1-F: Exposed to Chlorine Gas Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to chlorine gas. DRRI-2 - F: Exposed to Chlorine Gas
C141953 DRRI1F13 DRRI1-F: Exposed to Nuclear Weapons Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nuclear, biological, or chemical weapons. DRRI-2 - F: Exposed to Nuclear Weapons
C141954 DRRI1G01 DRRI1-G: Concerned Infectious Disease Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned about getting an infectious disease. DRRI-2 - G: Concerned Infectious Disease
C141955 DRRI1G02 DRRI1-G: Health Might Suffer NBC Agents Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that my health might suffer due to exposure to nuclear, biological, or chemical (NBC) agents. DRRI-2 - G: Health Might Suffer NBC Agents
C141956 DRRI1G03 DRRI1-G: Felt in Danger of Being Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I felt I was in great danger of being wounded (for example, losing a limb). DRRI-2 - G: Felt in Danger of Being Wounded
C141957 DRRI1G04 DRRI1-G: Concerned Medicine Make Me Sick Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the medicine I was given to protect me from illness would make me sick. DRRI-2 - G: Concerned Medicine Make Me Sick
C141958 DRRI1G05 DRRI1-G: Concerned Encounter Explosive Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I would encounter an explosive device (for example, a roadside bomb, mine, or booby trap). DRRI-2 - G: Concerned Encounter Explosive
C141959 DRRI1G06 DRRI1-G: Feared Sick From Pesticides Deployment Risk & Resilience Inventory-2 - During deployment: I feared that I would become sick from pesticides (for example, bug spray) or other routinely used chemicals. DRRI-2 - G: Feared Sick From Pesticides
C141960 DRRI1G07 DRRI1-G: Concern Rocket/Mortar Would Hit Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that a rocket or mortar would hit our living quarters. DRRI-2 - G: Concern Rocket/Mortar Would Hit
C141961 DRRI1G08 DRRI1-G: Concerned Depleted Uranium Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be exposed to depleted uranium in munitions. DRRI-2 - G: Concerned Depleted Uranium
C141962 DRRI1G09 DRRI1-G: Thought I Would Never Survive Deployment Risk & Resilience Inventory-2 - During deployment: I thought I would never survive. DRRI-2 - G: Thought I Would Never Survive
C141963 DRRI1G10 DRRI1-G: Concerned Taken Hostage Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be taken hostage. DRRI-2 - G: Concerned Taken Hostage
C141964 DRRI1G11 DRRI1-G: Concerned Locals Against Us Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the locals who were supposed to be helping us were actually working against us. DRRI-2 - G: Concerned Locals Against Us
C141965 DRRI1G12 DRRI1-G: Concerned Trapped in Crossfire Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned about being trapped in the crossfire of rival factions. DRRI-2 - G: Concerned Trapped in Crossfire
C141966 DRRI1H01 DRRI1-H: Had All Supplies Needed Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I had all the supplies and equipment needed to get my job done. DRRI-2 - H: Had All Supplies Needed
C141967 DRRI1H02 DRRI1-H: Confident Ability Use Equipment Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to use my equipment. DRRI-2 - H: Confident Ability Use Equipment
C141968 DRRI1H03 DRRI1-H: Prepared to Deal With Climate Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received prepared me to deal with the region's climate. DRRI-2 - H: Prepared to Deal With Climate
C141969 DRRI1H04 DRRI1-H: Accurately Informed About Role Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I was accurately informed about the role my unit was expected to play in the deployment. DRRI-2 - H: Accurately Informed About Role
C141970 DRRI1H05 DRRI1-H: Had Enough Gear in Case Attack Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I had enough gear to protect myself in case of an attack. DRRI-2 - H: Had Enough Gear in Case Attack
C141971 DRRI1H06 DRRI1-H: Training for Deployment Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I received appropriate training for the nature of the deployment I experienced. DRRI-2 - H: Training for Deployment
C141972 DRRI1H07 DRRI1-H: Military Duties What I Expected Deployment Risk & Resilience Inventory-2 - In preparation for deployment: my military duties and assignments were what I expected. DRRI-2 - H: Military Duties What I Expected
C141973 DRRI1H08 DRRI1-H: Prepared to Operate as Team Deployment Risk & Resilience Inventory-2 - In preparation for deployment: my unit was well-prepared to operate as a team during deployment. DRRI-2 - H: Prepared to Operate as Team
C141974 DRRI1H09 DRRI1-H: Confident to Perform Tasks Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to perform tasks assigned to me during deployment. DRRI-2 - H: Confident to Perform Tasks
C141975 DRRI1H10 DRRI1-H: Taught Me Everything I Needed Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received taught me everything I needed to know for deployment. DRRI-2 - H: Taught Me Everything I Needed
C141976 DRRI1I01 DRRI1-I: Family Sincerely Interested Deployment Risk & Resilience Inventory-2 - During deployment: family members and/or friends at home were sincerely interested in hearing what was going on with me. DRRI-2 - I: Family Sincerely Interested
C141977 DRRI1I02 DRRI1-I: Had Family I Could Talk To Deployment Risk & Resilience Inventory-2 - During deployment: I had family members or friends at home I could talk to when I had a problem. DRRI-2 - I: Had Family I Could Talk To
C141978 DRRI1I03 DRRI1-I: Could Count on Family Advice Deployment Risk & Resilience Inventory-2 - During deployment: I could count on my family members or friends at home for good advice. DRRI-2 - I: Could Count on Family Advice
C141979 DRRI1I04 DRRI1-I: Relatives Look Out for Family Deployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to look out for the well-being of my family or other dependents (including pets). DRRI-2 - I: Relatives Look Out for Family
C141980 DRRI1I05 DRRI1-I: Relatives Take Care of Finances Deployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to take care of my finances, property, or belongings if needed. DRRI-2 - I: Relatives Take Care of Finances
C141981 DRRI1I06 DRRI1-I: Happy Communication From Home Deployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of communication I received from people at home. DRRI-2 - I: Happy Communication From Home
C141982 DRRI1I07 DRRI1-I: Happy With Support From Home Deployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of support I received from people at home. DRRI-2 - I: Happy With Support From Home
C141983 DRRI1I08 DRRI1-I: People at Home Show They Cared Deployment Risk & Resilience Inventory-2 - During deployment: people at home did things to show they cared about me. DRRI-2 - I: People at Home Show They Cared
C141984 DRRI1J01 DRRI1-J: My Unit Was Like Family to Me Deployment Risk & Resilience Inventory-2 - During deployment: my unit was like family to me. DRRI-2 - J: My Unit Was Like Family to Me
C141985 DRRI1J02 DRRI1-J: People in Unit Were Trustworthy Deployment Risk & Resilience Inventory-2 - During deployment: people in my unit were trustworthy. DRRI-2 - J: People in Unit Were Trustworthy
C141986 DRRI1J03 DRRI1-J: Fellow Unit Appreciated Efforts Deployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members appreciated my efforts. DRRI-2 - J: Fellow Unit Appreciated Efforts
C141987 DRRI1J04 DRRI1-J: Felt Valued Fellow Unit Members Deployment Risk & Resilience Inventory-2 - During deployment: I felt valued by my fellow unit members. DRRI-2 - J: Felt Valued Fellow Unit Members
C141988 DRRI1J05 DRRI1-J: Unit Interested My Well-being Deployment Risk & Resilience Inventory-2 - During deployment: members of my unit were interested in my well-being. DRRI-2 - J: Unit Interested My Well-being
C141989 DRRI1J06 DRRI1-J: Unit Interested What I Thought Deployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members were interested in what I thought and how I felt about things. DRRI-2 - J: Unit Interested What I Thought
C141990 DRRI1J07 DRRI1-J: Leader Interested What Thought Deployment Risk & Resilience Inventory-2 - During deployment: my unit leader(s) were interested in what I thought and how I felt about things. DRRI-2 - J: Leader Interested What Thought
C141991 DRRI1J08 DRRI1-J: Felt Like My Efforts Counted Deployment Risk & Resilience Inventory-2 - During deployment: I felt like my efforts really counted to the leaders in my unit. DRRI-2 - J: Felt Like My Efforts Counted
C141992 DRRI1J09 DRRI1-J: Service Appreciated by Leaders Deployment Risk & Resilience Inventory-2 - During deployment: my service was appreciated by the leaders in my unit. DRRI-2 - J: Service Appreciated by Leaders
C141993 DRRI1J10 DRRI1-J: Could Go to Leaders If Problem Deployment Risk & Resilience Inventory-2 - During deployment: I could go to unit leaders for help if I had a problem or concern. DRRI-2 - J: Could Go to Leaders If Problem
C141994 DRRI1J11 DRRI1-J: Leaders Interested in Welfare Deployment Risk & Resilience Inventory-2 - During deployment: the leaders of my unit were interested in my personal welfare. DRRI-2 - J: Leaders Interested in Welfare
C141995 DRRI1J12 DRRI1-J: Felt Valued by Leaders of Unit Deployment Risk & Resilience Inventory-2 - During deployment: I felt valued by the leaders of my unit. DRRI-2 - J: Felt Valued by Leaders of Unit
C141996 DRRI1K01 DRRI1-K: Treated in Overly Critical Way Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me in an overly critical way. DRRI-2 - K: Treated in Overly Critical Way
C141997 DRRI1K02 DRRI1-K: Uncooperative Working With Me Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: behaved in way that was uncooperative when working with me. DRRI-2 - K: Uncooperative Working With Me
C141998 DRRI1K03 DRRI1-K: Had to Work Harder Prove Myself Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me as if I had to work harder than others to prove myself. DRRI-2 - K: Had to Work Harder Prove Myself
C141999 DRRI1K04 DRRI1-K: Questioned My Abilities Perform Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: questioned my abilities or commitment to perform my job effectively. DRRI-2 - K: Questioned My Abilities Perform
C142000 DRRI1K05 DRRI1-K: My Mistakes Worse Than Others Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: acted as though my mistakes were worse than others'. DRRI-2 - K: My Mistakes Worse Than Others
C142001 DRRI1K06 DRRI1-K: Make My Job More Difficult Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to make my job more difficult to do. DRRI-2 - K: Make My Job More Difficult
C142002 DRRI1K07 DRRI1-K: Put Me Down Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: "put me down" or treated me in a condescending way. DRRI-2 - K: Put Me Down
C142003 DRRI1K08 DRRI1-K: Threatened My Physical Safety Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened my physical safety. DRRI-2 - K: Threatened My Physical Safety
C142004 DRRI1K09 DRRI1-K: Made Crude Sexual Remarks at Me Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: made crude and offensive sexual remarks directed at me, either publicly or privately. DRRI-2 - K: Made Crude Sexual Remarks at Me
C142005 DRRI1K10 DRRI1-K: Spread Rumors Sexual Activities Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: spread negative rumors about my sexual activities. DRRI-2 - K: Spread Rumors Sexual Activities
C142006 DRRI1K11 DRRI1-K: Tried to Talk into Sexual Acts Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to talk me into participating in sexual acts when I didn't want to. DRRI-2 - K: Tried to Talk into Sexual Acts
C142007 DRRI1K12 DRRI1-K: Authority Pressure Unwanted Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: used a position of authority to pressure me into unwanted sexual activity. DRRI-2 - K: Authority Pressure Unwanted Sex
C142008 DRRI1K13 DRRI1-K: Offered Reward Take Part in Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: offered me a specific reward or special treatment to take part in sexual behavior. DRRI-2 - K: Offered Reward Take Part in Sex
C142009 DRRI1K14 DRRI1-K: Threatened Me If Not Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened me with some sort of retaliation if I was not sexually cooperative (for example, the threat of negative review or physical violence). DRRI-2 - K: Threatened Me If Not Sex
C142010 DRRI1K15 DRRI1-K: Touched Sexual Way Against Will Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: touched me in a sexual way against my will. DRRI-2 - K: Touched Sexual Way Against Will
C142011 DRRI1K16 DRRI1-K: Physically Forced to Have Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: physically forced me to have sex. DRRI-2 - K: Physically Forced to Have Sex
C142012 DRRI1L01 DRRI1-L: Effect Deployment Relationship Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my spouse or significant other. DRRI-2 - L: Effect Deployment Relationship
C142013 DRRI1L02 DRRI1-L: Missing Out on Children Growth Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing out on my children's growth and development. DRRI-2 - L: Missing Out on Children Growth
C142014 DRRI1L03 DRRI1-L: Missing Family Events at Home Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing important family events at home such as birthdays, weddings, funerals, graduations, etc. DRRI-2 - L: Missing Family Events at Home
C142015 DRRI1L04 DRRI1-L: Safety and Well-being of Spouse Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my spouse or significant other. DRRI-2 - L: Safety and Well-being of Spouse
C142016 DRRI1L05 DRRI1-L: Safety and Well-being of Child Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my child(ren). DRRI-2 - L: Safety and Well-being of Child
C142017 DRRI1L06 DRRI1-L: Unable to Help Family If Crisis Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being unable to help my family if there was some kind of crisis or emergency. DRRI-2 - L: Unable to Help Family If Crisis
C142018 DRRI1L07 DRRI1-L: Inability Manage Family Affairs Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my inability to directly manage or control family affairs. DRRI-2 - L: Inability Manage Family Affairs
C142019 DRRI1L08 DRRI1-L: Damaging Career Because Deploy Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: damaging my career because of the deployment. DRRI-2 - L: Damaging Career Because Deploy
C142020 DRRI1L09 DRRI1-L: Care Child/Dependents Receiving Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the care that my child(ren) or other dependents were receiving. DRRI-2 - L: Care Child/Dependents Receiving
C142021 DRRI1L10 DRRI1-L: Being Cheated on by My Spouse Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being cheated on by my spouse or significant other. DRRI-2 - L: Being Cheated on by My Spouse
C142022 DRRI1L11 DRRI1-L: Family Ability Cope With Stress Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's ability to cope with the stress of the deployment. DRRI-2 - L: Family Ability Cope With Stress
C142023 DRRI1L12 DRRI1-L: Spouse Ability Manage Household Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my spouse or significant other's ability to manage the household (for example, chores, bills, home repairs, etc.). DRRI-2 - L: Spouse Ability Manage Household
C142024 DRRI1L13 DRRI1-L: Losing My Civilian Job Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: losing my civilian job because of the deployment. DRRI-2 - L: Losing My Civilian Job
C142025 DRRI1L14 DRRI1-L: Effect Relationship My Children Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my child(ren). DRRI-2 - L: Effect Relationship My Children
C142026 DRRI1L15 DRRI1-L: My Family Financial Situation Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's financial situation. DRRI-2 - L: My Family Financial Situation
C142027 DRRI1M01 DRRI1-M: Problems Get in Touch Family Deployment Risk & Resilience Inventory-2 - During deployment: I had problems getting in touch with a family member or other loved one. DRRI-2 - M: Problems Get in Touch Family
C142028 DRRI1M02 DRRI1-M: Someone Close Serious Illness Deployment Risk & Resilience Inventory-2 - During deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem). DRRI-2 - M: Someone Close Serious Illness
C142029 DRRI1M03 DRRI1-M: Family Member Passed Away Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one passed away. DRRI-2 - M: Family Member Passed Away
C142030 DRRI1M04 DRRI1-M: My Family Had Money Problems Deployment Risk & Resilience Inventory-2 - During deployment: my family had money problems. DRRI-2 - M: My Family Had Money Problems
C142031 DRRI1M05 DRRI1-M: Spouse Cheated on Me Deployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other cheated on me. DRRI-2 - M: Spouse Cheated on Me
C142032 DRRI1M06 DRRI1-M: Spouse Suspected I Cheated Deployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other suspected that I had cheated on him/her. DRRI-2 - M: Spouse Suspected I Cheated
C142033 DRRI1M07 DRRI1-M: Relationship With Spouse Ended Deployment Risk & Resilience Inventory-2 - During deployment: my relationship with a spouse or significant other ended. DRRI-2 - M: Relationship With Spouse Ended
C142034 DRRI1M08 DRRI1-M: Had Major Conflict With Family Deployment Risk & Resilience Inventory-2 - During deployment: I had a major conflict with a family member or other loved one. DRRI-2 - M: Had Major Conflict With Family
C142035 DRRI1M09 DRRI1-M: Family Had Difficulty Adjusting Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one had serious difficulty adjusting to my absence. DRRI-2 - M: Family Had Difficulty Adjusting
C142036 DRRI1M10 DRRI1-M: My Home Was Robbed Deployment Risk & Resilience Inventory-2 - During deployment: my home was robbed and/or my belongings were stolen. DRRI-2 - M: My Home Was Robbed
C142037 DRRI1M11 DRRI1-M: Family Member Wasted Money Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other person I trusted wasted or mismanaged my money. DRRI-2 - M: Family Member Wasted Money
C142038 DRRI1M12 DRRI1-M: Loved One Things I Disapproved Deployment Risk & Resilience Inventory-2 - During deployment: I learned that a loved one was doing things I disapproved of. DRRI-2 - M: Loved One Things I Disapproved
C142039 DRRI1M13 DRRI1-M: Fam Dangerous Military Duties Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one participated in dangerous military duties. DRRI-2 - M: Fam Dangerous Military Duties
C142040 DRRI1M14 DRRI1-M: Family Got Into Trouble Deployment Risk & Resilience Inventory-2 - During deployment: a family member got into trouble at home, at school, or in the community. DRRI-2 - M: Family Got Into Trouble
C142041 DRRI1N01 DRRI1-N: Robbed/Had My Home Broken Into Deployment Risk & Resilience Inventory-2 - Since returning: I was robbed or had my home broken into. DRRI-2 - N: Robbed/Had My Home Broken Into
C142042 DRRI1N02 DRRI1-N: Unwanted Sexual Activity Deployment Risk & Resilience Inventory-2 - Since returning: I experienced unwanted sexual activity as a result of force, threat or harm, or manipulation. DRRI-2 - N: Unwanted Sexual Activity
C142043 DRRI1N03 DRRI1-N: Went Through Divorce/Was Left Deployment Risk & Resilience Inventory-2 - Since returning: I went through a divorce or have been left by a partner or significant other. DRRI-2 - N: Went Through Divorce/Was Left
C142044 DRRI1N04 DRRI1-N: Problems Getting Healthcare Deployment Risk & Resilience Inventory-2 - Since returning: I had problems getting access to adequate healthcare. DRRI-2 - N: Problems Getting Healthcare
C142045 DRRI1N05 DRRI1-N: Experienced Natural Disaster Deployment Risk & Resilience Inventory-2 - Since returning: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage. DRRI-2 - N: Experienced Natural Disaster
C142046 DRRI1N06 DRRI1-N: Someone Close Serious Illness Deployment Risk & Resilience Inventory-2 - Since returning: someone close to me has experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem). DRRI-2 - N: Someone Close Serious Illness
C142047 DRRI1N07 DRRI1-N: Witnessed Someone Assaulted Deployment Risk & Resilience Inventory-2 - Since returning: I have witnessed someone being seriously assaulted or killed. DRRI-2 - N: Witnessed Someone Assaulted
C142048 DRRI1N08 DRRI1-N: Lost My Job/Trouble Finding Job Deployment Risk & Resilience Inventory-2 - Since returning: I lost my job or had serious trouble finding a job. DRRI-2 - N: Lost My Job/Trouble Finding Job
C142049 DRRI1N09 DRRI1-N: Emotionally Mistreated Deployment Risk & Resilience Inventory-2 - Since returning: I have been emotionally mistreated (for example, ignored or repeatedly told I was no good). DRRI-2 - N: Emotionally Mistreated
C142050 DRRI1N10 DRRI1-N: Serious Financial Problems Deployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious financial problems. DRRI-2 - N: Serious Financial Problems
C142051 DRRI1N11 DRRI1-N: Serious Physical Health Problem Deployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious physical or mental health problems. DRRI-2 - N: Serious Physical Health Problem
C142052 DRRI1N12 DRRI1-N: Stressful Legal Problems Deployment Risk & Resilience Inventory-2 - Since returning: I have experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle). DRRI-2 - N: Stressful Legal Problems
C142053 DRRI1N13 DRRI1-N: Injured by Another Person Deployment Risk & Resilience Inventory-2 - Since returning: I have been seriously physically injured by another person (for example, hit or beaten up). DRRI-2 - N: Injured by Another Person
C142054 DRRI1N14 DRRI1-N: Someone Close to Me Has Died Deployment Risk & Resilience Inventory-2 - Since returning: someone close to me has died. DRRI-2 - N: Someone Close to Me Has Died
C142055 DRRI1O01 DRRI1-O: People Made Me Feel at Home Deployment Risk & Resilience Inventory-2 - Since returning: the American people made me feel at home. DRRI-2 - O: People Made Me Feel at Home
C142056 DRRI1O02 DRRI1-O: People Made Me Feel Proud Deployment Risk & Resilience Inventory-2 - Since returning: people made me feel proud to have served my country in the Armed Forces. DRRI-2 - O: People Made Me Feel Proud
C142057 DRRI1O03 DRRI1-O: Family Make Me Better When Down Deployment Risk & Resilience Inventory-2 - Since returning: my family members and/or friends make me feel better when I am down. DRRI-2 - O: Family Make Me Better When Down
C142058 DRRI1O04 DRRI1-O: Go to Family When Need Advice Deployment Risk & Resilience Inventory-2 - Since returning: I can go to family members or friends when I need good advice. DRRI-2 - O: Go to Family When Need Advice
C142059 DRRI1O05 DRRI1-O: Family/Friends Understand Deployment Risk & Resilience Inventory-2 - Since returning: my family and friends understand what I have been through in the Armed Forces. DRRI-2 - O: Family/Friends Understand
C142060 DRRI1O06 DRRI1-O: I Can Talk About My Deployment Deployment Risk & Resilience Inventory-2 - Since returning: there are family and/or friends with whom I can talk about my deployment experiences. DRRI-2 - O: I Can Talk About My Deployment
C142061 DRRI1O07 DRRI1-O: Family Would Lend Money Deployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would lend me money if I needed it. DRRI-2 - O: Family Would Lend Money
C142062 DRRI1O08 DRRI1-O: Family Would Help Move Deployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would help me move my belongings if I needed help. DRRI-2 - O: Family Would Help Move
C142063 DRRI1O09 DRRI1-O: Someone Would Help With Tasks Deployment Risk & Resilience Inventory-2 - Since returning: if I were unable to attend to daily chores, there is someone who would help me with these tasks. DRRI-2 - O: Someone Would Help With Tasks
C142064 DRRI1O10 DRRI1-O: When Ill Family Will Help Out Deployment Risk & Resilience Inventory-2 - Since returning: when I am ill, family members or friends will help out until I am well. DRRI-2 - O: When Ill Family Will Help Out
C142065 DRRI1P01 DRRI1-P: Input Sought Family Decisions Deployment Risk & Resilience Inventory-2 - Since returning: my input is sought on important family decisions. DRRI-2 - P: Input Sought Family Decisions
C142066 DRRI1P02 DRRI1-P: Feel Like I Fit in With Family Deployment Risk & Resilience Inventory-2 - Since returning: I feel like I fit in with my family. DRRI-2 - P: Feel Like I Fit in With Family
C142067 DRRI1P03 DRRI1-P: Family Know What I Think/Feel Deployment Risk & Resilience Inventory-2 - Since returning: family members know what I think and how I feel about things. DRRI-2 - P: Family Know What I Think/Feel
C142068 DRRI1P04 DRRI1-P: Contribution Family Appreciated Deployment Risk & Resilience Inventory-2 - Since returning: I feel like my contributions to my family are appreciated. DRRI-2 - P: Contribution Family Appreciated
C142069 DRRI1P05 DRRI1-P: Share Interests With Family Deployment Risk & Resilience Inventory-2 - Since returning: I share many common interests and activities with family members. DRRI-2 - P: Share Interests With Family
C142070 DRRI1P06 DRRI1-P: Opinions Valued by Family Deployment Risk & Resilience Inventory-2 - Since returning: my opinions are valued by other family members. DRRI-2 - P: Opinions Valued by Family
C142071 DRRI1P07 DRRI1-P: I am Affectionate With Family Deployment Risk & Resilience Inventory-2 - Since returning: I am affectionate with family members. DRRI-2 - P: I am Affectionate With Family
C142072 DRRI1P08 DRRI1-P: Play Important Role in Family Deployment Risk & Resilience Inventory-2 - Since returning: I play an important role in my family. DRRI-2 - P: Play Important Role in Family
C142073 DRRI1P09 DRRI1-P: Spend My Free Time With Family Deployment Risk & Resilience Inventory-2 - Since returning: I spend as much of my free time with family members as possible. DRRI-2 - P: Spend My Free Time With Family
C142074 DRRI1P10 DRRI1-P: Family Tell Me When Problem Deployment Risk & Resilience Inventory-2 - Since returning: family members tell me when they are having a problem. DRRI-2 - P: Family Tell Me When Problem
C142075 DRRI1P11 DRRI1-P: Can Be Myself Around Family Deployment Risk & Resilience Inventory-2 - Since returning: I can be myself around family members. DRRI-2 - P: Can Be Myself Around Family
C142076 DRRI1P12 DRRI1-P: I Get Along Well With My Family Deployment Risk & Resilience Inventory-2 - Since returning: I get along well with my family members. DRRI-2 - P: I Get Along Well With My Family

DRRI1TN (Deployment Risk and Resilience Inventory-2 Questionnaire Test Name)

NCI Code: C141672, Codelist extensible: No
C141672 DRRI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141881 DRRI1-A: Dangerous Military Duties DRRI1-A: Dangerous Military Duties Deployment Risk & Resilience Inventory-2 - Before deployment: I participated in dangerous military duties. DRRI-2 - A: Dangerous Military Duties
C141878 DRRI1-A: Emotionally Mistreated DRRI1-A: Emotionally Mistreated Deployment Risk & Resilience Inventory-2 - Before deployment: I was emotionally mistreated (for example, ignored or repeatedly told I was no good). DRRI-2 - A: Emotionally Mistreated
C141874 DRRI1-A: Experienced Natural Disaster DRRI1-A: Experienced Natural Disaster Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage. DRRI-2 - A: Experienced Natural Disaster
C141883 DRRI1-A: Injured by Person - Adulthood DRRI1-A: Injured by Person - Adulthood Deployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during adulthood (age 18 or later). DRRI-2 - A: Injured by Person - Adulthood
C141882 DRRI1-A: Injured by Person - Childhood DRRI1-A: Injured by Person - Childhood Deployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during childhood (before age 18). DRRI-2 - A: Injured by Person - Childhood
C141877 DRRI1-A: Lost My Job/Trouble Finding Job DRRI1-A: Lost My Job/Trouble Finding Job Deployment Risk & Resilience Inventory-2 - Before deployment: I lost my job or had serious trouble finding a job. DRRI-2 - A: Lost My Job/Trouble Finding Job
C141871 DRRI1-A: Physically Punished by Parent DRRI1-A: Physically Punished by Parent Deployment Risk & Resilience Inventory-2 - Before deployment: I was physically punished by a parent or primary caregiver. DRRI-2 - A: Physically Punished by Parent
C141869 DRRI1-A: Robbed/Had My Home Broken Into DRRI1-A: Robbed/Had My Home Broken Into Deployment Risk & Resilience Inventory-2 - Before deployment: I was robbed or had my home broken into. DRRI-2 - A: Robbed/Had My Home Broken Into
C141870 DRRI1-A: Saw/Heard Physical Fight Parent DRRI1-A: Saw/Heard Physical Fight Parent Deployment Risk & Resilience Inventory-2 - Before deployment: I saw or heard physical fighting between my parents or caregivers. DRRI-2 - A: Saw/Heard Physical Fight Parent
C141879 DRRI1-A: Serious Financial Problems DRRI1-A: Serious Financial Problems Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious financial problems. DRRI-2 - A: Serious Financial Problems
C141880 DRRI1-A: Serious Physical Health Problem DRRI1-A: Serious Physical Health Problem Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious physical or mental health problems. DRRI-2 - A: Serious Physical Health Problem
C141875 DRRI1-A: Someone Close Serious Illness DRRI1-A: Someone Close Serious Illness Deployment Risk & Resilience Inventory-2 - Before deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem). DRRI-2 - A: Someone Close Serious Illness
C141867 DRRI1-A: Someone Close to Me Died DRRI1-A: Someone Close to Me Died Deployment Risk & Resilience Inventory-2 - Before deployment: someone close to me died. DRRI-2 - A: Someone Close to Me Died
C141884 DRRI1-A: Stressful Legal Problems DRRI1-A: Stressful Legal Problems Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle). DRRI-2 - A: Stressful Legal Problems
C141873 DRRI1-A: Unwanted Sex Activity Adulthood DRRI1-A: Unwanted Sex Activity Adulthood Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during adulthood (age 18 or later). DRRI-2 - A: Unwanted Sex Activity Adulthood
C141872 DRRI1-A: Unwanted Sex Activity Childhood DRRI1-A: Unwanted Sex Activity Childhood Deployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during childhood (before age 18). DRRI-2 - A: Unwanted Sex Activity Childhood
C141868 DRRI1-A: Went Through Divorce/Was Left DRRI1-A: Went Through Divorce/Was Left Deployment Risk & Resilience Inventory-2 - Before deployment: I went through a divorce or was left by a significant other. DRRI-2 - A: Went Through Divorce/Was Left
C141876 DRRI1-A: Witnessed Someone Assaulted DRRI1-A: Witnessed Someone Assaulted Deployment Risk & Resilience Inventory-2 - Before deployment: I witnessed someone being seriously assaulted or killed. DRRI-2 - A: Witnessed Someone Assaulted
C141888 DRRI1-B: Contribution Family Appreciated DRRI1-B: Contribution Family Appreciated Deployment Risk & Resilience Inventory-2 - During childhood: I felt like my contributions to my family were appreciated. DRRI-2 - B: Contribution Family Appreciated
C141887 DRRI1-B: Family Knew What I Thought/Felt DRRI1-B: Family Knew What I Thought/Felt Deployment Risk & Resilience Inventory-2 - During childhood: family members knew what I thought and how I felt about things. DRRI-2 - B: Family Knew What I Thought/Felt
C141894 DRRI1-B: Family Told Me When Problem DRRI1-B: Family Told Me When Problem Deployment Risk & Resilience Inventory-2 - During childhood: family members told me when they were having a problem. DRRI-2 - B: Family Told Me When Problem
C141886 DRRI1-B: Felt Like I Fit in With Family DRRI1-B: Felt Like I Fit in With Family Deployment Risk & Resilience Inventory-2 - During childhood: I felt like I fit in with my family. DRRI-2 - B: Felt Like I Fit in With Family
C141885 DRRI1-B: Got Along Well With My Family DRRI1-B: Got Along Well With My Family Deployment Risk & Resilience Inventory-2 - During childhood: I got along well with my family members. DRRI-2 - B: Got Along Well With My Family
C141895 DRRI1-B: I Could Be Myself Around Family DRRI1-B: I Could Be Myself Around Family Deployment Risk & Resilience Inventory-2 - During childhood: I could be myself around family members. DRRI-2 - B: I Could Be Myself Around Family
C141891 DRRI1-B: I Was Affectionate With Family DRRI1-B: I Was Affectionate With Family Deployment Risk & Resilience Inventory-2 - During childhood: I was affectionate with family members. DRRI-2 - B: I Was Affectionate With Family
C141896 DRRI1-B: Input Sought Family Decisions DRRI1-B: Input Sought Family Decisions Deployment Risk & Resilience Inventory-2 - During childhood: my input was sought on important family decisions. DRRI-2 - B: Input Sought Family Decisions
C141890 DRRI1-B: Opinions Were Valued by Family DRRI1-B: Opinions Were Valued by Family Deployment Risk & Resilience Inventory-2 - During childhood: my opinions were valued by other family members. DRRI-2 - B: Opinions Were Valued by Family
C141892 DRRI1-B: Played Important Role in Family DRRI1-B: Played Important Role in Family Deployment Risk & Resilience Inventory-2 - During childhood: I played an important role in my family. DRRI-2 - B: Played Important Role in Family
C141889 DRRI1-B: Shared Interests With Family DRRI1-B: Shared Interests With Family Deployment Risk & Resilience Inventory-2 - During childhood: I shared many common interests and activities with family members. DRRI-2 - B: Shared Interests With Family
C141893 DRRI1-B: Spent My Free Time With Family DRRI1-B: Spent My Free Time With Family Deployment Risk & Resilience Inventory-2 - During childhood: I spent as much of my free time with family members as possible. DRRI-2 - B: Spent My Free Time With Family
C141897 DRRI1-C: Climate Was Uncomfortable DRRI1-C: Climate Was Uncomfortable Deployment Risk & Resilience Inventory-2 - During deployment: the climate was uncomfortable. DRRI-2 - C: Climate Was Uncomfortable
C141900 DRRI1-C: Conditions Extremely Unsanitary DRRI1-C: Conditions Extremely Unsanitary Deployment Risk & Resilience Inventory-2 - During deployment: the conditions I lived in were extremely unsanitary. DRRI-2 - C: Conditions Extremely Unsanitary
C141898 DRRI1-C: Deal With Annoying Animals DRRI1-C: Deal With Annoying Animals Deployment Risk & Resilience Inventory-2 - During deployment: I had to deal with annoying animals, insects, or plants. DRRI-2 - C: Deal With Annoying Animals
C141901 DRRI1-C: Didn't Have Bathrooms DRRI1-C: Didn't Have Bathrooms Deployment Risk & Resilience Inventory-2 - During deployment: I didn't have access to bathrooms or showers when I needed them. DRRI-2 - C: Didn't Have Bathrooms
C141899 DRRI1-C: Food Was of Very Poor Quality DRRI1-C: Food Was of Very Poor Quality Deployment Risk & Resilience Inventory-2 - During deployment: the food I had to eat was of very poor quality (for example, bad or old MREs). DRRI-2 - C: Food Was of Very Poor Quality
C141908 DRRI1-C: Hassle With Heavy/Annoying Gear DRRI1-C: Hassle With Heavy/Annoying Gear Deployment Risk & Resilience Inventory-2 - During deployment: I had to hassle with putting on and taking off heavy or annoying gear. DRRI-2 - C: Hassle With Heavy/Annoying Gear
C141903 DRRI1-C: I Was Exposed to Awful Smells DRRI1-C: I Was Exposed to Awful Smells Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to awful smells. DRRI-2 - C: I Was Exposed to Awful Smells
C141904 DRRI1-C: I Was Subjected to Loud Noises DRRI1-C: I Was Subjected to Loud Noises Deployment Risk & Resilience Inventory-2 - During deployment: I was subjected to loud noises. DRRI-2 - C: I Was Subjected to Loud Noises
C141909 DRRI1-C: Not Allowed to Get Job Done DRRI1-C: Not Allowed to Get Job Done Deployment Risk & Resilience Inventory-2 - During deployment: I was not allowed to do the things I needed to do to get my job done. DRRI-2 - C: Not Allowed to Get Job Done
C141910 DRRI1-C: Not Have Adequate Shelter DRRI1-C: Not Have Adequate Shelter Deployment Risk & Resilience Inventory-2 - During deployment: I did not have adequate shelter from uncomfortable living conditions (for example, heat, cold, wet, etc.). DRRI-2 - C: Not Have Adequate Shelter
C141905 DRRI1-C: Restricted Because Local Custom DRRI1-C: Restricted Because Local Custom Deployment Risk & Resilience Inventory-2 - During deployment: my daily activities were restricted because of local religious or ethnic customs. DRRI-2 - C: Restricted Because Local Custom
C141907 DRRI1-C: Wasn't Able to Contact Home DRRI1-C: Wasn't Able to Contact Home Deployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to contact home when I needed to. DRRI-2 - C: Wasn't Able to Contact Home
C141902 DRRI1-C: Wasn't Able to Get Privacy DRRI1-C: Wasn't Able to Get Privacy Deployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get as much privacy as I needed. DRRI-2 - C: Wasn't Able to Get Privacy
C141906 DRRI1-C: Wasn't Able to Rest DRRI1-C: Wasn't Able to Rest Deployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get rest when I needed it. DRRI-2 - C: Wasn't Able to Rest
C141912 DRRI1-D: Assault on Entrenched Positions DRRI1-D: Assault on Entrenched Positions Deployment Risk & Resilience Inventory-2 - During deployment: I took part in an assault on entrenched or fortified positions that involved naval and/or land forces. DRRI-2 - D: Assault on Entrenched Positions
C141914 DRRI1-D: Encountered Land Mines DRRI1-D: Encountered Land Mines Deployment Risk & Resilience Inventory-2 - During deployment: I encountered land or water mines, booby traps, or roadside bombs (for example, IEDs). DRRI-2 - D: Encountered Land Mines
C141915 DRRI1-D: Exposed Hostile Incoming Fire DRRI1-D: Exposed Hostile Incoming Fire Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to hostile incoming fire. DRRI-2 - D: Exposed Hostile Incoming Fire
C141916 DRRI1-D: Exposed to Friendly Fire DRRI1-D: Exposed to Friendly Fire Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to "friendly" fire. DRRI-2 - D: Exposed to Friendly Fire
C141922 DRRI1-D: Fired My Weapon Enemy Combatant DRRI1-D: Fired My Weapon Enemy Combatant Deployment Risk & Resilience Inventory-2 - During deployment: I fired my weapon at enemy combatants. DRRI-2 - D: Fired My Weapon Enemy Combatant
C141921 DRRI1-D: Injured Combat-Related Incident DRRI1-D: Injured Combat-Related Incident Deployment Risk & Resilience Inventory-2 - During deployment: I was injured in a combat-related incident. DRRI-2 - D: Injured Combat-Related Incident
C141924 DRRI1-D: Locating Explosive Devices DRRI1-D: Locating Explosive Devices Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in locating or disarming explosive devices. DRRI-2 - D: Locating Explosive Devices
C141918 DRRI1-D: Part of Unit Fired on Enemy DRRI1-D: Part of Unit Fired on Enemy Deployment Risk & Resilience Inventory-2 - During deployment: I was part of a land or naval artillery unit that fired on enemy combatants. DRRI-2 - D: Part of Unit Fired on Enemy
C141926 DRRI1-D: Participate Hand-to-hand Combat DRRI1-D: Participate Hand-to-hand Combat Deployment Risk & Resilience Inventory-2 - During deployment: I participated in hand-to-hand combat. DRRI-2 - D: Participate Hand-to-hand Combat
C141927 DRRI1-D: Search/Disarm Potential Enemy DRRI1-D: Search/Disarm Potential Enemy Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching and/or disarming potential enemy combatants. DRRI-2 - D: Search/Disarm Potential Enemy
C141925 DRRI1-D: Searching Homes/Buildings DRRI1-D: Searching Homes/Buildings Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching or clearing homes, buildings, or other locations. DRRI-2 - D: Searching Homes/Buildings
C141923 DRRI1-D: Think I Wounded/Killed Someone DRRI1-D: Think I Wounded/Killed Someone Deployment Risk & Resilience Inventory-2 - During deployment: I think I wounded or killed someone during combat operations. DRRI-2 - D: Think I Wounded/Killed Someone
C141917 DRRI1-D: Vehicle/Part of Convoy Attacked DRRI1-D: Vehicle/Part of Convoy Attacked Deployment Risk & Resilience Inventory-2 - During deployment: I was in a vehicle (for example, a "humvee", helicopter, or boat) or part of a convoy that was attacked. DRRI-2 - D: Vehicle/Part of Convoy Attacked
C141911 DRRI1-D: Went on Combat Patrols/Missions DRRI1-D: Went on Combat Patrols/Missions Deployment Risk & Resilience Inventory-2 - During deployment: I went on combat patrols or missions. DRRI-2 - D: Went on Combat Patrols/Missions
C141920 DRRI1-D: Witnessed Civilians Wounded DRRI1-D: Witnessed Civilians Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed civilians (for example, women and children) being seriously wounded or killed. DRRI-2 - D: Witnessed Civilians Wounded
C141919 DRRI1-D: Witnessed Enemy Wounded/Killed DRRI1-D: Witnessed Enemy Wounded/Killed Deployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed enemy combatants being seriously wounded or killed. DRRI-2 - D: Witnessed Enemy Wounded/Killed
C141913 DRRI1-D: Witnessed Someone Unit Wounded DRRI1-D: Witnessed Someone Unit Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed someone from my unit or an ally unit being seriously wounded or killed. DRRI-2 - D: Witnessed Someone Unit Wounded
C141938 DRRI1-E: Interacted With Detainees DRRI1-E: Interacted With Detainees Deployment Risk & Resilience Inventory-2 - During deployment: I interacted with detainees or prisoners of war. DRRI-2 - E: Interacted With Detainees
C141940 DRRI1-E: Involved Handling Human Remains DRRI1-E: Involved Handling Human Remains Deployment Risk & Resilience Inventory-2 - During deployment: I was involved in handling human remains. DRRI-2 - E: Involved Handling Human Remains
C141930 DRRI1-E: Observed Homes Been Destroyed DRRI1-E: Observed Homes Been Destroyed Deployment Risk & Resilience Inventory-2 - During deployment: I observed homes or communities that had been destroyed. DRRI-2 - E: Observed Homes Been Destroyed
C141934 DRRI1-E: Saw Americans Had Been Wounded DRRI1-E: Saw Americans Had Been Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I saw Americans or allies after they had been severely wounded or disfigured. DRRI-2 - E: Saw Americans Had Been Wounded
C141936 DRRI1-E: Saw Bodies of Dead Americans DRRI1-E: Saw Bodies of Dead Americans Deployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead Americans or allies. DRRI-2 - E: Saw Bodies of Dead Americans
C141937 DRRI1-E: Saw Bodies of Dead Civilians DRRI1-E: Saw Bodies of Dead Civilians Deployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead civilians. DRRI-2 - E: Saw Bodies of Dead Civilians
C141935 DRRI1-E: Saw Bodies of Dead Enemy DRRI1-E: Saw Bodies of Dead Enemy Deployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead enemy combatants. DRRI-2 - E: Saw Bodies of Dead Enemy
C141932 DRRI1-E: Saw Civilians After Wounded DRRI1-E: Saw Civilians After Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I saw civilians after they had been severely wounded or disfigured. DRRI-2 - E: Saw Civilians After Wounded
C141933 DRRI1-E: Saw Combatants Had Been Wounded DRRI1-E: Saw Combatants Had Been Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I saw enemy combatants after they had been severely wounded or disfigured. DRRI-2 - E: Saw Combatants Had Been Wounded
C141928 DRRI1-E: Saw People Begging for Food DRRI1-E: Saw People Begging for Food Deployment Risk & Resilience Inventory-2 - During deployment: I saw people begging for food. DRRI-2 - E: Saw People Begging for Food
C141929 DRRI1-E: Saw Refugees Who Had Lost Homes DRRI1-E: Saw Refugees Who Had Lost Homes Deployment Risk & Resilience Inventory-2 - During deployment: I saw refugees who had lost their homes or belongings. DRRI-2 - E: Saw Refugees Who Had Lost Homes
C141939 DRRI1-E: Sight/Sound/Smell Dead Animals DRRI1-E: Sight/Sound/Smell Dead Animals Deployment Risk & Resilience Inventory-2 - During deployment: I was exposed to the sight, sound, or smell of dead or dying animals. DRRI-2 - E: Sight/Sound/Smell Dead Animals
C141931 DRRI1-E: Took Care Injured/Dying People DRRI1-E: Took Care Injured/Dying People Deployment Risk & Resilience Inventory-2 - During deployment: I took care of injured or dying people. DRRI-2 - E: Took Care Injured/Dying People
C141945 DRRI1-F: Exposed Government-issued DEET DRRI1-F: Exposed Government-issued DEET Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to government-issued DEET-containing insect repellents. DRRI-2 - F: Exposed Government-issued DEET
C141951 DRRI1-F: Exposed to Burning Trash/Feces DRRI1-F: Exposed to Burning Trash/Feces Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to burning trash or burning feces. DRRI-2 - F: Exposed to Burning Trash/Feces
C141952 DRRI1-F: Exposed to Chlorine Gas DRRI1-F: Exposed to Chlorine Gas Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to chlorine gas. DRRI-2 - F: Exposed to Chlorine Gas
C141950 DRRI1-F: Exposed to Depleted Uranium DRRI1-F: Exposed to Depleted Uranium Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to depleted uranium in munitions. DRRI-2 - F: Exposed to Depleted Uranium
C141948 DRRI1-F: Exposed to Diesel/Fuel on Skin DRRI1-F: Exposed to Diesel/Fuel on Skin Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to diesel or other petrochemical fuel on my skin. DRRI-2 - F: Exposed to Diesel/Fuel on Skin
C141949 DRRI1-F: Exposed to Fumes From Heaters DRRI1-F: Exposed to Fumes From Heaters Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to fumes or exhaust from heaters or generators, including heaters in tents. DRRI-2 - F: Exposed to Fumes From Heaters
C141944 DRRI1-F: Exposed to Mustard Gas DRRI1-F: Exposed to Mustard Gas Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to mustard gas or other blistering agents. DRRI-2 - F: Exposed to Mustard Gas
C141943 DRRI1-F: Exposed to Nerve Gas Agents DRRI1-F: Exposed to Nerve Gas Agents Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nerve gas agents (for example, sarin). DRRI-2 - F: Exposed to Nerve Gas Agents
C141953 DRRI1-F: Exposed to Nuclear Weapons DRRI1-F: Exposed to Nuclear Weapons Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nuclear, biological, or chemical weapons. DRRI-2 - F: Exposed to Nuclear Weapons
C141946 DRRI1-F: Exposed to Other Pesticides DRRI1-F: Exposed to Other Pesticides Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to other pesticides (for example, in flea collars, uniforms, or the environment). DRRI-2 - F: Exposed to Other Pesticides
C141947 DRRI1-F: Exposed to Smoke/Air Pollution DRRI1-F: Exposed to Smoke/Air Pollution Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to smoke or other air pollution. DRRI-2 - F: Exposed to Smoke/Air Pollution
C141942 DRRI1-F: Received Vaccinations DRRI1-F: Received Vaccinations Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I received preventative vaccinations by injection (for example, to prevent anthrax or botulism). DRRI-2 - F: Received Vaccinations
C141941 DRRI1-F: Took Preventative Pills DRRI1-F: Took Preventative Pills Deployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I took preventative pills (for example, to protect against nerve gas). DRRI-2 - F: Took Preventative Pills
C141960 DRRI1-G: Concern Rocket/Mortar Would Hit DRRI1-G: Concern Rocket/Mortar Would Hit Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that a rocket or mortar would hit our living quarters. DRRI-2 - G: Concern Rocket/Mortar Would Hit
C141961 DRRI1-G: Concerned Depleted Uranium DRRI1-G: Concerned Depleted Uranium Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be exposed to depleted uranium in munitions. DRRI-2 - G: Concerned Depleted Uranium
C141958 DRRI1-G: Concerned Encounter Explosive DRRI1-G: Concerned Encounter Explosive Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I would encounter an explosive device (for example, a roadside bomb, mine, or booby trap). DRRI-2 - G: Concerned Encounter Explosive
C141954 DRRI1-G: Concerned Infectious Disease DRRI1-G: Concerned Infectious Disease Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned about getting an infectious disease. DRRI-2 - G: Concerned Infectious Disease
C141964 DRRI1-G: Concerned Locals Against Us DRRI1-G: Concerned Locals Against Us Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the locals who were supposed to be helping us were actually working against us. DRRI-2 - G: Concerned Locals Against Us
C141957 DRRI1-G: Concerned Medicine Make Me Sick DRRI1-G: Concerned Medicine Make Me Sick Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the medicine I was given to protect me from illness would make me sick. DRRI-2 - G: Concerned Medicine Make Me Sick
C141963 DRRI1-G: Concerned Taken Hostage DRRI1-G: Concerned Taken Hostage Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be taken hostage. DRRI-2 - G: Concerned Taken Hostage
C141965 DRRI1-G: Concerned Trapped in Crossfire DRRI1-G: Concerned Trapped in Crossfire Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned about being trapped in the crossfire of rival factions. DRRI-2 - G: Concerned Trapped in Crossfire
C141959 DRRI1-G: Feared Sick From Pesticides DRRI1-G: Feared Sick From Pesticides Deployment Risk & Resilience Inventory-2 - During deployment: I feared that I would become sick from pesticides (for example, bug spray) or other routinely used chemicals. DRRI-2 - G: Feared Sick From Pesticides
C141956 DRRI1-G: Felt in Danger of Being Wounded DRRI1-G: Felt in Danger of Being Wounded Deployment Risk & Resilience Inventory-2 - During deployment: I felt I was in great danger of being wounded (for example, losing a limb). DRRI-2 - G: Felt in Danger of Being Wounded
C141955 DRRI1-G: Health Might Suffer NBC Agents DRRI1-G: Health Might Suffer NBC Agents Deployment Risk & Resilience Inventory-2 - During deployment: I was concerned that my health might suffer due to exposure to nuclear, biological, or chemical (NBC) agents. DRRI-2 - G: Health Might Suffer NBC Agents
C141962 DRRI1-G: Thought I Would Never Survive DRRI1-G: Thought I Would Never Survive Deployment Risk & Resilience Inventory-2 - During deployment: I thought I would never survive. DRRI-2 - G: Thought I Would Never Survive
C141969 DRRI1-H: Accurately Informed About Role DRRI1-H: Accurately Informed About Role Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I was accurately informed about the role my unit was expected to play in the deployment. DRRI-2 - H: Accurately Informed About Role
C141967 DRRI1-H: Confident Ability Use Equipment DRRI1-H: Confident Ability Use Equipment Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to use my equipment. DRRI-2 - H: Confident Ability Use Equipment
C141974 DRRI1-H: Confident to Perform Tasks DRRI1-H: Confident to Perform Tasks Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to perform tasks assigned to me during deployment. DRRI-2 - H: Confident to Perform Tasks
C141966 DRRI1-H: Had All Supplies Needed DRRI1-H: Had All Supplies Needed Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I had all the supplies and equipment needed to get my job done. DRRI-2 - H: Had All Supplies Needed
C141970 DRRI1-H: Had Enough Gear in Case Attack DRRI1-H: Had Enough Gear in Case Attack Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I had enough gear to protect myself in case of an attack. DRRI-2 - H: Had Enough Gear in Case Attack
C141972 DRRI1-H: Military Duties What I Expected DRRI1-H: Military Duties What I Expected Deployment Risk & Resilience Inventory-2 - In preparation for deployment: my military duties and assignments were what I expected. DRRI-2 - H: Military Duties What I Expected
C141968 DRRI1-H: Prepared to Deal With Climate DRRI1-H: Prepared to Deal With Climate Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received prepared me to deal with the region's climate. DRRI-2 - H: Prepared to Deal With Climate
C141973 DRRI1-H: Prepared to Operate as Team DRRI1-H: Prepared to Operate as Team Deployment Risk & Resilience Inventory-2 - In preparation for deployment: my unit was well-prepared to operate as a team during deployment. DRRI-2 - H: Prepared to Operate as Team
C141975 DRRI1-H: Taught Me Everything I Needed DRRI1-H: Taught Me Everything I Needed Deployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received taught me everything I needed to know for deployment. DRRI-2 - H: Taught Me Everything I Needed
C141971 DRRI1-H: Training for Deployment DRRI1-H: Training for Deployment Deployment Risk & Resilience Inventory-2 - In preparation for deployment: I received appropriate training for the nature of the deployment I experienced. DRRI-2 - H: Training for Deployment
C141978 DRRI1-I: Could Count on Family Advice DRRI1-I: Could Count on Family Advice Deployment Risk & Resilience Inventory-2 - During deployment: I could count on my family members or friends at home for good advice. DRRI-2 - I: Could Count on Family Advice
C141976 DRRI1-I: Family Sincerely Interested DRRI1-I: Family Sincerely Interested Deployment Risk & Resilience Inventory-2 - During deployment: family members and/or friends at home were sincerely interested in hearing what was going on with me. DRRI-2 - I: Family Sincerely Interested
C141977 DRRI1-I: Had Family I Could Talk To DRRI1-I: Had Family I Could Talk To Deployment Risk & Resilience Inventory-2 - During deployment: I had family members or friends at home I could talk to when I had a problem. DRRI-2 - I: Had Family I Could Talk To
C141981 DRRI1-I: Happy Communication From Home DRRI1-I: Happy Communication From Home Deployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of communication I received from people at home. DRRI-2 - I: Happy Communication From Home
C141982 DRRI1-I: Happy With Support From Home DRRI1-I: Happy With Support From Home Deployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of support I received from people at home. DRRI-2 - I: Happy With Support From Home
C141983 DRRI1-I: People at Home Show They Cared DRRI1-I: People at Home Show They Cared Deployment Risk & Resilience Inventory-2 - During deployment: people at home did things to show they cared about me. DRRI-2 - I: People at Home Show They Cared
C141979 DRRI1-I: Relatives Look Out for Family DRRI1-I: Relatives Look Out for Family Deployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to look out for the well-being of my family or other dependents (including pets). DRRI-2 - I: Relatives Look Out for Family
C141980 DRRI1-I: Relatives Take Care of Finances DRRI1-I: Relatives Take Care of Finances Deployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to take care of my finances, property, or belongings if needed. DRRI-2 - I: Relatives Take Care of Finances
C141993 DRRI1-J: Could Go to Leaders If Problem DRRI1-J: Could Go to Leaders If Problem Deployment Risk & Resilience Inventory-2 - During deployment: I could go to unit leaders for help if I had a problem or concern. DRRI-2 - J: Could Go to Leaders If Problem
C141986 DRRI1-J: Fellow Unit Appreciated Efforts DRRI1-J: Fellow Unit Appreciated Efforts Deployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members appreciated my efforts. DRRI-2 - J: Fellow Unit Appreciated Efforts
C141991 DRRI1-J: Felt Like My Efforts Counted DRRI1-J: Felt Like My Efforts Counted Deployment Risk & Resilience Inventory-2 - During deployment: I felt like my efforts really counted to the leaders in my unit. DRRI-2 - J: Felt Like My Efforts Counted
C141995 DRRI1-J: Felt Valued by Leaders of Unit DRRI1-J: Felt Valued by Leaders of Unit Deployment Risk & Resilience Inventory-2 - During deployment: I felt valued by the leaders of my unit. DRRI-2 - J: Felt Valued by Leaders of Unit
C141987 DRRI1-J: Felt Valued Fellow Unit Members DRRI1-J: Felt Valued Fellow Unit Members Deployment Risk & Resilience Inventory-2 - During deployment: I felt valued by my fellow unit members. DRRI-2 - J: Felt Valued Fellow Unit Members
C141990 DRRI1-J: Leader Interested What Thought DRRI1-J: Leader Interested What Thought Deployment Risk & Resilience Inventory-2 - During deployment: my unit leader(s) were interested in what I thought and how I felt about things. DRRI-2 - J: Leader Interested What Thought
C141994 DRRI1-J: Leaders Interested in Welfare DRRI1-J: Leaders Interested in Welfare Deployment Risk & Resilience Inventory-2 - During deployment: the leaders of my unit were interested in my personal welfare. DRRI-2 - J: Leaders Interested in Welfare
C141984 DRRI1-J: My Unit Was Like Family to Me DRRI1-J: My Unit Was Like Family to Me Deployment Risk & Resilience Inventory-2 - During deployment: my unit was like family to me. DRRI-2 - J: My Unit Was Like Family to Me
C141985 DRRI1-J: People in Unit Were Trustworthy DRRI1-J: People in Unit Were Trustworthy Deployment Risk & Resilience Inventory-2 - During deployment: people in my unit were trustworthy. DRRI-2 - J: People in Unit Were Trustworthy
C141992 DRRI1-J: Service Appreciated by Leaders DRRI1-J: Service Appreciated by Leaders Deployment Risk & Resilience Inventory-2 - During deployment: my service was appreciated by the leaders in my unit. DRRI-2 - J: Service Appreciated by Leaders
C141988 DRRI1-J: Unit Interested My Well-being DRRI1-J: Unit Interested My Well-being Deployment Risk & Resilience Inventory-2 - During deployment: members of my unit were interested in my well-being. DRRI-2 - J: Unit Interested My Well-being
C141989 DRRI1-J: Unit Interested What I Thought DRRI1-J: Unit Interested What I Thought Deployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members were interested in what I thought and how I felt about things. DRRI-2 - J: Unit Interested What I Thought
C142007 DRRI1-K: Authority Pressure Unwanted Sex DRRI1-K: Authority Pressure Unwanted Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: used a position of authority to pressure me into unwanted sexual activity. DRRI-2 - K: Authority Pressure Unwanted Sex
C141998 DRRI1-K: Had to Work Harder Prove Myself DRRI1-K: Had to Work Harder Prove Myself Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me as if I had to work harder than others to prove myself. DRRI-2 - K: Had to Work Harder Prove Myself
C142004 DRRI1-K: Made Crude Sexual Remarks at Me DRRI1-K: Made Crude Sexual Remarks at Me Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: made crude and offensive sexual remarks directed at me, either publicly or privately. DRRI-2 - K: Made Crude Sexual Remarks at Me
C142001 DRRI1-K: Make My Job More Difficult DRRI1-K: Make My Job More Difficult Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to make my job more difficult to do. DRRI-2 - K: Make My Job More Difficult
C142000 DRRI1-K: My Mistakes Worse Than Others DRRI1-K: My Mistakes Worse Than Others Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: acted as though my mistakes were worse than others'. DRRI-2 - K: My Mistakes Worse Than Others
C142008 DRRI1-K: Offered Reward Take Part in Sex DRRI1-K: Offered Reward Take Part in Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: offered me a specific reward or special treatment to take part in sexual behavior. DRRI-2 - K: Offered Reward Take Part in Sex
C142011 DRRI1-K: Physically Forced to Have Sex DRRI1-K: Physically Forced to Have Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: physically forced me to have sex. DRRI-2 - K: Physically Forced to Have Sex
C142002 DRRI1-K: Put Me Down DRRI1-K: Put Me Down Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: "put me down" or treated me in a condescending way. DRRI-2 - K: Put Me Down
C141999 DRRI1-K: Questioned My Abilities Perform DRRI1-K: Questioned My Abilities Perform Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: questioned my abilities or commitment to perform my job effectively. DRRI-2 - K: Questioned My Abilities Perform
C142005 DRRI1-K: Spread Rumors Sexual Activities DRRI1-K: Spread Rumors Sexual Activities Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: spread negative rumors about my sexual activities. DRRI-2 - K: Spread Rumors Sexual Activities
C142009 DRRI1-K: Threatened Me If Not Sex DRRI1-K: Threatened Me If Not Sex Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened me with some sort of retaliation if I was not sexually cooperative (for example, the threat of negative review or physical violence). DRRI-2 - K: Threatened Me If Not Sex
C142003 DRRI1-K: Threatened My Physical Safety DRRI1-K: Threatened My Physical Safety Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened my physical safety. DRRI-2 - K: Threatened My Physical Safety
C142010 DRRI1-K: Touched Sexual Way Against Will DRRI1-K: Touched Sexual Way Against Will Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: touched me in a sexual way against my will. DRRI-2 - K: Touched Sexual Way Against Will
C141996 DRRI1-K: Treated in Overly Critical Way DRRI1-K: Treated in Overly Critical Way Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me in an overly critical way. DRRI-2 - K: Treated in Overly Critical Way
C142006 DRRI1-K: Tried to Talk into Sexual Acts DRRI1-K: Tried to Talk into Sexual Acts Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to talk me into participating in sexual acts when I didn't want to. DRRI-2 - K: Tried to Talk into Sexual Acts
C141997 DRRI1-K: Uncooperative Working With Me DRRI1-K: Uncooperative Working With Me Deployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: behaved in way that was uncooperative when working with me. DRRI-2 - K: Uncooperative Working With Me
C142021 DRRI1-L: Being Cheated on by My Spouse DRRI1-L: Being Cheated on by My Spouse Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being cheated on by my spouse or significant other. DRRI-2 - L: Being Cheated on by My Spouse
C142020 DRRI1-L: Care Child/Dependents Receiving DRRI1-L: Care Child/Dependents Receiving Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the care that my child(ren) or other dependents were receiving. DRRI-2 - L: Care Child/Dependents Receiving
C142019 DRRI1-L: Damaging Career Because Deploy DRRI1-L: Damaging Career Because Deploy Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: damaging my career because of the deployment. DRRI-2 - L: Damaging Career Because Deploy
C142012 DRRI1-L: Effect Deployment Relationship DRRI1-L: Effect Deployment Relationship Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my spouse or significant other. DRRI-2 - L: Effect Deployment Relationship
C142025 DRRI1-L: Effect Relationship My Children DRRI1-L: Effect Relationship My Children Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my child(ren). DRRI-2 - L: Effect Relationship My Children
C142022 DRRI1-L: Family Ability Cope With Stress DRRI1-L: Family Ability Cope With Stress Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's ability to cope with the stress of the deployment. DRRI-2 - L: Family Ability Cope With Stress
C142018 DRRI1-L: Inability Manage Family Affairs DRRI1-L: Inability Manage Family Affairs Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my inability to directly manage or control family affairs. DRRI-2 - L: Inability Manage Family Affairs
C142024 DRRI1-L: Losing My Civilian Job DRRI1-L: Losing My Civilian Job Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: losing my civilian job because of the deployment. DRRI-2 - L: Losing My Civilian Job
C142014 DRRI1-L: Missing Family Events at Home DRRI1-L: Missing Family Events at Home Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing important family events at home such as birthdays, weddings, funerals, graduations, etc. DRRI-2 - L: Missing Family Events at Home
C142013 DRRI1-L: Missing Out on Children Growth DRRI1-L: Missing Out on Children Growth Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing out on my children's growth and development. DRRI-2 - L: Missing Out on Children Growth
C142026 DRRI1-L: My Family Financial Situation DRRI1-L: My Family Financial Situation Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's financial situation. DRRI-2 - L: My Family Financial Situation
C142016 DRRI1-L: Safety and Well-being of Child DRRI1-L: Safety and Well-being of Child Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my child(ren). DRRI-2 - L: Safety and Well-being of Child
C142015 DRRI1-L: Safety and Well-being of Spouse DRRI1-L: Safety and Well-being of Spouse Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my spouse or significant other. DRRI-2 - L: Safety and Well-being of Spouse
C142023 DRRI1-L: Spouse Ability Manage Household DRRI1-L: Spouse Ability Manage Household Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my spouse or significant other's ability to manage the household (for example, chores, bills, home repairs, etc.). DRRI-2 - L: Spouse Ability Manage Household
C142017 DRRI1-L: Unable to Help Family If Crisis DRRI1-L: Unable to Help Family If Crisis Deployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being unable to help my family if there was some kind of crisis or emergency. DRRI-2 - L: Unable to Help Family If Crisis
C142039 DRRI1-M: Fam Dangerous Military Duties DRRI1-M: Fam Dangerous Military Duties Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one participated in dangerous military duties. DRRI-2 - M: Fam Dangerous Military Duties
C142040 DRRI1-M: Family Got Into Trouble DRRI1-M: Family Got Into Trouble Deployment Risk & Resilience Inventory-2 - During deployment: a family member got into trouble at home, at school, or in the community. DRRI-2 - M: Family Got Into Trouble
C142035 DRRI1-M: Family Had Difficulty Adjusting DRRI1-M: Family Had Difficulty Adjusting Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one had serious difficulty adjusting to my absence. DRRI-2 - M: Family Had Difficulty Adjusting
C142029 DRRI1-M: Family Member Passed Away DRRI1-M: Family Member Passed Away Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one passed away. DRRI-2 - M: Family Member Passed Away
C142037 DRRI1-M: Family Member Wasted Money DRRI1-M: Family Member Wasted Money Deployment Risk & Resilience Inventory-2 - During deployment: a family member or other person I trusted wasted or mismanaged my money. DRRI-2 - M: Family Member Wasted Money
C142034 DRRI1-M: Had Major Conflict With Family DRRI1-M: Had Major Conflict With Family Deployment Risk & Resilience Inventory-2 - During deployment: I had a major conflict with a family member or other loved one. DRRI-2 - M: Had Major Conflict With Family
C142038 DRRI1-M: Loved One Things I Disapproved DRRI1-M: Loved One Things I Disapproved Deployment Risk & Resilience Inventory-2 - During deployment: I learned that a loved one was doing things I disapproved of. DRRI-2 - M: Loved One Things I Disapproved
C142030 DRRI1-M: My Family Had Money Problems DRRI1-M: My Family Had Money Problems Deployment Risk & Resilience Inventory-2 - During deployment: my family had money problems. DRRI-2 - M: My Family Had Money Problems
C142036 DRRI1-M: My Home Was Robbed DRRI1-M: My Home Was Robbed Deployment Risk & Resilience Inventory-2 - During deployment: my home was robbed and/or my belongings were stolen. DRRI-2 - M: My Home Was Robbed
C142027 DRRI1-M: Problems Get in Touch Family DRRI1-M: Problems Get in Touch Family Deployment Risk & Resilience Inventory-2 - During deployment: I had problems getting in touch with a family member or other loved one. DRRI-2 - M: Problems Get in Touch Family
C142033 DRRI1-M: Relationship With Spouse Ended DRRI1-M: Relationship With Spouse Ended Deployment Risk & Resilience Inventory-2 - During deployment: my relationship with a spouse or significant other ended. DRRI-2 - M: Relationship With Spouse Ended
C142028 DRRI1-M: Someone Close Serious Illness DRRI1-M: Someone Close Serious Illness Deployment Risk & Resilience Inventory-2 - During deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem). DRRI-2 - M: Someone Close Serious Illness
C142031 DRRI1-M: Spouse Cheated on Me DRRI1-M: Spouse Cheated on Me Deployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other cheated on me. DRRI-2 - M: Spouse Cheated on Me
C142032 DRRI1-M: Spouse Suspected I Cheated DRRI1-M: Spouse Suspected I Cheated Deployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other suspected that I had cheated on him/her. DRRI-2 - M: Spouse Suspected I Cheated
C142049 DRRI1-N: Emotionally Mistreated DRRI1-N: Emotionally Mistreated Deployment Risk & Resilience Inventory-2 - Since returning: I have been emotionally mistreated (for example, ignored or repeatedly told I was no good). DRRI-2 - N: Emotionally Mistreated
C142045 DRRI1-N: Experienced Natural Disaster DRRI1-N: Experienced Natural Disaster Deployment Risk & Resilience Inventory-2 - Since returning: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage. DRRI-2 - N: Experienced Natural Disaster
C142053 DRRI1-N: Injured by Another Person DRRI1-N: Injured by Another Person Deployment Risk & Resilience Inventory-2 - Since returning: I have been seriously physically injured by another person (for example, hit or beaten up). DRRI-2 - N: Injured by Another Person
C142048 DRRI1-N: Lost My Job/Trouble Finding Job DRRI1-N: Lost My Job/Trouble Finding Job Deployment Risk & Resilience Inventory-2 - Since returning: I lost my job or had serious trouble finding a job. DRRI-2 - N: Lost My Job/Trouble Finding Job
C142044 DRRI1-N: Problems Getting Healthcare DRRI1-N: Problems Getting Healthcare Deployment Risk & Resilience Inventory-2 - Since returning: I had problems getting access to adequate healthcare. DRRI-2 - N: Problems Getting Healthcare
C142041 DRRI1-N: Robbed/Had My Home Broken Into DRRI1-N: Robbed/Had My Home Broken Into Deployment Risk & Resilience Inventory-2 - Since returning: I was robbed or had my home broken into. DRRI-2 - N: Robbed/Had My Home Broken Into
C142050 DRRI1-N: Serious Financial Problems DRRI1-N: Serious Financial Problems Deployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious financial problems. DRRI-2 - N: Serious Financial Problems
C142051 DRRI1-N: Serious Physical Health Problem DRRI1-N: Serious Physical Health Problem Deployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious physical or mental health problems. DRRI-2 - N: Serious Physical Health Problem
C142046 DRRI1-N: Someone Close Serious Illness DRRI1-N: Someone Close Serious Illness Deployment Risk & Resilience Inventory-2 - Since returning: someone close to me has experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem). DRRI-2 - N: Someone Close Serious Illness
C142054 DRRI1-N: Someone Close to Me Has Died DRRI1-N: Someone Close to Me Has Died Deployment Risk & Resilience Inventory-2 - Since returning: someone close to me has died. DRRI-2 - N: Someone Close to Me Has Died
C142052 DRRI1-N: Stressful Legal Problems DRRI1-N: Stressful Legal Problems Deployment Risk & Resilience Inventory-2 - Since returning: I have experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle). DRRI-2 - N: Stressful Legal Problems
C142042 DRRI1-N: Unwanted Sexual Activity DRRI1-N: Unwanted Sexual Activity Deployment Risk & Resilience Inventory-2 - Since returning: I experienced unwanted sexual activity as a result of force, threat or harm, or manipulation. DRRI-2 - N: Unwanted Sexual Activity
C142043 DRRI1-N: Went Through Divorce/Was Left DRRI1-N: Went Through Divorce/Was Left Deployment Risk & Resilience Inventory-2 - Since returning: I went through a divorce or have been left by a partner or significant other. DRRI-2 - N: Went Through Divorce/Was Left
C142047 DRRI1-N: Witnessed Someone Assaulted DRRI1-N: Witnessed Someone Assaulted Deployment Risk & Resilience Inventory-2 - Since returning: I have witnessed someone being seriously assaulted or killed. DRRI-2 - N: Witnessed Someone Assaulted
C142057 DRRI1-O: Family Make Me Better When Down DRRI1-O: Family Make Me Better When Down Deployment Risk & Resilience Inventory-2 - Since returning: my family members and/or friends make me feel better when I am down. DRRI-2 - O: Family Make Me Better When Down
C142062 DRRI1-O: Family Would Help Move DRRI1-O: Family Would Help Move Deployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would help me move my belongings if I needed help. DRRI-2 - O: Family Would Help Move
C142061 DRRI1-O: Family Would Lend Money DRRI1-O: Family Would Lend Money Deployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would lend me money if I needed it. DRRI-2 - O: Family Would Lend Money
C142059 DRRI1-O: Family/Friends Understand DRRI1-O: Family/Friends Understand Deployment Risk & Resilience Inventory-2 - Since returning: my family and friends understand what I have been through in the Armed Forces. DRRI-2 - O: Family/Friends Understand
C142058 DRRI1-O: Go to Family When Need Advice DRRI1-O: Go to Family When Need Advice Deployment Risk & Resilience Inventory-2 - Since returning: I can go to family members or friends when I need good advice. DRRI-2 - O: Go to Family When Need Advice
C142060 DRRI1-O: I Can Talk About My Deployment DRRI1-O: I Can Talk About My Deployment Deployment Risk & Resilience Inventory-2 - Since returning: there are family and/or friends with whom I can talk about my deployment experiences. DRRI-2 - O: I Can Talk About My Deployment
C142055 DRRI1-O: People Made Me Feel at Home DRRI1-O: People Made Me Feel at Home Deployment Risk & Resilience Inventory-2 - Since returning: the American people made me feel at home. DRRI-2 - O: People Made Me Feel at Home
C142056 DRRI1-O: People Made Me Feel Proud DRRI1-O: People Made Me Feel Proud Deployment Risk & Resilience Inventory-2 - Since returning: people made me feel proud to have served my country in the Armed Forces. DRRI-2 - O: People Made Me Feel Proud
C142063 DRRI1-O: Someone Would Help With Tasks DRRI1-O: Someone Would Help With Tasks Deployment Risk & Resilience Inventory-2 - Since returning: if I were unable to attend to daily chores, there is someone who would help me with these tasks. DRRI-2 - O: Someone Would Help With Tasks
C142064 DRRI1-O: When Ill Family Will Help Out DRRI1-O: When Ill Family Will Help Out Deployment Risk & Resilience Inventory-2 - Since returning: when I am ill, family members or friends will help out until I am well. DRRI-2 - O: When Ill Family Will Help Out
C142075 DRRI1-P: Can Be Myself Around Family DRRI1-P: Can Be Myself Around Family Deployment Risk & Resilience Inventory-2 - Since returning: I can be myself around family members. DRRI-2 - P: Can Be Myself Around Family
C142068 DRRI1-P: Contribution Family Appreciated DRRI1-P: Contribution Family Appreciated Deployment Risk & Resilience Inventory-2 - Since returning: I feel like my contributions to my family are appreciated. DRRI-2 - P: Contribution Family Appreciated
C142067 DRRI1-P: Family Know What I Think/Feel DRRI1-P: Family Know What I Think/Feel Deployment Risk & Resilience Inventory-2 - Since returning: family members know what I think and how I feel about things. DRRI-2 - P: Family Know What I Think/Feel
C142074 DRRI1-P: Family Tell Me When Problem DRRI1-P: Family Tell Me When Problem Deployment Risk & Resilience Inventory-2 - Since returning: family members tell me when they are having a problem. DRRI-2 - P: Family Tell Me When Problem
C142066 DRRI1-P: Feel Like I Fit in With Family DRRI1-P: Feel Like I Fit in With Family Deployment Risk & Resilience Inventory-2 - Since returning: I feel like I fit in with my family. DRRI-2 - P: Feel Like I Fit in With Family
C142071 DRRI1-P: I am Affectionate With Family DRRI1-P: I am Affectionate With Family Deployment Risk & Resilience Inventory-2 - Since returning: I am affectionate with family members. DRRI-2 - P: I am Affectionate With Family
C142076 DRRI1-P: I Get Along Well With My Family DRRI1-P: I Get Along Well With My Family Deployment Risk & Resilience Inventory-2 - Since returning: I get along well with my family members. DRRI-2 - P: I Get Along Well With My Family
C142065 DRRI1-P: Input Sought Family Decisions DRRI1-P: Input Sought Family Decisions Deployment Risk & Resilience Inventory-2 - Since returning: my input is sought on important family decisions. DRRI-2 - P: Input Sought Family Decisions
C142070 DRRI1-P: Opinions Valued by Family DRRI1-P: Opinions Valued by Family Deployment Risk & Resilience Inventory-2 - Since returning: my opinions are valued by other family members. DRRI-2 - P: Opinions Valued by Family
C142072 DRRI1-P: Play Important Role in Family DRRI1-P: Play Important Role in Family Deployment Risk & Resilience Inventory-2 - Since returning: I play an important role in my family. DRRI-2 - P: Play Important Role in Family
C142069 DRRI1-P: Share Interests With Family DRRI1-P: Share Interests With Family Deployment Risk & Resilience Inventory-2 - Since returning: I share many common interests and activities with family members. DRRI-2 - P: Share Interests With Family
C142073 DRRI1-P: Spend My Free Time With Family DRRI1-P: Spend My Free Time With Family Deployment Risk & Resilience Inventory-2 - Since returning: I spend as much of my free time with family members as possible. DRRI-2 - P: Spend My Free Time With Family

DRS01TC (Disability Rating Scale Clinical Classification Test Code)

NCI Code: C115402, Codelist extensible: No
C115402 DRS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115820 DRS0101 DRS01-Eye Opening Disability Rating Scale - Eye opening. DRS - Eye Opening
C115821 DRS0102 DRS01-Communication Ability Disability Rating Scale - Communication ability. DRS - Communication Ability
C115822 DRS0103 DRS01-Motor Response Disability Rating Scale - Motor response. DRS - Motor Response
C115823 DRS0104 DRS01-Feeding Disability Rating Scale - Feeding (cognitive ability only). DRS - Feeding
C115824 DRS0105 DRS01-Toileting Disability Rating Scale - Toileting (cognitive ability only). DRS - Toileting
C115825 DRS0106 DRS01-Grooming Disability Rating Scale - Grooming (cognitive ability only). DRS - Grooming
C115826 DRS0107 DRS01-Level of Functioning Disability Rating Scale - Level of functioning (physical, mental, emotional or social function). DRS - Level of Functioning
C115827 DRS0108 DRS01-Employability Disability Rating Scale - Employability (as a full time worker, homemaker, or student). DRS - Employability
C176220 DRS0109 DRS01-Total Score Disability Rating Scale - Total score. DRS - Total Score

DRS01TN (Disability Rating Scale Clinical Classification Test Name)

NCI Code: C115401, Codelist extensible: No
C115401 DRS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115821 DRS01-Communication Ability DRS01-Communication Ability Disability Rating Scale - Communication ability. DRS - Communication Ability
C115827 DRS01-Employability DRS01-Employability Disability Rating Scale - Employability (as a full time worker, homemaker, or student). DRS - Employability
C115820 DRS01-Eye Opening DRS01-Eye Opening Disability Rating Scale - Eye opening. DRS - Eye Opening
C115823 DRS01-Feeding DRS01-Feeding Disability Rating Scale - Feeding (cognitive ability only). DRS - Feeding
C115825 DRS01-Grooming DRS01-Grooming Disability Rating Scale - Grooming (cognitive ability only). DRS - Grooming
C115826 DRS01-Level of Functioning DRS01-Level of Functioning Disability Rating Scale - Level of functioning (physical, mental, emotional or social function). DRS - Level of Functioning
C115822 DRS01-Motor Response DRS01-Motor Response Disability Rating Scale - Motor response. DRS - Motor Response
C115824 DRS01-Toileting DRS01-Toileting Disability Rating Scale - Toileting (cognitive ability only). DRS - Toileting
C176220 DRS01-Total Score DRS01-Total Score Disability Rating Scale - Total score. DRS - Total Score

DS01TC (Disease Steps Clinical Classification Test Code)

NCI Code: C112437, Codelist extensible: No
C112437 DS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112549 DS0101 DS01-Disease Steps Classification Disease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS. DS - Disease Steps Classification

DS01TN (Disease Steps Clinical Classification Test Name)

NCI Code: C112436, Codelist extensible: No
C112436 DS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112549 DS01-Disease Steps Classification DS01-Disease Steps Classification Disease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS. DS - Disease Steps Classification

ECOG101OR (Eastern Cooperative Oncology Group Performance Status Clinical Classification ORRES for ECOG101 TN/TC)

NCI Code: C179943, Codelist extensible: No
C179943 ECOG101OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180251 Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours ECOG101-Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours Eastern Cooperative Oncology Group Performance Status original result for ECOG101-Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours. Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours
C180252 Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours ECOG101-Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours Eastern Cooperative Oncology Group Performance Status original result for ECOG101-Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours. Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours
C180253 Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair ECOG101-Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair Eastern Cooperative Oncology Group Performance Status original result for ECOG101-Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair. Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair
C180254 Dead ECOG101-Dead Eastern Cooperative Oncology Group Performance Status original result for ECOG101-Dead. Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Dead
C180249 Fully active, able to carry on all pre-disease performance without restriction ECOG101-Fully active, able to carry on all pre-disease performance without restriction Eastern Cooperative Oncology Group Performance Status original result for ECOG101-Fully active, able to carry on all pre-disease performance without restriction. Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Fully Active, Able To Carry On All Pre-Disease Performance Without Restriction
C180250 Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work ECOG101-Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work Eastern Cooperative Oncology Group Performance Status original result for ECOG101-Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work. Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.G., Light House Work, Office Work

ECOG101STR (Eastern Cooperative Oncology Group Performance Status Clinical Classification STRESC for ECOG101 TN/TC)

NCI Code: C179944, Codelist extensible: No
C179944 ECOG101STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180255 0 ECOG101-0 Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Fully active, able to carry on all pre-disease performance without restriction. Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 0
C180256 1 ECOG101-1 Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work. Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 1
C180257 2 ECOG101-2 Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours. Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 2
C180258 3 ECOG101-3 Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours. Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 3
C180259 4 ECOG101-4 Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair. Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 4
C180260 5 ECOG101-5 Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Dead. Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 5

ECOG1TC (Eastern Cooperative Oncology Group Performance Status Clinical Classification Test Code)

NCI Code: C101815, Codelist extensible: No
C101815 ECOG1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102408 ECOG101 ECOG1-Performance Status ECOG Performance Status - Performance Status. ECOG - Performance Status

ECOG1TN (Eastern Cooperative Oncology Group Performance Status Clinical Classification Test Name)

NCI Code: C101816, Codelist extensible: No
C101816 ECOG1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102408 ECOG1-Performance Status ECOG1-Performance Status ECOG Performance Status - Performance Status. ECOG - Performance Status

ED1TC (Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Code)

NCI Code: C125745, Codelist extensible: No
C125745 ED1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125773 ED102_1 ED1-Able to Communicate Clearly Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to communicate with you in a way that you and others clearly understand? Expanded DRS-PI Caregiver Version - Able to Communicate Clearly
C125774 ED102_2 ED1-How They Communicate Primarily Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How do they communicate primarily? Expanded DRS-PI Caregiver Version - How They Communicate Primarily
C125775 ED102_3 ED1-Correct Date and Time Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to give the correct date and time within a few seconds of being asked? Expanded DRS-PI Caregiver Version - Give Correct Date and Time When Asked
C125776 ED102_4 ED1-Few Words or Random Answers/Shouting Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] have only a few words that [s/he] uses over and over or does [s/he] express him/herself only through random answers, shouting or swearing? Expanded DRS-PI Caregiver Version - Use Few Words or Random Shouting
C125777 ED102_5 ED1-Moan/Groan/Sounds Not Understandable Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] only moan, groan or make other sounds that are not understandable? Expanded DRS-PI Caregiver Version - Make Sounds Not Understandable
C125778 ED104_1 ED1-Feed Independently Without Help Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] feed him/herself independently or manage tube feedings appropriately without help or reminders? Expanded DRS-PI Caregiver Version - Feed Independently Without Help
C125779 ED104_2 ED1-Understand Feeding Utensils Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand what eating or feeding utensils or equipment are for and how they should be used? Expanded DRS-PI Caregiver Version - Understand Feeding Utensils
C125780 ED104_3 ED1-Know Meal Times Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when meal or feeding times are? Expanded DRS-PI Caregiver Version - Know Meal Times
C125781 ED105_1 ED1-Use Toilet Independently Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] use the toilet or manage their bowel and bladder routine independently and appropriately without help or reminders? Expanded DRS-PI Caregiver Version - Use Toilet Independently
C125782 ED105_2 ED1-Manage Clothing When Toileting Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand how to manage their clothing or special equipment when toileting or in bowel and bladder management? Expanded DRS-PI Caregiver Version - Manage Clothing When Toileting
C125783 ED105_3 ED1-Know When to Use Toilet Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when to use the toilet or to conduct bowel and bladder management? Expanded DRS-PI Caregiver Version - Know When to Use Toilet
C125784 ED106_1 ED1-Can Dress/Groom Independently Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] dress and groom him/herself independently and appropriately or direct someone else in these activities without help or reminders? Expanded DRS-PI Caregiver Version - Can Dress and Groom Self Independently
C125785 ED106_2 ED1-Know How to Bathe/Wash Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] know how to bathe and wash? Expanded DRS-PI Caregiver Version - Know How to Bathe and Wash
C125786 ED106_3 ED1-Understand How to Get Dressed Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] understand how to get dressed? Expanded DRS-PI Caregiver Version - Understand How to Get Dressed
C125787 ED106_4 ED1-Start/Finish Grooming Activities Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [s/he] start and finish these grooming activities without prompting? Expanded DRS-PI Caregiver Version - Start and Finish Grooming Activities
C125788 ED107_1 ED1-Function Completely Independently Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] function completely independently? That is, [s/he] does not require any physical assistance, supervision, equipment, devices or reminders for cognitive, social, behavioral, emotional, and physical function? Expanded DRS-PI Caregiver Version - Function Completely Independently
C125789 ED107_2 ED1-Require Specific Aids/Equipment Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] REQUIRE special aids or equipment such as a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability? Expanded DRS-PI Caregiver Version - Require Special Aids or Equipment
C125790 ED107_3 ED1-Require Physical Assistance Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] require physical assistance from another person to meet daily needs? Expanded DRS-PI Caregiver Version - Require Physical Assistance
C125791 ED107_4 ED1-Require Assistance Thinking Tasks Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person in tasks that require thinking abilities? Expanded DRS-PI Caregiver Version - Require Assistance Thinking Tasks
C125792 ED107_5 ED1-Require Assistance Managing Emotions Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person to manage emotions and behavior? Expanded DRS-PI Caregiver Version - Require Assistance Managing Emotions
C125793 ED107_6A ED1-Need a Helper Always Close By Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] take care of some of their needs but also need a helper who is always close by? Expanded DRS-PI Caregiver Version - Need a Helper Always Close By
C125794 ED107_6B ED1-Need Help With All Major Activities Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need help with all major activities and the assistance of another person all the time? Expanded DRS-PI Caregiver Version - Need Help With All Major Activities
C125795 ED107_6C ED1-Need 24-Hour Care Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need 24-hour care and is not able to help with their own care at all? Expanded DRS-PI Caregiver Version - Need 24-Hour Care
C125796 ED108_1 ED1-Independent Work/Social Situations Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] function with complete independence in work or social situations? Expanded DRS-PI Caregiver Version - Function With Independent Work or Social Situations
C125797 ED108_2 ED1-Understand/Follow Directions Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] understand, remember, and follow directions? Expanded DRS-PI Caregiver Version - Understand and Follow Directions
C125798 ED108_3 ED1-Keep Track of Time/Schedules Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] keep track of time, schedules and appointments? Expanded DRS-PI Caregiver Version - Keep Track of Time
C125799 ED108_4 ED1-Perform Jobs, Manage Home/School Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can perform in a wide variety of jobs of [his/her] choosing or manage a home independently or participate in school full-time? Expanded DRS-PI Caregiver Version - Perform Jobs or Manage a Home Independently
C125800 ED108_5 ED1-Successful With Accommodations Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities? Expanded DRS-PI Caregiver Version - Successful With Accommodations
C125801 ED108_6 ED1-Successful With Limited Choices Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities? Expanded DRS-PI Caregiver Version - Successful With Limited Choices
C125802 ED108_7 ED1-Work With Frequent Support Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support? Expanded DRS-PI Caregiver Version - Work With Frequent Supervision and Support

ED1TN (Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Name)

NCI Code: C125744, Codelist extensible: No
C125744 ED1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125773 ED1-Able to Communicate Clearly ED1-Able to Communicate Clearly Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to communicate with you in a way that you and others clearly understand? Expanded DRS-PI Caregiver Version - Able to Communicate Clearly
C125784 ED1-Can Dress/Groom Independently ED1-Can Dress/Groom Independently Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] dress and groom him/herself independently and appropriately or direct someone else in these activities without help or reminders? Expanded DRS-PI Caregiver Version - Can Dress and Groom Self Independently
C125775 ED1-Correct Date and Time ED1-Correct Date and Time Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to give the correct date and time within a few seconds of being asked? Expanded DRS-PI Caregiver Version - Give Correct Date and Time When Asked
C125778 ED1-Feed Independently Without Help ED1-Feed Independently Without Help Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] feed him/herself independently or manage tube feedings appropriately without help or reminders? Expanded DRS-PI Caregiver Version - Feed Independently Without Help
C125776 ED1-Few Words or Random Answers/Shouting ED1-Few Words or Random Answers/Shouting Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] have only a few words that [s/he] uses over and over or does [s/he] express him/herself only through random answers, shouting or swearing? Expanded DRS-PI Caregiver Version - Use Few Words or Random Shouting
C125788 ED1-Function Completely Independently ED1-Function Completely Independently Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] function completely independently? That is, [s/he] does not require any physical assistance, supervision, equipment, devices or reminders for cognitive, social, behavioral, emotional, and physical function? Expanded DRS-PI Caregiver Version - Function Completely Independently
C125774 ED1-How They Communicate Primarily ED1-How They Communicate Primarily Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How do they communicate primarily? Expanded DRS-PI Caregiver Version - How They Communicate Primarily
C125796 ED1-Independent Work/Social Situations ED1-Independent Work/Social Situations Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] function with complete independence in work or social situations? Expanded DRS-PI Caregiver Version - Function With Independent Work or Social Situations
C125798 ED1-Keep Track of Time/Schedules ED1-Keep Track of Time/Schedules Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] keep track of time, schedules and appointments? Expanded DRS-PI Caregiver Version - Keep Track of Time
C125785 ED1-Know How to Bathe/Wash ED1-Know How to Bathe/Wash Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] know how to bathe and wash? Expanded DRS-PI Caregiver Version - Know How to Bathe and Wash
C125780 ED1-Know Meal Times ED1-Know Meal Times Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when meal or feeding times are? Expanded DRS-PI Caregiver Version - Know Meal Times
C125783 ED1-Know When to Use Toilet ED1-Know When to Use Toilet Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when to use the toilet or to conduct bowel and bladder management? Expanded DRS-PI Caregiver Version - Know When to Use Toilet
C125782 ED1-Manage Clothing When Toileting ED1-Manage Clothing When Toileting Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand how to manage their clothing or special equipment when toileting or in bowel and bladder management? Expanded DRS-PI Caregiver Version - Manage Clothing When Toileting
C125777 ED1-Moan/Groan/Sounds Not Understandable ED1-Moan/Groan/Sounds Not Understandable Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] only moan, groan or make other sounds that are not understandable? Expanded DRS-PI Caregiver Version - Make Sounds Not Understandable
C125795 ED1-Need 24-Hour Care ED1-Need 24-Hour Care Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need 24-hour care and is not able to help with their own care at all? Expanded DRS-PI Caregiver Version - Need 24-Hour Care
C125793 ED1-Need a Helper Always Close By ED1-Need a Helper Always Close By Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] take care of some of their needs but also need a helper who is always close by? Expanded DRS-PI Caregiver Version - Need a Helper Always Close By
C125794 ED1-Need Help With All Major Activities ED1-Need Help With All Major Activities Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need help with all major activities and the assistance of another person all the time? Expanded DRS-PI Caregiver Version - Need Help With All Major Activities
C125799 ED1-Perform Jobs, Manage Home/School ED1-Perform Jobs, Manage Home/School Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can perform in a wide variety of jobs of [his/her] choosing or manage a home independently or participate in school full-time? Expanded DRS-PI Caregiver Version - Perform Jobs or Manage a Home Independently
C125792 ED1-Require Assistance Managing Emotions ED1-Require Assistance Managing Emotions Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person to manage emotions and behavior? Expanded DRS-PI Caregiver Version - Require Assistance Managing Emotions
C125791 ED1-Require Assistance Thinking Tasks ED1-Require Assistance Thinking Tasks Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person in tasks that require thinking abilities? Expanded DRS-PI Caregiver Version - Require Assistance Thinking Tasks
C125790 ED1-Require Physical Assistance ED1-Require Physical Assistance Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] require physical assistance from another person to meet daily needs? Expanded DRS-PI Caregiver Version - Require Physical Assistance
C125789 ED1-Require Specific Aids/Equipment ED1-Require Specific Aids/Equipment Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] REQUIRE special aids or equipment such as a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability? Expanded DRS-PI Caregiver Version - Require Special Aids or Equipment
C125787 ED1-Start/Finish Grooming Activities ED1-Start/Finish Grooming Activities Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [s/he] start and finish these grooming activities without prompting? Expanded DRS-PI Caregiver Version - Start and Finish Grooming Activities
C125800 ED1-Successful With Accommodations ED1-Successful With Accommodations Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities? Expanded DRS-PI Caregiver Version - Successful With Accommodations
C125801 ED1-Successful With Limited Choices ED1-Successful With Limited Choices Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities? Expanded DRS-PI Caregiver Version - Successful With Limited Choices
C125779 ED1-Understand Feeding Utensils ED1-Understand Feeding Utensils Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand what eating or feeding utensils or equipment are for and how they should be used? Expanded DRS-PI Caregiver Version - Understand Feeding Utensils
C125786 ED1-Understand How to Get Dressed ED1-Understand How to Get Dressed Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] understand how to get dressed? Expanded DRS-PI Caregiver Version - Understand How to Get Dressed
C125797 ED1-Understand/Follow Directions ED1-Understand/Follow Directions Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] understand, remember, and follow directions? Expanded DRS-PI Caregiver Version - Understand and Follow Directions
C125781 ED1-Use Toilet Independently ED1-Use Toilet Independently Expanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] use the toilet or manage their bowel and bladder routine independently and appropriately without help or reminders? Expanded DRS-PI Caregiver Version - Use Toilet Independently
C125802 ED1-Work With Frequent Support ED1-Work With Frequent Support Expanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support? Expanded DRS-PI Caregiver Version - Work With Frequent Supervision and Support

ED2TC (Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Code)

NCI Code: C125747, Codelist extensible: No
C125747 ED2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125803 ED202_3 ED2-Correct Date and Time Expanded Disability Rating Scale - Postacute Interview Survivor Version - Are you able to give the correct date and time within a few seconds of being asked? Expanded DRS-PI Survivor Version - Give Correct Date and Time When Asked
C125804 ED204_1 ED2-Feed Independently Without Help Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you feed yourself independently or manage tube feedings appropriately without help or reminders? Expanded DRS-PI Survivor Version - Feed Yourself Independently Without Help
C125805 ED204_2 ED2-Understand Feeding Utensils Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand what eating or feeding utensils or equipment are for and how they should be used? Expanded DRS-PI Survivor Version - Understand Feeding Utensils
C125806 ED204_3 ED2-Know Meal Times Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when meal or feeding times are? Expanded DRS-PI Survivor Version - Know Meal Times
C125807 ED205_1 ED2-Use Toilet Independently Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you use the toilet or manage your bowel and bladder routine independently and appropriately without help or reminders? Expanded DRS-PI Survivor Version - Use Toilet Independently
C125808 ED205_2 ED2-Manage Clothing When Toileting Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to manage your clothing or special equipment when toileting or in bowel and bladder management? Expanded DRS-PI Survivor Version - Manage Clothing When Toileting
C125809 ED205_3 ED2-Know When to Use Toilet Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when to use the toilet or to conduct bowel and bladder management? Expanded DRS-PI Survivor Version - Know When to Use Toilet
C125810 ED206_1 ED2-Can Dress/Groom Independently Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you dress and groom yourself independently and appropriately or direct someone else in these activities without help or reminders? Expanded DRS-PI Survivor Version - Can Dress and Groom Self Independently
C125811 ED206_2 ED2-Know How to Bathe/Wash Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know how to bathe and wash? Expanded DRS-PI Survivor Version - Know How to Bathe and Wash
C125812 ED206_3 ED2-Understand How to Get Dressed Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to get dressed? Expanded DRS-PI Survivor Version - Understand How to Get Dressed
C125813 ED206_4 ED2-Start/Finish Grooming Activities Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you start and finish these grooming activities without prompting? Expanded DRS-PI Survivor Version - Start and Finish Grooming Activities
C125814 ED207_1 ED2-Function Completely Independently Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you function completely independently? That is, you do not require any physical assistance, supervision, equipment, devices, or reminders for cognitive, social, behavioral, emotional, and physical function? Expanded DRS-PI Survivor Version - Function Completely Independently
C125815 ED207_2 ED2-Require Specific Aids/Equipment Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you REQUIRE special aids or equipment, such as, a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability? Expanded DRS-PI Survivor Version - Require Special Aids or Equipment
C125816 ED207_3 ED2-Require Physical Assistance Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require physical assistance from another person to meet daily needs? Expanded DRS-PI Survivor Version - Require Physical Assistance
C125817 ED207_4 ED2-Require Assistance Thinking Tasks Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person in tasks that require thinking abilities? Expanded DRS-PI Survivor Version - Require Assistance Thinking Tasks
C125818 ED207_5 ED2-Require Assistance Managing Emotions Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person to manage emotions and behavior? Expanded DRS-PI Survivor Version - Require Assistance Managing Emotions
C125819 ED207_6A ED2-Need a Helper Always Close By Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you take care of some of your needs but also need a helper who is always close by? Expanded DRS-PI Survivor Version - Need a Helper Always Close By
C125820 ED207_6B ED2-Need Help With All Major Activities Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need help with all major activities and the assistance of another person all the time? Expanded DRS-PI Survivor Version - Need Help With All Major Activities
C125821 ED207_6C ED2-Need 24-Hour Care Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need 24-hour care and are not able to help with your own care at all? Expanded DRS-PI Survivor Version - Need 24-Hour Care
C125822 ED208_1 ED2-Independent Work/Social Situations Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you function with complete independence in work or social situations? Expanded DRS-PI Survivor Version - Function With Independent Work or Social Situations
C125823 ED208_2 ED2-Understand/Follow Directions Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you understand, remember, and follow directions? Expanded DRS-PI Survivor Version - Understand and Follow Directions
C125824 ED208_3 ED2-Keep Track of Time/Schedules Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you keep track of time, schedules and appointments? Expanded DRS-PI Survivor Version - Keep Track of Time
C125825 ED208_4 ED2-Perform Jobs, Manage Home/School Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can perform in a wide variety of jobs of your choosing or manage a home independently or participate in school full-time? Expanded DRS-PI Survivor Version - Perform Jobs or Manage a Home Independently
C125826 ED208_5 ED2-Successful With Accommodations Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities? Expanded DRS-PI Survivor Version - Successful With Accommodations
C125827 ED208_6 ED2-Successful With Limited Choices Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities? Expanded DRS-PI Survivor Version - Successful With Limited Choices
C125828 ED208_7 ED2-Work With Frequent Support Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support? Expanded DRS-PI Survivor Version - Work With Frequent Supervision and Support

ED2TN (Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Name)

NCI Code: C125746, Codelist extensible: No
C125746 ED2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125810 ED2-Can Dress/Groom Independently ED2-Can Dress/Groom Independently Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you dress and groom yourself independently and appropriately or direct someone else in these activities without help or reminders? Expanded DRS-PI Survivor Version - Can Dress and Groom Self Independently
C125803 ED2-Correct Date and Time ED2-Correct Date and Time Expanded Disability Rating Scale - Postacute Interview Survivor Version - Are you able to give the correct date and time within a few seconds of being asked? Expanded DRS-PI Survivor Version - Give Correct Date and Time When Asked
C125804 ED2-Feed Independently Without Help ED2-Feed Independently Without Help Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you feed yourself independently or manage tube feedings appropriately without help or reminders? Expanded DRS-PI Survivor Version - Feed Yourself Independently Without Help
C125814 ED2-Function Completely Independently ED2-Function Completely Independently Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you function completely independently? That is, you do not require any physical assistance, supervision, equipment, devices, or reminders for cognitive, social, behavioral, emotional, and physical function? Expanded DRS-PI Survivor Version - Function Completely Independently
C125822 ED2-Independent Work/Social Situations ED2-Independent Work/Social Situations Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you function with complete independence in work or social situations? Expanded DRS-PI Survivor Version - Function With Independent Work or Social Situations
C125824 ED2-Keep Track of Time/Schedules ED2-Keep Track of Time/Schedules Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you keep track of time, schedules and appointments? Expanded DRS-PI Survivor Version - Keep Track of Time
C125811 ED2-Know How to Bathe/Wash ED2-Know How to Bathe/Wash Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know how to bathe and wash? Expanded DRS-PI Survivor Version - Know How to Bathe and Wash
C125806 ED2-Know Meal Times ED2-Know Meal Times Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when meal or feeding times are? Expanded DRS-PI Survivor Version - Know Meal Times
C125809 ED2-Know When to Use Toilet ED2-Know When to Use Toilet Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when to use the toilet or to conduct bowel and bladder management? Expanded DRS-PI Survivor Version - Know When to Use Toilet
C125808 ED2-Manage Clothing When Toileting ED2-Manage Clothing When Toileting Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to manage your clothing or special equipment when toileting or in bowel and bladder management? Expanded DRS-PI Survivor Version - Manage Clothing When Toileting
C125821 ED2-Need 24-Hour Care ED2-Need 24-Hour Care Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need 24-hour care and are not able to help with your own care at all? Expanded DRS-PI Survivor Version - Need 24-Hour Care
C125819 ED2-Need a Helper Always Close By ED2-Need a Helper Always Close By Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you take care of some of your needs but also need a helper who is always close by? Expanded DRS-PI Survivor Version - Need a Helper Always Close By
C125820 ED2-Need Help With All Major Activities ED2-Need Help With All Major Activities Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need help with all major activities and the assistance of another person all the time? Expanded DRS-PI Survivor Version - Need Help With All Major Activities
C125825 ED2-Perform Jobs, Manage Home/School ED2-Perform Jobs, Manage Home/School Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can perform in a wide variety of jobs of your choosing or manage a home independently or participate in school full-time? Expanded DRS-PI Survivor Version - Perform Jobs or Manage a Home Independently
C125818 ED2-Require Assistance Managing Emotions ED2-Require Assistance Managing Emotions Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person to manage emotions and behavior? Expanded DRS-PI Survivor Version - Require Assistance Managing Emotions
C125817 ED2-Require Assistance Thinking Tasks ED2-Require Assistance Thinking Tasks Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person in tasks that require thinking abilities? Expanded DRS-PI Survivor Version - Require Assistance Thinking Tasks
C125816 ED2-Require Physical Assistance ED2-Require Physical Assistance Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require physical assistance from another person to meet daily needs? Expanded DRS-PI Survivor Version - Require Physical Assistance
C125815 ED2-Require Specific Aids/Equipment ED2-Require Specific Aids/Equipment Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you REQUIRE special aids or equipment, such as, a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability? Expanded DRS-PI Survivor Version - Require Special Aids or Equipment
C125813 ED2-Start/Finish Grooming Activities ED2-Start/Finish Grooming Activities Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you start and finish these grooming activities without prompting? Expanded DRS-PI Survivor Version - Start and Finish Grooming Activities
C125826 ED2-Successful With Accommodations ED2-Successful With Accommodations Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities? Expanded DRS-PI Survivor Version - Successful With Accommodations
C125827 ED2-Successful With Limited Choices ED2-Successful With Limited Choices Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities? Expanded DRS-PI Survivor Version - Successful With Limited Choices
C125805 ED2-Understand Feeding Utensils ED2-Understand Feeding Utensils Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand what eating or feeding utensils or equipment are for and how they should be used? Expanded DRS-PI Survivor Version - Understand Feeding Utensils
C125812 ED2-Understand How to Get Dressed ED2-Understand How to Get Dressed Expanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to get dressed? Expanded DRS-PI Survivor Version - Understand How to Get Dressed
C125823 ED2-Understand/Follow Directions ED2-Understand/Follow Directions Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you understand, remember, and follow directions? Expanded DRS-PI Survivor Version - Understand and Follow Directions
C125807 ED2-Use Toilet Independently ED2-Use Toilet Independently Expanded Disability Rating Scale - Postacute Interview Survivor Version - Can you use the toilet or manage your bowel and bladder routine independently and appropriately without help or reminders? Expanded DRS-PI Survivor Version - Use Toilet Independently
C125828 ED2-Work With Frequent Support ED2-Work With Frequent Support Expanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support? Expanded DRS-PI Survivor Version - Work With Frequent Supervision and Support

EDSS01TC (Kurtzke Expanded Disability Status Scale Clinical Classification Test Code)

NCI Code: C112439, Codelist extensible: No
C112439 EDSS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112550 EDSS0101 EDSS01-Expanded Disability Score Kurtzke Expanded Disability Status Scale - Expanded disability score. EDSS - Expanded Disability Score

EDSS01TN (Kurtzke Expanded Disability Status Scale Clinical Classification Test Name)

NCI Code: C112438, Codelist extensible: No
C112438 EDSS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112550 EDSS01-Expanded Disability Score EDSS01-Expanded Disability Score Kurtzke Expanded Disability Status Scale - Expanded disability score. EDSS - Expanded Disability Score

EMO1TC (Emotion Recognition Functional Test Test Code)

NCI Code: C150768, Codelist extensible: No
C150768 EMO1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C150926 EMO101 EMO1-Total Stimuli Expected Emotion Recognition - Total number of stimuli (face images) expected to be administered in the task. ERT - Total Stimuli Expected
C150927 EMO102 EMO1-Total Stimuli Administered Emotion Recognition - Total number of stimuli (face images) actually administered in the task. ERT - Total Stimuli Administered
C150928 EMO103 EMO1-Total Stimuli Completed Emotion Recognition - Total number of stimuli (face images) actually completed in the task. ERT - Total Stimuli Completed
C150929 EMO103A EMO1-Total Stimuli Response Correct Emotion Recognition - Total number of stimuli (face images) for which the participant's response was correct. ERT - Total Stimuli Response Correct
C150930 EMO103B EMO1-Total Stimuli Response Incorrect Emotion Recognition - Total number of stimuli (face images) for which the participant's response was incorrect. ERT - Total Stimuli Response Incorrect
C150931 EMO103C EMO1-Total Stimuli Not Responded Emotion Recognition - Total number of stimuli (face images) for which the participant has not responded. ERT - Total Stimuli Not Responded
C150932 EMO104 EMO1-Total Negative Stimuli Expected Emotion Recognition - Total number of negative emotion stimuli (face images) expected to be administered in the task. ERT - Total Negative Stimuli Expected
C150933 EMO105 EMO1-Total Negative Stimuli Administered Emotion Recognition - Total number of negative emotion stimuli (face images) actually administered in the task. ERT - Total Negative Stimuli Administered
C150934 EMO106 EMO1-Total Negative Stimuli Completed Emotion Recognition - Total number of negative emotion stimuli (face images) actually completed in the task. ERT - Total Negative Stimuli Completed
C150935 EMO106A EMO1-Total Negative Stimuli Correct Emotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was correct. ERT - Total Negative Stimuli Correct
C150936 EMO106B EMO1-Total Negative Stimuli Incorrect Emotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was incorrect. ERT - Total Negative Stimuli Incorrect
C150937 EMO106C EMO1-Total Negative Stimuli Not Respond Emotion Recognition - Total number of negative emotion stimuli (face images) for which the participant has not responded. ERT - Total Negative Stimuli Not Respond
C150938 EMO107 EMO1-Number Stimuli Portraying Anger Emotion Recognition - Number of stimuli defined as portraying anger. ERT - Number Stimuli Portraying Anger
C150939 EMO107A EMO1-Anger Responded as Anger Emotion Recognition - Number of anger stimuli responded to as anger. ERT - Anger Responded as Anger
C150940 EMO107B EMO1-Anger Responded as Disgust Emotion Recognition - Number of anger stimuli responded to as disgust. ERT - Anger Responded as Disgust
C150941 EMO107C EMO1-Anger Responded as Fear Emotion Recognition - Number of anger stimuli responded to as fear. ERT - Anger Responded as Fear
C150942 EMO107D EMO1-Anger Responded as Happiness Emotion Recognition - Number of anger stimuli responded to as happiness. ERT - Anger Responded as Happiness
C150943 EMO107E EMO1-Anger Responded as Neutral Emotion Recognition - Number of anger stimuli responded to as neutral. ERT - Anger Responded as Neutral
C150944 EMO107F EMO1-Anger Responded as Sadness Emotion Recognition - Number of anger stimuli responded to as sadness. ERT - Anger Responded as Sadness
C150945 EMO107G EMO1-Anger Responded as Surprise Emotion Recognition - Number of anger stimuli responded to as surprise. ERT - Anger Responded as Surprise
C150946 EMO108 EMO1-Number Stimuli Portraying Disgust Emotion Recognition - Number of stimuli defined as portraying disgust. ERT - Number Stimuli Portraying Disgust
C150947 EMO108A EMO1-Disgust Responded as Anger Emotion Recognition - Number of disgust stimuli responded to as anger. ERT - Disgust Responded as Anger
C150948 EMO108B EMO1-Disgust Responded as Disgust Emotion Recognition - Number of disgust stimuli responded to as disgust. ERT - Disgust Responded as Disgust
C150949 EMO108C EMO1-Disgust Responded as Fear Emotion Recognition - Number of disgust stimuli responded to as fear. ERT - Disgust Responded as Fear
C150950 EMO108D EMO1-Disgust Responded as Happiness Emotion Recognition - Number of disgust stimuli responded to as happiness. ERT - Disgust Responded as Happiness
C150951 EMO108E EMO1-Disgust Responded as Neutral Emotion Recognition - Number of disgust stimuli responded to as neutral. ERT - Disgust Responded as Neutral
C150952 EMO108F EMO1-Disgust Responded as Sadness Emotion Recognition - Number of disgust stimuli responded to as sadness. ERT - Disgust Responded as Sadness
C150953 EMO108G EMO1-Disgust Responded as Surprise Emotion Recognition - Number of disgust stimuli responded to as surprise. ERT - Disgust Responded as Surprise
C150954 EMO109 EMO1-Number Stimuli Portraying Fear Emotion Recognition - Number of stimuli defined as portraying fear. ERT - Number Stimuli Portraying Fear
C150955 EMO109A EMO1-Fear Responded as Anger Emotion Recognition - Number of fear stimuli responded to as anger. ERT - Fear Responded as Anger
C150956 EMO109B EMO1-Fear Responded as Disgust Emotion Recognition - Number of fear stimuli responded to as disgust. ERT - Fear Responded as Disgust
C150957 EMO109C EMO1-Fear Responded as Fear Emotion Recognition - Number of fear stimuli responded to as fear. ERT - Fear Responded as Fear
C150958 EMO109D EMO1-Fear Responded as Happiness Emotion Recognition - Number of fear stimuli responded to as happiness. ERT - Fear Responded as Happiness
C150959 EMO109E EMO1-Fear Responded as Neutral Emotion Recognition - Number of fear stimuli responded to as neutral. ERT - Fear Responded as Neutral
C150960 EMO109F EMO1-Fear Responded as Sadness Emotion Recognition - Number of fear stimuli responded to as sadness. ERT - Fear Responded as Sadness
C150961 EMO109G EMO1-Fear Responded as Surprise Emotion Recognition - Number of fear stimuli responded to as surprise. ERT - Fear Responded as Surprise
C150962 EMO110 EMO1-Number Stimuli Portraying Happiness Emotion Recognition - Number of stimuli defined as portraying happiness. ERT - Number Stimuli Portraying Happiness
C150963 EMO110A EMO1-Happiness Responded as Anger Emotion Recognition - Number of happiness stimuli responded to as anger. ERT - Happiness Responded as Anger
C150964 EMO110B EMO1-Happiness Responded as Disgust Emotion Recognition - Number of happiness stimuli responded to as disgust. ERT - Happiness Responded as Disgust
C150965 EMO110C EMO1-Happiness Responded as Fear Emotion Recognition - Number of happiness stimuli responded to as fear. ERT - Happiness Responded as Fear
C150966 EMO110D EMO1-Happiness Responded as Happiness Emotion Recognition - Number of happiness stimuli responded to as happiness. ERT - Happiness Responded as Happiness
C150967 EMO110E EMO1-Happiness Responded as Neutral Emotion Recognition - Number of happiness stimuli responded to as neutral. ERT - Happiness Responded as Neutral
C150968 EMO110F EMO1-Happiness Responded as Sadness Emotion Recognition - Number of happiness stimuli responded to as sadness. ERT - Happiness Responded as Sadness
C150969 EMO110G EMO1-Happiness Responded as Surprise Emotion Recognition - Number of happiness stimuli responded to as surprise. ERT - Happiness Responded as Surprise
C150970 EMO111 EMO1-Number Stimuli Portraying Neutral Emotion Recognition - Number of stimuli defined as portraying a neutral expression. ERT - Number Stimuli Portraying Neutral
C150971 EMO111A EMO1-Neutral Responded as Anger Emotion Recognition - Number of neutral stimuli responded to as anger. ERT - Neutral Responded as Anger
C150972 EMO111B EMO1-Neutral Responded as Disgust Emotion Recognition - Number of neutral stimuli responded to as disgust. ERT - Neutral Responded as Disgust
C150973 EMO111C EMO1-Neutral Responded as Fear Emotion Recognition - Number of neutral stimuli responded to as fear. ERT - Neutral Responded as Fear
C150974 EMO111D EMO1-Neutral Responded as Happiness Emotion Recognition - Number of neutral stimuli responded to as happiness. ERT - Neutral Responded as Happiness
C150975 EMO111E EMO1-Neutral Responded as Neutral Emotion Recognition - Number of neutral stimuli responded to as neutral. ERT - Neutral Responded as Neutral
C150976 EMO111F EMO1-Neutral Responded as Sadness Emotion Recognition - Number of neutral stimuli responded to as sadness. ERT - Neutral Responded as Sadness
C150977 EMO111G EMO1-Neutral Responded as Surprise Emotion Recognition - Number of neutral stimuli responded to as surprise. ERT - Neutral Responded as Surprise
C150978 EMO112 EMO1-Number Stimuli Portraying Sadness Emotion Recognition - Number of stimuli defined as portraying sadness. ERT - Number Stimuli Portraying Sadness
C150979 EMO112A EMO1-Sadness Responded as Anger Emotion Recognition - Number of sadness stimuli responded to as anger. ERT - Sadness Responded as Anger
C150980 EMO112B EMO1-Sadness Responded as Disgust Emotion Recognition - Number of sadness stimuli responded to as disgust. ERT - Sadness Responded as Disgust
C150981 EMO112C EMO1-Sadness Responded as Fear Emotion Recognition - Number of sadness stimuli responded to as fear. ERT - Sadness Responded as Fear
C150982 EMO112D EMO1-Sadness Responded as Happiness Emotion Recognition - Number of sadness stimuli responded to as happiness. ERT - Sadness Responded as Happiness
C150983 EMO112E EMO1-Sadness Responded as Neutral Emotion Recognition - Number of sadness stimuli responded to as neutral. ERT - Sadness Responded as Neutral
C150984 EMO112F EMO1-Sadness Responded as Sadness Emotion Recognition - Number of sadness stimuli responded to as sadness. ERT - Sadness Responded as Sadness
C150985 EMO112G EMO1-Sadness Responded as Surprise Emotion Recognition - Number of sadness stimuli responded to as surprise. ERT - Sadness Responded as Surprise
C150986 EMO113 EMO1-Number Stimuli Portraying Surprise Emotion Recognition - Number of stimuli defined as portraying surprise. ERT - Number Stimuli Portraying Surprise
C150987 EMO113A EMO1-Surprise Responded as Anger Emotion Recognition - Number of surprise stimuli responded to as anger. ERT - Surprise Responded as Anger
C150988 EMO113B EMO1-Surprise Responded as Disgust Emotion Recognition - Number of surprise stimuli responded to as disgust. ERT - Surprise Responded as Disgust
C150989 EMO113C EMO1-Surprise Responded as Fear Emotion Recognition - Number of surprise stimuli responded to as fear. ERT - Surprise Responded as Fear
C150990 EMO113D EMO1-Surprise Responded as Happiness Emotion Recognition - Number of surprise stimuli responded to as happiness. ERT - Surprise Responded as Happiness
C150991 EMO113E EMO1-Surprise Responded as Neutral Emotion Recognition - Number of surprise stimuli responded to as neutral. ERT - Surprise Responded as Neutral
C150992 EMO113F EMO1-Surprise Responded as Sadness Emotion Recognition - Number of surprise stimuli responded to as sadness. ERT - Surprise Responded as Sadness
C150993 EMO113G EMO1-Surprise Responded as Surprise Emotion Recognition - Number of surprise stimuli responded to as surprise. ERT - Surprise Responded as Surprise

EMO1TN (Emotion Recognition Functional Test Test Name)

NCI Code: C150767, Codelist extensible: No
C150767 EMO1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C150939 EMO1-Anger Responded as Anger EMO1-Anger Responded as Anger Emotion Recognition - Number of anger stimuli responded to as anger. ERT - Anger Responded as Anger
C150940 EMO1-Anger Responded as Disgust EMO1-Anger Responded as Disgust Emotion Recognition - Number of anger stimuli responded to as disgust. ERT - Anger Responded as Disgust
C150941 EMO1-Anger Responded as Fear EMO1-Anger Responded as Fear Emotion Recognition - Number of anger stimuli responded to as fear. ERT - Anger Responded as Fear
C150942 EMO1-Anger Responded as Happiness EMO1-Anger Responded as Happiness Emotion Recognition - Number of anger stimuli responded to as happiness. ERT - Anger Responded as Happiness
C150943 EMO1-Anger Responded as Neutral EMO1-Anger Responded as Neutral Emotion Recognition - Number of anger stimuli responded to as neutral. ERT - Anger Responded as Neutral
C150944 EMO1-Anger Responded as Sadness EMO1-Anger Responded as Sadness Emotion Recognition - Number of anger stimuli responded to as sadness. ERT - Anger Responded as Sadness
C150945 EMO1-Anger Responded as Surprise EMO1-Anger Responded as Surprise Emotion Recognition - Number of anger stimuli responded to as surprise. ERT - Anger Responded as Surprise
C150947 EMO1-Disgust Responded as Anger EMO1-Disgust Responded as Anger Emotion Recognition - Number of disgust stimuli responded to as anger. ERT - Disgust Responded as Anger
C150948 EMO1-Disgust Responded as Disgust EMO1-Disgust Responded as Disgust Emotion Recognition - Number of disgust stimuli responded to as disgust. ERT - Disgust Responded as Disgust
C150949 EMO1-Disgust Responded as Fear EMO1-Disgust Responded as Fear Emotion Recognition - Number of disgust stimuli responded to as fear. ERT - Disgust Responded as Fear
C150950 EMO1-Disgust Responded as Happiness EMO1-Disgust Responded as Happiness Emotion Recognition - Number of disgust stimuli responded to as happiness. ERT - Disgust Responded as Happiness
C150951 EMO1-Disgust Responded as Neutral EMO1-Disgust Responded as Neutral Emotion Recognition - Number of disgust stimuli responded to as neutral. ERT - Disgust Responded as Neutral
C150952 EMO1-Disgust Responded as Sadness EMO1-Disgust Responded as Sadness Emotion Recognition - Number of disgust stimuli responded to as sadness. ERT - Disgust Responded as Sadness
C150953 EMO1-Disgust Responded as Surprise EMO1-Disgust Responded as Surprise Emotion Recognition - Number of disgust stimuli responded to as surprise. ERT - Disgust Responded as Surprise
C150955 EMO1-Fear Responded as Anger EMO1-Fear Responded as Anger Emotion Recognition - Number of fear stimuli responded to as anger. ERT - Fear Responded as Anger
C150956 EMO1-Fear Responded as Disgust EMO1-Fear Responded as Disgust Emotion Recognition - Number of fear stimuli responded to as disgust. ERT - Fear Responded as Disgust
C150957 EMO1-Fear Responded as Fear EMO1-Fear Responded as Fear Emotion Recognition - Number of fear stimuli responded to as fear. ERT - Fear Responded as Fear
C150958 EMO1-Fear Responded as Happiness EMO1-Fear Responded as Happiness Emotion Recognition - Number of fear stimuli responded to as happiness. ERT - Fear Responded as Happiness
C150959 EMO1-Fear Responded as Neutral EMO1-Fear Responded as Neutral Emotion Recognition - Number of fear stimuli responded to as neutral. ERT - Fear Responded as Neutral
C150960 EMO1-Fear Responded as Sadness EMO1-Fear Responded as Sadness Emotion Recognition - Number of fear stimuli responded to as sadness. ERT - Fear Responded as Sadness
C150961 EMO1-Fear Responded as Surprise EMO1-Fear Responded as Surprise Emotion Recognition - Number of fear stimuli responded to as surprise. ERT - Fear Responded as Surprise
C150963 EMO1-Happiness Responded as Anger EMO1-Happiness Responded as Anger Emotion Recognition - Number of happiness stimuli responded to as anger. ERT - Happiness Responded as Anger
C150964 EMO1-Happiness Responded as Disgust EMO1-Happiness Responded as Disgust Emotion Recognition - Number of happiness stimuli responded to as disgust. ERT - Happiness Responded as Disgust
C150965 EMO1-Happiness Responded as Fear EMO1-Happiness Responded as Fear Emotion Recognition - Number of happiness stimuli responded to as fear. ERT - Happiness Responded as Fear
C150966 EMO1-Happiness Responded as Happiness EMO1-Happiness Responded as Happiness Emotion Recognition - Number of happiness stimuli responded to as happiness. ERT - Happiness Responded as Happiness
C150967 EMO1-Happiness Responded as Neutral EMO1-Happiness Responded as Neutral Emotion Recognition - Number of happiness stimuli responded to as neutral. ERT - Happiness Responded as Neutral
C150968 EMO1-Happiness Responded as Sadness EMO1-Happiness Responded as Sadness Emotion Recognition - Number of happiness stimuli responded to as sadness. ERT - Happiness Responded as Sadness
C150969 EMO1-Happiness Responded as Surprise EMO1-Happiness Responded as Surprise Emotion Recognition - Number of happiness stimuli responded to as surprise. ERT - Happiness Responded as Surprise
C150971 EMO1-Neutral Responded as Anger EMO1-Neutral Responded as Anger Emotion Recognition - Number of neutral stimuli responded to as anger. ERT - Neutral Responded as Anger
C150972 EMO1-Neutral Responded as Disgust EMO1-Neutral Responded as Disgust Emotion Recognition - Number of neutral stimuli responded to as disgust. ERT - Neutral Responded as Disgust
C150973 EMO1-Neutral Responded as Fear EMO1-Neutral Responded as Fear Emotion Recognition - Number of neutral stimuli responded to as fear. ERT - Neutral Responded as Fear
C150974 EMO1-Neutral Responded as Happiness EMO1-Neutral Responded as Happiness Emotion Recognition - Number of neutral stimuli responded to as happiness. ERT - Neutral Responded as Happiness
C150975 EMO1-Neutral Responded as Neutral EMO1-Neutral Responded as Neutral Emotion Recognition - Number of neutral stimuli responded to as neutral. ERT - Neutral Responded as Neutral
C150976 EMO1-Neutral Responded as Sadness EMO1-Neutral Responded as Sadness Emotion Recognition - Number of neutral stimuli responded to as sadness. ERT - Neutral Responded as Sadness
C150977 EMO1-Neutral Responded as Surprise EMO1-Neutral Responded as Surprise Emotion Recognition - Number of neutral stimuli responded to as surprise. ERT - Neutral Responded as Surprise
C150938 EMO1-Number Stimuli Portraying Anger EMO1-Number Stimuli Portraying Anger Emotion Recognition - Number of stimuli defined as portraying anger. ERT - Number Stimuli Portraying Anger
C150946 EMO1-Number Stimuli Portraying Disgust EMO1-Number Stimuli Portraying Disgust Emotion Recognition - Number of stimuli defined as portraying disgust. ERT - Number Stimuli Portraying Disgust
C150954 EMO1-Number Stimuli Portraying Fear EMO1-Number Stimuli Portraying Fear Emotion Recognition - Number of stimuli defined as portraying fear. ERT - Number Stimuli Portraying Fear
C150962 EMO1-Number Stimuli Portraying Happiness EMO1-Number Stimuli Portraying Happiness Emotion Recognition - Number of stimuli defined as portraying happiness. ERT - Number Stimuli Portraying Happiness
C150970 EMO1-Number Stimuli Portraying Neutral EMO1-Number Stimuli Portraying Neutral Emotion Recognition - Number of stimuli defined as portraying a neutral expression. ERT - Number Stimuli Portraying Neutral
C150978 EMO1-Number Stimuli Portraying Sadness EMO1-Number Stimuli Portraying Sadness Emotion Recognition - Number of stimuli defined as portraying sadness. ERT - Number Stimuli Portraying Sadness
C150986 EMO1-Number Stimuli Portraying Surprise EMO1-Number Stimuli Portraying Surprise Emotion Recognition - Number of stimuli defined as portraying surprise. ERT - Number Stimuli Portraying Surprise
C150979 EMO1-Sadness Responded as Anger EMO1-Sadness Responded as Anger Emotion Recognition - Number of sadness stimuli responded to as anger. ERT - Sadness Responded as Anger
C150980 EMO1-Sadness Responded as Disgust EMO1-Sadness Responded as Disgust Emotion Recognition - Number of sadness stimuli responded to as disgust. ERT - Sadness Responded as Disgust
C150981 EMO1-Sadness Responded as Fear EMO1-Sadness Responded as Fear Emotion Recognition - Number of sadness stimuli responded to as fear. ERT - Sadness Responded as Fear
C150982 EMO1-Sadness Responded as Happiness EMO1-Sadness Responded as Happiness Emotion Recognition - Number of sadness stimuli responded to as happiness. ERT - Sadness Responded as Happiness
C150983 EMO1-Sadness Responded as Neutral EMO1-Sadness Responded as Neutral Emotion Recognition - Number of sadness stimuli responded to as neutral. ERT - Sadness Responded as Neutral
C150984 EMO1-Sadness Responded as Sadness EMO1-Sadness Responded as Sadness Emotion Recognition - Number of sadness stimuli responded to as sadness. ERT - Sadness Responded as Sadness
C150985 EMO1-Sadness Responded as Surprise EMO1-Sadness Responded as Surprise Emotion Recognition - Number of sadness stimuli responded to as surprise. ERT - Sadness Responded as Surprise
C150987 EMO1-Surprise Responded as Anger EMO1-Surprise Responded as Anger Emotion Recognition - Number of surprise stimuli responded to as anger. ERT - Surprise Responded as Anger
C150988 EMO1-Surprise Responded as Disgust EMO1-Surprise Responded as Disgust Emotion Recognition - Number of surprise stimuli responded to as disgust. ERT - Surprise Responded as Disgust
C150989 EMO1-Surprise Responded as Fear EMO1-Surprise Responded as Fear Emotion Recognition - Number of surprise stimuli responded to as fear. ERT - Surprise Responded as Fear
C150990 EMO1-Surprise Responded as Happiness EMO1-Surprise Responded as Happiness Emotion Recognition - Number of surprise stimuli responded to as happiness. ERT - Surprise Responded as Happiness
C150991 EMO1-Surprise Responded as Neutral EMO1-Surprise Responded as Neutral Emotion Recognition - Number of surprise stimuli responded to as neutral. ERT - Surprise Responded as Neutral
C150992 EMO1-Surprise Responded as Sadness EMO1-Surprise Responded as Sadness Emotion Recognition - Number of surprise stimuli responded to as sadness. ERT - Surprise Responded as Sadness
C150993 EMO1-Surprise Responded as Surprise EMO1-Surprise Responded as Surprise Emotion Recognition - Number of surprise stimuli responded to as surprise. ERT - Surprise Responded as Surprise
C150933 EMO1-Total Negative Stimuli Administered EMO1-Total Negative Stimuli Administered Emotion Recognition - Total number of negative emotion stimuli (face images) actually administered in the task. ERT - Total Negative Stimuli Administered
C150934 EMO1-Total Negative Stimuli Completed EMO1-Total Negative Stimuli Completed Emotion Recognition - Total number of negative emotion stimuli (face images) actually completed in the task. ERT - Total Negative Stimuli Completed
C150935 EMO1-Total Negative Stimuli Correct EMO1-Total Negative Stimuli Correct Emotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was correct. ERT - Total Negative Stimuli Correct
C150932 EMO1-Total Negative Stimuli Expected EMO1-Total Negative Stimuli Expected Emotion Recognition - Total number of negative emotion stimuli (face images) expected to be administered in the task. ERT - Total Negative Stimuli Expected
C150936 EMO1-Total Negative Stimuli Incorrect EMO1-Total Negative Stimuli Incorrect Emotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was incorrect. ERT - Total Negative Stimuli Incorrect
C150937 EMO1-Total Negative Stimuli Not Respond EMO1-Total Negative Stimuli Not Respond Emotion Recognition - Total number of negative emotion stimuli (face images) for which the participant has not responded. ERT - Total Negative Stimuli Not Respond
C150927 EMO1-Total Stimuli Administered EMO1-Total Stimuli Administered Emotion Recognition - Total number of stimuli (face images) actually administered in the task. ERT - Total Stimuli Administered
C150928 EMO1-Total Stimuli Completed EMO1-Total Stimuli Completed Emotion Recognition - Total number of stimuli (face images) actually completed in the task. ERT - Total Stimuli Completed
C150926 EMO1-Total Stimuli Expected EMO1-Total Stimuli Expected Emotion Recognition - Total number of stimuli (face images) expected to be administered in the task. ERT - Total Stimuli Expected
C150931 EMO1-Total Stimuli Not Responded EMO1-Total Stimuli Not Responded Emotion Recognition - Total number of stimuli (face images) for which the participant has not responded. ERT - Total Stimuli Not Responded
C150929 EMO1-Total Stimuli Response Correct EMO1-Total Stimuli Response Correct Emotion Recognition - Total number of stimuli (face images) for which the participant's response was correct. ERT - Total Stimuli Response Correct
C150930 EMO1-Total Stimuli Response Incorrect EMO1-Total Stimuli Response Incorrect Emotion Recognition - Total number of stimuli (face images) for which the participant's response was incorrect. ERT - Total Stimuli Response Incorrect

EOR01TC (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Code)

NCI Code: C161619, Codelist extensible: No
C161619 EOR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161674 EOR0101 EOR01-Trouble Doing Strenuous Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase? EORTC QLQ-C30 Version 3 - Trouble Doing Strenuous Activities
C161675 EOR0102 EOR01-Trouble Taking Long Walk European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a long walk? EORTC QLQ-C30 Version 3 - Trouble Taking Long Walk
C161676 EOR0103 EOR01-Trouble Taking Short Walk Outside European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a short walk outside of the house? EORTC QLQ-C30 Version 3 - Trouble Taking Short Walk Outside
C161677 EOR0104 EOR01-Stay in Bed/Chair During the Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need to stay in bed or a chair during the day? EORTC QLQ-C30 Version 3 - Stay in Bed or Chair During the Day
C161678 EOR0105 EOR01-Need Help Eating/Dressing/Washing European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need help with eating, dressing, washing yourself or using the toilet? EORTC QLQ-C30 Version 3 - Need Help Eating, Dressing, Washing
C161679 EOR0106 EOR01-Limited in Work/Daily Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in doing either your work or other daily activities? EORTC QLQ-C30 Version 3 - Limited in Work or Daily Activities
C161680 EOR0107 EOR01-Limited Hobbies/Leisure Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in pursuing your hobbies or other leisure time activities? EORTC QLQ-C30 Version 3 - Limited Hobbies or Leisure Activities
C161681 EOR0108 EOR01-Were You Short of Breath European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you short of breath? EORTC QLQ-C30 Version 3 - Were You Short of Breath
C161682 EOR0109 EOR01-Have You Had Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had pain? EORTC QLQ-C30 Version 3 - Have You Had Pain
C161683 EOR0110 EOR01-Did You Need to Rest European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you need to rest? EORTC QLQ-C30 Version 3 - Did You Need to Rest
C161684 EOR0111 EOR01-Have You Had Trouble Sleeping European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had trouble sleeping? EORTC QLQ-C30 Version 3 - Have You Had Trouble Sleeping
C161685 EOR0112 EOR01-Have You Felt Weak European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt weak? EORTC QLQ-C30 Version 3 - Have You Felt Weak
C161686 EOR0113 EOR01-Have You Lacked Appetite European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you lacked appetite? EORTC QLQ-C30 Version 3 - Have You Lacked Appetite
C161687 EOR0114 EOR01-Have You Felt Nauseated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt nauseated? EORTC QLQ-C30 Version 3 - Have You Felt Nauseated
C161688 EOR0115 EOR01-Have You Vomited European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you vomited? EORTC QLQ-C30 Version 3 - Have You Vomited
C161689 EOR0116 EOR01-Have You Been Constipated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you been constipated? EORTC QLQ-C30 Version 3 - Have You Been Constipated
C161690 EOR0117 EOR01-Have You Had Diarrhea European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had diarrhea? EORTC QLQ-C30 Version 3 - Have You Had Diarrhea
C161691 EOR0118 EOR01-Were You Tired European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you tired? EORTC QLQ-C30 Version 3 - Were You Tired
C161692 EOR0119 EOR01-Pain Interfere Daily Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did pain interfere with your daily activities? EORTC QLQ-C30 Version 3 - Pain Interfere Daily Activities
C161693 EOR0120 EOR01-Difficulty Concentrating on Things European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty in concentrating on things, like reading a newspaper or watching television? EORTC QLQ-C30 Version 3 - Difficulty Concentrating on Things
C161694 EOR0121 EOR01-Did You Feel Tense European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel tense? EORTC QLQ-C30 Version 3 - Did You Feel Tense
C161695 EOR0122 EOR01-Did You Worry European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you worry? EORTC QLQ-C30 Version 3 - Did You Worry
C161696 EOR0123 EOR01-Did You Feel Irritable European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel irritable? EORTC QLQ-C30 Version 3 - Did You Feel Irritable
C161697 EOR0124 EOR01-Did You Feel Depressed European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel depressed? EORTC QLQ-C30 Version 3 - Did You Feel Depressed
C161698 EOR0125 EOR01-Had Difficulty Remembering Things European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty remembering things? EORTC QLQ-C30 Version 3 - Had Difficulty Remembering Things
C161699 EOR0126 EOR01-Condition Interfered Family Life European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your family life? EORTC QLQ-C30 Version 3 - Condition Interfered Family Life
C161700 EOR0127 EOR01-Condition Interfered Social Activ European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your social activities? EORTC QLQ-C30 Version 3 - Condition Interfered Social Activities
C161701 EOR0128 EOR01-Condition Caused Financial Diff European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment caused you financial difficulties? EORTC QLQ-C30 Version 3 - Condition Caused Financial Difficulties
C161702 EOR0129 EOR01-Rate Your Overall Health European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall health during the past week? EORTC QLQ-C30 Version 3 - Rate Your Overall Health
C161703 EOR0130 EOR01-Rate Your Overall Quality of Life European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall quality of life during the past week? EORTC QLQ-C30 Version 3 - Rate Your Overall Quality of Life
C181142 EOR0131 EOR01-Global Health Status/QoL European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Global health status/QoL. EORTC QLQ-C30 Version 3 - EOR01-Global Health Status/QoL
C181143 EOR0132 EOR01-FS:Physical Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: physical functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Physical Functioning
C181144 EOR0133 EOR01-FS:Role Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: role functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Role Functioning
C181145 EOR0134 EOR01-FS:Emotional Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: emotional functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Emotional Functioning
C181146 EOR0135 EOR01-FS:Cognitive Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: cognitive functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Cognitive Functioning
C181147 EOR0136 EOR01-FS:Social Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: social functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Social Functioning
C181148 EOR0137 EOR01-SS:Fatigue European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: fatigue. EORTC QLQ-C30 Version 3 - EOR01-SS:Fatigue
C181149 EOR0138 EOR01-SS:Nausea and Vomiting European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: nausea and vomiting. EORTC QLQ-C30 Version 3 - EOR01-SS:Nausea and Vomiting
C181150 EOR0139 EOR01-SS:Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: pain. EORTC QLQ-C30 Version 3 - EOR01-SS:Pain
C181151 EOR0140 EOR01-SS:Dyspnoea European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: dyspnoea. EORTC QLQ-C30 Version 3 - EOR01-SS:Dyspnoea
C181152 EOR0141 EOR01-SS:Insomnia European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: insomnia. EORTC QLQ-C30 Version 3 - EOR01-SS:Insomnia
C181153 EOR0142 EOR01-SS:Appetite Loss European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: appetite loss. EORTC QLQ-C30 Version 3 - EOR01-SS:Appetite Loss
C181154 EOR0143 EOR01-SS:Constipation European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: constipation. EORTC QLQ-C30 Version 3 - EOR01-SS:Constipation
C181155 EOR0144 EOR01-SS:Diarrhoea European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: diarrhoea. EORTC QLQ-C30 Version 3 - EOR01-SS:Diarrhoea
C181156 EOR0145 EOR01-SS:Financial Difficulties European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: financial difficulties. EORTC QLQ-C30 Version 3 - EOR01-SS:Financial Difficulties

EOR01TN (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Name)

NCI Code: C161618, Codelist extensible: No
C161618 EOR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161701 EOR01-Condition Caused Financial Diff EOR01-Condition Caused Financial Diff European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment caused you financial difficulties? EORTC QLQ-C30 Version 3 - Condition Caused Financial Difficulties
C161699 EOR01-Condition Interfered Family Life EOR01-Condition Interfered Family Life European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your family life? EORTC QLQ-C30 Version 3 - Condition Interfered Family Life
C161700 EOR01-Condition Interfered Social Activ EOR01-Condition Interfered Social Activ European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your social activities? EORTC QLQ-C30 Version 3 - Condition Interfered Social Activities
C161697 EOR01-Did You Feel Depressed EOR01-Did You Feel Depressed European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel depressed? EORTC QLQ-C30 Version 3 - Did You Feel Depressed
C161696 EOR01-Did You Feel Irritable EOR01-Did You Feel Irritable European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel irritable? EORTC QLQ-C30 Version 3 - Did You Feel Irritable
C161694 EOR01-Did You Feel Tense EOR01-Did You Feel Tense European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel tense? EORTC QLQ-C30 Version 3 - Did You Feel Tense
C161683 EOR01-Did You Need to Rest EOR01-Did You Need to Rest European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you need to rest? EORTC QLQ-C30 Version 3 - Did You Need to Rest
C161695 EOR01-Did You Worry EOR01-Did You Worry European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you worry? EORTC QLQ-C30 Version 3 - Did You Worry
C161693 EOR01-Difficulty Concentrating on Things EOR01-Difficulty Concentrating on Things European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty in concentrating on things, like reading a newspaper or watching television? EORTC QLQ-C30 Version 3 - Difficulty Concentrating on Things
C181146 EOR01-FS:Cognitive Functioning EOR01-FS:Cognitive Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: cognitive functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Cognitive Functioning
C181145 EOR01-FS:Emotional Functioning EOR01-FS:Emotional Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: emotional functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Emotional Functioning
C181143 EOR01-FS:Physical Functioning EOR01-FS:Physical Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: physical functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Physical Functioning
C181144 EOR01-FS:Role Functioning EOR01-FS:Role Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: role functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Role Functioning
C181147 EOR01-FS:Social Functioning EOR01-FS:Social Functioning European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: social functioning. EORTC QLQ-C30 Version 3 - EOR01-FS:Social Functioning
C181142 EOR01-Global Health Status/QoL EOR01-Global Health Status/QoL European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Global health status/QoL. EORTC QLQ-C30 Version 3 - EOR01-Global Health Status/QoL
C161698 EOR01-Had Difficulty Remembering Things EOR01-Had Difficulty Remembering Things European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty remembering things? EORTC QLQ-C30 Version 3 - Had Difficulty Remembering Things
C161689 EOR01-Have You Been Constipated EOR01-Have You Been Constipated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you been constipated? EORTC QLQ-C30 Version 3 - Have You Been Constipated
C161687 EOR01-Have You Felt Nauseated EOR01-Have You Felt Nauseated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt nauseated? EORTC QLQ-C30 Version 3 - Have You Felt Nauseated
C161685 EOR01-Have You Felt Weak EOR01-Have You Felt Weak European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt weak? EORTC QLQ-C30 Version 3 - Have You Felt Weak
C161690 EOR01-Have You Had Diarrhea EOR01-Have You Had Diarrhea European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had diarrhea? EORTC QLQ-C30 Version 3 - Have You Had Diarrhea
C161682 EOR01-Have You Had Pain EOR01-Have You Had Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had pain? EORTC QLQ-C30 Version 3 - Have You Had Pain
C161684 EOR01-Have You Had Trouble Sleeping EOR01-Have You Had Trouble Sleeping European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had trouble sleeping? EORTC QLQ-C30 Version 3 - Have You Had Trouble Sleeping
C161686 EOR01-Have You Lacked Appetite EOR01-Have You Lacked Appetite European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you lacked appetite? EORTC QLQ-C30 Version 3 - Have You Lacked Appetite
C161688 EOR01-Have You Vomited EOR01-Have You Vomited European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you vomited? EORTC QLQ-C30 Version 3 - Have You Vomited
C161680 EOR01-Limited Hobbies/Leisure Activities EOR01-Limited Hobbies/Leisure Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in pursuing your hobbies or other leisure time activities? EORTC QLQ-C30 Version 3 - Limited Hobbies or Leisure Activities
C161679 EOR01-Limited in Work/Daily Activities EOR01-Limited in Work/Daily Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in doing either your work or other daily activities? EORTC QLQ-C30 Version 3 - Limited in Work or Daily Activities
C161678 EOR01-Need Help Eating/Dressing/Washing EOR01-Need Help Eating/Dressing/Washing European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need help with eating, dressing, washing yourself or using the toilet? EORTC QLQ-C30 Version 3 - Need Help Eating, Dressing, Washing
C161692 EOR01-Pain Interfere Daily Activities EOR01-Pain Interfere Daily Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did pain interfere with your daily activities? EORTC QLQ-C30 Version 3 - Pain Interfere Daily Activities
C161702 EOR01-Rate Your Overall Health EOR01-Rate Your Overall Health European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall health during the past week? EORTC QLQ-C30 Version 3 - Rate Your Overall Health
C161703 EOR01-Rate Your Overall Quality of Life EOR01-Rate Your Overall Quality of Life European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall quality of life during the past week? EORTC QLQ-C30 Version 3 - Rate Your Overall Quality of Life
C181153 EOR01-SS:Appetite Loss EOR01-SS:Appetite Loss European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: appetite loss. EORTC QLQ-C30 Version 3 - EOR01-SS:Appetite Loss
C181154 EOR01-SS:Constipation EOR01-SS:Constipation European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: constipation. EORTC QLQ-C30 Version 3 - EOR01-SS:Constipation
C181155 EOR01-SS:Diarrhoea EOR01-SS:Diarrhoea European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: diarrhoea. EORTC QLQ-C30 Version 3 - EOR01-SS:Diarrhoea
C181151 EOR01-SS:Dyspnoea EOR01-SS:Dyspnoea European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: dyspnoea. EORTC QLQ-C30 Version 3 - EOR01-SS:Dyspnoea
C181148 EOR01-SS:Fatigue EOR01-SS:Fatigue European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: fatigue. EORTC QLQ-C30 Version 3 - EOR01-SS:Fatigue
C181156 EOR01-SS:Financial Difficulties EOR01-SS:Financial Difficulties European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: financial difficulties. EORTC QLQ-C30 Version 3 - EOR01-SS:Financial Difficulties
C181152 EOR01-SS:Insomnia EOR01-SS:Insomnia European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: insomnia. EORTC QLQ-C30 Version 3 - EOR01-SS:Insomnia
C181149 EOR01-SS:Nausea and Vomiting EOR01-SS:Nausea and Vomiting European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: nausea and vomiting. EORTC QLQ-C30 Version 3 - EOR01-SS:Nausea and Vomiting
C181150 EOR01-SS:Pain EOR01-SS:Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: pain. EORTC QLQ-C30 Version 3 - EOR01-SS:Pain
C161677 EOR01-Stay in Bed/Chair During the Day EOR01-Stay in Bed/Chair During the Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need to stay in bed or a chair during the day? EORTC QLQ-C30 Version 3 - Stay in Bed or Chair During the Day
C161674 EOR01-Trouble Doing Strenuous Activities EOR01-Trouble Doing Strenuous Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase? EORTC QLQ-C30 Version 3 - Trouble Doing Strenuous Activities
C161675 EOR01-Trouble Taking Long Walk EOR01-Trouble Taking Long Walk European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a long walk? EORTC QLQ-C30 Version 3 - Trouble Taking Long Walk
C161676 EOR01-Trouble Taking Short Walk Outside EOR01-Trouble Taking Short Walk Outside European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a short walk outside of the house? EORTC QLQ-C30 Version 3 - Trouble Taking Short Walk Outside
C161681 EOR01-Were You Short of Breath EOR01-Were You Short of Breath European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you short of breath? EORTC QLQ-C30 Version 3 - Were You Short of Breath
C161691 EOR01-Were You Tired EOR01-Were You Tired European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you tired? EORTC QLQ-C30 Version 3 - Were You Tired

EOR02TC (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Code)

NCI Code: C161617, Codelist extensible: No
C161617 EOR02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161659 EOR0201 EOR02-Trouble Taking Short Walk Outside European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you have any trouble taking a short walk outside of the house? EORTC QLQ-C15-PAL Version 1 - Trouble Taking Short Walk Outside
C161660 EOR0202 EOR02-Stay in Bed/Chair During the Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need to stay in bed or a chair during the day? EORTC QLQ-C15-PAL Version 1 - Stay in Bed or Chair During the Day
C161661 EOR0203 EOR02-Need Help Eating/Dressing/Washing European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need help with eating, dressing, washing yourself or using the toilet? EORTC QLQ-C15-PAL Version 1 - Need Help Eating, Dressing, Washing
C161662 EOR0204 EOR02-Were You Short of Breath European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you short of breath? EORTC QLQ-C15-PAL Version 1 - Were You Short of Breath
C161663 EOR0205 EOR02-Have You Had Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had pain? EORTC QLQ-C15-PAL Version 1 - Have You Had Pain
C161664 EOR0206 EOR02-Have You Had Trouble Sleeping European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had trouble sleeping? EORTC QLQ-C15-PAL Version 1 - Have You Had Trouble Sleeping
C161665 EOR0207 EOR02-Have You Felt Weak European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt weak? EORTC QLQ-C15-PAL Version 1 - Have You Felt Weak
C161666 EOR0208 EOR02-Have You Lacked Appetite European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you lacked appetite? EORTC QLQ-C15-PAL Version 1 - Have You Lacked Appetite
C161667 EOR0209 EOR02-Have You Felt Nauseated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt nauseated? EORTC QLQ-C15-PAL Version 1 - Have You Felt Nauseated
C161668 EOR0210 EOR02-Have You Been Constipated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you been constipated? EORTC QLQ-C15-PAL Version 1 - Have You Been Constipated
C161669 EOR0211 EOR02-Were You Tired European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you tired? EORTC QLQ-C15-PAL Version 1 - Were You Tired
C161670 EOR0212 EOR02-Pain Interfere Daily Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did pain interfere with your daily activities? EORTC QLQ-C15-PAL Version 1 - Pain Interfere Daily Activities
C161671 EOR0213 EOR02-Did You Feel Tense European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel tense? EORTC QLQ-C15-PAL Version 1 - Did You Feel Tense
C161672 EOR0214 EOR02-Did You Feel Depressed European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel depressed? EORTC QLQ-C15-PAL Version 1 - Did You Feel Depressed
C161673 EOR0215 EOR02-Rate Your Overall Quality of Life European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - How would you rate your overall quality of life during the past week? EORTC QLQ-C15-PAL Version 1 - Rate Your Overall Quality of Life

EOR02TN (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Name)

NCI Code: C161616, Codelist extensible: No
C161616 EOR02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161672 EOR02-Did You Feel Depressed EOR02-Did You Feel Depressed European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel depressed? EORTC QLQ-C15-PAL Version 1 - Did You Feel Depressed
C161671 EOR02-Did You Feel Tense EOR02-Did You Feel Tense European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel tense? EORTC QLQ-C15-PAL Version 1 - Did You Feel Tense
C161668 EOR02-Have You Been Constipated EOR02-Have You Been Constipated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you been constipated? EORTC QLQ-C15-PAL Version 1 - Have You Been Constipated
C161667 EOR02-Have You Felt Nauseated EOR02-Have You Felt Nauseated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt nauseated? EORTC QLQ-C15-PAL Version 1 - Have You Felt Nauseated
C161665 EOR02-Have You Felt Weak EOR02-Have You Felt Weak European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt weak? EORTC QLQ-C15-PAL Version 1 - Have You Felt Weak
C161663 EOR02-Have You Had Pain EOR02-Have You Had Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had pain? EORTC QLQ-C15-PAL Version 1 - Have You Had Pain
C161664 EOR02-Have You Had Trouble Sleeping EOR02-Have You Had Trouble Sleeping European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had trouble sleeping? EORTC QLQ-C15-PAL Version 1 - Have You Had Trouble Sleeping
C161666 EOR02-Have You Lacked Appetite EOR02-Have You Lacked Appetite European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you lacked appetite? EORTC QLQ-C15-PAL Version 1 - Have You Lacked Appetite
C161661 EOR02-Need Help Eating/Dressing/Washing EOR02-Need Help Eating/Dressing/Washing European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need help with eating, dressing, washing yourself or using the toilet? EORTC QLQ-C15-PAL Version 1 - Need Help Eating, Dressing, Washing
C161670 EOR02-Pain Interfere Daily Activities EOR02-Pain Interfere Daily Activities European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did pain interfere with your daily activities? EORTC QLQ-C15-PAL Version 1 - Pain Interfere Daily Activities
C161673 EOR02-Rate Your Overall Quality of Life EOR02-Rate Your Overall Quality of Life European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - How would you rate your overall quality of life during the past week? EORTC QLQ-C15-PAL Version 1 - Rate Your Overall Quality of Life
C161660 EOR02-Stay in Bed/Chair During the Day EOR02-Stay in Bed/Chair During the Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need to stay in bed or a chair during the day? EORTC QLQ-C15-PAL Version 1 - Stay in Bed or Chair During the Day
C161659 EOR02-Trouble Taking Short Walk Outside EOR02-Trouble Taking Short Walk Outside European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you have any trouble taking a short walk outside of the house? EORTC QLQ-C15-PAL Version 1 - Trouble Taking Short Walk Outside
C161662 EOR02-Were You Short of Breath EOR02-Were You Short of Breath European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you short of breath? EORTC QLQ-C15-PAL Version 1 - Were You Short of Breath
C161669 EOR02-Were You Tired EOR02-Were You Tired European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you tired? EORTC QLQ-C15-PAL Version 1 - Were You Tired

EOR06TC (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Code)

NCI Code: C170525, Codelist extensible: No
C170525 EOR06TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170657 EOR0631 EOR06-Urinate Frequently During Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the day? EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Day
C170658 EOR0632 EOR06-Urinate Frequently During Night European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the night? EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Night
C170659 EOR0633 EOR06-Unintentional Release of Urine European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had any unintentional release (leakage) of urine? EORTC QLQ-CR29 Version 2.1 - Unintentional Release of Urine
C170660 EOR0634 EOR06-Pain When You Urinated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain when you urinated? EORTC QLQ-CR29 Version 2.1 - Pain When You Urinated
C170661 EOR0635 EOR06-Did You Have Abdominal Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have abdominal pain? EORTC QLQ-CR29 Version 2.1 - Did You Have Abdominal Pain
C170662 EOR0636 EOR06-Pain in Buttocks/Anal Area/Rectum European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain in your buttocks/anal area/rectum? EORTC QLQ-CR29 Version 2.1 - Pain in Buttocks/Anal Area/Rectum
C170663 EOR0637 EOR06-Bloated Feeling in Your Abdomen European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a bloated feeling in your abdomen? EORTC QLQ-CR29 Version 2.1 - Bloated Feeling in Your Abdomen
C170664 EOR0638 EOR06-Have You Had Blood in Your Stools European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had blood in your stools? EORTC QLQ-CR29 Version 2.1 - Have You Had Blood in Your Stools
C170665 EOR0639 EOR06-Have You Had Mucus in Your Stools European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had mucus in your stools? EORTC QLQ-CR29 Version 2.1 - Have You Had Mucus in Your Stools
C170666 EOR0640 EOR06-Did You Have a Dry Mouth European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a dry mouth? EORTC QLQ-CR29 Version 2.1 - Did You Have a Dry Mouth
C170667 EOR0641 EOR06-Lost Hair as Result of Treatment European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you lost hair as a result of your treatment? EORTC QLQ-CR29 Version 2.1 - Lost Hair as Result of Treatment
C170668 EOR0642 EOR06-Problems With Your Sense of Taste European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had problems with your sense of taste? EORTC QLQ-CR29 Version 2.1 - Problems With Your Sense of Taste
C170669 EOR0643 EOR06-Worried About Your Health Future European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Were you worried about your health in the future? EORTC QLQ-CR29 Version 2.1 - Worried About Your Health Future
C170670 EOR0644 EOR06-Worried About Your Weight European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you worried about your weight? EORTC QLQ-CR29 Version 2.1 - Worried About Your Weight
C170671 EOR0645 EOR06-Felt Physically Less Attractive European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you felt physically less attractive as a result of your disease or treatment? EORTC QLQ-CR29 Version 2.1 - Felt Physically Less Attractive
C170672 EOR0646 EOR06-Feeling Less Feminine/Masculine European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been feeling less feminine/masculine as a result of your disease or treatment? EORTC QLQ-CR29 Version 2.1 - Feeling Less Feminine/Masculine
C170673 EOR0647 EOR06-Been Dissatisfied With Your Body European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been dissatisfied with your body? EORTC QLQ-CR29 Version 2.1 - Been Dissatisfied With Your Body
C170674 EOR0648 EOR06-Do You Have Stoma Bag European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Do you have a stoma bag (colostomy/ileostomy)? EORTC QLQ-CR29 Version 2.1 - Do You Have Stoma Bag
C170675 EOR06491 EOR06-Unintentional Gas From Stoma Bag European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your stoma bag? EORTC QLQ-CR29 Version 2.1 - Unintentional Gas From Stoma Bag
C170682 EOR06492 EOR06-Unintentional Gas Back Passage European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your back passage? EORTC QLQ-CR29 Version 2.1 - Unintentional Gas Back Passage
C170676 EOR06501 EOR06-Leakage of Stools From Stoma Bag European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your stoma bag? EORTC QLQ-CR29 Version 2.1 - Leakage of Stools From Stoma Bag
C170683 EOR06502 EOR06-Leakage of Stools Back Passage European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your back passage? EORTC QLQ-CR29 Version 2.1 - Leakage of Stools Back Passage
C170677 EOR06511 EOR06-Sore Skin Around Your Stoma European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your stoma? EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Stoma
C170684 EOR06512 EOR06-Sore Skin Around Your Anal Area European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your anal area? EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Anal Area
C170678 EOR06521 EOR06-Frequent Bag Changes During Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the day? EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Day
C170685 EOR06522 EOR06-Frequent Bowel Movements Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the day? EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Day
C170679 EOR06531 EOR06-Frequent Bag Changes During Night European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the night? EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Night
C170686 EOR06532 EOR06-Frequent Bowel Movements Night European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the night? EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Night
C170680 EOR06541 EOR06-Feel Embarrassed Because of Stoma European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your stoma? EORTC QLQ-CR29 Version 2.1 - Feel Embarrassed Because of Stoma
C170687 EOR06542 EOR06-Embarrassed Because Bowel Movement European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your bowel movement? EORTC QLQ-CR29 Version 2.1 - Embarrassed Because Bowel Movement
C170681 EOR06551 EOR06-Problems Caring for Your Stoma European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have problems caring for your stoma? EORTC QLQ-CR29 Version 2.1 - Problems Caring for Your Stoma
C170688 EOR0656 EOR06-Men: Extent Interested in Sex European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: To what extent were you interested in sex? EORTC QLQ-CR29 Version 2.1 - Men: Extent Interested in Sex
C170689 EOR0657 EOR06-Men: Difficulty Getting Erection European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: Did you have difficulty getting or maintaining an erection? EORTC QLQ-CR29 Version 2.1 - Men: Difficulty Getting Erection
C170690 EOR0658 EOR06-Women: Extent Interested in Sex European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: To what extent were you interested in sex? EORTC QLQ-CR29 Version 2.1 - Women: Extent Interested in Sex
C170691 EOR0659 EOR06-Women: Pain/Discomfort Intercourse European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: Did you have pain or discomfort during intercourse? EORTC QLQ-CR29 Version 2.1 - Women: Pain or Discomfort Intercourse

EOR06TN (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Name)

NCI Code: C170524, Codelist extensible: No
C170524 EOR06TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170673 EOR06-Been Dissatisfied With Your Body EOR06-Been Dissatisfied With Your Body European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been dissatisfied with your body? EORTC QLQ-CR29 Version 2.1 - Been Dissatisfied With Your Body
C170663 EOR06-Bloated Feeling in Your Abdomen EOR06-Bloated Feeling in Your Abdomen European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a bloated feeling in your abdomen? EORTC QLQ-CR29 Version 2.1 - Bloated Feeling in Your Abdomen
C170666 EOR06-Did You Have a Dry Mouth EOR06-Did You Have a Dry Mouth European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a dry mouth? EORTC QLQ-CR29 Version 2.1 - Did You Have a Dry Mouth
C170661 EOR06-Did You Have Abdominal Pain EOR06-Did You Have Abdominal Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have abdominal pain? EORTC QLQ-CR29 Version 2.1 - Did You Have Abdominal Pain
C170674 EOR06-Do You Have Stoma Bag EOR06-Do You Have Stoma Bag European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Do you have a stoma bag (colostomy/ileostomy)? EORTC QLQ-CR29 Version 2.1 - Do You Have Stoma Bag
C170687 EOR06-Embarrassed Because Bowel Movement EOR06-Embarrassed Because Bowel Movement European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your bowel movement? EORTC QLQ-CR29 Version 2.1 - Embarrassed Because Bowel Movement
C170680 EOR06-Feel Embarrassed Because of Stoma EOR06-Feel Embarrassed Because of Stoma European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your stoma? EORTC QLQ-CR29 Version 2.1 - Feel Embarrassed Because of Stoma
C170672 EOR06-Feeling Less Feminine/Masculine EOR06-Feeling Less Feminine/Masculine European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been feeling less feminine/masculine as a result of your disease or treatment? EORTC QLQ-CR29 Version 2.1 - Feeling Less Feminine/Masculine
C170671 EOR06-Felt Physically Less Attractive EOR06-Felt Physically Less Attractive European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you felt physically less attractive as a result of your disease or treatment? EORTC QLQ-CR29 Version 2.1 - Felt Physically Less Attractive
C170678 EOR06-Frequent Bag Changes During Day EOR06-Frequent Bag Changes During Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the day? EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Day
C170679 EOR06-Frequent Bag Changes During Night EOR06-Frequent Bag Changes During Night European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the night? EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Night
C170685 EOR06-Frequent Bowel Movements Day EOR06-Frequent Bowel Movements Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the day? EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Day
C170686 EOR06-Frequent Bowel Movements Night EOR06-Frequent Bowel Movements Night European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the night? EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Night
C170664 EOR06-Have You Had Blood in Your Stools EOR06-Have You Had Blood in Your Stools European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had blood in your stools? EORTC QLQ-CR29 Version 2.1 - Have You Had Blood in Your Stools
C170665 EOR06-Have You Had Mucus in Your Stools EOR06-Have You Had Mucus in Your Stools European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had mucus in your stools? EORTC QLQ-CR29 Version 2.1 - Have You Had Mucus in Your Stools
C170683 EOR06-Leakage of Stools Back Passage EOR06-Leakage of Stools Back Passage European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your back passage? EORTC QLQ-CR29 Version 2.1 - Leakage of Stools Back Passage
C170676 EOR06-Leakage of Stools From Stoma Bag EOR06-Leakage of Stools From Stoma Bag European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your stoma bag? EORTC QLQ-CR29 Version 2.1 - Leakage of Stools From Stoma Bag
C170667 EOR06-Lost Hair as Result of Treatment EOR06-Lost Hair as Result of Treatment European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you lost hair as a result of your treatment? EORTC QLQ-CR29 Version 2.1 - Lost Hair as Result of Treatment
C170689 EOR06-Men: Difficulty Getting Erection EOR06-Men: Difficulty Getting Erection European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: Did you have difficulty getting or maintaining an erection? EORTC QLQ-CR29 Version 2.1 - Men: Difficulty Getting Erection
C170688 EOR06-Men: Extent Interested in Sex EOR06-Men: Extent Interested in Sex European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: To what extent were you interested in sex? EORTC QLQ-CR29 Version 2.1 - Men: Extent Interested in Sex
C170662 EOR06-Pain in Buttocks/Anal Area/Rectum EOR06-Pain in Buttocks/Anal Area/Rectum European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain in your buttocks/anal area/rectum? EORTC QLQ-CR29 Version 2.1 - Pain in Buttocks/Anal Area/Rectum
C170660 EOR06-Pain When You Urinated EOR06-Pain When You Urinated European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain when you urinated? EORTC QLQ-CR29 Version 2.1 - Pain When You Urinated
C170681 EOR06-Problems Caring for Your Stoma EOR06-Problems Caring for Your Stoma European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have problems caring for your stoma? EORTC QLQ-CR29 Version 2.1 - Problems Caring for Your Stoma
C170668 EOR06-Problems With Your Sense of Taste EOR06-Problems With Your Sense of Taste European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had problems with your sense of taste? EORTC QLQ-CR29 Version 2.1 - Problems With Your Sense of Taste
C170684 EOR06-Sore Skin Around Your Anal Area EOR06-Sore Skin Around Your Anal Area European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your anal area? EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Anal Area
C170677 EOR06-Sore Skin Around Your Stoma EOR06-Sore Skin Around Your Stoma European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your stoma? EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Stoma
C170682 EOR06-Unintentional Gas Back Passage EOR06-Unintentional Gas Back Passage European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your back passage? EORTC QLQ-CR29 Version 2.1 - Unintentional Gas Back Passage
C170675 EOR06-Unintentional Gas From Stoma Bag EOR06-Unintentional Gas From Stoma Bag European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your stoma bag? EORTC QLQ-CR29 Version 2.1 - Unintentional Gas From Stoma Bag
C170659 EOR06-Unintentional Release of Urine EOR06-Unintentional Release of Urine European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had any unintentional release (leakage) of urine? EORTC QLQ-CR29 Version 2.1 - Unintentional Release of Urine
C170657 EOR06-Urinate Frequently During Day EOR06-Urinate Frequently During Day European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the day? EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Day
C170658 EOR06-Urinate Frequently During Night EOR06-Urinate Frequently During Night European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the night? EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Night
C170690 EOR06-Women: Extent Interested in Sex EOR06-Women: Extent Interested in Sex European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: To what extent were you interested in sex? EORTC QLQ-CR29 Version 2.1 - Women: Extent Interested in Sex
C170691 EOR06-Women: Pain/Discomfort Intercourse EOR06-Women: Pain/Discomfort Intercourse European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: Did you have pain or discomfort during intercourse? EORTC QLQ-CR29 Version 2.1 - Women: Pain or Discomfort Intercourse
C170669 EOR06-Worried About Your Health Future EOR06-Worried About Your Health Future European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Were you worried about your health in the future? EORTC QLQ-CR29 Version 2.1 - Worried About Your Health Future
C170670 EOR06-Worried About Your Weight EOR06-Worried About Your Weight European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you worried about your weight? EORTC QLQ-CR29 Version 2.1 - Worried About Your Weight

EOR18TC (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Code)

NCI Code: C172400, Codelist extensible: No
C172400 EOR18TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C172403 EOR1831 EOR18-How Much Did You Cough European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - How much did you cough? EORTC QLQ-LC13 - How Much Did You Cough
C172404 EOR1832 EOR18-Did You Cough Up Blood European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you cough up blood? EORTC QLQ-LC13 - Did You Cough Up Blood
C172405 EOR1833 EOR18-Short of Breath When Rested European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you rested? EORTC QLQ-LC13 - Short of Breath When Rested
C172406 EOR1834 EOR18-Short of Breath When Walked European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you walked? EORTC QLQ-LC13 - Short of Breath When Walked
C172407 EOR1835 EOR18-Short of Breath Climbed Stairs European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you climbed stairs? EORTC QLQ-LC13 - Short of Breath Climbed Stairs
C172408 EOR1836 EOR18-Had a Sore Mouth or Tongue European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had a sore mouth or tongue? EORTC QLQ-LC13 - Had a Sore Mouth or Tongue
C172409 EOR1837 EOR18-Have You Had Trouble Swallowing European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had trouble swallowing? EORTC QLQ-LC13 - Have You Had Trouble Swallowing
C172410 EOR1838 EOR18-Had Tingling Hands or Feet European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had tingling hands or feet? EORTC QLQ-LC13 - Had Tingling Hands or Feet
C172411 EOR1839 EOR18-Have You Had Hair Loss European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had hair loss? EORTC QLQ-LC13 - Have You Had Hair Loss
C172412 EOR1840 EOR18-Have You Had Pain in Your Chest European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your chest? EORTC QLQ-LC13 - Have You Had Pain in Your Chest
C172413 EOR1841 EOR18-Had Pain in Your Arm or Shoulder European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your arm or shoulder? EORTC QLQ-LC13 - Had Pain in Your Arm or Shoulder
C172414 EOR1842 EOR18-Had Pain in Other Parts of Body European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in other parts of your body? EORTC QLQ-LC13 - Had Pain in Other Parts of Body
C172415 EOR1842A EOR18-If Yes, Where European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, where. EORTC QLQ-LC13 - If Yes, Where
C172416 EOR1843 EOR18-Did You Take Any Medicine for Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you take any medicine for pain? EORTC QLQ-LC13 - Did You Take Any Medicine for Pain
C172417 EOR1843A EOR18-If Yes, How Much Did It Help European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, how much did it help? EORTC QLQ-LC13 - If Yes, How Much Did It Help

EOR18TN (European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Name)

NCI Code: C172399, Codelist extensible: No
C172399 EOR18TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C172404 EOR18-Did You Cough Up Blood EOR18-Did You Cough Up Blood European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you cough up blood? EORTC QLQ-LC13 - Did You Cough Up Blood
C172416 EOR18-Did You Take Any Medicine for Pain EOR18-Did You Take Any Medicine for Pain European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you take any medicine for pain? EORTC QLQ-LC13 - Did You Take Any Medicine for Pain
C172408 EOR18-Had a Sore Mouth or Tongue EOR18-Had a Sore Mouth or Tongue European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had a sore mouth or tongue? EORTC QLQ-LC13 - Had a Sore Mouth or Tongue
C172414 EOR18-Had Pain in Other Parts of Body EOR18-Had Pain in Other Parts of Body European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in other parts of your body? EORTC QLQ-LC13 - Had Pain in Other Parts of Body
C172413 EOR18-Had Pain in Your Arm or Shoulder EOR18-Had Pain in Your Arm or Shoulder European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your arm or shoulder? EORTC QLQ-LC13 - Had Pain in Your Arm or Shoulder
C172410 EOR18-Had Tingling Hands or Feet EOR18-Had Tingling Hands or Feet European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had tingling hands or feet? EORTC QLQ-LC13 - Had Tingling Hands or Feet
C172411 EOR18-Have You Had Hair Loss EOR18-Have You Had Hair Loss European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had hair loss? EORTC QLQ-LC13 - Have You Had Hair Loss
C172412 EOR18-Have You Had Pain in Your Chest EOR18-Have You Had Pain in Your Chest European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your chest? EORTC QLQ-LC13 - Have You Had Pain in Your Chest
C172409 EOR18-Have You Had Trouble Swallowing EOR18-Have You Had Trouble Swallowing European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had trouble swallowing? EORTC QLQ-LC13 - Have You Had Trouble Swallowing
C172403 EOR18-How Much Did You Cough EOR18-How Much Did You Cough European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - How much did you cough? EORTC QLQ-LC13 - How Much Did You Cough
C172417 EOR18-If Yes, How Much Did It Help EOR18-If Yes, How Much Did It Help European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, how much did it help? EORTC QLQ-LC13 - If Yes, How Much Did It Help
C172415 EOR18-If Yes, Where EOR18-If Yes, Where European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, where. EORTC QLQ-LC13 - If Yes, Where
C172407 EOR18-Short of Breath Climbed Stairs EOR18-Short of Breath Climbed Stairs European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you climbed stairs? EORTC QLQ-LC13 - Short of Breath Climbed Stairs
C172405 EOR18-Short of Breath When Rested EOR18-Short of Breath When Rested European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you rested? EORTC QLQ-LC13 - Short of Breath When Rested
C172406 EOR18-Short of Breath When Walked EOR18-Short of Breath When Walked European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you walked? EORTC QLQ-LC13 - Short of Breath When Walked

EPDS01TC (Edinburgh Postnatal Depression Scale Questionnaire Test Code)

NCI Code: C132521, Codelist extensible: No
C132521 EPDS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132563 EPDS0101 EPDS01-Able to Laugh and See Funny Side Edinburgh Postnatal Depression Scale - I have been able to laugh and see the funny side of things. EPDS - Able to Laugh and See Funny Side
C132564 EPDS0102 EPDS01-Looked Forward With Enjoyment Edinburgh Postnatal Depression Scale - I have looked forward with enjoyment to things. EPDS - Looked Forward With Enjoyment
C132565 EPDS0103 EPDS01-Blamed Myself Unnecessarily Edinburgh Postnatal Depression Scale - I have blamed myself unnecessarily when things went wrong. EPDS - Blamed Myself Unnecessarily
C132566 EPDS0104 EPDS01-Anxious/Worried No Good Reason Edinburgh Postnatal Depression Scale - I have been anxious or worried for no good reason. EPDS - Anxious or Worried No Good Reason
C132567 EPDS0105 EPDS01-Scared/Panicky for No Good Reason Edinburgh Postnatal Depression Scale - I have felt scared or panicky for no very good reason. EPDS - Scared or Panicky for No Good Reason
C132568 EPDS0106 EPDS01-Things Getting on Top of Me Edinburgh Postnatal Depression Scale - Things have been getting on top of me. EPDS - Things Getting on Top of Me
C132569 EPDS0107 EPDS01-Unhappy Had Difficulty Sleeping Edinburgh Postnatal Depression Scale - I have been so unhappy that I have had difficulty sleeping. EPDS - Unhappy Had Difficulty Sleeping
C132570 EPDS0108 EPDS01-I Have Felt Sad or Miserable Edinburgh Postnatal Depression Scale - I have felt sad or miserable. EPDS - I Have Felt Sad or Miserable
C132571 EPDS0109 EPDS01-So Unhappy I Have Been Crying Edinburgh Postnatal Depression Scale - I have been so unhappy that I have been crying. EPDS - So Unhappy I Have Been Crying
C132572 EPDS0110 EPDS01-Thought of Harming Myself Edinburgh Postnatal Depression Scale - The thought of harming myself has occurred to me. EPDS - Thought of Harming Myself

EPDS01TN (Edinburgh Postnatal Depression Scale Questionnaire Test Name)

NCI Code: C132520, Codelist extensible: No
C132520 EPDS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132563 EPDS01-Able to Laugh and See Funny Side EPDS01-Able to Laugh and See Funny Side Edinburgh Postnatal Depression Scale - I have been able to laugh and see the funny side of things. EPDS - Able to Laugh and See Funny Side
C132566 EPDS01-Anxious/Worried No Good Reason EPDS01-Anxious/Worried No Good Reason Edinburgh Postnatal Depression Scale - I have been anxious or worried for no good reason. EPDS - Anxious or Worried No Good Reason
C132565 EPDS01-Blamed Myself Unnecessarily EPDS01-Blamed Myself Unnecessarily Edinburgh Postnatal Depression Scale - I have blamed myself unnecessarily when things went wrong. EPDS - Blamed Myself Unnecessarily
C132570 EPDS01-I Have Felt Sad or Miserable EPDS01-I Have Felt Sad or Miserable Edinburgh Postnatal Depression Scale - I have felt sad or miserable. EPDS - I Have Felt Sad or Miserable
C132564 EPDS01-Looked Forward With Enjoyment EPDS01-Looked Forward With Enjoyment Edinburgh Postnatal Depression Scale - I have looked forward with enjoyment to things. EPDS - Looked Forward With Enjoyment
C132567 EPDS01-Scared/Panicky for No Good Reason EPDS01-Scared/Panicky for No Good Reason Edinburgh Postnatal Depression Scale - I have felt scared or panicky for no very good reason. EPDS - Scared or Panicky for No Good Reason
C132571 EPDS01-So Unhappy I Have Been Crying EPDS01-So Unhappy I Have Been Crying Edinburgh Postnatal Depression Scale - I have been so unhappy that I have been crying. EPDS - So Unhappy I Have Been Crying
C132568 EPDS01-Things Getting on Top of Me EPDS01-Things Getting on Top of Me Edinburgh Postnatal Depression Scale - Things have been getting on top of me. EPDS - Things Getting on Top of Me
C132572 EPDS01-Thought of Harming Myself EPDS01-Thought of Harming Myself Edinburgh Postnatal Depression Scale - The thought of harming myself has occurred to me. EPDS - Thought of Harming Myself
C132569 EPDS01-Unhappy Had Difficulty Sleeping EPDS01-Unhappy Had Difficulty Sleeping Edinburgh Postnatal Depression Scale - I have been so unhappy that I have had difficulty sleeping. EPDS - Unhappy Had Difficulty Sleeping

EPIC1TC (The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Code)

NCI Code: C127350, Codelist extensible: No
C127350 EPIC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127373 EPIC101 EPIC1-How Often Have You Leaked Urine The Expanded Prostate Cancer Index Composite Short Form - Over the past 4 weeks, how often have you leaked urine? EPIC-26 - How Often Have You Leaked Urine
C127374 EPIC102 EPIC1-Best Describes Urinary Control The Expanded Prostate Cancer Index Composite Short Form - Which of the following best describes your urinary control during the last 4 weeks? EPIC-26 - Best Describes Urinary Control
C127375 EPIC103 EPIC1-Pads or Adult Diapers per Day The Expanded Prostate Cancer Index Composite Short Form - How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks? EPIC-26 - Pads or Adult Diapers per Day
C127376 EPIC104A EPIC1-Problem Dripping or Leaking Urine The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Dripping or leaking urine. EPIC-26 - Dripping or Leaking Urine
C127377 EPIC104B EPIC1-Problem Pain/Burning on Urination The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Pain or burning on urination. EPIC-26 - Pain or Burning on Urination
C127378 EPIC104C EPIC1-Problem Bleeding With Urination The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Bleeding with urination. EPIC-26 - Bleeding With Urination
C127379 EPIC104D EPIC1-Problem Weak Urine Stream/Emptying The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Weak urine stream or incomplete emptying. EPIC-26 - Weak Urine Stream or Incomplete Emptying
C127380 EPIC104E EPIC1-Problem Need to Urinate Frequently The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Need to urinate frequently during the day. EPIC-26 - Urinate Frequently During the Day
C127381 EPIC105 EPIC1-Overall Problem Urinary Function The Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your urinary function been for you during the last 4 weeks? EPIC-26 - Overall Problem Urinary Function
C127382 EPIC106A EPIC1-Problem Urgency of Bowel Movement The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Urgency to have a bowel movement. EPIC-26 - Urgency to Have a Bowel Movement
C127383 EPIC106B EPIC1-Problem Increased Freq Bowel Move The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Increased frequency of bowel movements. EPIC-26 - Increased Frequency of Bowel Movements
C127384 EPIC106C EPIC1-Problem Losing Control of Stools The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Losing control of your stools. EPIC-26 - Losing Control of Stools
C127385 EPIC106D EPIC1-Problem Bloody Stools The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Bloody stools. EPIC-26 - Bloody Stools
C127386 EPIC106E EPIC1-Problem Abdom/Pelvic/Rectal Pain The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Abdominal/pelvic/rectal pain. EPIC-26 - Abdominal or Pelvic or Rectal Pain
C127387 EPIC107 EPIC1-Overall Problem Bowel Habits The Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem have your bowel habits been for you during the last 4 weeks? EPIC-26 - Overall Problem Bowel Habits
C127388 EPIC108A EPIC1-Rate Ability to Have an Erection The Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to have an erection? EPIC-26 - Ability to Have an Erection
C127389 EPIC108B EPIC1-Rate Ability to Reach Orgasm The Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to reach orgasm (climax)? EPIC-26 - Ability to Reach Orgasm
C127390 EPIC109 EPIC1-Quality of Your Erections The Expanded Prostate Cancer Index Composite Short Form - How would you describe the usual quality of your erections during the last 4 weeks? EPIC-26 - Quality of Erections
C127391 EPIC110 EPIC1-Frequency of Your Erections The Expanded Prostate Cancer Index Composite Short Form - How would you describe the frequency of your erections during the last 4 weeks? EPIC-26 - Frequency of Erections
C127392 EPIC111 EPIC1-Rate Ability to Function Sexually The Expanded Prostate Cancer Index Composite Short Form - Overall, how would you rate your ability to function sexually during the last 4 weeks? EPIC-26 - Ability to Function Sexually
C127393 EPIC112 EPIC1-Overall Problem Sexual Function The Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks? EPIC-26 - Overall Problem Sexual Function
C127394 EPIC113A EPIC1-Problem Hot Flashes The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Hot flashes. EPIC-26 - Hot Flashes
C127395 EPIC113B EPIC1-Problem Breast Tender/Enlargement The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Breast tenderness/enlargement. EPIC-26 - Breast Tender or Enlargement
C127396 EPIC113C EPIC1-Problem Feeling Depressed The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Feeling depressed. EPIC-26 - Feeling Depressed
C127397 EPIC113D EPIC1-Problem Lack of Energy The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Lack of energy. EPIC-26 - Lack of Energy
C127398 EPIC113E EPIC1-Problem Change in Body Weight The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Change in body weight. EPIC-26 - Change in Body Weight

EPIC1TN (The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Name)

NCI Code: C127349, Codelist extensible: No
C127349 EPIC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127374 EPIC1-Best Describes Urinary Control EPIC1-Best Describes Urinary Control The Expanded Prostate Cancer Index Composite Short Form - Which of the following best describes your urinary control during the last 4 weeks? EPIC-26 - Best Describes Urinary Control
C127391 EPIC1-Frequency of Your Erections EPIC1-Frequency of Your Erections The Expanded Prostate Cancer Index Composite Short Form - How would you describe the frequency of your erections during the last 4 weeks? EPIC-26 - Frequency of Erections
C127373 EPIC1-How Often Have You Leaked Urine EPIC1-How Often Have You Leaked Urine The Expanded Prostate Cancer Index Composite Short Form - Over the past 4 weeks, how often have you leaked urine? EPIC-26 - How Often Have You Leaked Urine
C127387 EPIC1-Overall Problem Bowel Habits EPIC1-Overall Problem Bowel Habits The Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem have your bowel habits been for you during the last 4 weeks? EPIC-26 - Overall Problem Bowel Habits
C127393 EPIC1-Overall Problem Sexual Function EPIC1-Overall Problem Sexual Function The Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks? EPIC-26 - Overall Problem Sexual Function
C127381 EPIC1-Overall Problem Urinary Function EPIC1-Overall Problem Urinary Function The Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your urinary function been for you during the last 4 weeks? EPIC-26 - Overall Problem Urinary Function
C127375 EPIC1-Pads or Adult Diapers per Day EPIC1-Pads or Adult Diapers per Day The Expanded Prostate Cancer Index Composite Short Form - How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks? EPIC-26 - Pads or Adult Diapers per Day
C127386 EPIC1-Problem Abdom/Pelvic/Rectal Pain EPIC1-Problem Abdom/Pelvic/Rectal Pain The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Abdominal/pelvic/rectal pain. EPIC-26 - Abdominal or Pelvic or Rectal Pain
C127378 EPIC1-Problem Bleeding With Urination EPIC1-Problem Bleeding With Urination The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Bleeding with urination. EPIC-26 - Bleeding With Urination
C127385 EPIC1-Problem Bloody Stools EPIC1-Problem Bloody Stools The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Bloody stools. EPIC-26 - Bloody Stools
C127395 EPIC1-Problem Breast Tender/Enlargement EPIC1-Problem Breast Tender/Enlargement The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Breast tenderness/enlargement. EPIC-26 - Breast Tender or Enlargement
C127398 EPIC1-Problem Change in Body Weight EPIC1-Problem Change in Body Weight The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Change in body weight. EPIC-26 - Change in Body Weight
C127376 EPIC1-Problem Dripping or Leaking Urine EPIC1-Problem Dripping or Leaking Urine The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Dripping or leaking urine. EPIC-26 - Dripping or Leaking Urine
C127396 EPIC1-Problem Feeling Depressed EPIC1-Problem Feeling Depressed The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Feeling depressed. EPIC-26 - Feeling Depressed
C127394 EPIC1-Problem Hot Flashes EPIC1-Problem Hot Flashes The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Hot flashes. EPIC-26 - Hot Flashes
C127383 EPIC1-Problem Increased Freq Bowel Move EPIC1-Problem Increased Freq Bowel Move The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Increased frequency of bowel movements. EPIC-26 - Increased Frequency of Bowel Movements
C127397 EPIC1-Problem Lack of Energy EPIC1-Problem Lack of Energy The Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Lack of energy. EPIC-26 - Lack of Energy
C127384 EPIC1-Problem Losing Control of Stools EPIC1-Problem Losing Control of Stools The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Losing control of your stools. EPIC-26 - Losing Control of Stools
C127380 EPIC1-Problem Need to Urinate Frequently EPIC1-Problem Need to Urinate Frequently The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Need to urinate frequently during the day. EPIC-26 - Urinate Frequently During the Day
C127377 EPIC1-Problem Pain/Burning on Urination EPIC1-Problem Pain/Burning on Urination The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Pain or burning on urination. EPIC-26 - Pain or Burning on Urination
C127382 EPIC1-Problem Urgency of Bowel Movement EPIC1-Problem Urgency of Bowel Movement The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Urgency to have a bowel movement. EPIC-26 - Urgency to Have a Bowel Movement
C127379 EPIC1-Problem Weak Urine Stream/Emptying EPIC1-Problem Weak Urine Stream/Emptying The Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Weak urine stream or incomplete emptying. EPIC-26 - Weak Urine Stream or Incomplete Emptying
C127390 EPIC1-Quality of Your Erections EPIC1-Quality of Your Erections The Expanded Prostate Cancer Index Composite Short Form - How would you describe the usual quality of your erections during the last 4 weeks? EPIC-26 - Quality of Erections
C127392 EPIC1-Rate Ability to Function Sexually EPIC1-Rate Ability to Function Sexually The Expanded Prostate Cancer Index Composite Short Form - Overall, how would you rate your ability to function sexually during the last 4 weeks? EPIC-26 - Ability to Function Sexually
C127388 EPIC1-Rate Ability to Have an Erection EPIC1-Rate Ability to Have an Erection The Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to have an erection? EPIC-26 - Ability to Have an Erection
C127389 EPIC1-Rate Ability to Reach Orgasm EPIC1-Rate Ability to Reach Orgasm The Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to reach orgasm (climax)? EPIC-26 - Ability to Reach Orgasm

EPIC2TC (The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Code)

NCI Code: C127352, Codelist extensible: No
C127352 EPIC2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127399 EPIC201 EPIC2-Overall Problem Urinary Function Expanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your urinary function been for you? EPIC-CP - Overall Problem Urinary Function
C127400 EPIC202 EPIC2-Best Describes Urinary Control Expanded Prostate Cancer Index Composite for Clinical Practice - Which of the following best describes your urinary control? EPIC-CP - Best Describes Urinary Control
C127401 EPIC203 EPIC2-Pads or Adult Diapers per Day Expanded Prostate Cancer Index Composite for Clinical Practice - How many pads or adult diapers per day have you been using for urinary leakage? EPIC-CP - Adult Diapers Used per Day
C127402 EPIC204 EPIC2-Problem Urinary Dripping/Leakage Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has urinary dripping or leakage been for you? EPIC-CP - Problem Urinary Dripping/Leakage
C127403 EPIC205A EPIC2-Problem Pain/Burning w/Urination Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Pain or burning with urination. EPIC-CP - Pain or Burning With Urination
C127404 EPIC205B EPIC2-Problem Weak Stream/Incompl Empty Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Weak urine stream/incomplete bladder emptying. EPIC-CP - Weak Urine Stream or Incomplete Bladder Emptying
C127405 EPIC205C EPIC2-Problem Need to Urinate Frequently Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Need to urinate frequently. EPIC-CP - Need to Urinate Frequently
C127406 EPIC206A EPIC2-Problem Rectal Pain/Urgent Bowel Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Rectal pain or urgency of bowel movements. EPIC-CP - Rectal Pain or Urgency of Bowel Movements
C127407 EPIC206B EPIC2-Problem Increased Freq Bowel Move Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Increased frequency of your bowel movements. EPIC-CP - Increased Frequency of Bowel Movements
C127408 EPIC206C EPIC2-Overall Problem Bowel Habits Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Overall problems with your bowel habits. EPIC-CP - Overall Problems With Bowel Habits
C127409 EPIC207 EPIC2-Rate Ability to Reach Orgasm Expanded Prostate Cancer Index Composite for Clinical Practice - How would you rate your ability to reach orgasm (climax)? EPIC-CP - Rate Ability to Reach Orgasm
C127410 EPIC208 EPIC2-Quality of Your Erections Expanded Prostate Cancer Index Composite for Clinical Practice - How would you describe the usual quality of your erections? EPIC-CP - Quality of Erections
C127411 EPIC209 EPIC2-Overall Problem Sexual Function Expanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your sexual function or lack of sexual function been for you? EPIC-CP - Problem Lack of Sexual Function
C127412 EPIC210A EPIC2-Problem Hot Flash/Breast Tender Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Hot flashes or breast tenderness/enlargement. EPIC-CP - Hot Flashes or Breast Tenderness
C127413 EPIC210B EPIC2-Problem Feeling Depressed Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Feeling depressed. EPIC-CP - Feeling Depressed
C127414 EPIC210C EPIC2-Problem Lack of Energy Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Lack of energy. EPIC-CP - Lack of Energy
C127415 EPIC211 EPIC2-Urinary Incontinence Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Urinary incontinence symptom score. EPIC-CP - Urinary Incontinence Symptom Score
C127416 EPIC212 EPIC2-Urinary Irrit/Obstr Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Urinary irritation/obstruction symptom score. EPIC-CP - Urinary Irritation/Obstruction Symptom Score
C127417 EPIC213 EPIC2-Bowel Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Bowel symptom score. EPIC-CP - Bowel Symptom Score
C127418 EPIC214 EPIC2-Sexual Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Sexual symptom score. EPIC-CP - Sexual Symptom Score
C127419 EPIC215 EPIC2-Vitality/Hormonal Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Vitality/hormonal symptom score. EPIC-CP - Vitality/Hormonal Symptom Score
C127420 EPIC216 EPIC2-Overall Prostate Cancer QOL Score Expanded Prostate Cancer Index Composite for Clinical Practice - Overall prostate cancer QOL score. EPIC-CP - Overall Score

EPIC2TN (The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Name)

NCI Code: C127351, Codelist extensible: No
C127351 EPIC2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127400 EPIC2-Best Describes Urinary Control EPIC2-Best Describes Urinary Control Expanded Prostate Cancer Index Composite for Clinical Practice - Which of the following best describes your urinary control? EPIC-CP - Best Describes Urinary Control
C127417 EPIC2-Bowel Symptom Score EPIC2-Bowel Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Bowel symptom score. EPIC-CP - Bowel Symptom Score
C127408 EPIC2-Overall Problem Bowel Habits EPIC2-Overall Problem Bowel Habits Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Overall problems with your bowel habits. EPIC-CP - Overall Problems With Bowel Habits
C127411 EPIC2-Overall Problem Sexual Function EPIC2-Overall Problem Sexual Function Expanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your sexual function or lack of sexual function been for you? EPIC-CP - Problem Lack of Sexual Function
C127399 EPIC2-Overall Problem Urinary Function EPIC2-Overall Problem Urinary Function Expanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your urinary function been for you? EPIC-CP - Overall Problem Urinary Function
C127420 EPIC2-Overall Prostate Cancer QOL Score EPIC2-Overall Prostate Cancer QOL Score Expanded Prostate Cancer Index Composite for Clinical Practice - Overall prostate cancer QOL score. EPIC-CP - Overall Score
C127401 EPIC2-Pads or Adult Diapers per Day EPIC2-Pads or Adult Diapers per Day Expanded Prostate Cancer Index Composite for Clinical Practice - How many pads or adult diapers per day have you been using for urinary leakage? EPIC-CP - Adult Diapers Used per Day
C127413 EPIC2-Problem Feeling Depressed EPIC2-Problem Feeling Depressed Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Feeling depressed. EPIC-CP - Feeling Depressed
C127412 EPIC2-Problem Hot Flash/Breast Tender EPIC2-Problem Hot Flash/Breast Tender Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Hot flashes or breast tenderness/enlargement. EPIC-CP - Hot Flashes or Breast Tenderness
C127407 EPIC2-Problem Increased Freq Bowel Move EPIC2-Problem Increased Freq Bowel Move Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Increased frequency of your bowel movements. EPIC-CP - Increased Frequency of Bowel Movements
C127414 EPIC2-Problem Lack of Energy EPIC2-Problem Lack of Energy Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Lack of energy. EPIC-CP - Lack of Energy
C127405 EPIC2-Problem Need to Urinate Frequently EPIC2-Problem Need to Urinate Frequently Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Need to urinate frequently. EPIC-CP - Need to Urinate Frequently
C127403 EPIC2-Problem Pain/Burning w/Urination EPIC2-Problem Pain/Burning w/Urination Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Pain or burning with urination. EPIC-CP - Pain or Burning With Urination
C127406 EPIC2-Problem Rectal Pain/Urgent Bowel EPIC2-Problem Rectal Pain/Urgent Bowel Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Rectal pain or urgency of bowel movements. EPIC-CP - Rectal Pain or Urgency of Bowel Movements
C127402 EPIC2-Problem Urinary Dripping/Leakage EPIC2-Problem Urinary Dripping/Leakage Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has urinary dripping or leakage been for you? EPIC-CP - Problem Urinary Dripping/Leakage
C127404 EPIC2-Problem Weak Stream/Incompl Empty EPIC2-Problem Weak Stream/Incompl Empty Expanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Weak urine stream/incomplete bladder emptying. EPIC-CP - Weak Urine Stream or Incomplete Bladder Emptying
C127410 EPIC2-Quality of Your Erections EPIC2-Quality of Your Erections Expanded Prostate Cancer Index Composite for Clinical Practice - How would you describe the usual quality of your erections? EPIC-CP - Quality of Erections
C127409 EPIC2-Rate Ability to Reach Orgasm EPIC2-Rate Ability to Reach Orgasm Expanded Prostate Cancer Index Composite for Clinical Practice - How would you rate your ability to reach orgasm (climax)? EPIC-CP - Rate Ability to Reach Orgasm
C127418 EPIC2-Sexual Symptom Score EPIC2-Sexual Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Sexual symptom score. EPIC-CP - Sexual Symptom Score
C127415 EPIC2-Urinary Incontinence Symptom Score EPIC2-Urinary Incontinence Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Urinary incontinence symptom score. EPIC-CP - Urinary Incontinence Symptom Score
C127416 EPIC2-Urinary Irrit/Obstr Symptom Score EPIC2-Urinary Irrit/Obstr Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Urinary irritation/obstruction symptom score. EPIC-CP - Urinary Irritation/Obstruction Symptom Score
C127419 EPIC2-Vitality/Hormonal Symptom Score EPIC2-Vitality/Hormonal Symptom Score Expanded Prostate Cancer Index Composite for Clinical Practice - Vitality/hormonal symptom score. EPIC-CP - Vitality/Hormonal Symptom Score

EQ5D01TC (European Quality of Life Five Dimension Three Level Scale Questionnaire Test Code)

NCI Code: C100136, Codelist extensible: No
C100136 EQ5D01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100392 EQ5D0101 EQ5D01-Mobility European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility. EQ-5D-3L - Mobility
C100393 EQ5D0102 EQ5D01-Self-Care European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care. EQ-5D-3L - Self-Care
C100394 EQ5D0103 EQ5D01-Usual Activities European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities. EQ-5D-3L - Usual Activities
C100395 EQ5D0104 EQ5D01-Pain/Discomfort European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort. EQ-5D-3L - Pain or Discomfort
C100396 EQ5D0105 EQ5D01-Anxiety/Depression European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression. EQ-5D-3L - Anxiety or Depression
C100397 EQ5D0106 EQ5D01-EQ VAS Score European Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion. EQ-5D-3L - EQ VAS Score

EQ5D01TN (European Quality of Life Five Dimension Three Level Scale Questionnaire Test Name)

NCI Code: C100135, Codelist extensible: No
C100135 EQ5D01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100396 EQ5D01-Anxiety/Depression EQ5D01-Anxiety/Depression European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression. EQ-5D-3L - Anxiety or Depression
C100397 EQ5D01-EQ VAS Score EQ5D01-EQ VAS Score European Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion. EQ-5D-3L - EQ VAS Score
C100392 EQ5D01-Mobility EQ5D01-Mobility European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility. EQ-5D-3L - Mobility
C100395 EQ5D01-Pain/Discomfort EQ5D01-Pain/Discomfort European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort. EQ-5D-3L - Pain or Discomfort
C100393 EQ5D01-Self-Care EQ5D01-Self-Care European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care. EQ-5D-3L - Self-Care
C100394 EQ5D01-Usual Activities EQ5D01-Usual Activities European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities. EQ-5D-3L - Usual Activities

EQ5D02TC (European Quality of Life Five Dimension Five Level Scale Questionnaire Test Code)

NCI Code: C101817, Codelist extensible: No
C101817 EQ5D02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102067 EQ5D0201 EQ5D02-Mobility European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility. EQ-5D-5L - Mobility
C102068 EQ5D0202 EQ5D02-Self-Care European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care. EQ-5D-5L - Self-Care
C102069 EQ5D0203 EQ5D02-Usual Activities European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities. EQ-5D-5L - Usual Activities
C102070 EQ5D0204 EQ5D02-Pain/Discomfort European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort. EQ-5D-5L - Pain or Discomfort
C102071 EQ5D0205 EQ5D02-Anxiety/Depression European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression. EQ-5D-5L - Anxiety or Depression
C102072 EQ5D0206 EQ5D02-EQ VAS Score European Quality of Life Five Dimension Five Level Scale - Indicate how your health is today. EQ-5D-5L - EQ VAS Score

EQ5D02TN (European Quality of Life Five Dimension Five Level Scale Questionnaire Test Name)

NCI Code: C101818, Codelist extensible: No
C101818 EQ5D02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102071 EQ5D02-Anxiety/Depression EQ5D02-Anxiety/Depression European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression. EQ-5D-5L - Anxiety or Depression
C102072 EQ5D02-EQ VAS Score EQ5D02-EQ VAS Score European Quality of Life Five Dimension Five Level Scale - Indicate how your health is today. EQ-5D-5L - EQ VAS Score
C102067 EQ5D02-Mobility EQ5D02-Mobility European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility. EQ-5D-5L - Mobility
C102070 EQ5D02-Pain/Discomfort EQ5D02-Pain/Discomfort European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort. EQ-5D-5L - Pain or Discomfort
C102068 EQ5D02-Self-Care EQ5D02-Self-Care European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care. EQ-5D-5L - Self-Care
C102069 EQ5D02-Usual Activities EQ5D02-Usual Activities European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities. EQ-5D-5L - Usual Activities

ESRSA1TC (Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Code)

NCI Code: C117991, Codelist extensible: No
C117991 ESRSA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C118079 ESRSA101 ESRSA1-Rigidity: Upper Limbs Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs. ESRS-A - Rigidity: Upper Limbs
C118080 ESRSA102 ESRSA1-Rigidity: Lower Limbs Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs. ESRS-A - Rigidity: Lower Limbs
C118081 ESRSA103 ESRSA1-Rigidity: Neck Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck. ESRS-A - Rigidity: Neck
C118082 ESRSA104 ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head. ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
C118083 ESRSA105 ESRSA1-Tremor: Upper Limbs/Hands Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands. ESRS-A - Tremor: Upper Limbs/Hands
C118084 ESRSA106 ESRSA1-Tremor: Lower Limbs/Feet Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet. ESRS-A - Tremor: Lower Limbs/Feet
C118085 ESRSA107 ESRSA1-Reduced Facial Expression/Speech Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech. ESRS-A - Reduced Facial Expression/Speech
C118086 ESRSA108 ESRSA1-Impaired Gait/Posture Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture. ESRS-A - Impaired Gait/Posture
C118087 ESRSA109 ESRSA1-Postural Instability Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability. ESRS-A - Postural Instability
C118088 ESRSA110 ESRSA1-Bradykinesia/Hypokinesia Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia. ESRS-A - Bradykinesia/Hypokinesia
C118089 ESRSA111 ESRSA1-Dystonia: Tongue Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue. ESRS-A - Dystonia: Tongue
C118090 ESRSA112 ESRSA1-Dystonia: Jaw Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw. ESRS-A - Dystonia: Jaw
C118091 ESRSA113 ESRSA1-Dystonia: Eyes/Face/Larynx Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx. ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
C118092 ESRSA114 ESRSA1-Dystonia: Shoulder/Up Limb/Hand Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands. ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
C118093 ESRSA115 ESRSA1-Dystonia: Hips/Lower Limbs/Feet Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet. ESRS-A - Dystonia: Hips/Lower Limbs/Feet
C118094 ESRSA116 ESRSA1-Dystonia: Trunk/Neck Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck. ESRS-A - Dystonia: Trunk/Neck
C118095 ESRSA117 ESRSA1-Dyskinesia: Tongue Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue. ESRS-A - Dyskinesia: Tongue
C118096 ESRSA118 ESRSA1-Dyskinesia: Jaw Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw. ESRS-A - Dyskinesia: Jaw
C118097 ESRSA119 ESRSA1-Dyskinesia: Eyes/Up Face/Low Face Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face. ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
C118098 ESRSA120 ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands. ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
C118099 ESRSA121 ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet. ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
C118100 ESRSA122 ESRSA1-Dyskinesia: Trunk/Neck Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck. ESRS-A - Dyskinesia: Trunk/Neck
C118101 ESRSA123 ESRSA1-Akathisia: Subjective Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective. ESRS-A - Akathisia: Subjective
C118102 ESRSA124 ESRSA1-Akathisia: Objective Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective. ESRS-A - Akathisia: Objective
C118103 ESRSA125 ESRSA1-CGI-S Parkinsonism Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism. ESRS-A - CGI-S Parkinsonism
C118104 ESRSA126 ESRSA1-CGI-S Dystonia Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia. ESRS-A - CGI-S Dystonia
C118105 ESRSA127 ESRSA1-CGI-S Dyskinesia Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia. ESRS-A - CGI-S Dyskinesia
C118106 ESRSA128 ESRSA1-CGI-S Akathisia Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia. ESRS-A - CGI-S Akathisia

ESRSA1TN (Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Name)

NCI Code: C117990, Codelist extensible: No
C117990 ESRSA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C118102 ESRSA1-Akathisia: Objective ESRSA1-Akathisia: Objective Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective. ESRS-A - Akathisia: Objective
C118101 ESRSA1-Akathisia: Subjective ESRSA1-Akathisia: Subjective Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective. ESRS-A - Akathisia: Subjective
C118088 ESRSA1-Bradykinesia/Hypokinesia ESRSA1-Bradykinesia/Hypokinesia Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia. ESRS-A - Bradykinesia/Hypokinesia
C118106 ESRSA1-CGI-S Akathisia ESRSA1-CGI-S Akathisia Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia. ESRS-A - CGI-S Akathisia
C118105 ESRSA1-CGI-S Dyskinesia ESRSA1-CGI-S Dyskinesia Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia. ESRS-A - CGI-S Dyskinesia
C118104 ESRSA1-CGI-S Dystonia ESRSA1-CGI-S Dystonia Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia. ESRS-A - CGI-S Dystonia
C118103 ESRSA1-CGI-S Parkinsonism ESRSA1-CGI-S Parkinsonism Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism. ESRS-A - CGI-S Parkinsonism
C118097 ESRSA1-Dyskinesia: Eyes/Up Face/Low Face ESRSA1-Dyskinesia: Eyes/Up Face/Low Face Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face. ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
C118099 ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet. ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
C118096 ESRSA1-Dyskinesia: Jaw ESRSA1-Dyskinesia: Jaw Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw. ESRS-A - Dyskinesia: Jaw
C118098 ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands. ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
C118095 ESRSA1-Dyskinesia: Tongue ESRSA1-Dyskinesia: Tongue Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue. ESRS-A - Dyskinesia: Tongue
C118100 ESRSA1-Dyskinesia: Trunk/Neck ESRSA1-Dyskinesia: Trunk/Neck Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck. ESRS-A - Dyskinesia: Trunk/Neck
C118091 ESRSA1-Dystonia: Eyes/Face/Larynx ESRSA1-Dystonia: Eyes/Face/Larynx Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx. ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
C118093 ESRSA1-Dystonia: Hips/Lower Limbs/Feet ESRSA1-Dystonia: Hips/Lower Limbs/Feet Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet. ESRS-A - Dystonia: Hips/Lower Limbs/Feet
C118090 ESRSA1-Dystonia: Jaw ESRSA1-Dystonia: Jaw Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw. ESRS-A - Dystonia: Jaw
C118092 ESRSA1-Dystonia: Shoulder/Up Limb/Hand ESRSA1-Dystonia: Shoulder/Up Limb/Hand Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands. ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
C118089 ESRSA1-Dystonia: Tongue ESRSA1-Dystonia: Tongue Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue. ESRS-A - Dystonia: Tongue
C118094 ESRSA1-Dystonia: Trunk/Neck ESRSA1-Dystonia: Trunk/Neck Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck. ESRS-A - Dystonia: Trunk/Neck
C118086 ESRSA1-Impaired Gait/Posture ESRSA1-Impaired Gait/Posture Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture. ESRS-A - Impaired Gait/Posture
C118087 ESRSA1-Postural Instability ESRSA1-Postural Instability Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability. ESRS-A - Postural Instability
C118085 ESRSA1-Reduced Facial Expression/Speech ESRSA1-Reduced Facial Expression/Speech Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech. ESRS-A - Reduced Facial Expression/Speech
C118080 ESRSA1-Rigidity: Lower Limbs ESRSA1-Rigidity: Lower Limbs Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs. ESRS-A - Rigidity: Lower Limbs
C118081 ESRSA1-Rigidity: Neck ESRSA1-Rigidity: Neck Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck. ESRS-A - Rigidity: Neck
C118079 ESRSA1-Rigidity: Upper Limbs ESRSA1-Rigidity: Upper Limbs Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs. ESRS-A - Rigidity: Upper Limbs
C118082 ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head. ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
C118084 ESRSA1-Tremor: Lower Limbs/Feet ESRSA1-Tremor: Lower Limbs/Feet Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet. ESRS-A - Tremor: Lower Limbs/Feet
C118083 ESRSA1-Tremor: Upper Limbs/Hands ESRSA1-Tremor: Upper Limbs/Hands Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands. ESRS-A - Tremor: Upper Limbs/Hands

ESS01TC (Epworth Sleepiness Scale Questionnaire Test Code)

NCI Code: C103463, Codelist extensible: No
C103463 ESS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103536 ESS0101 ESS01-Sitting and Reading Epworth Sleepiness Scale - Sitting and reading. ESS - Sitting and Reading
C103537 ESS0102 ESS01-Watching TV Epworth Sleepiness Scale - Watching TV. ESS - Watching TV
C103538 ESS0103 ESS01-Sitting Inactive in a Public Place Epworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting). ESS - Sitting, Inactive in a Public Place
C103539 ESS0104 ESS01-Passenger for Hour Without Break Epworth Sleepiness Scale - As a passenger in a car for an hour without a break. ESS - As a Passenger in a Car for an Hour Without a Break
C103540 ESS0105 ESS01-Lying Down to Rest In Afternoon Epworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit. ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
C103541 ESS0106 ESS01-Sitting and Talking to Someone Epworth Sleepiness Scale - Sitting and talking to someone. ESS - Sitting and Talking to Someone
C103542 ESS0107 ESS01-Sitting Quietly After Lunch Epworth Sleepiness Scale - Sitting quietly after a lunch without alcohol. ESS - Sitting Quietly After a Lunch without Alcohol
C103543 ESS0108 ESS01-In Car Stopped Few Minutes Traffic Epworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic. ESS - In a car, While Stopped for a Few Minutes in the Traffic
C157731 ESS0109 ESS01-Total Score Epworth Sleepiness Scale - Total score. ESS - Total Score

ESS01TN (Epworth Sleepiness Scale Questionnaire Test Name)

NCI Code: C103462, Codelist extensible: No
C103462 ESS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103543 ESS01-In Car Stopped Few Minutes Traffic ESS01-In Car Stopped Few Minutes Traffic Epworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic. ESS - In a car, While Stopped for a Few Minutes in the Traffic
C103540 ESS01-Lying Down to Rest In Afternoon ESS01-Lying Down to Rest In Afternoon Epworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit. ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
C103539 ESS01-Passenger for Hour Without Break ESS01-Passenger for Hour Without Break Epworth Sleepiness Scale - As a passenger in a car for an hour without a break. ESS - As a Passenger in a Car for an Hour Without a Break
C103536 ESS01-Sitting and Reading ESS01-Sitting and Reading Epworth Sleepiness Scale - Sitting and reading. ESS - Sitting and Reading
C103541 ESS01-Sitting and Talking to Someone ESS01-Sitting and Talking to Someone Epworth Sleepiness Scale - Sitting and talking to someone. ESS - Sitting and Talking to Someone
C103538 ESS01-Sitting Inactive in a Public Place ESS01-Sitting Inactive in a Public Place Epworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting). ESS - Sitting, Inactive in a Public Place
C103542 ESS01-Sitting Quietly After Lunch ESS01-Sitting Quietly After Lunch Epworth Sleepiness Scale - Sitting quietly after a lunch without alcohol. ESS - Sitting Quietly After a Lunch without Alcohol
C157731 ESS01-Total Score ESS01-Total Score Epworth Sleepiness Scale - Total score. ESS - Total Score
C103537 ESS01-Watching TV ESS01-Watching TV Epworth Sleepiness Scale - Watching TV. ESS - Watching TV

ETRP01TC (Emory Treatment Resistance Interview for PTSD Clinical Classification Test Code)

NCI Code: C161627, Codelist extensible: No
C161627 ETRP01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161760 ETRP0101 ETRP01-Medication Total Points Emory Treatment Resistance Interview for PTSD - Medication total points. E-TRIP - Medication Total Points
C161761 ETRP0102 ETRP01-Psychotherapy Total Points Emory Treatment Resistance Interview for PTSD - Psychotherapy total points. E-TRIP - Psychotherapy Total Points
C161762 ETRP0103 ETRP01-Total Points Emory Treatment Resistance Interview for PTSD - Total points. E-TRIP - Total Points

ETRP01TN (Emory Treatment Resistance Interview for PTSD Clinical Classification Test Name)

NCI Code: C161626, Codelist extensible: No
C161626 ETRP01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C161760 ETRP01-Medication Total Points ETRP01-Medication Total Points Emory Treatment Resistance Interview for PTSD - Medication total points. E-TRIP - Medication Total Points
C161761 ETRP01-Psychotherapy Total Points ETRP01-Psychotherapy Total Points Emory Treatment Resistance Interview for PTSD - Psychotherapy total points. E-TRIP - Psychotherapy Total Points
C161762 ETRP01-Total Points ETRP01-Total Points Emory Treatment Resistance Interview for PTSD - Total points. E-TRIP - Total Points

EXACT1TC (Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Code)

NCI Code: C123653, Codelist extensible: No
C123653 EXACT1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C123669 EXACT101 EXACT1-Chest Feel Congested Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel congested today? EXACT - Chest Feel Congested
C123670 EXACT102 EXACT1-How Often Cough Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How often did you cough today? EXACT - How Often Cough Today
C123671 EXACT103 EXACT1-Bring Up Mucus When Coughing Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How much mucus (phlegm) did you bring up when coughing today? EXACT - Bring Up Mucus When Coughing
C123672 EXACT104 EXACT1-Difficult to Bring Up Mucus Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How difficult was it to bring up mucus (phlegm) today? EXACT - Difficult to Bring Up Mucus
C123673 EXACT105 EXACT1-Chest Discomfort Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did you have chest discomfort today? EXACT - Have Chest Discomfort
C123674 EXACT106 EXACT1-Chest Feel Tight Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel tight today? EXACT - Chest Feel Tight
C123675 EXACT107 EXACT1-Breathless Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you breathless today? EXACT - Were You Breathless
C123676 EXACT108 EXACT1-Describe How Breathless Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Describe how breathless you were today. EXACT - Describe How Breathless
C123677 EXACT109 EXACT1-Short Breath Personal Care Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual personal care activities like washing or dressing? EXACT - Short of Breath When Performing Usual Personal Care
C123678 EXACT110 EXACT1-Short Breath Indoor Activities Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual indoor activities like cleaning or household work? EXACT - Short of Breath When Performing Usual Indoor Activities
C123679 EXACT111 EXACT1-Short Breath Outside Activities Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual activities outside the home such as yard work or errands? EXACT - Short of Breath When Performing Usual Activities Outside
C123680 EXACT112 EXACT1-Tired or Weak Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you tired or weak today? EXACT - Tired or Weak
C123681 EXACT113 EXACT1-Night Sleep Disturbed Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Last night, was your sleep disturbed? EXACT - Night Sleep Disturbed
C123682 EXACT114 EXACT1-Worried About Lung Problems Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How scared or worried were you about your lung problems today? EXACT - Worried About Lung Problems
C177803 EXACT115 EXACT1-Breathlessness Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness raw score. EXACT - Breathlessness Raw Score
C177804 EXACT116 EXACT1-Cough & Sputum Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum raw score. EXACT - Cough & Sputum Raw Score
C177805 EXACT117 EXACT1-Chest Symptoms Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms raw score. EXACT - Chest Symptoms Raw Score
C177806 EXACT118 EXACT1-EXACT Total Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total raw score. EXACT - EXACT Total Raw Score
C177807 EXACT119 EXACT1-Breathlessness Domain Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness domain score. EXACT - Breathlessness Domain Score
C177808 EXACT120 EXACT1-Cough & Sputum Domain Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum domain score. EXACT - Cough & Sputum Domain Score
C177809 EXACT121 EXACT1-Chest Symptoms Domain Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms domain score. EXACT - Chest Symptoms Domain Score
C177810 EXACT122 EXACT1-EXACT Total Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total domain score. EXACT - EXACT Total Score

EXACT1TN (Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Name)

NCI Code: C123652, Codelist extensible: No
C123652 EXACT1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C123675 EXACT1-Breathless EXACT1-Breathless Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you breathless today? EXACT - Were You Breathless
C177807 EXACT1-Breathlessness Domain Score EXACT1-Breathlessness Domain Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness domain score. EXACT - Breathlessness Domain Score
C177803 EXACT1-Breathlessness Raw Score EXACT1-Breathlessness Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness raw score. EXACT - Breathlessness Raw Score
C123671 EXACT1-Bring Up Mucus When Coughing EXACT1-Bring Up Mucus When Coughing Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How much mucus (phlegm) did you bring up when coughing today? EXACT - Bring Up Mucus When Coughing
C123673 EXACT1-Chest Discomfort EXACT1-Chest Discomfort Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did you have chest discomfort today? EXACT - Have Chest Discomfort
C123669 EXACT1-Chest Feel Congested EXACT1-Chest Feel Congested Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel congested today? EXACT - Chest Feel Congested
C123674 EXACT1-Chest Feel Tight EXACT1-Chest Feel Tight Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel tight today? EXACT - Chest Feel Tight
C177809 EXACT1-Chest Symptoms Domain Score EXACT1-Chest Symptoms Domain Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms domain score. EXACT - Chest Symptoms Domain Score
C177805 EXACT1-Chest Symptoms Raw Score EXACT1-Chest Symptoms Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms raw score. EXACT - Chest Symptoms Raw Score
C177808 EXACT1-Cough & Sputum Domain Score EXACT1-Cough & Sputum Domain Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum domain score. EXACT - Cough & Sputum Domain Score
C177804 EXACT1-Cough & Sputum Raw Score EXACT1-Cough & Sputum Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum raw score. EXACT - Cough & Sputum Raw Score
C123676 EXACT1-Describe How Breathless EXACT1-Describe How Breathless Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Describe how breathless you were today. EXACT - Describe How Breathless
C123672 EXACT1-Difficult to Bring Up Mucus EXACT1-Difficult to Bring Up Mucus Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How difficult was it to bring up mucus (phlegm) today? EXACT - Difficult to Bring Up Mucus
C177806 EXACT1-EXACT Total Raw Score EXACT1-EXACT Total Raw Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total raw score. EXACT - EXACT Total Raw Score
C177810 EXACT1-EXACT Total Score EXACT1-EXACT Total Score Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total domain score. EXACT - EXACT Total Score
C123670 EXACT1-How Often Cough EXACT1-How Often Cough Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How often did you cough today? EXACT - How Often Cough Today
C123681 EXACT1-Night Sleep Disturbed EXACT1-Night Sleep Disturbed Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Last night, was your sleep disturbed? EXACT - Night Sleep Disturbed
C123678 EXACT1-Short Breath Indoor Activities EXACT1-Short Breath Indoor Activities Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual indoor activities like cleaning or household work? EXACT - Short of Breath When Performing Usual Indoor Activities
C123679 EXACT1-Short Breath Outside Activities EXACT1-Short Breath Outside Activities Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual activities outside the home such as yard work or errands? EXACT - Short of Breath When Performing Usual Activities Outside
C123677 EXACT1-Short Breath Personal Care EXACT1-Short Breath Personal Care Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual personal care activities like washing or dressing? EXACT - Short of Breath When Performing Usual Personal Care
C123680 EXACT1-Tired or Weak EXACT1-Tired or Weak Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you tired or weak today? EXACT - Tired or Weak
C123682 EXACT1-Worried About Lung Problems EXACT1-Worried About Lung Problems Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How scared or worried were you about your lung problems today? EXACT - Worried About Lung Problems

FAC001TC (The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Code)

NCI Code: C127354, Codelist extensible: No
C127354 FAC001TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127421 FAC00101 FAC001-I Have a Lack of Energy Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have a lack of energy. FACT-G Version 4 - I Have a Lack of Energy
C127422 FAC00102 FAC001-I Have Nausea Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have nausea. FACT-G Version 4 - I Have Nausea
C127423 FAC00103 FAC001-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-G Version 4 - Trouble Meeting Needs of Family
C127424 FAC00104 FAC001-I Have Pain Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have pain. FACT-G Version 4 - I have pain
C127425 FAC00105 FAC001-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-G Version 4 - Bothered by Treatment Side Effect
C127426 FAC00106 FAC001-I Feel Ill Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I feel ill. FACT-G Version 4 - I Feel Ill
C127427 FAC00107 FAC001-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-G Version 4 - I Am Forced to Spend Time in Bed
C127428 FAC00108 FAC001-I Feel Close to My Friends Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-G Version 4 - I Feel Close to My Friends
C127429 FAC00109 FAC001-Get Emotional Support From Family Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-G Version 4 - I Get Emotional Support From My Family
C127430 FAC00110 FAC001-I Get Support From My Friends Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get support from my friends. FACT-G Version 4 - I Get Support From My Friends
C127431 FAC00111 FAC001-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-G Version 4 - My Family Has Accepted My Illness
C127432 FAC00112 FAC001-Satisfied Communication Illness Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-G Version 4 - Satisfied With Family Communication
C127433 FAC00113 FAC001-I Feel Close to My Partner Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-G Version 4 - I Feel Close to My Partner
C127434 FAC00114 FAC001-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-G Version 4 - I Am Satisfied With My Sex Life
C127435 FAC00115 FAC001-I Feel Sad Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel sad. FACT-G Version 4 - I Feel Sad
C127436 FAC00116 FAC001-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-G Version 4 - Satisfied With How I Am Coping With Illness
C127437 FAC00117 FAC001-Losing Hope Against Illness Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-G Version 4 - Losing Hope Against Illness
C127438 FAC00118 FAC001-I Feel Nervous Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel nervous. FACT-G Version 4 - I Feel Nervous
C127439 FAC00119 FAC001-I Worry About Dying Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry about dying. FACT-G Version 4 - I Worry About Dying
C127440 FAC00120 FAC001-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-G Version 4 - Worry My Condition Will Get Worse
C127441 FAC00121 FAC001-I Am Able to Work Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-G Version 4 - I Am Able to Work
C127442 FAC00122 FAC001-My Work Is Fulfilling Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-G Version 4 - My Work Is Fulfilling
C127443 FAC00123 FAC001-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to enjoy life. FACT-G Version 4 - I Am Able to Enjoy Life
C127444 FAC00124 FAC001-I Have Accepted My Illness Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I have accepted my illness. FACT-G Version 4 - I Have Accepted My Illness
C127445 FAC00125 FAC001-I Am Sleeping Well Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am sleeping well. FACT-G Version 4 - I Am Sleeping Well
C127446 FAC00126 FAC001-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-G Version 4 - Enjoy Things I Usually Do for Fun
C127447 FAC00127 FAC001-Content With Quality of My Life Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-G Version 4 - Content With Quality of My Life
C180189 FAC00128 FAC001-Physical Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Subscale score. FACT-G Version 4 - Physical Subscale Score
C180190 FAC00129 FAC001-Social/Family Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: Subscale score. FACT-G Version 4 - Social/Family Subscale Score
C180191 FAC00130 FAC001-Emotional Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: Subscale score. FACT-G Version 4 - Emotional Subscale Score
C180192 FAC00131 FAC001-Functional Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: Subscale score. FACT-G Version 4 - Functional Subscale Score
C180193 FAC00132 FAC001-Total Score Functional Assessment of Cancer Therapy-General Version 4 - FACT-G total score. FACT-G Version 4 - Total Score

FAC001TN (The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Name)

NCI Code: C127353, Codelist extensible: No
C127353 FAC001TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127425 FAC001-Bothered by Treatment Side Effect FAC001-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-G Version 4 - Bothered by Treatment Side Effect
C127447 FAC001-Content With Quality of My Life FAC001-Content With Quality of My Life Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-G Version 4 - Content With Quality of My Life
C180191 FAC001-Emotional Subscale Score FAC001-Emotional Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: Subscale score. FACT-G Version 4 - Emotional Subscale Score
C127446 FAC001-Enjoy Things I Usually Do for Fun FAC001-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-G Version 4 - Enjoy Things I Usually Do for Fun
C180192 FAC001-Functional Subscale Score FAC001-Functional Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: Subscale score. FACT-G Version 4 - Functional Subscale Score
C127429 FAC001-Get Emotional Support From Family FAC001-Get Emotional Support From Family Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-G Version 4 - I Get Emotional Support From My Family
C127443 FAC001-I Am Able to Enjoy Life FAC001-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to enjoy life. FACT-G Version 4 - I Am Able to Enjoy Life
C127441 FAC001-I Am Able to Work FAC001-I Am Able to Work Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-G Version 4 - I Am Able to Work
C127427 FAC001-I Am Forced to Spend Time in Bed FAC001-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-G Version 4 - I Am Forced to Spend Time in Bed
C127434 FAC001-I Am Satisfied With My Sex Life FAC001-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-G Version 4 - I Am Satisfied With My Sex Life
C127445 FAC001-I Am Sleeping Well FAC001-I Am Sleeping Well Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am sleeping well. FACT-G Version 4 - I Am Sleeping Well
C127428 FAC001-I Feel Close to My Friends FAC001-I Feel Close to My Friends Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-G Version 4 - I Feel Close to My Friends
C127433 FAC001-I Feel Close to My Partner FAC001-I Feel Close to My Partner Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-G Version 4 - I Feel Close to My Partner
C127426 FAC001-I Feel Ill FAC001-I Feel Ill Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I feel ill. FACT-G Version 4 - I Feel Ill
C127438 FAC001-I Feel Nervous FAC001-I Feel Nervous Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel nervous. FACT-G Version 4 - I Feel Nervous
C127435 FAC001-I Feel Sad FAC001-I Feel Sad Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel sad. FACT-G Version 4 - I Feel Sad
C127430 FAC001-I Get Support From My Friends FAC001-I Get Support From My Friends Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get support from my friends. FACT-G Version 4 - I Get Support From My Friends
C127421 FAC001-I Have a Lack of Energy FAC001-I Have a Lack of Energy Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have a lack of energy. FACT-G Version 4 - I Have a Lack of Energy
C127444 FAC001-I Have Accepted My Illness FAC001-I Have Accepted My Illness Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I have accepted my illness. FACT-G Version 4 - I Have Accepted My Illness
C127422 FAC001-I Have Nausea FAC001-I Have Nausea Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have nausea. FACT-G Version 4 - I Have Nausea
C127424 FAC001-I Have Pain FAC001-I Have Pain Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have pain. FACT-G Version 4 - I have pain
C127439 FAC001-I Worry About Dying FAC001-I Worry About Dying Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry about dying. FACT-G Version 4 - I Worry About Dying
C127437 FAC001-Losing Hope Against Illness FAC001-Losing Hope Against Illness Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-G Version 4 - Losing Hope Against Illness
C127431 FAC001-My Family Has Accepted My Illness FAC001-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-G Version 4 - My Family Has Accepted My Illness
C127442 FAC001-My Work Is Fulfilling FAC001-My Work Is Fulfilling Functional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-G Version 4 - My Work Is Fulfilling
C180189 FAC001-Physical Subscale Score FAC001-Physical Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Subscale score. FACT-G Version 4 - Physical Subscale Score
C127432 FAC001-Satisfied Communication Illness FAC001-Satisfied Communication Illness Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-G Version 4 - Satisfied With Family Communication
C127436 FAC001-Satisfied With How I Am Coping FAC001-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-G Version 4 - Satisfied With How I Am Coping With Illness
C180190 FAC001-Social/Family Subscale Score FAC001-Social/Family Subscale Score Functional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: Subscale score. FACT-G Version 4 - Social/Family Subscale Score
C180193 FAC001-Total Score FAC001-Total Score Functional Assessment of Cancer Therapy-General Version 4 - FACT-G total score. FACT-G Version 4 - Total Score
C127423 FAC001-Trouble Meeting Needs of Family FAC001-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-G Version 4 - Trouble Meeting Needs of Family
C127440 FAC001-Worry My Condition Will Get Worse FAC001-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-G Version 4 - Worry My Condition Will Get Worse

FAC005TC (Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Code)

NCI Code: C129094, Codelist extensible: No
C129094 FAC005TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129188 FAC00501 FAC005-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have a lack of energy. FACT-B Version 4 - I Have a Lack of Energy
C129189 FAC00502 FAC005-I Have Nausea Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have nausea. FACT-B Version 4 - I Have Nausea
C129190 FAC00503 FAC005-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-B Version 4 - Trouble Meeting Needs of Family
C129191 FAC00504 FAC005-I Have Pain Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have pain. FACT-B Version 4 - I Have Pain
C129192 FAC00505 FAC005-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-B Version 4 - Bothered by Treatment Side Effect
C129193 FAC00506 FAC005-I Feel Ill Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I feel ill. FACT-B Version 4 - I Feel Ill
C129194 FAC00507 FAC005-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-B Version 4 - I Am Forced to Spend Time in Bed
C129195 FAC00508 FAC005-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-B Version 4 - I Feel Close to My Friends
C129196 FAC00509 FAC005-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-B Version 4 - Get Emotional Support From Family
C129197 FAC00510 FAC005-I Get Support From My Friends Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get support from my friends. FACT-B Version 4 - I Get Support From My Friends
C129198 FAC00511 FAC005-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-B Version 4 - My Family Has Accepted My Illness
C129199 FAC00512 FAC005-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-B Version 4 - Satisfied Family Communication of Illness
C129200 FAC00513 FAC005-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-B Version 4 - I Feel Close to My Partner
C129201 FAC00514 FAC005-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-B Version 4 - I Am Satisfied With My Sex Life
C129202 FAC00515 FAC005-I Feel Sad Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel sad. FACT-B Version 4 - I Feel Sad
C129203 FAC00516 FAC005-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-B Version 4 - Satisfied With How I Am Coping
C129204 FAC00517 FAC005-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-B Version 4 - Losing Hope Against Illness
C129205 FAC00518 FAC005-I Feel Nervous Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel nervous. FACT-B Version 4 - I Feel Nervous
C129206 FAC00519 FAC005-I Worry About Dying Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry about dying. FACT-B Version 4 - I Worry About Dying
C129207 FAC00520 FAC005-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-B Version 4 - Worry My Condition Will Get Worse
C129208 FAC00521 FAC005-I Am Able to Work Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-B Version 4 - I Am Able to Work
C129209 FAC00522 FAC005-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-B Version 4 - My Work Is Fulfilling
C129210 FAC00523 FAC005-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to enjoy life. FACT-B Version 4 - I Am Able to Enjoy Life
C129211 FAC00524 FAC005-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I have accepted my illness. FACT-B Version 4 - I Have Accepted My Illness
C129212 FAC00525 FAC005-I Am Sleeping Well Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am sleeping well. FACT-B Version 4 - I Am Sleeping Well
C129213 FAC00526 FAC005-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-B Version 4 - Enjoy Things I Usually Do for Fun
C129214 FAC00527 FAC005-Content With Quality of My Life Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-B Version 4 - Content With Quality of My Life
C129215 FAC00528 FAC005-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have been short of breath. FACT-B Version 4 - I Have Been Short of Breath
C129216 FAC00529 FAC005-Self-conscious About Way I Dress Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am self-conscious about the way I dress. FACT-B Version 4 - Self-conscious About Way I Dress
C129217 FAC00530 FAC005-One/Both Arms Are Swollen/Tender Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: One or both of my arms are swollen or tender. FACT-B Version 4 - One or Both Arms Are Swollen or Tender
C129218 FAC00531 FAC005-I Feel Sexually Attractive Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I feel sexually attractive. FACT-B Version 4 - I Feel Sexually Attractive
C129219 FAC00532 FAC005-I Am Bothered by Hair Loss Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by hair loss. FACT-B Version 4 - I Am Bothered by Hair Loss
C129220 FAC00533 FAC005-Worry Family Will Get Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry that other members of my family might someday get the same illness I have. FACT-B Version 4 - Worry Family Will Get Illness
C129221 FAC00534 FAC005-Worry About the Effect of Stress Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry about the effect of stress on my illness. FACT-B Version 4 - Worry About the Effect of Stress
C129222 FAC00535 FAC005-I Am Bothered by Change in Weight Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by a change in weight. FACT-B Version 4 - I Am Bothered by Change in Weight
C129223 FAC00536 FAC005-I Am Able to Feel Like a Woman Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am able to feel like a woman. FACT-B Version 4 - I Am Able to Feel Like a Woman
C129224 FAC00537 FAC005-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-B Version 4 - Certain Parts of Body Have Pain
C180194 FAC00538 FAC005-Physical Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Subscale score. FACT-B Version 4 - Physical Subscale Score
C180195 FAC00539 FAC005-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: Subscale score. FACT-B Version 4 - Social/Family Subscale Score
C180196 FAC00540 FAC005-Emotional Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: Subscale score. FACT-B Version 4 - Emotional Subscale Score
C180197 FAC00541 FAC005-Functional Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: Subscale score. FACT-B Version 4 - Functional Subscale Score
C180198 FAC00542 FAC005-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: Subscale score. FACT-B Version 4 - Additional Concern Subscale Score
C180199 FAC00543 FAC005-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Breast Version 4 - Trial outcome index score. FACT-B Version 4 - Trial Outcome Index Score
C180200 FAC00544 FAC005-FACT-G Total Score Functional Assessment of Cancer Therapy-Breast Version 4 - FACT-G total score. FACT-B Version 4 - FACT-G Total Score
C180201 FAC00545 FAC005-Total Score Functional Assessment of Cancer Therapy-Breast Version 4 - Total score. FACT-B Version 4 - Total Score

FAC005TN (Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Name)

NCI Code: C129093, Codelist extensible: No
C129093 FAC005TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180198 FAC005-Additional Concern Subscale Score FAC005-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: Subscale score. FACT-B Version 4 - Additional Concern Subscale Score
C129192 FAC005-Bothered by Treatment Side Effect FAC005-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-B Version 4 - Bothered by Treatment Side Effect
C129224 FAC005-Certain Parts of Body Have Pain FAC005-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-B Version 4 - Certain Parts of Body Have Pain
C129214 FAC005-Content With Quality of My Life FAC005-Content With Quality of My Life Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-B Version 4 - Content With Quality of My Life
C180196 FAC005-Emotional Subscale Score FAC005-Emotional Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: Subscale score. FACT-B Version 4 - Emotional Subscale Score
C129213 FAC005-Enjoy Things I Usually Do for Fun FAC005-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-B Version 4 - Enjoy Things I Usually Do for Fun
C180200 FAC005-FACT-G Total Score FAC005-FACT-G Total Score Functional Assessment of Cancer Therapy-Breast Version 4 - FACT-G total score. FACT-B Version 4 - FACT-G Total Score
C180197 FAC005-Functional Subscale Score FAC005-Functional Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: Subscale score. FACT-B Version 4 - Functional Subscale Score
C129196 FAC005-Get Emotional Support From Family FAC005-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-B Version 4 - Get Emotional Support From Family
C129210 FAC005-I Am Able to Enjoy Life FAC005-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to enjoy life. FACT-B Version 4 - I Am Able to Enjoy Life
C129223 FAC005-I Am Able to Feel Like a Woman FAC005-I Am Able to Feel Like a Woman Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am able to feel like a woman. FACT-B Version 4 - I Am Able to Feel Like a Woman
C129208 FAC005-I Am Able to Work FAC005-I Am Able to Work Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-B Version 4 - I Am Able to Work
C129222 FAC005-I Am Bothered by Change in Weight FAC005-I Am Bothered by Change in Weight Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by a change in weight. FACT-B Version 4 - I Am Bothered by Change in Weight
C129219 FAC005-I Am Bothered by Hair Loss FAC005-I Am Bothered by Hair Loss Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by hair loss. FACT-B Version 4 - I Am Bothered by Hair Loss
C129194 FAC005-I Am Forced to Spend Time in Bed FAC005-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-B Version 4 - I Am Forced to Spend Time in Bed
C129201 FAC005-I Am Satisfied With My Sex Life FAC005-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-B Version 4 - I Am Satisfied With My Sex Life
C129212 FAC005-I Am Sleeping Well FAC005-I Am Sleeping Well Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am sleeping well. FACT-B Version 4 - I Am Sleeping Well
C129195 FAC005-I Feel Close to My Friends FAC005-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-B Version 4 - I Feel Close to My Friends
C129200 FAC005-I Feel Close to My Partner FAC005-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-B Version 4 - I Feel Close to My Partner
C129193 FAC005-I Feel Ill FAC005-I Feel Ill Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I feel ill. FACT-B Version 4 - I Feel Ill
C129205 FAC005-I Feel Nervous FAC005-I Feel Nervous Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel nervous. FACT-B Version 4 - I Feel Nervous
C129202 FAC005-I Feel Sad FAC005-I Feel Sad Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel sad. FACT-B Version 4 - I Feel Sad
C129218 FAC005-I Feel Sexually Attractive FAC005-I Feel Sexually Attractive Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I feel sexually attractive. FACT-B Version 4 - I Feel Sexually Attractive
C129197 FAC005-I Get Support From My Friends FAC005-I Get Support From My Friends Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get support from my friends. FACT-B Version 4 - I Get Support From My Friends
C129188 FAC005-I Have a Lack of Energy FAC005-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have a lack of energy. FACT-B Version 4 - I Have a Lack of Energy
C129211 FAC005-I Have Accepted My Illness FAC005-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I have accepted my illness. FACT-B Version 4 - I Have Accepted My Illness
C129215 FAC005-I Have Been Short of Breath FAC005-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have been short of breath. FACT-B Version 4 - I Have Been Short of Breath
C129189 FAC005-I Have Nausea FAC005-I Have Nausea Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have nausea. FACT-B Version 4 - I Have Nausea
C129191 FAC005-I Have Pain FAC005-I Have Pain Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have pain. FACT-B Version 4 - I Have Pain
C129206 FAC005-I Worry About Dying FAC005-I Worry About Dying Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry about dying. FACT-B Version 4 - I Worry About Dying
C129204 FAC005-Losing Hope Against Illness FAC005-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-B Version 4 - Losing Hope Against Illness
C129198 FAC005-My Family Has Accepted My Illness FAC005-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-B Version 4 - My Family Has Accepted My Illness
C129209 FAC005-My Work Is Fulfilling FAC005-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-B Version 4 - My Work Is Fulfilling
C129217 FAC005-One/Both Arms Are Swollen/Tender FAC005-One/Both Arms Are Swollen/Tender Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: One or both of my arms are swollen or tender. FACT-B Version 4 - One or Both Arms Are Swollen or Tender
C180194 FAC005-Physical Subscale Score FAC005-Physical Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Subscale score. FACT-B Version 4 - Physical Subscale Score
C129199 FAC005-Satisfied Communication Illness FAC005-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-B Version 4 - Satisfied Family Communication of Illness
C129203 FAC005-Satisfied With How I Am Coping FAC005-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-B Version 4 - Satisfied With How I Am Coping
C129216 FAC005-Self-conscious About Way I Dress FAC005-Self-conscious About Way I Dress Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am self-conscious about the way I dress. FACT-B Version 4 - Self-conscious About Way I Dress
C180195 FAC005-Social/Family Subscale Score FAC005-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: Subscale score. FACT-B Version 4 - Social/Family Subscale Score
C180201 FAC005-Total Score FAC005-Total Score Functional Assessment of Cancer Therapy-Breast Version 4 - Total score. FACT-B Version 4 - Total Score
C180199 FAC005-Trial Outcome Index Score FAC005-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Breast Version 4 - Trial outcome index score. FACT-B Version 4 - Trial Outcome Index Score
C129190 FAC005-Trouble Meeting Needs of Family FAC005-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-B Version 4 - Trouble Meeting Needs of Family
C129221 FAC005-Worry About the Effect of Stress FAC005-Worry About the Effect of Stress Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry about the effect of stress on my illness. FACT-B Version 4 - Worry About the Effect of Stress
C129220 FAC005-Worry Family Will Get Illness FAC005-Worry Family Will Get Illness Functional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry that other members of my family might someday get the same illness I have. FACT-B Version 4 - Worry Family Will Get Illness
C129207 FAC005-Worry My Condition Will Get Worse FAC005-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-B Version 4 - Worry My Condition Will Get Worse

FAC006TC (Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Code)

NCI Code: C154453, Codelist extensible: No
C154453 FAC006TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155581 FAC00601 FAC006-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have a lack of energy. FACT-BL Version 4 - I Have a Lack of Energy
C155582 FAC00602 FAC006-I Have Nausea Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have nausea. FACT-BL Version 4 - I Have Nausea
C155583 FAC00603 FAC006-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-BL Version 4 - Trouble Meeting Needs of Family
C155584 FAC00604 FAC006-I Have Pain Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have pain. FACT-BL Version 4 - I Have Pain
C155585 FAC00605 FAC006-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-BL Version 4 - Bothered by Treatment Side Effect
C155586 FAC00606 FAC006-I Feel Ill Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I feel ill. FACT-BL Version 4 - I Feel Ill
C155587 FAC00607 FAC006-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-BL Version 4 - I Am Forced to Spend Time in Bed
C155588 FAC00608 FAC006-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-BL Version 4 - I Feel Close to My Friends
C155589 FAC00609 FAC006-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-BL Version 4 - Get Emotional Support From Family
C155590 FAC00610 FAC006-I Get Support From My Friends Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get support from my friends. FACT-BL Version 4 - I Get Support From My Friends
C155591 FAC00611 FAC006-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-BL Version 4 - My Family Has Accepted My Illness
C155592 FAC00612 FAC006-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-BL Version 4 - Satisfied Communication Illness
C155593 FAC00613 FAC006-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-BL Version 4 - I Feel Close to My Partner
C155594 FAC00614 FAC006-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-BL Version 4 - I Am Satisfied With My Sex Life
C155595 FAC00615 FAC006-I Feel Sad Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel sad. FACT-BL Version 4 - I Feel Sad
C155596 FAC00616 FAC006-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-BL Version 4 - Satisfied With How I Am Coping
C155597 FAC00617 FAC006-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-BL Version 4 - Losing Hope Against Illness
C155598 FAC00618 FAC006-I Feel Nervous Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel nervous. FACT-BL Version 4 - I Feel Nervous
C155599 FAC00619 FAC006-I Worry About Dying Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry about dying. FACT-BL Version 4 - I Worry About Dying
C155600 FAC00620 FAC006-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-BL Version 4 - Worry My Condition Will Get Worse
C155601 FAC00621 FAC006-I Am Able to Work Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-BL Version 4 - I Am Able to Work
C155602 FAC00622 FAC006-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-BL Version 4 - My Work Is Fulfilling
C155603 FAC00623 FAC006-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to enjoy life. FACT-BL Version 4 - I Am Able to Enjoy Life
C155604 FAC00624 FAC006-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I have accepted my illness. FACT-BL Version 4 - I Have Accepted My Illness
C155605 FAC00625 FAC006-I Am Sleeping Well Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am sleeping well. FACT-BL Version 4 - I Am Sleeping Well
C155606 FAC00626 FAC006-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-BL Version 4 - Enjoy Things I Usually Do for Fun
C155607 FAC00627 FAC006-Content With Quality of My Life Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-BL Version 4 - Content With Quality of My Life
C155608 FAC00628 FAC006-Trouble Controlling My Urine Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have trouble controlling my urine. FACT-BL Version 4 - Trouble Controlling My Urine
C155609 FAC00629 FAC006-I Am Losing Weight Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am losing weight. FACT-BL Version 4 - I Am Losing Weight
C155610 FAC00630 FAC006-I Have Control of My Bowels Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have control of my bowels. FACT-BL Version 4 - I Have Control of My Bowels
C155611 FAC00631 FAC006-I Urinate More Frequently Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I urinate more frequently than usual. FACT-BL Version 4 - I Urinate More Frequently
C155612 FAC00632 FAC006-I Have Diarrhea Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have diarrhea (diarrhoea). FACT-BL Version 4 - I Have Diarrhea
C155613 FAC00633 FAC006-I Have a Good Appetite Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have a good appetite. FACT-BL Version 4 - I Have a Good Appetite
C155614 FAC00634 FAC006-I Like the Appearance of My Body Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I like the appearance of my body. FACT-BL Version 4 - I Like the Appearance of My Body
C155615 FAC00635 FAC006-It Burns When I Urinate Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: It burns when I urinate. FACT-BL Version 4 - It Burns When I Urinate
C155616 FAC00636 FAC006-I Am Interested in Sex Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am interested in sex. FACT-BL Version 4 - I Am Interested in Sex
C155617 FAC00637 FAC006-Able to Have/Maintain Erection Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: (For men only) I am able to have and maintain an erection. FACT-BL Version 4 - Able to Have/Maintain Erection
C155618 FAC00638 FAC006-Do You Have an Ostomy Appliance Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Do you have an ostomy appliance? FACT-BL Version 4 - Do You Have an Ostomy Appliance
C155619 FAC00639 FAC006-Embarrassed by Ostomy Appliance Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance. FACT-BL Version 4 - Embarrassed by Ostomy Appliance
C155620 FAC00640 FAC006-Caring for Ostomy Is Difficult Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult. FACT-BL Version 4 - Caring for Ostomy Appliance Is Difficult
C180202 FAC00641 FAC006-Physical Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Subscale score. FACT-BL Version 4 - Physical Subscale Score
C180203 FAC00642 FAC006-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: Subscale score. FACT-BL Version 4 - Social/Family Subscale Score
C180204 FAC00643 FAC006-Emotional Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: Subscale score. FACT-BL Version 4 - Emotional Subscale Score
C180205 FAC00644 FAC006-Functional Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: Subscale score. FACT-BL Version 4 - Functional Subscale Score
C180206 FAC00645 FAC006-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Subscale score. FACT-BL Version 4 - Additional Concern Subscale Score
C180207 FAC00646 FAC006-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Trial outcome index score. FACT-BL Version 4 - Trial Outcome Index Score
C180208 FAC00647 FAC006-FACT-G Total Score Functional Assessment of Cancer Therapy-Bladder Version 4 - FACT-G total score. FACT-BL Version 4 - FACT-G Total Score
C180209 FAC00648 FAC006-Total Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Total score. FACT-BL Version 4 - Total Score

FAC006TN (Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Name)

NCI Code: C154452, Codelist extensible: No
C154452 FAC006TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155617 FAC006-Able to Have/Maintain Erection FAC006-Able to Have/Maintain Erection Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: (For men only) I am able to have and maintain an erection. FACT-BL Version 4 - Able to Have/Maintain Erection
C180206 FAC006-Additional Concern Subscale Score FAC006-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Subscale score. FACT-BL Version 4 - Additional Concern Subscale Score
C155585 FAC006-Bothered by Treatment Side Effect FAC006-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-BL Version 4 - Bothered by Treatment Side Effect
C155620 FAC006-Caring for Ostomy Is Difficult FAC006-Caring for Ostomy Is Difficult Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult. FACT-BL Version 4 - Caring for Ostomy Appliance Is Difficult
C155607 FAC006-Content With Quality of My Life FAC006-Content With Quality of My Life Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-BL Version 4 - Content With Quality of My Life
C155618 FAC006-Do You Have an Ostomy Appliance FAC006-Do You Have an Ostomy Appliance Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Do you have an ostomy appliance? FACT-BL Version 4 - Do You Have an Ostomy Appliance
C155619 FAC006-Embarrassed by Ostomy Appliance FAC006-Embarrassed by Ostomy Appliance Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance. FACT-BL Version 4 - Embarrassed by Ostomy Appliance
C180204 FAC006-Emotional Subscale Score FAC006-Emotional Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: Subscale score. FACT-BL Version 4 - Emotional Subscale Score
C155606 FAC006-Enjoy Things I Usually Do for Fun FAC006-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-BL Version 4 - Enjoy Things I Usually Do for Fun
C180208 FAC006-FACT-G Total Score FAC006-FACT-G Total Score Functional Assessment of Cancer Therapy-Bladder Version 4 - FACT-G total score. FACT-BL Version 4 - FACT-G Total Score
C180205 FAC006-Functional Subscale Score FAC006-Functional Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: Subscale score. FACT-BL Version 4 - Functional Subscale Score
C155589 FAC006-Get Emotional Support From Family FAC006-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-BL Version 4 - Get Emotional Support From Family
C155603 FAC006-I Am Able to Enjoy Life FAC006-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to enjoy life. FACT-BL Version 4 - I Am Able to Enjoy Life
C155601 FAC006-I Am Able to Work FAC006-I Am Able to Work Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-BL Version 4 - I Am Able to Work
C155587 FAC006-I Am Forced to Spend Time in Bed FAC006-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-BL Version 4 - I Am Forced to Spend Time in Bed
C155616 FAC006-I Am Interested in Sex FAC006-I Am Interested in Sex Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am interested in sex. FACT-BL Version 4 - I Am Interested in Sex
C155609 FAC006-I Am Losing Weight FAC006-I Am Losing Weight Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am losing weight. FACT-BL Version 4 - I Am Losing Weight
C155594 FAC006-I Am Satisfied With My Sex Life FAC006-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-BL Version 4 - I Am Satisfied With My Sex Life
C155605 FAC006-I Am Sleeping Well FAC006-I Am Sleeping Well Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am sleeping well. FACT-BL Version 4 - I Am Sleeping Well
C155588 FAC006-I Feel Close to My Friends FAC006-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-BL Version 4 - I Feel Close to My Friends
C155593 FAC006-I Feel Close to My Partner FAC006-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-BL Version 4 - I Feel Close to My Partner
C155586 FAC006-I Feel Ill FAC006-I Feel Ill Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I feel ill. FACT-BL Version 4 - I Feel Ill
C155598 FAC006-I Feel Nervous FAC006-I Feel Nervous Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel nervous. FACT-BL Version 4 - I Feel Nervous
C155595 FAC006-I Feel Sad FAC006-I Feel Sad Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel sad. FACT-BL Version 4 - I Feel Sad
C155590 FAC006-I Get Support From My Friends FAC006-I Get Support From My Friends Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get support from my friends. FACT-BL Version 4 - I Get Support From My Friends
C155613 FAC006-I Have a Good Appetite FAC006-I Have a Good Appetite Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have a good appetite. FACT-BL Version 4 - I Have a Good Appetite
C155581 FAC006-I Have a Lack of Energy FAC006-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have a lack of energy. FACT-BL Version 4 - I Have a Lack of Energy
C155604 FAC006-I Have Accepted My Illness FAC006-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I have accepted my illness. FACT-BL Version 4 - I Have Accepted My Illness
C155610 FAC006-I Have Control of My Bowels FAC006-I Have Control of My Bowels Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have control of my bowels. FACT-BL Version 4 - I Have Control of My Bowels
C155612 FAC006-I Have Diarrhea FAC006-I Have Diarrhea Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have diarrhea (diarrhoea). FACT-BL Version 4 - I Have Diarrhea
C155582 FAC006-I Have Nausea FAC006-I Have Nausea Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have nausea. FACT-BL Version 4 - I Have Nausea
C155584 FAC006-I Have Pain FAC006-I Have Pain Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have pain. FACT-BL Version 4 - I Have Pain
C155614 FAC006-I Like the Appearance of My Body FAC006-I Like the Appearance of My Body Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I like the appearance of my body. FACT-BL Version 4 - I Like the Appearance of My Body
C155611 FAC006-I Urinate More Frequently FAC006-I Urinate More Frequently Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I urinate more frequently than usual. FACT-BL Version 4 - I Urinate More Frequently
C155599 FAC006-I Worry About Dying FAC006-I Worry About Dying Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry about dying. FACT-BL Version 4 - I Worry About Dying
C155615 FAC006-It Burns When I Urinate FAC006-It Burns When I Urinate Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: It burns when I urinate. FACT-BL Version 4 - It Burns When I Urinate
C155597 FAC006-Losing Hope Against Illness FAC006-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-BL Version 4 - Losing Hope Against Illness
C155591 FAC006-My Family Has Accepted My Illness FAC006-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-BL Version 4 - My Family Has Accepted My Illness
C155602 FAC006-My Work Is Fulfilling FAC006-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-BL Version 4 - My Work Is Fulfilling
C180202 FAC006-Physical Subscale Score FAC006-Physical Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Subscale score. FACT-BL Version 4 - Physical Subscale Score
C155592 FAC006-Satisfied Communication Illness FAC006-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-BL Version 4 - Satisfied Communication Illness
C155596 FAC006-Satisfied With How I Am Coping FAC006-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-BL Version 4 - Satisfied With How I Am Coping
C180203 FAC006-Social/Family Subscale Score FAC006-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: Subscale score. FACT-BL Version 4 - Social/Family Subscale Score
C180209 FAC006-Total Score FAC006-Total Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Total score. FACT-BL Version 4 - Total Score
C180207 FAC006-Trial Outcome Index Score FAC006-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Bladder Version 4 - Trial outcome index score. FACT-BL Version 4 - Trial Outcome Index Score
C155608 FAC006-Trouble Controlling My Urine FAC006-Trouble Controlling My Urine Functional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have trouble controlling my urine. FACT-BL Version 4 - Trouble Controlling My Urine
C155583 FAC006-Trouble Meeting Needs of Family FAC006-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-BL Version 4 - Trouble Meeting Needs of Family
C155600 FAC006-Worry My Condition Will Get Worse FAC006-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-BL Version 4 - Worry My Condition Will Get Worse

FAC008TC (Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Code)

NCI Code: C150774, Codelist extensible: No
C150774 FAC008TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151076 FAC00801 FAC008-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have a lack of energy. FACT-C Version 4 - I Have a Lack of Energy
C151077 FAC00802 FAC008-I Have Nausea Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have nausea. FACT-C Version 4 - I Have Nausea
C151078 FAC00803 FAC008-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-C Version 4 - Trouble Meeting Needs of Family
C151079 FAC00804 FAC008-I Have Pain Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have pain. FACT-C Version 4 - I Have Pain
C151080 FAC00805 FAC008-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-C Version 4 - Bothered by Treatment Side Effect
C151081 FAC00806 FAC008-I Feel Ill Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I feel ill. FACT-C Version 4 - I Feel Ill
C151082 FAC00807 FAC008-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-C Version 4 - I Am Forced to Spend Time in Bed
C151083 FAC00808 FAC008-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-C Version 4 - I Feel Close to My Friends
C151084 FAC00809 FAC008-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-C Version 4 - Get Emotional Support From Family
C151085 FAC00810 FAC008-I Get Support From My Friends Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get support from my friends. FACT-C Version 4 - I Get Support From My Friends
C151086 FAC00811 FAC008-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-C Version 4 - My Family Has Accepted My Illness
C151087 FAC00812 FAC008-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-C Version 4 - Satisfied Communication Illness
C151088 FAC00813 FAC008-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-C Version 4 - I Feel Close to My Partner
C151089 FAC00814 FAC008-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-C Version 4 - I Am Satisfied With My Sex Life
C151090 FAC00815 FAC008-I Feel Sad Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel sad. FACT-C Version 4 - I Feel Sad
C151091 FAC00816 FAC008-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-C Version 4 - Satisfied With How I Am Coping
C151092 FAC00817 FAC008-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-C Version 4 - Losing Hope Against Illness
C151093 FAC00818 FAC008-I Feel Nervous Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel nervous. FACT-C Version 4 - I Feel Nervous
C151094 FAC00819 FAC008-I Worry About Dying Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry about dying. FACT-C Version 4 - I Worry About Dying
C151095 FAC00820 FAC008-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-C Version 4 - Worry My Condition Will Get Worse
C151096 FAC00821 FAC008-I Am Able to Work Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-C Version 4 - I Am Able to Work
C151097 FAC00822 FAC008-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-C Version 4 - My Work Is Fulfilling
C151098 FAC00823 FAC008-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to enjoy life. FACT-C Version 4 - I Am Able to Enjoy Life
C151099 FAC00824 FAC008-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I have accepted my illness. FACT-C Version 4 - I Have Accepted My Illness
C151100 FAC00825 FAC008-I Am Sleeping Well Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am sleeping well. FACT-C Version 4 - I Am Sleeping Well
C151101 FAC00826 FAC008-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-C Version 4 - Enjoy Things I Usually Do for Fun
C151102 FAC00827 FAC008-Content With Quality of My Life Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-C Version 4 - Content With Quality of My Life
C151103 FAC00828 FAC008-Swelling/Cramps in Stomach Area Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have swelling or cramps in my stomach area. FACT-C Version 4 - Swelling/Cramps in Stomach Area
C151104 FAC00829 FAC008-I Am Losing Weight Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am losing weight. FACT-C Version 4 - I Am Losing Weight
C151105 FAC00830 FAC008-I Have Control of My Bowels Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have control of my bowels. FACT-C Version 4 - I Have Control of My Bowels
C151106 FAC00831 FAC008-I Can Digest My Food Well Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I can digest my food well. FACT-C Version 4 - I Can Digest My Food Well
C151107 FAC00832 FAC008-I Have Diarrhea Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have diarrhea (diarrhoea). FACT-C Version 4 - I Have Diarrhea
C151108 FAC00833 FAC008-I Have a Good Appetite Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have a good appetite. FACT-C Version 4 - I Have a Good Appetite
C151109 FAC00834 FAC008-I Like the Appearance of My Body Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I like the appearance of my body. FACT-C Version 4 - I Like the Appearance of My Body
C151110 FAC00835 FAC008-Do You Have an Ostomy Appliance Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Do you have an ostomy appliance? FACT-C Version 4 - Do You Have an Ostomy Appliance
C151111 FAC00836 FAC008-Embarrassed by Ostomy Appliance Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance. FACT-C Version 4 - Embarrassed by Ostomy Appliance
C151112 FAC00837 FAC008-Caring for Ostomy Is Difficult Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult. FACT-C Version 4 - Caring for Ostomy Is Difficult
C163941 FAC00838 FAC008-Physical Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Subscale score. FACT-C Version 4 - Physical Subscale Score
C163942 FAC00839 FAC008-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: Subscale score. FACT-C Version 4 - Social/Family Subscale Score
C163943 FAC00840 FAC008-Emotional Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: Subscale score. FACT-C Version 4 - Emotional Subscale Score
C163944 FAC00841 FAC008-Functional Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: Subscale score. FACT-C Version 4 - Functional Subscale Score
C163945 FAC00842 FAC008-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Subscale score. FACT-C Version 4 - Additional Concern Subscale Score
C166339 FAC00843 FAC008-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Trial outcome index score. FACT-C Version 4 - Trial Outcome Index Score
C166340 FAC00844 FAC008-FACT-G Total Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - FACT-G total score. FACT-C Version 4 - FACT-G Total Score
C163946 FAC00845 FAC008-Total Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Total score. FACT-C Version 4 - Total Score

FAC008TN (Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Name)

NCI Code: C150773, Codelist extensible: No
C150773 FAC008TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163945 FAC008-Additional Concern Subscale Score FAC008-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Subscale score. FACT-C Version 4 - Additional Concern Subscale Score
C151080 FAC008-Bothered by Treatment Side Effect FAC008-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-C Version 4 - Bothered by Treatment Side Effect
C151112 FAC008-Caring for Ostomy Is Difficult FAC008-Caring for Ostomy Is Difficult Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult. FACT-C Version 4 - Caring for Ostomy Is Difficult
C151102 FAC008-Content With Quality of My Life FAC008-Content With Quality of My Life Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-C Version 4 - Content With Quality of My Life
C151110 FAC008-Do You Have an Ostomy Appliance FAC008-Do You Have an Ostomy Appliance Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Do you have an ostomy appliance? FACT-C Version 4 - Do You Have an Ostomy Appliance
C151111 FAC008-Embarrassed by Ostomy Appliance FAC008-Embarrassed by Ostomy Appliance Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance. FACT-C Version 4 - Embarrassed by Ostomy Appliance
C163943 FAC008-Emotional Subscale Score FAC008-Emotional Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: Subscale score. FACT-C Version 4 - Emotional Subscale Score
C151101 FAC008-Enjoy Things I Usually Do for Fun FAC008-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-C Version 4 - Enjoy Things I Usually Do for Fun
C166340 FAC008-FACT-G Total Score FAC008-FACT-G Total Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - FACT-G total score. FACT-C Version 4 - FACT-G Total Score
C163944 FAC008-Functional Subscale Score FAC008-Functional Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: Subscale score. FACT-C Version 4 - Functional Subscale Score
C151084 FAC008-Get Emotional Support From Family FAC008-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-C Version 4 - Get Emotional Support From Family
C151098 FAC008-I Am Able to Enjoy Life FAC008-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to enjoy life. FACT-C Version 4 - I Am Able to Enjoy Life
C151096 FAC008-I Am Able to Work FAC008-I Am Able to Work Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-C Version 4 - I Am Able to Work
C151082 FAC008-I Am Forced to Spend Time in Bed FAC008-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-C Version 4 - I Am Forced to Spend Time in Bed
C151104 FAC008-I Am Losing Weight FAC008-I Am Losing Weight Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am losing weight. FACT-C Version 4 - I Am Losing Weight
C151089 FAC008-I Am Satisfied With My Sex Life FAC008-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-C Version 4 - I Am Satisfied With My Sex Life
C151100 FAC008-I Am Sleeping Well FAC008-I Am Sleeping Well Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am sleeping well. FACT-C Version 4 - I Am Sleeping Well
C151106 FAC008-I Can Digest My Food Well FAC008-I Can Digest My Food Well Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I can digest my food well. FACT-C Version 4 - I Can Digest My Food Well
C151083 FAC008-I Feel Close to My Friends FAC008-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-C Version 4 - I Feel Close to My Friends
C151088 FAC008-I Feel Close to My Partner FAC008-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-C Version 4 - I Feel Close to My Partner
C151081 FAC008-I Feel Ill FAC008-I Feel Ill Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I feel ill. FACT-C Version 4 - I Feel Ill
C151093 FAC008-I Feel Nervous FAC008-I Feel Nervous Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel nervous. FACT-C Version 4 - I Feel Nervous
C151090 FAC008-I Feel Sad FAC008-I Feel Sad Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel sad. FACT-C Version 4 - I Feel Sad
C151085 FAC008-I Get Support From My Friends FAC008-I Get Support From My Friends Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get support from my friends. FACT-C Version 4 - I Get Support From My Friends
C151108 FAC008-I Have a Good Appetite FAC008-I Have a Good Appetite Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have a good appetite. FACT-C Version 4 - I Have a Good Appetite
C151076 FAC008-I Have a Lack of Energy FAC008-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have a lack of energy. FACT-C Version 4 - I Have a Lack of Energy
C151099 FAC008-I Have Accepted My Illness FAC008-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I have accepted my illness. FACT-C Version 4 - I Have Accepted My Illness
C151105 FAC008-I Have Control of My Bowels FAC008-I Have Control of My Bowels Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have control of my bowels. FACT-C Version 4 - I Have Control of My Bowels
C151107 FAC008-I Have Diarrhea FAC008-I Have Diarrhea Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have diarrhea (diarrhoea). FACT-C Version 4 - I Have Diarrhea
C151077 FAC008-I Have Nausea FAC008-I Have Nausea Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have nausea. FACT-C Version 4 - I Have Nausea
C151079 FAC008-I Have Pain FAC008-I Have Pain Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have pain. FACT-C Version 4 - I Have Pain
C151109 FAC008-I Like the Appearance of My Body FAC008-I Like the Appearance of My Body Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I like the appearance of my body. FACT-C Version 4 - I Like the Appearance of My Body
C151094 FAC008-I Worry About Dying FAC008-I Worry About Dying Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry about dying. FACT-C Version 4 - I Worry About Dying
C151092 FAC008-Losing Hope Against Illness FAC008-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-C Version 4 - Losing Hope Against Illness
C151086 FAC008-My Family Has Accepted My Illness FAC008-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-C Version 4 - My Family Has Accepted My Illness
C151097 FAC008-My Work Is Fulfilling FAC008-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-C Version 4 - My Work Is Fulfilling
C163941 FAC008-Physical Subscale Score FAC008-Physical Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Subscale score. FACT-C Version 4 - Physical Subscale Score
C151087 FAC008-Satisfied Communication Illness FAC008-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-C Version 4 - Satisfied Communication Illness
C151091 FAC008-Satisfied With How I Am Coping FAC008-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-C Version 4 - Satisfied With How I Am Coping
C163942 FAC008-Social/Family Subscale Score FAC008-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: Subscale score. FACT-C Version 4 - Social/Family Subscale Score
C151103 FAC008-Swelling/Cramps in Stomach Area FAC008-Swelling/Cramps in Stomach Area Functional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have swelling or cramps in my stomach area. FACT-C Version 4 - Swelling/Cramps in Stomach Area
C163946 FAC008-Total Score FAC008-Total Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Total score. FACT-C Version 4 - Total Score
C166339 FAC008-Trial Outcome Index Score FAC008-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Colorectal Version 4 - Trial outcome index score. FACT-C Version 4 - Trial Outcome Index Score
C151078 FAC008-Trouble Meeting Needs of Family FAC008-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-C Version 4 - Trouble Meeting Needs of Family
C151095 FAC008-Worry My Condition Will Get Worse FAC008-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-C Version 4 - Worry My Condition Will Get Worse

FAC015TC (Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Code)

NCI Code: C130255, Codelist extensible: No
C130255 FAC015TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130458 FAC01501 FAC015-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have a lack of energy. FACT-HEP Version 4 - I Have a Lack of Energy
C130459 FAC01502 FAC015-I Have Nausea Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have nausea. FACT-HEP Version 4 - I Have Nausea
C130460 FAC01503 FAC015-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-HEP Version 4 - Trouble Meeting Needs of Family
C130461 FAC01504 FAC015-I Have Pain Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have pain. FACT-HEP Version 4 - I Have Pain
C130462 FAC01505 FAC015-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-HEP Version 4 - Bothered by Treatment Side Effect
C130463 FAC01506 FAC015-I Feel Ill Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I feel ill. FACT-HEP Version 4 - I Feel Ill
C130464 FAC01507 FAC015-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-HEP Version 4 - I Am Forced to Spend Time in Bed
C130465 FAC01508 FAC015-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-HEP Version 4 - I Feel Close to My Friends
C130466 FAC01509 FAC015-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-HEP Version 4 - Get Emotional Support From Family
C130467 FAC01510 FAC015-I Get Support From My Friends Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get support from my friends. FACT-HEP Version 4 - I Get Support From My Friends
C130468 FAC01511 FAC015-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-HEP Version 4 - My Family Has Accepted My Illness
C130469 FAC01512 FAC015-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-HEP Version 4 - Satisfied With Communication About Illness
C130470 FAC01513 FAC015-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-HEP Version 4 - I Feel Close to My Partner
C130471 FAC01514 FAC015-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-HEP Version 4 - I Am Satisfied With My Sex Life
C130472 FAC01515 FAC015-I Feel Sad Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel sad. FACT-HEP Version 4 - I Feel Sad
C130473 FAC01516 FAC015-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-HEP Version 4 - Satisfied With How I Am Coping
C130474 FAC01517 FAC015-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-HEP Version 4 - Losing Hope Against Illness
C130475 FAC01518 FAC015-I Feel Nervous Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel nervous. FACT-HEP Version 4 - I Feel Nervous
C130476 FAC01519 FAC015-I Worry About Dying Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry about dying. FACT-HEP Version 4 - I Worry About Dying
C130477 FAC01520 FAC015-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-HEP Version 4 - Worry My Condition Will Get Worse
C130478 FAC01521 FAC015-I Am Able to Work Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-HEP Version 4 - I Am Able to Work
C130479 FAC01522 FAC015-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-HEP Version 4 - My Work Is Fulfilling
C130480 FAC01523 FAC015-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to enjoy life. FACT-HEP Version 4 - I Am Able to Enjoy Life
C130481 FAC01524 FAC015-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I have accepted my illness. FACT-HEP Version 4 - I Have Accepted My Illness
C130482 FAC01525 FAC015-I Am Sleeping Well Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am sleeping well. FACT-HEP Version 4 - I Am Sleeping Well
C130483 FAC01526 FAC015-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-HEP Version 4 - Enjoy Things I Usually Do for Fun
C130484 FAC01527 FAC015-Content With Quality of My Life Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-HEP Version 4 - Content With Quality of My Life
C130485 FAC01528 FAC015-Swelling/Cramps in Stomach Area Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have swelling or cramps in my stomach area. FACT-HEP Version 4 - Swelling or Cramps in Stomach Area
C130486 FAC01529 FAC015-I Am Losing Weight Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am losing weight. FACT-HEP Version 4 - I Am Losing Weight
C130487 FAC01530 FAC015-I Have Control of My Bowels Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have control of my bowels. FACT-HEP Version 4 - I Have Control of My Bowels
C130488 FAC01531 FAC015-I Can Digest My Food Well Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I can digest my food well. FACT-HEP Version 4 - I Can Digest My Food Well
C130489 FAC01532 FAC015-I Have Diarrhea Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have diarrhea (diarrhoea). FACT-HEP Version 4 - I Have Diarrhea
C130490 FAC01533 FAC015-I Have a Good Appetite Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have a good appetite. FACT-HEP Version 4 - I Have a Good Appetite
C130491 FAC01534 FAC015-Unhappy About Change in My Appear Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am unhappy about a change in my appearance. FACT-HEP Version 4 - Unhappy About Change in My Appearance
C130492 FAC01535 FAC015-I Have Pain in My Back Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have pain in my back. FACT-HEP Version 4 - I Have Pain in My Back
C130493 FAC01536 FAC015-I Am Bothered by Constipation Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by constipation. FACT-HEP Version 4 - I Am Bothered by Constipation
C130494 FAC01537 FAC015-I Feel Fatigued Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I feel fatigued. FACT-HEP Version 4 - I Feel Fatigued
C130495 FAC01538 FAC015-Able to Do My Usual Activities Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am able to do my usual activities. FACT-HEP Version 4 - Able to Do My Usual Activities
C130496 FAC01539 FAC015-Bothered by Jaundice/Yellow Skin Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by jaundice or yellow color to my skin. FACT-HEP Version 4 - Bothered by Jaundice or Yellow Skin
C130497 FAC01540 FAC015-I Have Had Fevers Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had fevers (episodes of high body temperature). FACT-HEP Version 4 - I Have Had Fevers
C130498 FAC01541 FAC015-I Have Had Itching Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had itching. FACT-HEP Version 4 - I Have Had Itching
C130499 FAC01542 FAC015-Had Change in the Way Food Tastes Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had a change in the way food tastes. FACT-HEP Version 4 - Had Change in the Way Food Tastes
C130500 FAC01543 FAC015-I Have Had Chills Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had chills. FACT-HEP Version 4 - I Have Had Chills
C130501 FAC01544 FAC015-My Mouth Is Dry Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: My mouth is dry. FACT-HEP Version 4 - My Mouth Is Dry
C130502 FAC01545 FAC015-Discomfort/Pain in Stomach Area Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have discomfort or pain in my stomach area. FACT-HEP Version 4 - Discomfort or Pain in Stomach Area
C180210 FAC01546 FAC015-Physical Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Subscale score. FACT-HEP Version 4 - Physical Subscale Score
C180211 FAC01547 FAC015-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: Subscale score. FACT-HEP Version 4 - Social/Family Subscale Score
C180212 FAC01548 FAC015-Emotional Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: Subscale score. FACT-HEP Version 4 - Emotional Subscale Score
C180213 FAC01549 FAC015-Functional Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: Subscale score. FACT-HEP Version 4 - Functional Subscale Score
C180214 FAC01550 FAC015-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: Subscale score. FACT-HEP Version 4 - Additional Concern Subscale Score
C180215 FAC01551 FAC015-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Trial outcome index score. FACT-HEP Version 4 - Trial Outcome Index Score
C180216 FAC01552 FAC015-FACT-G Total Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - FACT-G total score. FACT-HEP Version 4 - FACT-G Total Score
C180217 FAC01553 FAC015-Total Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Total score. FACT-HEP Version 4 - Total Score

FAC015TN (Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Name)

NCI Code: C130254, Codelist extensible: No
C130254 FAC015TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130495 FAC015-Able to Do My Usual Activities FAC015-Able to Do My Usual Activities Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am able to do my usual activities. FACT-HEP Version 4 - Able to Do My Usual Activities
C180214 FAC015-Additional Concern Subscale Score FAC015-Additional Concern Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: Subscale score. FACT-HEP Version 4 - Additional Concern Subscale Score
C130496 FAC015-Bothered by Jaundice/Yellow Skin FAC015-Bothered by Jaundice/Yellow Skin Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by jaundice or yellow color to my skin. FACT-HEP Version 4 - Bothered by Jaundice or Yellow Skin
C130462 FAC015-Bothered by Treatment Side Effect FAC015-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-HEP Version 4 - Bothered by Treatment Side Effect
C130484 FAC015-Content With Quality of My Life FAC015-Content With Quality of My Life Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-HEP Version 4 - Content With Quality of My Life
C130502 FAC015-Discomfort/Pain in Stomach Area FAC015-Discomfort/Pain in Stomach Area Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have discomfort or pain in my stomach area. FACT-HEP Version 4 - Discomfort or Pain in Stomach Area
C180212 FAC015-Emotional Subscale Score FAC015-Emotional Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: Subscale score. FACT-HEP Version 4 - Emotional Subscale Score
C130483 FAC015-Enjoy Things I Usually Do for Fun FAC015-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-HEP Version 4 - Enjoy Things I Usually Do for Fun
C180216 FAC015-FACT-G Total Score FAC015-FACT-G Total Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - FACT-G total score. FACT-HEP Version 4 - FACT-G Total Score
C180213 FAC015-Functional Subscale Score FAC015-Functional Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: Subscale score. FACT-HEP Version 4 - Functional Subscale Score
C130466 FAC015-Get Emotional Support From Family FAC015-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-HEP Version 4 - Get Emotional Support From Family
C130499 FAC015-Had Change in the Way Food Tastes FAC015-Had Change in the Way Food Tastes Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had a change in the way food tastes. FACT-HEP Version 4 - Had Change in the Way Food Tastes
C130480 FAC015-I Am Able to Enjoy Life FAC015-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to enjoy life. FACT-HEP Version 4 - I Am Able to Enjoy Life
C130478 FAC015-I Am Able to Work FAC015-I Am Able to Work Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-HEP Version 4 - I Am Able to Work
C130493 FAC015-I Am Bothered by Constipation FAC015-I Am Bothered by Constipation Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by constipation. FACT-HEP Version 4 - I Am Bothered by Constipation
C130464 FAC015-I Am Forced to Spend Time in Bed FAC015-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-HEP Version 4 - I Am Forced to Spend Time in Bed
C130486 FAC015-I Am Losing Weight FAC015-I Am Losing Weight Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am losing weight. FACT-HEP Version 4 - I Am Losing Weight
C130471 FAC015-I Am Satisfied With My Sex Life FAC015-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-HEP Version 4 - I Am Satisfied With My Sex Life
C130482 FAC015-I Am Sleeping Well FAC015-I Am Sleeping Well Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am sleeping well. FACT-HEP Version 4 - I Am Sleeping Well
C130488 FAC015-I Can Digest My Food Well FAC015-I Can Digest My Food Well Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I can digest my food well. FACT-HEP Version 4 - I Can Digest My Food Well
C130465 FAC015-I Feel Close to My Friends FAC015-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-HEP Version 4 - I Feel Close to My Friends
C130470 FAC015-I Feel Close to My Partner FAC015-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-HEP Version 4 - I Feel Close to My Partner
C130494 FAC015-I Feel Fatigued FAC015-I Feel Fatigued Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I feel fatigued. FACT-HEP Version 4 - I Feel Fatigued
C130463 FAC015-I Feel Ill FAC015-I Feel Ill Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I feel ill. FACT-HEP Version 4 - I Feel Ill
C130475 FAC015-I Feel Nervous FAC015-I Feel Nervous Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel nervous. FACT-HEP Version 4 - I Feel Nervous
C130472 FAC015-I Feel Sad FAC015-I Feel Sad Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel sad. FACT-HEP Version 4 - I Feel Sad
C130467 FAC015-I Get Support From My Friends FAC015-I Get Support From My Friends Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get support from my friends. FACT-HEP Version 4 - I Get Support From My Friends
C130490 FAC015-I Have a Good Appetite FAC015-I Have a Good Appetite Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have a good appetite. FACT-HEP Version 4 - I Have a Good Appetite
C130458 FAC015-I Have a Lack of Energy FAC015-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have a lack of energy. FACT-HEP Version 4 - I Have a Lack of Energy
C130481 FAC015-I Have Accepted My Illness FAC015-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I have accepted my illness. FACT-HEP Version 4 - I Have Accepted My Illness
C130487 FAC015-I Have Control of My Bowels FAC015-I Have Control of My Bowels Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have control of my bowels. FACT-HEP Version 4 - I Have Control of My Bowels
C130489 FAC015-I Have Diarrhea FAC015-I Have Diarrhea Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have diarrhea (diarrhoea). FACT-HEP Version 4 - I Have Diarrhea
C130500 FAC015-I Have Had Chills FAC015-I Have Had Chills Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had chills. FACT-HEP Version 4 - I Have Had Chills
C130497 FAC015-I Have Had Fevers FAC015-I Have Had Fevers Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had fevers (episodes of high body temperature). FACT-HEP Version 4 - I Have Had Fevers
C130498 FAC015-I Have Had Itching FAC015-I Have Had Itching Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had itching. FACT-HEP Version 4 - I Have Had Itching
C130459 FAC015-I Have Nausea FAC015-I Have Nausea Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have nausea. FACT-HEP Version 4 - I Have Nausea
C130492 FAC015-I Have Pain in My Back FAC015-I Have Pain in My Back Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have pain in my back. FACT-HEP Version 4 - I Have Pain in My Back
C130461 FAC015-I Have Pain FAC015-I Have Pain Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have pain. FACT-HEP Version 4 - I Have Pain
C130476 FAC015-I Worry About Dying FAC015-I Worry About Dying Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry about dying. FACT-HEP Version 4 - I Worry About Dying
C130474 FAC015-Losing Hope Against Illness FAC015-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-HEP Version 4 - Losing Hope Against Illness
C130468 FAC015-My Family Has Accepted My Illness FAC015-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-HEP Version 4 - My Family Has Accepted My Illness
C130501 FAC015-My Mouth Is Dry FAC015-My Mouth Is Dry Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: My mouth is dry. FACT-HEP Version 4 - My Mouth Is Dry
C130479 FAC015-My Work Is Fulfilling FAC015-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-HEP Version 4 - My Work Is Fulfilling
C180210 FAC015-Physical Subscale Score FAC015-Physical Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Subscale score. FACT-HEP Version 4 - Physical Subscale Score
C130469 FAC015-Satisfied Communication Illness FAC015-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-HEP Version 4 - Satisfied With Communication About Illness
C130473 FAC015-Satisfied With How I Am Coping FAC015-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-HEP Version 4 - Satisfied With How I Am Coping
C180211 FAC015-Social/Family Subscale Score FAC015-Social/Family Subscale Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: Subscale score. FACT-HEP Version 4 - Social/Family Subscale Score
C130485 FAC015-Swelling/Cramps in Stomach Area FAC015-Swelling/Cramps in Stomach Area Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have swelling or cramps in my stomach area. FACT-HEP Version 4 - Swelling or Cramps in Stomach Area
C180217 FAC015-Total Score FAC015-Total Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Total score. FACT-HEP Version 4 - Total Score
C180215 FAC015-Trial Outcome Index Score FAC015-Trial Outcome Index Score Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Trial outcome index score. FACT-HEP Version 4 - Trial Outcome Index Score
C130460 FAC015-Trouble Meeting Needs of Family FAC015-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-HEP Version 4 - Trouble Meeting Needs of Family
C130491 FAC015-Unhappy About Change in My Appear FAC015-Unhappy About Change in My Appear Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am unhappy about a change in my appearance. FACT-HEP Version 4 - Unhappy About Change in My Appearance
C130477 FAC015-Worry My Condition Will Get Worse FAC015-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-HEP Version 4 - Worry My Condition Will Get Worse

FAC016TC (Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Code)

NCI Code: C150782, Codelist extensible: No
C150782 FAC016TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151234 FAC01601 FAC016-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have a lack of energy. FACT-L Version 4 - I Have a Lack of Energy
C151235 FAC01602 FAC016-I Have Nausea Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have nausea. FACT-L Version 4 - I Have Nausea
C151236 FAC01603 FAC016-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-L Version 4 - Trouble Meeting Needs of Family
C151237 FAC01604 FAC016-I Have Pain Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have pain. FACT-L Version 4 - I Have Pain
C151238 FAC01605 FAC016-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-L Version 4 - Bothered by Treatment Side Effect
C151239 FAC01606 FAC016-I Feel Ill Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I feel ill. FACT-L Version 4 - I Feel Ill
C151240 FAC01607 FAC016-I am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-L Version 4 - I am Forced to Spend Time in Bed
C151241 FAC01608 FAC016-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-L Version 4 - I Feel Close to My Friends
C151242 FAC01609 FAC016-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-L Version 4 - Get Emotional Support From Family
C151243 FAC01610 FAC016-I Get Support From My Friends Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get support from my friends. FACT-L Version 4 - I Get Support From My Friends
C151244 FAC01611 FAC016-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-L Version 4 - My Family Has Accepted My Illness
C151245 FAC01612 FAC016-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-L Version 4 - Satisfied Communication Illness
C151246 FAC01613 FAC016-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-L Version 4 - I Feel Close to My Partner
C151247 FAC01614 FAC016-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-L Version 4 - I Am Satisfied With My Sex Life
C151248 FAC01615 FAC016-I Feel Sad Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel sad. FACT-L Version 4 - I Feel Sad
C151249 FAC01616 FAC016-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-L Version 4 - Satisfied With How I Am Coping
C151250 FAC01617 FAC016-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-L Version 4 - Losing Hope Against Illness
C151251 FAC01618 FAC016-I Feel Nervous Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel nervous. FACT-L Version 4 - I Feel Nervous
C151252 FAC01619 FAC016-I Worry About Dying Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry about dying. FACT-L Version 4 - I Worry About Dying
C151253 FAC01620 FAC016-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-L Version 4 - Worry My Condition Will Get Worse
C151254 FAC01621 FAC016-I Am Able to Work Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-L Version 4 - I Am Able to Work
C151255 FAC01622 FAC016-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-L Version 4 - My Work Is Fulfilling
C151256 FAC01623 FAC016-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to enjoy life. FACT-L Version 4 - I Am Able to Enjoy Life
C151257 FAC01624 FAC016-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I have accepted my illness. FACT-L Version 4 - I Have Accepted My Illness
C151258 FAC01625 FAC016-I Am Sleeping Well Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am sleeping well. FACT-L Version 4 - I Am Sleeping Well
C151259 FAC01626 FAC016-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-L Version 4 - Enjoy Things I Usually Do for Fun
C151260 FAC01627 FAC016-Content With Quality of My Life Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-L Version 4 - Content With Quality of My Life
C151261 FAC01628 FAC016-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been short of breath. FACT-L Version 4 - I Have Been Short of Breath
C151262 FAC01629 FAC016-I Am Losing Weight Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am losing weight. FACT-L Version 4 - I Am Losing Weight
C151263 FAC01630 FAC016-My Thinking Is Clear Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: My thinking is clear. FACT-L Version 4 - My Thinking Is Clear
C151264 FAC01631 FAC016-I Have Been Coughing Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been coughing. FACT-L Version 4 - I Have Been Coughing
C151265 FAC01632 FAC016-I Am Bothered by Hair Loss Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am bothered by hair loss. FACT-L Version 4 - I Am Bothered by Hair Loss
C151266 FAC01633 FAC016-I Have a Good Appetite Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have a good appetite. FACT-L Version 4 - I Have a Good Appetite
C151267 FAC01634 FAC016-I Feel Tightness in My Chest Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I feel tightness in my chest. FACT-L Version 4 - I Feel Tightness in My Chest
C151268 FAC01635 FAC016-Breathing Is Easy for Me Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Breathing is easy for me. FACT-L Version 4 - Breathing Is Easy for Me
C151269 FAC01636 FAC016-Have You Ever Smoked Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Have you ever smoked? FACT-L Version 4 - Have You Ever Smoked
C151270 FAC01637 FAC016-I Regret My Smoking Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I regret my smoking. FACT-L Version 4 - I Regret My Smoking

FAC016TN (Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Name)

NCI Code: C150781, Codelist extensible: No
C150781 FAC016TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151238 FAC016-Bothered by Treatment Side Effect FAC016-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-L Version 4 - Bothered by Treatment Side Effect
C151268 FAC016-Breathing Is Easy for Me FAC016-Breathing Is Easy for Me Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Breathing is easy for me. FACT-L Version 4 - Breathing Is Easy for Me
C151260 FAC016-Content With Quality of My Life FAC016-Content With Quality of My Life Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-L Version 4 - Content With Quality of My Life
C151259 FAC016-Enjoy Things I Usually Do for Fun FAC016-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-L Version 4 - Enjoy Things I Usually Do for Fun
C151242 FAC016-Get Emotional Support From Family FAC016-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-L Version 4 - Get Emotional Support From Family
C151269 FAC016-Have You Ever Smoked FAC016-Have You Ever Smoked Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Have you ever smoked? FACT-L Version 4 - Have You Ever Smoked
C151256 FAC016-I Am Able to Enjoy Life FAC016-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to enjoy life. FACT-L Version 4 - I Am Able to Enjoy Life
C151254 FAC016-I Am Able to Work FAC016-I Am Able to Work Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-L Version 4 - I Am Able to Work
C151265 FAC016-I Am Bothered by Hair Loss FAC016-I Am Bothered by Hair Loss Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am bothered by hair loss. FACT-L Version 4 - I Am Bothered by Hair Loss
C151240 FAC016-I am Forced to Spend Time in Bed FAC016-I am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-L Version 4 - I am Forced to Spend Time in Bed
C151262 FAC016-I Am Losing Weight FAC016-I Am Losing Weight Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am losing weight. FACT-L Version 4 - I Am Losing Weight
C151247 FAC016-I Am Satisfied With My Sex Life FAC016-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-L Version 4 - I Am Satisfied With My Sex Life
C151258 FAC016-I Am Sleeping Well FAC016-I Am Sleeping Well Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am sleeping well. FACT-L Version 4 - I Am Sleeping Well
C151241 FAC016-I Feel Close to My Friends FAC016-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-L Version 4 - I Feel Close to My Friends
C151246 FAC016-I Feel Close to My Partner FAC016-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-L Version 4 - I Feel Close to My Partner
C151239 FAC016-I Feel Ill FAC016-I Feel Ill Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I feel ill. FACT-L Version 4 - I Feel Ill
C151251 FAC016-I Feel Nervous FAC016-I Feel Nervous Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel nervous. FACT-L Version 4 - I Feel Nervous
C151248 FAC016-I Feel Sad FAC016-I Feel Sad Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel sad. FACT-L Version 4 - I Feel Sad
C151267 FAC016-I Feel Tightness in My Chest FAC016-I Feel Tightness in My Chest Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I feel tightness in my chest. FACT-L Version 4 - I Feel Tightness in My Chest
C151243 FAC016-I Get Support From My Friends FAC016-I Get Support From My Friends Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get support from my friends. FACT-L Version 4 - I Get Support From My Friends
C151266 FAC016-I Have a Good Appetite FAC016-I Have a Good Appetite Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have a good appetite. FACT-L Version 4 - I Have a Good Appetite
C151234 FAC016-I Have a Lack of Energy FAC016-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have a lack of energy. FACT-L Version 4 - I Have a Lack of Energy
C151257 FAC016-I Have Accepted My Illness FAC016-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I have accepted my illness. FACT-L Version 4 - I Have Accepted My Illness
C151264 FAC016-I Have Been Coughing FAC016-I Have Been Coughing Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been coughing. FACT-L Version 4 - I Have Been Coughing
C151261 FAC016-I Have Been Short of Breath FAC016-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been short of breath. FACT-L Version 4 - I Have Been Short of Breath
C151235 FAC016-I Have Nausea FAC016-I Have Nausea Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have nausea. FACT-L Version 4 - I Have Nausea
C151237 FAC016-I Have Pain FAC016-I Have Pain Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have pain. FACT-L Version 4 - I Have Pain
C151270 FAC016-I Regret My Smoking FAC016-I Regret My Smoking Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I regret my smoking. FACT-L Version 4 - I Regret My Smoking
C151252 FAC016-I Worry About Dying FAC016-I Worry About Dying Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry about dying. FACT-L Version 4 - I Worry About Dying
C151250 FAC016-Losing Hope Against Illness FAC016-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-L Version 4 - Losing Hope Against Illness
C151244 FAC016-My Family Has Accepted My Illness FAC016-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-L Version 4 - My Family Has Accepted My Illness
C151263 FAC016-My Thinking Is Clear FAC016-My Thinking Is Clear Functional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: My thinking is clear. FACT-L Version 4 - My Thinking Is Clear
C151255 FAC016-My Work Is Fulfilling FAC016-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-L Version 4 - My Work Is Fulfilling
C151245 FAC016-Satisfied Communication Illness FAC016-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-L Version 4 - Satisfied Communication Illness
C151249 FAC016-Satisfied With How I Am Coping FAC016-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-L Version 4 - Satisfied With How I Am Coping
C151236 FAC016-Trouble Meeting Needs of Family FAC016-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-L Version 4 - Trouble Meeting Needs of Family
C151253 FAC016-Worry My Condition Will Get Worse FAC016-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-L Version 4 - Worry My Condition Will Get Worse

FAC017TC (Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Code)

NCI Code: C130253, Codelist extensible: No
C130253 FAC017TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130414 FAC01701 FAC017-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have a lack of energy. FACT-LEU Version 4 - I Have a Lack of Energy
C130415 FAC01702 FAC017-I Have Nausea Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have nausea. FACT-LEU Version 4 - I Have Nausea
C130416 FAC01703 FAC017-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-LEU Version 4 - Trouble Meeting Needs of Family
C130417 FAC01704 FAC017-I Have Pain Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have pain. FACT-LEU Version 4 - I Have Pain
C130418 FAC01705 FAC017-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-LEU Version 4 - Bothered by Treatment Side Effect
C130419 FAC01706 FAC017-I Feel Ill Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I feel ill. FACT-LEU Version 4 - I Feel Ill
C130420 FAC01707 FAC017-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-LEU Version 4 - I Am Forced to Spend Time in Bed
C130421 FAC01708 FAC017-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-LEU Version 4 - I Feel Close to My Friends
C130422 FAC01709 FAC017-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-LEU Version 4 - Get Emotional Support From Family
C130423 FAC01710 FAC017-I Get Support From My Friends Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get support from my friends. FACT-LEU Version 4 - I Get Support From My Friends
C130424 FAC01711 FAC017-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-LEU Version 4 - My Family Has Accepted My Illness
C130425 FAC01712 FAC017-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-LEU Version 4 - Satisfied Communication Illness
C130426 FAC01713 FAC017-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-LEU Version 4 - I Feel Close to My Partner
C130427 FAC01714 FAC017-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-LEU Version 4 - I Am Satisfied With My Sex Life
C130428 FAC01715 FAC017-I Feel Sad Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel sad. FACT-LEU Version 4 - I Feel Sad
C130429 FAC01716 FAC017-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-LEU Version 4 - Satisfied With How I Am Coping
C130430 FAC01717 FAC017-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-LEU Version 4 - Losing Hope Against Illness
C130431 FAC01718 FAC017-I Feel Nervous Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel nervous. FACT-LEU Version 4 - I Feel Nervous
C130432 FAC01719 FAC017-I Worry About Dying Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry about dying. FACT-LEU Version 4 - I Worry About Dying
C130433 FAC01720 FAC017-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-LEU Version 4 - Worry My Condition Will Get Worse
C130434 FAC01721 FAC017-I Am Able to Work Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-LEU Version 4 - I Am Able to Work
C130435 FAC01722 FAC017-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-LEU Version 4 - My Work Is Fulfilling
C130436 FAC01723 FAC017-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to enjoy life. FACT-LEU Version 4 - I Am Able to Enjoy Life
C130437 FAC01724 FAC017-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I have accepted my illness. FACT-LEU Version 4 - I Have Accepted My Illness
C130438 FAC01725 FAC017-I Am Sleeping Well Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am sleeping well. FACT-LEU Version 4 - I Am Sleeping Well
C130439 FAC01726 FAC017-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-LEU Version 4 - Enjoy Things I Usually Do for Fun
C130440 FAC01727 FAC017-Content With Quality of My Life Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-LEU Version 4 - Content With Quality of My Life
C130441 FAC01728 FAC017-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature). FACT-LEU Version 4 - I Am Bothered by Fevers
C130442 FAC01729 FAC017-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-LEU Version 4 - Certain Parts of Body Have Pain
C130443 FAC01730 FAC017-I Am Bothered by the Chills Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by the chills. FACT-LEU Version 4 - I Am Bothered by the Chills
C130444 FAC01731 FAC017-I Have Night Sweats Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have night sweats. FACT-LEU Version 4 - I Have Night Sweats
C130445 FAC01732 FAC017-Bothered by Lumps or Swelling Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin). FACT-LEU Version 4 - Bothered by Lumps or Swelling
C130446 FAC01733 FAC017-I Bleed Easily Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bleed easily. FACT-LEU Version 4 - I Bleed Easily
C130447 FAC01734 FAC017-I Bruise Easily Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bruise easily. FACT-LEU Version 4 - I Bruise Easily
C130448 FAC01735 FAC017-I Feel Weak All Over Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel weak all over. FACT-LEU Version 4 - I Feel Weak All Over
C130449 FAC01736 FAC017-I Get Tired Easily Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I get tired easily. FACT-LEU Version 4 - I Get Tired Easily
C130450 FAC01737 FAC017-I Am Losing Weight Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am losing weight. FACT-LEU Version 4 - I Am Losing Weight
C130451 FAC01738 FAC017-I Have a Good Appetite Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have a good appetite. FACT-LEU Version 4 - I Have a Good Appetite
C130452 FAC01739 FAC017-Able to Do My Usual Activities Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am able to do my usual activities. FACT-LEU Version 4 - Able to Do My Usual Activities
C130453 FAC01740 FAC017-I Worry About Getting Infections Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry about getting infections. FACT-LEU Version 4 - I Worry About Getting Infections
C130454 FAC01741 FAC017-Uncertain About My Future Health Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel uncertain about my future health. FACT-LEU Version 4 - Uncertain About My Future Health
C130455 FAC01742 FAC017-Worry I Might Get New Symptoms Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness. FACT-LEU Version 4 - Worry I Might Get New Symptoms
C130456 FAC01743 FAC017-I Have Emotional Ups and Downs Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have emotional ups and downs. FACT-LEU Version 4 - I Have Emotional Ups and Downs
C130457 FAC01744 FAC017-Feel Isolated Because of Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment. FACT-LEU Version 4 - Feel Isolated Because of Illness

FAC017TN (Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Name)

NCI Code: C130252, Codelist extensible: No
C130252 FAC017TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130452 FAC017-Able to Do My Usual Activities FAC017-Able to Do My Usual Activities Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am able to do my usual activities. FACT-LEU Version 4 - Able to Do My Usual Activities
C130445 FAC017-Bothered by Lumps or Swelling FAC017-Bothered by Lumps or Swelling Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin). FACT-LEU Version 4 - Bothered by Lumps or Swelling
C130418 FAC017-Bothered by Treatment Side Effect FAC017-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-LEU Version 4 - Bothered by Treatment Side Effect
C130442 FAC017-Certain Parts of Body Have Pain FAC017-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-LEU Version 4 - Certain Parts of Body Have Pain
C130440 FAC017-Content With Quality of My Life FAC017-Content With Quality of My Life Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-LEU Version 4 - Content With Quality of My Life
C130439 FAC017-Enjoy Things I Usually Do for Fun FAC017-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-LEU Version 4 - Enjoy Things I Usually Do for Fun
C130457 FAC017-Feel Isolated Because of Illness FAC017-Feel Isolated Because of Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment. FACT-LEU Version 4 - Feel Isolated Because of Illness
C130422 FAC017-Get Emotional Support From Family FAC017-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-LEU Version 4 - Get Emotional Support From Family
C130436 FAC017-I Am Able to Enjoy Life FAC017-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to enjoy life. FACT-LEU Version 4 - I Am Able to Enjoy Life
C130434 FAC017-I Am Able to Work FAC017-I Am Able to Work Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-LEU Version 4 - I Am Able to Work
C130441 FAC017-I Am Bothered by Fevers FAC017-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature). FACT-LEU Version 4 - I Am Bothered by Fevers
C130443 FAC017-I Am Bothered by the Chills FAC017-I Am Bothered by the Chills Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by the chills. FACT-LEU Version 4 - I Am Bothered by the Chills
C130420 FAC017-I Am Forced to Spend Time in Bed FAC017-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-LEU Version 4 - I Am Forced to Spend Time in Bed
C130450 FAC017-I Am Losing Weight FAC017-I Am Losing Weight Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am losing weight. FACT-LEU Version 4 - I Am Losing Weight
C130427 FAC017-I Am Satisfied With My Sex Life FAC017-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-LEU Version 4 - I Am Satisfied With My Sex Life
C130438 FAC017-I Am Sleeping Well FAC017-I Am Sleeping Well Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am sleeping well. FACT-LEU Version 4 - I Am Sleeping Well
C130446 FAC017-I Bleed Easily FAC017-I Bleed Easily Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bleed easily. FACT-LEU Version 4 - I Bleed Easily
C130447 FAC017-I Bruise Easily FAC017-I Bruise Easily Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bruise easily. FACT-LEU Version 4 - I Bruise Easily
C130421 FAC017-I Feel Close to My Friends FAC017-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-LEU Version 4 - I Feel Close to My Friends
C130426 FAC017-I Feel Close to My Partner FAC017-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-LEU Version 4 - I Feel Close to My Partner
C130419 FAC017-I Feel Ill FAC017-I Feel Ill Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I feel ill. FACT-LEU Version 4 - I Feel Ill
C130431 FAC017-I Feel Nervous FAC017-I Feel Nervous Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel nervous. FACT-LEU Version 4 - I Feel Nervous
C130428 FAC017-I Feel Sad FAC017-I Feel Sad Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel sad. FACT-LEU Version 4 - I Feel Sad
C130448 FAC017-I Feel Weak All Over FAC017-I Feel Weak All Over Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel weak all over. FACT-LEU Version 4 - I Feel Weak All Over
C130423 FAC017-I Get Support From My Friends FAC017-I Get Support From My Friends Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get support from my friends. FACT-LEU Version 4 - I Get Support From My Friends
C130449 FAC017-I Get Tired Easily FAC017-I Get Tired Easily Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I get tired easily. FACT-LEU Version 4 - I Get Tired Easily
C130451 FAC017-I Have a Good Appetite FAC017-I Have a Good Appetite Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have a good appetite. FACT-LEU Version 4 - I Have a Good Appetite
C130414 FAC017-I Have a Lack of Energy FAC017-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have a lack of energy. FACT-LEU Version 4 - I Have a Lack of Energy
C130437 FAC017-I Have Accepted My Illness FAC017-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I have accepted my illness. FACT-LEU Version 4 - I Have Accepted My Illness
C130456 FAC017-I Have Emotional Ups and Downs FAC017-I Have Emotional Ups and Downs Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have emotional ups and downs. FACT-LEU Version 4 - I Have Emotional Ups and Downs
C130415 FAC017-I Have Nausea FAC017-I Have Nausea Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have nausea. FACT-LEU Version 4 - I Have Nausea
C130444 FAC017-I Have Night Sweats FAC017-I Have Night Sweats Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have night sweats. FACT-LEU Version 4 - I Have Night Sweats
C130417 FAC017-I Have Pain FAC017-I Have Pain Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have pain. FACT-LEU Version 4 - I Have Pain
C130432 FAC017-I Worry About Dying FAC017-I Worry About Dying Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry about dying. FACT-LEU Version 4 - I Worry About Dying
C130453 FAC017-I Worry About Getting Infections FAC017-I Worry About Getting Infections Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry about getting infections. FACT-LEU Version 4 - I Worry About Getting Infections
C130430 FAC017-Losing Hope Against Illness FAC017-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-LEU Version 4 - Losing Hope Against Illness
C130424 FAC017-My Family Has Accepted My Illness FAC017-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-LEU Version 4 - My Family Has Accepted My Illness
C130435 FAC017-My Work Is Fulfilling FAC017-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-LEU Version 4 - My Work Is Fulfilling
C130425 FAC017-Satisfied Communication Illness FAC017-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-LEU Version 4 - Satisfied Communication Illness
C130429 FAC017-Satisfied With How I Am Coping FAC017-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-LEU Version 4 - Satisfied With How I Am Coping
C130416 FAC017-Trouble Meeting Needs of Family FAC017-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-LEU Version 4 - Trouble Meeting Needs of Family
C130454 FAC017-Uncertain About My Future Health FAC017-Uncertain About My Future Health Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel uncertain about my future health. FACT-LEU Version 4 - Uncertain About My Future Health
C130455 FAC017-Worry I Might Get New Symptoms FAC017-Worry I Might Get New Symptoms Functional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness. FACT-LEU Version 4 - Worry I Might Get New Symptoms
C130433 FAC017-Worry My Condition Will Get Worse FAC017-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-LEU Version 4 - Worry My Condition Will Get Worse

FAC018TC (Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Code)

NCI Code: C130257, Codelist extensible: No
C130257 FAC018TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130503 FAC01801 FAC018-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have a lack of energy. FACT-LYM Version 4 - I Have a Lack of Energy
C130504 FAC01802 FAC018-I Have Nausea Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have nausea. FACT-LYM Version 4 - I Have Nausea
C130505 FAC01803 FAC018-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-LYM Version 4 - Trouble Meeting Needs of Family
C130506 FAC01804 FAC018-I Have Pain Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have pain. FACT-LYM Version 4 - I Have Pain
C130507 FAC01805 FAC018-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-LYM Version 4 - Bothered by Treatment Side Effect
C130508 FAC01806 FAC018-I Feel Ill Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I feel ill. FACT-LYM Version 4 - I Feel Ill
C130509 FAC01807 FAC018-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-LYM Version 4 - I Am Forced to Spend Time in Bed
C130510 FAC01808 FAC018-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-LYM Version 4 - I Feel Close to My Friends
C130511 FAC01809 FAC018-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-LYM Version 4 - Get Emotional Support From Family
C130512 FAC01810 FAC018-I Get Support From My Friends Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get support from my friends. FACT-LYM Version 4 - I Get Support From My Friends
C130513 FAC01811 FAC018-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-LYM Version 4 - My Family Has Accepted My Illness
C130514 FAC01812 FAC018-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-LYM Version 4 - Satisfied With Communication About Illness
C130515 FAC01813 FAC018-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-LYM Version 4 - I Feel Close to My Partner
C130516 FAC01814 FAC018-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-LYM Version 4 - I Am Satisfied With My Sex Life
C130517 FAC01815 FAC018-I Feel Sad Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel sad. FACT-LYM Version 4 - I Feel Sad
C130518 FAC01816 FAC018-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-LYM Version 4 - Satisfied With How I Am Coping
C130519 FAC01817 FAC018-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-LYM Version 4 - Losing Hope Against Illness
C130520 FAC01818 FAC018-I Feel Nervous Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel nervous. FACT-LYM Version 4 - I Feel Nervous
C130521 FAC01819 FAC018-I Worry About Dying Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry about dying. FACT-LYM Version 4 - I Worry About Dying
C130522 FAC01820 FAC018-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-LYM Version 4 - Worry My Condition Will Get Worse
C130523 FAC01821 FAC018-I Am Able to Work Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-LYM Version 4 - I Am Able to Work
C130524 FAC01822 FAC018-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-LYM Version 4 - My Work Is Fulfilling
C130525 FAC01823 FAC018-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to enjoy life. FACT-LYM Version 4 - I Am Able to Enjoy Life
C130526 FAC01824 FAC018-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I have accepted my illness. FACT-LYM Version 4 - I Have Accepted My Illness
C130527 FAC01825 FAC018-I Am Sleeping Well Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am sleeping well. FACT-LYM Version 4 - I Am Sleeping Well
C130528 FAC01826 FAC018-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-LYM Version 4 - Enjoy Things I Usually Do for Fun
C130529 FAC01827 FAC018-Content With Quality of My Life Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-LYM Version 4 - Content With Quality of My Life
C130530 FAC01828 FAC018-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-LYM Version 4 - Certain Parts of Body Have Pain
C130531 FAC01829 FAC018-Bothered by Lumps or Swelling Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin). FACT-LYM Version 4 - Bothered by Lumps or Swelling
C130532 FAC01830 FAC018-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature). FACT-LYM Version 4 - I Am Bothered by Fevers
C130533 FAC01831 FAC018-I Have Night Sweats Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have night sweats. FACT-LYM Version 4 - I Have Night Sweats
C130534 FAC01832 FAC018-I Am Bothered by Itching Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by itching. FACT-LYM Version 4 - I Am Bothered by Itching
C130535 FAC01833 FAC018-I Have Trouble Sleeping at Night Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble sleeping at night. FACT-LYM Version 4 - I Have Trouble Sleeping at Night
C130536 FAC01834 FAC018-I Get Tired Easily Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I get tired easily. FACT-LYM Version 4 - I Get Tired Easily
C130537 FAC01835 FAC018-I Am Losing Weight Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am losing weight. FACT-LYM Version 4 - I Am Losing Weight
C130538 FAC01836 FAC018-I Have a Loss of Appetite Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have a loss of appetite. FACT-LYM Version 4 - I Have a Loss of Appetite
C130539 FAC01837 FAC018-I Have Trouble Concentrating Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble concentrating. FACT-LYM Version 4 - I Have Trouble Concentrating
C130540 FAC01838 FAC018-I Worry About Getting Infections Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry about getting infections. FACT-LYM Version 4 - I Worry About Getting Infections
C130541 FAC01839 FAC018-Worry I Might Get New Symptoms Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness. FACT-LYM Version 4 - Worry I Might Get New Symptoms
C130542 FAC01840 FAC018-Feel Isolated Because of Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment. FACT-LYM Version 4 - Feel Isolated Because of Illness
C130543 FAC01841 FAC018-I Have Emotional Ups and Downs Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have emotional ups and downs. FACT-LYM Version 4 - I Have Emotional Ups and Downs
C130544 FAC01842 FAC018-Difficulty Planning for Future Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: Because of my illness, I have difficulty planning for the future. FACT-LYM Version 4 - Difficulty Planning for Future

FAC018TN (Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Name)

NCI Code: C130256, Codelist extensible: No
C130256 FAC018TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130531 FAC018-Bothered by Lumps or Swelling FAC018-Bothered by Lumps or Swelling Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin). FACT-LYM Version 4 - Bothered by Lumps or Swelling
C130507 FAC018-Bothered by Treatment Side Effect FAC018-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-LYM Version 4 - Bothered by Treatment Side Effect
C130530 FAC018-Certain Parts of Body Have Pain FAC018-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-LYM Version 4 - Certain Parts of Body Have Pain
C130529 FAC018-Content With Quality of My Life FAC018-Content With Quality of My Life Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-LYM Version 4 - Content With Quality of My Life
C130544 FAC018-Difficulty Planning for Future FAC018-Difficulty Planning for Future Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: Because of my illness, I have difficulty planning for the future. FACT-LYM Version 4 - Difficulty Planning for Future
C130528 FAC018-Enjoy Things I Usually Do for Fun FAC018-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-LYM Version 4 - Enjoy Things I Usually Do for Fun
C130542 FAC018-Feel Isolated Because of Illness FAC018-Feel Isolated Because of Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment. FACT-LYM Version 4 - Feel Isolated Because of Illness
C130511 FAC018-Get Emotional Support From Family FAC018-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-LYM Version 4 - Get Emotional Support From Family
C130525 FAC018-I Am Able to Enjoy Life FAC018-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to enjoy life. FACT-LYM Version 4 - I Am Able to Enjoy Life
C130523 FAC018-I Am Able to Work FAC018-I Am Able to Work Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-LYM Version 4 - I Am Able to Work
C130532 FAC018-I Am Bothered by Fevers FAC018-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature). FACT-LYM Version 4 - I Am Bothered by Fevers
C130534 FAC018-I Am Bothered by Itching FAC018-I Am Bothered by Itching Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by itching. FACT-LYM Version 4 - I Am Bothered by Itching
C130509 FAC018-I Am Forced to Spend Time in Bed FAC018-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-LYM Version 4 - I Am Forced to Spend Time in Bed
C130537 FAC018-I Am Losing Weight FAC018-I Am Losing Weight Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am losing weight. FACT-LYM Version 4 - I Am Losing Weight
C130516 FAC018-I Am Satisfied With My Sex Life FAC018-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-LYM Version 4 - I Am Satisfied With My Sex Life
C130527 FAC018-I Am Sleeping Well FAC018-I Am Sleeping Well Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am sleeping well. FACT-LYM Version 4 - I Am Sleeping Well
C130510 FAC018-I Feel Close to My Friends FAC018-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-LYM Version 4 - I Feel Close to My Friends
C130515 FAC018-I Feel Close to My Partner FAC018-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-LYM Version 4 - I Feel Close to My Partner
C130508 FAC018-I Feel Ill FAC018-I Feel Ill Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I feel ill. FACT-LYM Version 4 - I Feel Ill
C130520 FAC018-I Feel Nervous FAC018-I Feel Nervous Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel nervous. FACT-LYM Version 4 - I Feel Nervous
C130517 FAC018-I Feel Sad FAC018-I Feel Sad Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel sad. FACT-LYM Version 4 - I Feel Sad
C130512 FAC018-I Get Support From My Friends FAC018-I Get Support From My Friends Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get support from my friends. FACT-LYM Version 4 - I Get Support From My Friends
C130536 FAC018-I Get Tired Easily FAC018-I Get Tired Easily Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I get tired easily. FACT-LYM Version 4 - I Get Tired Easily
C130503 FAC018-I Have a Lack of Energy FAC018-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have a lack of energy. FACT-LYM Version 4 - I Have a Lack of Energy
C130538 FAC018-I Have a Loss of Appetite FAC018-I Have a Loss of Appetite Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have a loss of appetite. FACT-LYM Version 4 - I Have a Loss of Appetite
C130526 FAC018-I Have Accepted My Illness FAC018-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I have accepted my illness. FACT-LYM Version 4 - I Have Accepted My Illness
C130543 FAC018-I Have Emotional Ups and Downs FAC018-I Have Emotional Ups and Downs Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have emotional ups and downs. FACT-LYM Version 4 - I Have Emotional Ups and Downs
C130504 FAC018-I Have Nausea FAC018-I Have Nausea Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have nausea. FACT-LYM Version 4 - I Have Nausea
C130533 FAC018-I Have Night Sweats FAC018-I Have Night Sweats Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have night sweats. FACT-LYM Version 4 - I Have Night Sweats
C130506 FAC018-I Have Pain FAC018-I Have Pain Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have pain. FACT-LYM Version 4 - I Have Pain
C130539 FAC018-I Have Trouble Concentrating FAC018-I Have Trouble Concentrating Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble concentrating. FACT-LYM Version 4 - I Have Trouble Concentrating
C130535 FAC018-I Have Trouble Sleeping at Night FAC018-I Have Trouble Sleeping at Night Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble sleeping at night. FACT-LYM Version 4 - I Have Trouble Sleeping at Night
C130521 FAC018-I Worry About Dying FAC018-I Worry About Dying Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry about dying. FACT-LYM Version 4 - I Worry About Dying
C130540 FAC018-I Worry About Getting Infections FAC018-I Worry About Getting Infections Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry about getting infections. FACT-LYM Version 4 - I Worry About Getting Infections
C130519 FAC018-Losing Hope Against Illness FAC018-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-LYM Version 4 - Losing Hope Against Illness
C130513 FAC018-My Family Has Accepted My Illness FAC018-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-LYM Version 4 - My Family Has Accepted My Illness
C130524 FAC018-My Work Is Fulfilling FAC018-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-LYM Version 4 - My Work Is Fulfilling
C130514 FAC018-Satisfied Communication Illness FAC018-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-LYM Version 4 - Satisfied With Communication About Illness
C130518 FAC018-Satisfied With How I Am Coping FAC018-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-LYM Version 4 - Satisfied With How I Am Coping
C130505 FAC018-Trouble Meeting Needs of Family FAC018-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-LYM Version 4 - Trouble Meeting Needs of Family
C130541 FAC018-Worry I Might Get New Symptoms FAC018-Worry I Might Get New Symptoms Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness. FACT-LYM Version 4 - Worry I Might Get New Symptoms
C130522 FAC018-Worry My Condition Will Get Worse FAC018-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-LYM Version 4 - Worry My Condition Will Get Worse

FAC023TC (The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Code)

NCI Code: C127358, Codelist extensible: No
C127358 FAC023TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127465 FAC02301 FAC023-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have a lack of energy. FACT-P Version 4 - I Have a Lack of Energy
C127466 FAC02302 FAC023-I Have Nausea Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have nausea. FACT-P Version 4 - I Have Nausea
C127467 FAC02303 FAC023-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-P Version 4 - Trouble Meeting Needs of Family
C127468 FAC02304 FAC023-I Have Pain Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have pain. FACT-P Version 4 - I Have Pain
C127469 FAC02305 FAC023-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-P Version 4 - Bothered by Treatment Side Effect
C127470 FAC02306 FAC023-I Feel Ill Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I feel ill. FACT-P Version 4 - I Feel Ill
C127471 FAC02307 FAC023-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-P Version 4 - I Am Forced to Spend Time in Bed
C127472 FAC02308 FAC023-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-P Version 4 - I Feel Close to My Friends
C127473 FAC02309 FAC023-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-P Version 4 - Get Emotional Support From Family
C127474 FAC02310 FAC023-I Get Support From My Friends Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get support from my friends. FACT-P Version 4 - I Get Support From My Friends
C127475 FAC02311 FAC023-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-P Version 4 - My Family Has Accepted My Illness
C127476 FAC02312 FAC023-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-P Version 4 - Satisfied With Family Communication
C127477 FAC02313 FAC023-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-P Version 4 - I Feel Close to My Partner
C127478 FAC02314 FAC023-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-P Version 4 - I Am Satisfied With My Sex Life
C127479 FAC02315 FAC023-I Feel Sad Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel sad. FACT-P Version 4 - I Feel Sad
C127480 FAC02316 FAC023-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-P Version 4 - Satisfied With How I Am Coping
C127481 FAC02317 FAC023-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-P Version 4 - Losing Hope Against Illness
C127482 FAC02318 FAC023-I Feel Nervous Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel nervous. FACT-P Version 4 - I Feel Nervous
C127483 FAC02319 FAC023-I Worry About Dying Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry about dying. FACT-P Version 4 - I Worry About Dying
C127484 FAC02320 FAC023-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-P Version 4 - Worry My Condition Will Get Worse
C127485 FAC02321 FAC023-I Am Able to Work Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-P Version 4 - I Am Able to Work
C127486 FAC02322 FAC023-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-P Version 4 - My Work Is Fulfilling
C127487 FAC02323 FAC023-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to enjoy life. FACT-P Version 4 - I Am Able to Enjoy Life
C127488 FAC02324 FAC023-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I have accepted my illness. FACT-P Version 4 - I Have Accepted My Illness
C127489 FAC02325 FAC023-I Am Sleeping Well Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am sleeping well. FACT-P Version 4 - I Am Sleeping Well
C127490 FAC02326 FAC023-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-P Version 4 - Enjoy Things I Usually Do for Fun
C127491 FAC02327 FAC023-Content With Quality of My Life Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-P Version 4 - Content With Quality of My Life
C127492 FAC02328 FAC023-I Am Losing Weight Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am losing weight. FACT-P Version 4 - I Am Losing Weight
C127493 FAC02329 FAC023-I Have a Good Appetite Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have a good appetite. FACT-P Version 4 - I Have a Good Appetite
C127494 FAC02330 FAC023-Have Aches/Pains That Bother Me Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have aches and pains that bother me. FACT-P Version 4 - Have Aches and Pains That Bother Me
C127495 FAC02331 FAC023-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-P Version 4 - Certain Parts of Body Experience Pain
C127496 FAC02332 FAC023-Pain Keeps Me From Doing Things Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My pain keeps me from doing things I want to do. FACT-P Version 4 - Pain Keeps Me From Doing Things
C127497 FAC02333 FAC023-Satisfied With Comfort Level Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am satisfied with my present comfort level. FACT-P Version 4 - Satisfied With Comfort Level
C127498 FAC02334 FAC023-I Am Able to Feel Like a Man Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to feel like a man. FACT-P Version 4 - I Am Able to Feel Like a Man
C127499 FAC02335 FAC023-I Have Trouble Moving My Bowels Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have trouble moving my bowels. FACT-P Version 4 - I Have Trouble Moving My Bowels
C127500 FAC02336 FAC023-I Have Difficulty Urinating Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have difficulty urinating. FACT-P Version 4 - I Have Difficulty Urinating
C127501 FAC02337 FAC023-I Urinate More Frequently Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I urinate more frequently than usual. FACT-P Version 4 - I Urinate More Frequently
C127502 FAC02338 FAC023-Problem Urinating Limits Activity Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My problems with urinating limit my activities. FACT-P Version 4 - Problem Urinating Limits Activity
C127503 FAC02339 FAC023-Able to Have/Maintain Erection Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to have and maintain an erection. FACT-P Version 4 - Able to Have and Maintain an Erection

FAC023TN (The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Name)

NCI Code: C127357, Codelist extensible: No
C127357 FAC023TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127503 FAC023-Able to Have/Maintain Erection FAC023-Able to Have/Maintain Erection Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to have and maintain an erection. FACT-P Version 4 - Able to Have and Maintain an Erection
C127469 FAC023-Bothered by Treatment Side Effect FAC023-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-P Version 4 - Bothered by Treatment Side Effect
C127495 FAC023-Certain Parts of Body Have Pain FAC023-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have certain parts of my body where I experience pain. FACT-P Version 4 - Certain Parts of Body Experience Pain
C127491 FAC023-Content With Quality of My Life FAC023-Content With Quality of My Life Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-P Version 4 - Content With Quality of My Life
C127490 FAC023-Enjoy Things I Usually Do for Fun FAC023-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-P Version 4 - Enjoy Things I Usually Do for Fun
C127473 FAC023-Get Emotional Support From Family FAC023-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-P Version 4 - Get Emotional Support From Family
C127494 FAC023-Have Aches/Pains That Bother Me FAC023-Have Aches/Pains That Bother Me Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have aches and pains that bother me. FACT-P Version 4 - Have Aches and Pains That Bother Me
C127487 FAC023-I Am Able to Enjoy Life FAC023-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to enjoy life. FACT-P Version 4 - I Am Able to Enjoy Life
C127498 FAC023-I Am Able to Feel Like a Man FAC023-I Am Able to Feel Like a Man Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to feel like a man. FACT-P Version 4 - I Am Able to Feel Like a Man
C127485 FAC023-I Am Able to Work FAC023-I Am Able to Work Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-P Version 4 - I Am Able to Work
C127471 FAC023-I Am Forced to Spend Time in Bed FAC023-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-P Version 4 - I Am Forced to Spend Time in Bed
C127492 FAC023-I Am Losing Weight FAC023-I Am Losing Weight Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am losing weight. FACT-P Version 4 - I Am Losing Weight
C127478 FAC023-I Am Satisfied With My Sex Life FAC023-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-P Version 4 - I Am Satisfied With My Sex Life
C127489 FAC023-I Am Sleeping Well FAC023-I Am Sleeping Well Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am sleeping well. FACT-P Version 4 - I Am Sleeping Well
C127472 FAC023-I Feel Close to My Friends FAC023-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-P Version 4 - I Feel Close to My Friends
C127477 FAC023-I Feel Close to My Partner FAC023-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-P Version 4 - I Feel Close to My Partner
C127470 FAC023-I Feel Ill FAC023-I Feel Ill Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I feel ill. FACT-P Version 4 - I Feel Ill
C127482 FAC023-I Feel Nervous FAC023-I Feel Nervous Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel nervous. FACT-P Version 4 - I Feel Nervous
C127479 FAC023-I Feel Sad FAC023-I Feel Sad Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel sad. FACT-P Version 4 - I Feel Sad
C127474 FAC023-I Get Support From My Friends FAC023-I Get Support From My Friends Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get support from my friends. FACT-P Version 4 - I Get Support From My Friends
C127493 FAC023-I Have a Good Appetite FAC023-I Have a Good Appetite Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have a good appetite. FACT-P Version 4 - I Have a Good Appetite
C127465 FAC023-I Have a Lack of Energy FAC023-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have a lack of energy. FACT-P Version 4 - I Have a Lack of Energy
C127488 FAC023-I Have Accepted My Illness FAC023-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I have accepted my illness. FACT-P Version 4 - I Have Accepted My Illness
C127500 FAC023-I Have Difficulty Urinating FAC023-I Have Difficulty Urinating Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have difficulty urinating. FACT-P Version 4 - I Have Difficulty Urinating
C127466 FAC023-I Have Nausea FAC023-I Have Nausea Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have nausea. FACT-P Version 4 - I Have Nausea
C127468 FAC023-I Have Pain FAC023-I Have Pain Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have pain. FACT-P Version 4 - I Have Pain
C127499 FAC023-I Have Trouble Moving My Bowels FAC023-I Have Trouble Moving My Bowels Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have trouble moving my bowels. FACT-P Version 4 - I Have Trouble Moving My Bowels
C127501 FAC023-I Urinate More Frequently FAC023-I Urinate More Frequently Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I urinate more frequently than usual. FACT-P Version 4 - I Urinate More Frequently
C127483 FAC023-I Worry About Dying FAC023-I Worry About Dying Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry about dying. FACT-P Version 4 - I Worry About Dying
C127481 FAC023-Losing Hope Against Illness FAC023-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-P Version 4 - Losing Hope Against Illness
C127475 FAC023-My Family Has Accepted My Illness FAC023-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-P Version 4 - My Family Has Accepted My Illness
C127486 FAC023-My Work Is Fulfilling FAC023-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-P Version 4 - My Work Is Fulfilling
C127496 FAC023-Pain Keeps Me From Doing Things FAC023-Pain Keeps Me From Doing Things Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My pain keeps me from doing things I want to do. FACT-P Version 4 - Pain Keeps Me From Doing Things
C127502 FAC023-Problem Urinating Limits Activity FAC023-Problem Urinating Limits Activity Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My problems with urinating limit my activities. FACT-P Version 4 - Problem Urinating Limits Activity
C127476 FAC023-Satisfied Communication Illness FAC023-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-P Version 4 - Satisfied With Family Communication
C127497 FAC023-Satisfied With Comfort Level FAC023-Satisfied With Comfort Level Functional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am satisfied with my present comfort level. FACT-P Version 4 - Satisfied With Comfort Level
C127480 FAC023-Satisfied With How I Am Coping FAC023-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-P Version 4 - Satisfied With How I Am Coping
C127467 FAC023-Trouble Meeting Needs of Family FAC023-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-P Version 4 - Trouble Meeting Needs of Family
C127484 FAC023-Worry My Condition Will Get Worse FAC023-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-P Version 4 - Worry My Condition Will Get Worse

FAC028TC (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Code)

NCI Code: C129092, Codelist extensible: No
C129092 FAC028TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129170 FAC02801 FAC028-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have pain. NCCN-FACT FBLSI-18 Version 2 - I Have Pain
C129171 FAC02802 FAC028-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am losing weight. NCCN-FACT FBLSI-18 Version 2 - I Am Losing Weight
C129172 FAC02803 FAC028-Have Trouble Controlling My Urine National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have trouble controlling my urine. NCCN-FACT FBLSI-18 Version 2 - Have Trouble Controlling My Urine
C129173 FAC02804 FAC028-I Feel Weak All Over National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel weak all over. NCCN-FACT FBLSI-18 Version 2 - I Feel Weak All Over
C129174 FAC02805 FAC028-I Feel Light-headed National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel light-headed (dizzy). NCCN-FACT FBLSI-18 Version 2 - I Feel Light-headed
C129175 FAC02806 FAC028-Trouble Meeting Needs of Family National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family. NCCN-FACT FBLSI-18 Version 2 - Trouble Meeting Needs of Family
C129176 FAC02807 FAC028-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a good appetite. NCCN-FACT FBLSI-18 Version 2 - I Have a Good Appetite
C129177 FAC02808 FAC028-Able to Have/Maintain Erection National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - (For men only) I am able to have and maintain an erection. NCCN-FACT FBLSI-18 Version 2 - Able to Have, Maintain Erection
C129178 FAC02809 FAC028-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am sleeping well. NCCN-FACT FBLSI-18 Version 2 - I Am Sleeping Well
C129179 FAC02810 FAC028-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I worry that my condition will get worse. NCCN-FACT FBLSI-18 Version 2 - Worry My Condition Will Get Worse
C129180 FAC02811 FAC028-I Feel Sad National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel sad. NCCN-FACT FBLSI-18 Version 2 - I Feel Sad
C129181 FAC02812 FAC028-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have nausea. NCCN-FACT FBLSI-18 Version 2 - I Have Nausea
C129182 FAC02813 FAC028-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a lack of energy. NCCN-FACT FBLSI-18 Version 2 - I Have a Lack of Energy
C129183 FAC02814 FAC028-I Feel Ill National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel ill. NCCN-FACT FBLSI-18 Version 2 - I Feel Ill
C129184 FAC02815 FAC028-I Have Control of My Bowels National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have control of my bowels. NCCN-FACT FBLSI-18 Version 2 - I Have Control of My Bowels
C129185 FAC02816 FAC028-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FBLSI-18 Version 2 - Bothered by Treatment Side Effect
C129186 FAC02817 FAC028-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am able to enjoy life. NCCN-FACT FBLSI-18 Version 2 - I Am Able to Enjoy Life
C129187 FAC02818 FAC028-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am content with the quality of my life right now. NCCN-FACT FBLSI-18 Version 2 - Content With Quality of My Life

FAC028TN (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Name)

NCI Code: C129091, Codelist extensible: No
C129091 FAC028TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129177 FAC028-Able to Have/Maintain Erection FAC028-Able to Have/Maintain Erection National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - (For men only) I am able to have and maintain an erection. NCCN-FACT FBLSI-18 Version 2 - Able to Have, Maintain Erection
C129185 FAC028-Bothered by Treatment Side Effect FAC028-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FBLSI-18 Version 2 - Bothered by Treatment Side Effect
C129187 FAC028-Content With Quality of My Life FAC028-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am content with the quality of my life right now. NCCN-FACT FBLSI-18 Version 2 - Content With Quality of My Life
C129172 FAC028-Have Trouble Controlling My Urine FAC028-Have Trouble Controlling My Urine National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have trouble controlling my urine. NCCN-FACT FBLSI-18 Version 2 - Have Trouble Controlling My Urine
C129186 FAC028-I Am Able to Enjoy Life FAC028-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am able to enjoy life. NCCN-FACT FBLSI-18 Version 2 - I Am Able to Enjoy Life
C129171 FAC028-I Am Losing Weight FAC028-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am losing weight. NCCN-FACT FBLSI-18 Version 2 - I Am Losing Weight
C129178 FAC028-I Am Sleeping Well FAC028-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am sleeping well. NCCN-FACT FBLSI-18 Version 2 - I Am Sleeping Well
C129183 FAC028-I Feel Ill FAC028-I Feel Ill National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel ill. NCCN-FACT FBLSI-18 Version 2 - I Feel Ill
C129174 FAC028-I Feel Light-headed FAC028-I Feel Light-headed National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel light-headed (dizzy). NCCN-FACT FBLSI-18 Version 2 - I Feel Light-headed
C129180 FAC028-I Feel Sad FAC028-I Feel Sad National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel sad. NCCN-FACT FBLSI-18 Version 2 - I Feel Sad
C129173 FAC028-I Feel Weak All Over FAC028-I Feel Weak All Over National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel weak all over. NCCN-FACT FBLSI-18 Version 2 - I Feel Weak All Over
C129176 FAC028-I Have a Good Appetite FAC028-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a good appetite. NCCN-FACT FBLSI-18 Version 2 - I Have a Good Appetite
C129182 FAC028-I Have a Lack of Energy FAC028-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a lack of energy. NCCN-FACT FBLSI-18 Version 2 - I Have a Lack of Energy
C129184 FAC028-I Have Control of My Bowels FAC028-I Have Control of My Bowels National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have control of my bowels. NCCN-FACT FBLSI-18 Version 2 - I Have Control of My Bowels
C129181 FAC028-I Have Nausea FAC028-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have nausea. NCCN-FACT FBLSI-18 Version 2 - I Have Nausea
C129170 FAC028-I Have Pain FAC028-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have pain. NCCN-FACT FBLSI-18 Version 2 - I Have Pain
C129175 FAC028-Trouble Meeting Needs of Family FAC028-Trouble Meeting Needs of Family National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family. NCCN-FACT FBLSI-18 Version 2 - Trouble Meeting Needs of Family
C129179 FAC028-Worry My Condition Will Get Worse FAC028-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I worry that my condition will get worse. NCCN-FACT FBLSI-18 Version 2 - Worry My Condition Will Get Worse

FAC029TC (Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Code)

NCI Code: C138221, Codelist extensible: No
C138221 FAC029TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138429 FAC02901 FAC029-I Get Headaches Functional Assessment of Cancer Therapy-Brain Symptom Index - I get headaches. FBRSI - I Get Headaches
C138430 FAC02902 FAC029-I Have Had Seizures Functional Assessment of Cancer Therapy-Brain Symptom Index - I have had seizures (convulsions). FBRSI - I Have Had Seizures
C138431 FAC02903 FAC029-Have Weakness in My Arms or Legs Functional Assessment of Cancer Therapy-Brain Symptom Index - I have weakness in my arms or legs. FBRSI - Have Weakness in My Arms or Legs
C138432 FAC02904 FAC029-I Need Help in Caring for Myself Functional Assessment of Cancer Therapy-Brain Symptom Index - I need help in caring for myself (bathing, dressing, eating, etc.). FBRSI - I Need Help in Caring for Myself
C138433 FAC02905 FAC029-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Brain Symptom Index - I have a lack of energy. FBRSI - I Have a Lack of Energy
C138434 FAC02906 FAC029-Difficulty Expressing My Thoughts Functional Assessment of Cancer Therapy-Brain Symptom Index - I have difficulty expressing my thoughts. FBRSI - Difficulty Expressing My Thoughts
C138435 FAC02907 FAC029-I Have Trouble With Coordination Functional Assessment of Cancer Therapy-Brain Symptom Index - I have trouble with coordination. FBRSI - I Have Trouble With Coordination
C138436 FAC02908 FAC029-Frustrated I Cannot Do Things Functional Assessment of Cancer Therapy-Brain Symptom Index - I get frustrated that I cannot do things I used to. FBRSI - Frustrated I Cannot Do Things
C138437 FAC02909 FAC029-I Have Nausea Functional Assessment of Cancer Therapy-Brain Symptom Index - I have nausea. FBRSI - I Have Nausea
C138438 FAC02910 FAC029-Able to Find the Right Words Functional Assessment of Cancer Therapy-Brain Symptom Index - I am able to find the right word(s) to say what I mean. FBRSI - Able to Find the Right Words
C138439 FAC02911 FAC029-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Brain Symptom Index - I am losing hope in the fight against my illness. FBRSI - Losing Hope Against Illness
C138440 FAC02912 FAC029-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Brain Symptom Index - Because of my physical condition, I have trouble meeting the needs of my family. FBRSI - Trouble Meeting Needs of Family
C138441 FAC02913 FAC029-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Brain Symptom Index - I worry that my condition will get worse. FBRSI - Worry My Condition Will Get Worse
C138442 FAC02914 FAC029-I Am Afraid of Having a Seizure Functional Assessment of Cancer Therapy-Brain Symptom Index - I am afraid of having a seizure (convulsion). FBRSI - I Am Afraid of Having a Seizure
C138443 FAC02915 FAC029-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Brain Symptom Index - I am able to enjoy life. FBRSI - I Am Able to Enjoy Life

FAC029TN (Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Name)

NCI Code: C138220, Codelist extensible: No
C138220 FAC029TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138438 FAC029-Able to Find the Right Words FAC029-Able to Find the Right Words Functional Assessment of Cancer Therapy-Brain Symptom Index - I am able to find the right word(s) to say what I mean. FBRSI - Able to Find the Right Words
C138434 FAC029-Difficulty Expressing My Thoughts FAC029-Difficulty Expressing My Thoughts Functional Assessment of Cancer Therapy-Brain Symptom Index - I have difficulty expressing my thoughts. FBRSI - Difficulty Expressing My Thoughts
C138436 FAC029-Frustrated I Cannot Do Things FAC029-Frustrated I Cannot Do Things Functional Assessment of Cancer Therapy-Brain Symptom Index - I get frustrated that I cannot do things I used to. FBRSI - Frustrated I Cannot Do Things
C138431 FAC029-Have Weakness in My Arms or Legs FAC029-Have Weakness in My Arms or Legs Functional Assessment of Cancer Therapy-Brain Symptom Index - I have weakness in my arms or legs. FBRSI - Have Weakness in My Arms or Legs
C138443 FAC029-I Am Able to Enjoy Life FAC029-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Brain Symptom Index - I am able to enjoy life. FBRSI - I Am Able to Enjoy Life
C138442 FAC029-I Am Afraid of Having a Seizure FAC029-I Am Afraid of Having a Seizure Functional Assessment of Cancer Therapy-Brain Symptom Index - I am afraid of having a seizure (convulsion). FBRSI - I Am Afraid of Having a Seizure
C138429 FAC029-I Get Headaches FAC029-I Get Headaches Functional Assessment of Cancer Therapy-Brain Symptom Index - I get headaches. FBRSI - I Get Headaches
C138433 FAC029-I Have a Lack of Energy FAC029-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Brain Symptom Index - I have a lack of energy. FBRSI - I Have a Lack of Energy
C138430 FAC029-I Have Had Seizures FAC029-I Have Had Seizures Functional Assessment of Cancer Therapy-Brain Symptom Index - I have had seizures (convulsions). FBRSI - I Have Had Seizures
C138437 FAC029-I Have Nausea FAC029-I Have Nausea Functional Assessment of Cancer Therapy-Brain Symptom Index - I have nausea. FBRSI - I Have Nausea
C138435 FAC029-I Have Trouble With Coordination FAC029-I Have Trouble With Coordination Functional Assessment of Cancer Therapy-Brain Symptom Index - I have trouble with coordination. FBRSI - I Have Trouble With Coordination
C138432 FAC029-I Need Help in Caring for Myself FAC029-I Need Help in Caring for Myself Functional Assessment of Cancer Therapy-Brain Symptom Index - I need help in caring for myself (bathing, dressing, eating, etc.). FBRSI - I Need Help in Caring for Myself
C138439 FAC029-Losing Hope Against Illness FAC029-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Brain Symptom Index - I am losing hope in the fight against my illness. FBRSI - Losing Hope Against Illness
C138440 FAC029-Trouble Meeting Needs of Family FAC029-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Brain Symptom Index - Because of my physical condition, I have trouble meeting the needs of my family. FBRSI - Trouble Meeting Needs of Family
C138441 FAC029-Worry My Condition Will Get Worse FAC029-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Brain Symptom Index - I worry that my condition will get worse. FBRSI - Worry My Condition Will Get Worse

FAC030TC (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Code)

NCI Code: C150786, Codelist extensible: No
C150786 FAC030TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151280 FAC03001 FAC030-I Get Headaches National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get headaches. NCCN-FACT FBRSI-24 Version 2 - I Get Headaches
C151281 FAC03002 FAC030-I Have Trouble With Coordination National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have trouble with coordination. NCCN-FACT FBRSI-24 Version 2 - I Have Trouble With Coordination
C151282 FAC03003 FAC030-I Have Had Seizures National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have had seizures (convulsions). NCCN-FACT FBRSI-24 Version 2 - I Have Had Seizures
C151283 FAC03004 FAC030-I Need Help in Caring for Myself National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I need help in caring for myself (bathing, dressing, eating, etc.). NCCN-FACT FBRSI-24 Version 2 - I Need Help in Caring for Myself
C151284 FAC03005 FAC030-Have Weakness in My Arms or Legs National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have weakness in my arms or legs. NCCN-FACT FBRSI-24 Version 2 - Have Weakness in My Arms or Legs
C151285 FAC03006 FAC030-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing weight. NCCN-FACT FBRSI-24 Version 2 - I Am Losing Weight
C151286 FAC03007 FAC030-Trouble Meeting Needs of Family National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family. NCCN-FACT FBRSI-24 Version 2 - Trouble Meeting Needs of Family
C151287 FAC03008 FAC030-Difficulty Expressing My Thoughts National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have difficulty expressing my thoughts. NCCN-FACT FBRSI-24 Version 2 - Difficulty Expressing My Thoughts
C151288 FAC03009 FAC030-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am sleeping well. NCCN-FACT FBRSI-24 Version 2 - I Am Sleeping Well
C151289 FAC03010 FAC030-I Am Able to Concentrate National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to concentrate. NCCN-FACT FBRSI-24 Version 2 - I Am Able to Concentrate
C151290 FAC03011 FAC030-I Can Remember New Things National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I can remember new things. NCCN-FACT FBRSI-24 Version 2 - I Can Remember New Things
C151291 FAC03012 FAC030-Able to Find the Right Words National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to find the right word(s) to say what I mean. NCCN-FACT FBRSI-24 Version 2 - Able to Find the Right Words
C151292 FAC03013 FAC030-Bothered by Change in Personality National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by the change in my personality. NCCN-FACT FBRSI-24 Version 2 - Bothered by Change in Personality
C151293 FAC03014 FAC030-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I worry that my condition will get worse. NCCN-FACT FBRSI-24 Version 2 - Worry My Condition Will Get Worse
C151294 FAC03015 FAC030-I Am Afraid of Having a Seizure National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am afraid of having a seizure (convulsion). NCCN-FACT FBRSI-24 Version 2 - I Am Afraid of Having a Seizure
C151295 FAC03016 FAC030-Frustrated I Cannot Do Things National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get frustrated that I cannot do things I used to. NCCN-FACT FBRSI-24 Version 2 - Frustrated I Cannot Do Things
C151296 FAC03017 FAC030-Losing Hope Against Illness National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing hope in the fight against my illness. NCCN-FACT FBRSI-24 Version 2 - Losing Hope Against Illness
C151297 FAC03018 FAC030-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a lack of energy. NCCN-FACT FBRSI-24 Version 2 - I Have a Lack of Energy
C151298 FAC03019 FAC030-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have nausea. NCCN-FACT FBRSI-24 Version 2 - I Have Nausea
C151299 FAC03020 FAC030-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FBRSI-24 Version 2 - Bothered by Treatment Side Effect
C151300 FAC03021 FAC030-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I feel fatigued. NCCN-FACT FBRSI-24 Version 2 - I Feel Fatigued
C151301 FAC03022 FAC030-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a good appetite. NCCN-FACT FBRSI-24 Version 2 - I Have a Good Appetite
C151302 FAC03023 FAC030-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to enjoy life. NCCN-FACT FBRSI-24 Version 2 - I Am Able to Enjoy Life
C151303 FAC03024 FAC030-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am content with the quality of my life right now. NCCN-FACT FBRSI-24 Version 2 - Content With Quality of My Life

FAC030TN (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Name)

NCI Code: C150785, Codelist extensible: No
C150785 FAC030TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151291 FAC030-Able to Find the Right Words FAC030-Able to Find the Right Words National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to find the right word(s) to say what I mean. NCCN-FACT FBRSI-24 Version 2 - Able to Find the Right Words
C151292 FAC030-Bothered by Change in Personality FAC030-Bothered by Change in Personality National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by the change in my personality. NCCN-FACT FBRSI-24 Version 2 - Bothered by Change in Personality
C151299 FAC030-Bothered by Treatment Side Effect FAC030-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FBRSI-24 Version 2 - Bothered by Treatment Side Effect
C151303 FAC030-Content With Quality of My Life FAC030-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am content with the quality of my life right now. NCCN-FACT FBRSI-24 Version 2 - Content With Quality of My Life
C151287 FAC030-Difficulty Expressing My Thoughts FAC030-Difficulty Expressing My Thoughts National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have difficulty expressing my thoughts. NCCN-FACT FBRSI-24 Version 2 - Difficulty Expressing My Thoughts
C151295 FAC030-Frustrated I Cannot Do Things FAC030-Frustrated I Cannot Do Things National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get frustrated that I cannot do things I used to. NCCN-FACT FBRSI-24 Version 2 - Frustrated I Cannot Do Things
C151284 FAC030-Have Weakness in My Arms or Legs FAC030-Have Weakness in My Arms or Legs National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have weakness in my arms or legs. NCCN-FACT FBRSI-24 Version 2 - Have Weakness in My Arms or Legs
C151289 FAC030-I Am Able to Concentrate FAC030-I Am Able to Concentrate National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to concentrate. NCCN-FACT FBRSI-24 Version 2 - I Am Able to Concentrate
C151302 FAC030-I Am Able to Enjoy Life FAC030-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to enjoy life. NCCN-FACT FBRSI-24 Version 2 - I Am Able to Enjoy Life
C151294 FAC030-I Am Afraid of Having a Seizure FAC030-I Am Afraid of Having a Seizure National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am afraid of having a seizure (convulsion). NCCN-FACT FBRSI-24 Version 2 - I Am Afraid of Having a Seizure
C151285 FAC030-I Am Losing Weight FAC030-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing weight. NCCN-FACT FBRSI-24 Version 2 - I Am Losing Weight
C151288 FAC030-I Am Sleeping Well FAC030-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am sleeping well. NCCN-FACT FBRSI-24 Version 2 - I Am Sleeping Well
C151290 FAC030-I Can Remember New Things FAC030-I Can Remember New Things National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I can remember new things. NCCN-FACT FBRSI-24 Version 2 - I Can Remember New Things
C151300 FAC030-I Feel Fatigued FAC030-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I feel fatigued. NCCN-FACT FBRSI-24 Version 2 - I Feel Fatigued
C151280 FAC030-I Get Headaches FAC030-I Get Headaches National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get headaches. NCCN-FACT FBRSI-24 Version 2 - I Get Headaches
C151301 FAC030-I Have a Good Appetite FAC030-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a good appetite. NCCN-FACT FBRSI-24 Version 2 - I Have a Good Appetite
C151297 FAC030-I Have a Lack of Energy FAC030-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a lack of energy. NCCN-FACT FBRSI-24 Version 2 - I Have a Lack of Energy
C151282 FAC030-I Have Had Seizures FAC030-I Have Had Seizures National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have had seizures (convulsions). NCCN-FACT FBRSI-24 Version 2 - I Have Had Seizures
C151298 FAC030-I Have Nausea FAC030-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have nausea. NCCN-FACT FBRSI-24 Version 2 - I Have Nausea
C151281 FAC030-I Have Trouble With Coordination FAC030-I Have Trouble With Coordination National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have trouble with coordination. NCCN-FACT FBRSI-24 Version 2 - I Have Trouble With Coordination
C151283 FAC030-I Need Help in Caring for Myself FAC030-I Need Help in Caring for Myself National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I need help in caring for myself (bathing, dressing, eating, etc.). NCCN-FACT FBRSI-24 Version 2 - I Need Help in Caring for Myself
C151296 FAC030-Losing Hope Against Illness FAC030-Losing Hope Against Illness National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing hope in the fight against my illness. NCCN-FACT FBRSI-24 Version 2 - Losing Hope Against Illness
C151286 FAC030-Trouble Meeting Needs of Family FAC030-Trouble Meeting Needs of Family National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family. NCCN-FACT FBRSI-24 Version 2 - Trouble Meeting Needs of Family
C151293 FAC030-Worry My Condition Will Get Worse FAC030-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I worry that my condition will get worse. NCCN-FACT FBRSI-24 Version 2 - Worry My Condition Will Get Worse

FAC036TC (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Code)

NCI Code: C150788, Codelist extensible: No
C150788 FAC036TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151304 FAC03601 FAC036-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain. NCCN-FACT FHNSI-22 Version 2 - I Have Pain
C151305 FAC03602 FAC036-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am losing weight. NCCN-FACT FHNSI-22 Version 2 - I Am Losing Weight
C151306 FAC03603 FAC036-I Have Trouble Breathing National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have trouble breathing. NCCN-FACT FHNSI-22 Version 2 - I Have Trouble Breathing
C151307 FAC03604 FAC036-I Feel Ill National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I feel ill. NCCN-FACT FHNSI-22 Version 2 - I Feel Ill
C151308 FAC03605 FAC036-Pain in My Mouth, Throat or Neck National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain in my mouth, throat or neck. NCCN-FACT FHNSI-22 Version 2 - Pain in My Mouth, Throat or Neck
C151309 FAC03606 FAC036-Trouble Meeting Needs of Family National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family. NCCN-FACT FHNSI-22 Version 2 - Trouble Meeting Needs of Family
C151310 FAC03607 FAC036-Can Swallow Naturally and Easily National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can swallow naturally and easily. NCCN-FACT FHNSI-22 Version 2 - Can Swallow Naturally and Easily
C151311 FAC03608 FAC036-Able to Eat the Foods That I Like National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to eat the foods that I like. NCCN-FACT FHNSI-22 Version 2 - Able to Eat the Foods That I Like
C151312 FAC03609 FAC036-Able to Communicate With Others National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to communicate with others. NCCN-FACT FHNSI-22 Version 2 - Able to Communicate With Others
C151313 FAC03610 FAC036-I Can Eat Solid Foods National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can eat solid foods. NCCN-FACT FHNSI-22 Version 2 - I Can Eat Solid Foods
C151314 FAC03611 FAC036-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am sleeping well. NCCN-FACT FHNSI-22 Version 2 - I Am Sleeping Well
C151315 FAC03612 FAC036-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I worry that my condition will get worse. NCCN-FACT FHNSI-22 Version 2 - Worry My Condition Will Get Worse
C151316 FAC03613 FAC036-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a lack of energy. NCCN-FACT FHNSI-22 Version 2 - I Have a Lack of Energy
C151317 FAC03614 FAC036-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have nausea. NCCN-FACT FHNSI-22 Version 2 - I Have Nausea
C151318 FAC03615 FAC036-Had Change in the Way Food Tastes National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have had a change in the way food tastes. NCCN-FACT FHNSI-22 Version 2 - Had Change in the Way Food Tastes
C151319 FAC03616 FAC036-I Have Mouth Sores National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have mouth sores. NCCN-FACT FHNSI-22 Version 2 - I Have Mouth Sores
C151320 FAC03617 FAC036-I Am Bothered by Hair Loss National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by hair loss. NCCN-FACT FHNSI-22 Version 2 - I Am Bothered by Hair Loss
C151321 FAC03618 FAC036-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FHNSI-22 Version 2 - Bothered by Treatment Side Effect
C151322 FAC03619 FAC036-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a good appetite. NCCN-FACT FHNSI-22 Version 2 - I Have a Good Appetite
C151323 FAC03620 FAC036-I Am Able to Work National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to work (include work at home). NCCN-FACT FHNSI-22 Version 2 - I Am Able to Work
C151324 FAC03621 FAC036-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to enjoy life. NCCN-FACT FHNSI-22 Version 2 - I Am Able to Enjoy Life
C151325 FAC03622 FAC036-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am content with the quality of my life right now. NCCN-FACT FHNSI-22 Version 2 - Content With Quality of My Life

FAC036TN (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Name)

NCI Code: C150787, Codelist extensible: No
C150787 FAC036TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151312 FAC036-Able to Communicate With Others FAC036-Able to Communicate With Others National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to communicate with others. NCCN-FACT FHNSI-22 Version 2 - Able to Communicate With Others
C151311 FAC036-Able to Eat the Foods That I Like FAC036-Able to Eat the Foods That I Like National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to eat the foods that I like. NCCN-FACT FHNSI-22 Version 2 - Able to Eat the Foods That I Like
C151321 FAC036-Bothered by Treatment Side Effect FAC036-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FHNSI-22 Version 2 - Bothered by Treatment Side Effect
C151310 FAC036-Can Swallow Naturally and Easily FAC036-Can Swallow Naturally and Easily National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can swallow naturally and easily. NCCN-FACT FHNSI-22 Version 2 - Can Swallow Naturally and Easily
C151325 FAC036-Content With Quality of My Life FAC036-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am content with the quality of my life right now. NCCN-FACT FHNSI-22 Version 2 - Content With Quality of My Life
C151318 FAC036-Had Change in the Way Food Tastes FAC036-Had Change in the Way Food Tastes National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have had a change in the way food tastes. NCCN-FACT FHNSI-22 Version 2 - Had Change in the Way Food Tastes
C151324 FAC036-I Am Able to Enjoy Life FAC036-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to enjoy life. NCCN-FACT FHNSI-22 Version 2 - I Am Able to Enjoy Life
C151323 FAC036-I Am Able to Work FAC036-I Am Able to Work National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to work (include work at home). NCCN-FACT FHNSI-22 Version 2 - I Am Able to Work
C151320 FAC036-I Am Bothered by Hair Loss FAC036-I Am Bothered by Hair Loss National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by hair loss. NCCN-FACT FHNSI-22 Version 2 - I Am Bothered by Hair Loss
C151305 FAC036-I Am Losing Weight FAC036-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am losing weight. NCCN-FACT FHNSI-22 Version 2 - I Am Losing Weight
C151314 FAC036-I Am Sleeping Well FAC036-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am sleeping well. NCCN-FACT FHNSI-22 Version 2 - I Am Sleeping Well
C151313 FAC036-I Can Eat Solid Foods FAC036-I Can Eat Solid Foods National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can eat solid foods. NCCN-FACT FHNSI-22 Version 2 - I Can Eat Solid Foods
C151307 FAC036-I Feel Ill FAC036-I Feel Ill National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I feel ill. NCCN-FACT FHNSI-22 Version 2 - I Feel Ill
C151322 FAC036-I Have a Good Appetite FAC036-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a good appetite. NCCN-FACT FHNSI-22 Version 2 - I Have a Good Appetite
C151316 FAC036-I Have a Lack of Energy FAC036-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a lack of energy. NCCN-FACT FHNSI-22 Version 2 - I Have a Lack of Energy
C151319 FAC036-I Have Mouth Sores FAC036-I Have Mouth Sores National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have mouth sores. NCCN-FACT FHNSI-22 Version 2 - I Have Mouth Sores
C151317 FAC036-I Have Nausea FAC036-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have nausea. NCCN-FACT FHNSI-22 Version 2 - I Have Nausea
C151304 FAC036-I Have Pain FAC036-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain. NCCN-FACT FHNSI-22 Version 2 - I Have Pain
C151306 FAC036-I Have Trouble Breathing FAC036-I Have Trouble Breathing National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have trouble breathing. NCCN-FACT FHNSI-22 Version 2 - I Have Trouble Breathing
C151308 FAC036-Pain in My Mouth, Throat or Neck FAC036-Pain in My Mouth, Throat or Neck National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain in my mouth, throat or neck. NCCN-FACT FHNSI-22 Version 2 - Pain in My Mouth, Throat or Neck
C151309 FAC036-Trouble Meeting Needs of Family FAC036-Trouble Meeting Needs of Family National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family. NCCN-FACT FHNSI-22 Version 2 - Trouble Meeting Needs of Family
C151315 FAC036-Worry My Condition Will Get Worse FAC036-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I worry that my condition will get worse. NCCN-FACT FHNSI-22 Version 2 - Worry My Condition Will Get Worse

FAC039TC (Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Code)

NCI Code: C138223, Codelist extensible: No
C138223 FAC039TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138444 FAC03901 FAC039-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a lack of energy. FKSI-15 - I Have a Lack of Energy
C138445 FAC03902 FAC039-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by side effects of treatment. FKSI-15 - Bothered by Treatment Side Effect
C138446 FAC03903 FAC039-I Have Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have pain. FKSI-15 - I Have Pain
C138447 FAC03904 FAC039-I Am Losing Weight Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am losing weight. FKSI-15 - I Am Losing Weight
C138448 FAC03905 FAC039-I Have Bone Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have bone pain. FKSI-15 - I Have Bone Pain
C138449 FAC03906 FAC039-I Feel Fatigued Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I feel fatigued. FKSI-15 - I Feel Fatigued
C138450 FAC03907 FAC039-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to enjoy life. FKSI-15 - I Am Able to Enjoy Life
C138451 FAC03908 FAC039-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been short of breath. FKSI-15 - I Have Been Short of Breath
C138452 FAC03909 FAC039-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I worry that my condition will get worse. FKSI-15 - Worry My Condition Will Get Worse
C138453 FAC03910 FAC039-I Have a Good Appetite Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a good appetite. FKSI-15 - I Have a Good Appetite
C138454 FAC03911 FAC039-I Have Been Coughing Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been coughing. FKSI-15 - I Have Been Coughing
C138455 FAC03912 FAC039-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by fevers (episodes of high body temperature). FKSI-15 - I Am Bothered by Fevers
C138456 FAC03913 FAC039-I Am Able to Work Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to work (include work at home). FKSI-15 - I Am Able to Work
C138457 FAC03914 FAC039-I Have Had Blood in My Urine Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have had blood in my urine. FKSI-15 - I Have Had Blood in My Urine
C138458 FAC03915 FAC039-I Am Sleeping Well Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am sleeping well. FKSI-15 - I Am Sleeping Well

FAC039TN (Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Name)

NCI Code: C138222, Codelist extensible: No
C138222 FAC039TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138445 FAC039-Bothered by Treatment Side Effect FAC039-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by side effects of treatment. FKSI-15 - Bothered by Treatment Side Effect
C138450 FAC039-I Am Able to Enjoy Life FAC039-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to enjoy life. FKSI-15 - I Am Able to Enjoy Life
C138456 FAC039-I Am Able to Work FAC039-I Am Able to Work Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to work (include work at home). FKSI-15 - I Am Able to Work
C138455 FAC039-I Am Bothered by Fevers FAC039-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by fevers (episodes of high body temperature). FKSI-15 - I Am Bothered by Fevers
C138447 FAC039-I Am Losing Weight FAC039-I Am Losing Weight Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am losing weight. FKSI-15 - I Am Losing Weight
C138458 FAC039-I Am Sleeping Well FAC039-I Am Sleeping Well Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am sleeping well. FKSI-15 - I Am Sleeping Well
C138449 FAC039-I Feel Fatigued FAC039-I Feel Fatigued Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I feel fatigued. FKSI-15 - I Feel Fatigued
C138453 FAC039-I Have a Good Appetite FAC039-I Have a Good Appetite Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a good appetite. FKSI-15 - I Have a Good Appetite
C138444 FAC039-I Have a Lack of Energy FAC039-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a lack of energy. FKSI-15 - I Have a Lack of Energy
C138454 FAC039-I Have Been Coughing FAC039-I Have Been Coughing Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been coughing. FKSI-15 - I Have Been Coughing
C138451 FAC039-I Have Been Short of Breath FAC039-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been short of breath. FKSI-15 - I Have Been Short of Breath
C138448 FAC039-I Have Bone Pain FAC039-I Have Bone Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have bone pain. FKSI-15 - I Have Bone Pain
C138457 FAC039-I Have Had Blood in My Urine FAC039-I Have Had Blood in My Urine Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have had blood in my urine. FKSI-15 - I Have Had Blood in My Urine
C138446 FAC039-I Have Pain FAC039-I Have Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have pain. FKSI-15 - I Have Pain
C138452 FAC039-Worry My Condition Will Get Worse FAC039-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I worry that my condition will get worse. FKSI-15 - Worry My Condition Will Get Worse

FAC041TC (Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Code)

NCI Code: C150784, Codelist extensible: No
C150784 FAC041TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151271 FAC04101 FAC041-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have a lack of energy. FKSI-DRS Version 4 - I Have a Lack of Energy
C151272 FAC04102 FAC041-I Have Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have pain. FKSI-DRS Version 4 - I Have Pain
C151273 FAC04103 FAC041-I Am Losing Weight Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am losing weight. FKSI-DRS Version 4 - I Am Losing Weight
C151274 FAC04104 FAC041-I Have Bone Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have bone pain. FKSI-DRS Version 4 - I Have Bone Pain
C151275 FAC04105 FAC041-I Feel Fatigued Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I feel fatigued. FKSI-DRS Version 4 - I Feel Fatigued
C151276 FAC04106 FAC041-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been short of breath. FKSI-DRS Version 4 - I Have Been Short of Breath
C151277 FAC04107 FAC041-I Have Been Coughing Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been coughing. FKSI-DRS Version 4 - I Have Been Coughing
C151278 FAC04108 FAC041-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am bothered by fevers (episodes of high body temperature). FKSI-DRS Version 4 - I Am Bothered by Fevers
C151279 FAC04109 FAC041-I Have Had Blood in My Urine Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have had blood in my urine. FKSI-DRS Version 4 - I Have Had Blood in My Urine

FAC041TN (Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Name)

NCI Code: C150783, Codelist extensible: No
C150783 FAC041TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151278 FAC041-I Am Bothered by Fevers FAC041-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am bothered by fevers (episodes of high body temperature). FKSI-DRS Version 4 - I Am Bothered by Fevers
C151273 FAC041-I Am Losing Weight FAC041-I Am Losing Weight Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am losing weight. FKSI-DRS Version 4 - I Am Losing Weight
C151275 FAC041-I Feel Fatigued FAC041-I Feel Fatigued Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I feel fatigued. FKSI-DRS Version 4 - I Feel Fatigued
C151271 FAC041-I Have a Lack of Energy FAC041-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have a lack of energy. FKSI-DRS Version 4 - I Have a Lack of Energy
C151277 FAC041-I Have Been Coughing FAC041-I Have Been Coughing Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been coughing. FKSI-DRS Version 4 - I Have Been Coughing
C151276 FAC041-I Have Been Short of Breath FAC041-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been short of breath. FKSI-DRS Version 4 - I Have Been Short of Breath
C151274 FAC041-I Have Bone Pain FAC041-I Have Bone Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have bone pain. FKSI-DRS Version 4 - I Have Bone Pain
C151279 FAC041-I Have Had Blood in My Urine FAC041-I Have Had Blood in My Urine Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have had blood in my urine. FKSI-DRS Version 4 - I Have Had Blood in My Urine
C151272 FAC041-I Have Pain FAC041-I Have Pain Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have pain. FKSI-DRS Version 4 - I Have Pain

FAC042TC (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Code)

NCI Code: C129090, Codelist extensible: No
C129090 FAC042TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129151 FAC04201 FAC042-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a lack of energy. NCCN-FACT FKSI-19 Version 2 - I Have a Lack of Energy
C129152 FAC04202 FAC042-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have pain. NCCN-FACT FKSI-19 Version 2 - I Have Pain
C129153 FAC04203 FAC042-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am losing weight. NCCN-FACT FKSI-19 Version 2 - I Am Losing Weight
C129154 FAC04204 FAC042-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel fatigued. NCCN-FACT FKSI-19 Version 2 - I Feel Fatigued
C129155 FAC04205 FAC042-I Have Been Short of Breath National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been short of breath. NCCN-FACT FKSI-19 Version 2 - I Have Been Short of Breath
C129156 FAC04206 FAC042-I Am Bothered by Fevers National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by fevers (episodes of high body temperature). NCCN-FACT FKSI-19 Version 2 - I Am Bothered by Fevers
C129157 FAC04207 FAC042-I Have Bone Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have bone pain. NCCN-FACT FKSI-19 Version 2 - I Have Bone Pain
C129158 FAC04208 FAC042-I Have Been Coughing National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been coughing. NCCN-FACT FKSI-19 Version 2 - I Have Been Coughing
C129159 FAC04209 FAC042-I Feel Weak All Over National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel weak all over. NCCN-FACT FKSI-19 Version 2 - I Feel Weak All Over
C129160 FAC04210 FAC042-I Have Had Blood in My Urine National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have had blood in my urine. NCCN-FACT FKSI-19 Version 2 - I Have Had Blood in My Urine
C129161 FAC04211 FAC042-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a good appetite. NCCN-FACT FKSI-19 Version 2 - I Have a Good Appetite
C129162 FAC04212 FAC042-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am sleeping well. NCCN-FACT FKSI-19 Version 2 - I Am Sleeping Well
C129163 FAC04213 FAC042-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I worry that my condition will get worse. NCCN-FACT FKSI-19 Version 2 - Worry My Condition Will Get Worse
C129164 FAC04214 FAC042-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have nausea. NCCN-FACT FKSI-19 Version 2 - I Have Nausea
C129165 FAC04215 FAC042-I Have Diarrhea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have diarrhea (diarrhoea). NCCN-FACT FKSI-19 Version 2 - I Have Diarrhea
C129166 FAC04216 FAC042-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FKSI-19 Version 2 - Bothered by Treatment Side Effect
C129167 FAC04217 FAC042-I Am Able to Work National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to work (include work at home). NCCN-FACT FKSI-19 Version 2 - I Am Able to Work
C129168 FAC04218 FAC042-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to enjoy life. NCCN-FACT FKSI-19 Version 2 - I Am Able to Enjoy Life
C129169 FAC04219 FAC042-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am content with the quality of my life right now. NCCN-FACT FKSI-19 Version 2 - Content With Quality of My Life

FAC042TN (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Name)

NCI Code: C129089, Codelist extensible: No
C129089 FAC042TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129166 FAC042-Bothered by Treatment Side Effect FAC042-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FKSI-19 Version 2 - Bothered by Treatment Side Effect
C129169 FAC042-Content With Quality of My Life FAC042-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am content with the quality of my life right now. NCCN-FACT FKSI-19 Version 2 - Content With Quality of My Life
C129168 FAC042-I Am Able to Enjoy Life FAC042-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to enjoy life. NCCN-FACT FKSI-19 Version 2 - I Am Able to Enjoy Life
C129167 FAC042-I Am Able to Work FAC042-I Am Able to Work National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to work (include work at home). NCCN-FACT FKSI-19 Version 2 - I Am Able to Work
C129156 FAC042-I Am Bothered by Fevers FAC042-I Am Bothered by Fevers National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by fevers (episodes of high body temperature). NCCN-FACT FKSI-19 Version 2 - I Am Bothered by Fevers
C129153 FAC042-I Am Losing Weight FAC042-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am losing weight. NCCN-FACT FKSI-19 Version 2 - I Am Losing Weight
C129162 FAC042-I Am Sleeping Well FAC042-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am sleeping well. NCCN-FACT FKSI-19 Version 2 - I Am Sleeping Well
C129154 FAC042-I Feel Fatigued FAC042-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel fatigued. NCCN-FACT FKSI-19 Version 2 - I Feel Fatigued
C129159 FAC042-I Feel Weak All Over FAC042-I Feel Weak All Over National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel weak all over. NCCN-FACT FKSI-19 Version 2 - I Feel Weak All Over
C129161 FAC042-I Have a Good Appetite FAC042-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a good appetite. NCCN-FACT FKSI-19 Version 2 - I Have a Good Appetite
C129151 FAC042-I Have a Lack of Energy FAC042-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a lack of energy. NCCN-FACT FKSI-19 Version 2 - I Have a Lack of Energy
C129158 FAC042-I Have Been Coughing FAC042-I Have Been Coughing National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been coughing. NCCN-FACT FKSI-19 Version 2 - I Have Been Coughing
C129155 FAC042-I Have Been Short of Breath FAC042-I Have Been Short of Breath National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been short of breath. NCCN-FACT FKSI-19 Version 2 - I Have Been Short of Breath
C129157 FAC042-I Have Bone Pain FAC042-I Have Bone Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have bone pain. NCCN-FACT FKSI-19 Version 2 - I Have Bone Pain
C129165 FAC042-I Have Diarrhea FAC042-I Have Diarrhea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have diarrhea (diarrhoea). NCCN-FACT FKSI-19 Version 2 - I Have Diarrhea
C129160 FAC042-I Have Had Blood in My Urine FAC042-I Have Had Blood in My Urine National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have had blood in my urine. NCCN-FACT FKSI-19 Version 2 - I Have Had Blood in My Urine
C129164 FAC042-I Have Nausea FAC042-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have nausea. NCCN-FACT FKSI-19 Version 2 - I Have Nausea
C129152 FAC042-I Have Pain FAC042-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have pain. NCCN-FACT FKSI-19 Version 2 - I Have Pain
C129163 FAC042-Worry My Condition Will Get Worse FAC042-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I worry that my condition will get worse. NCCN-FACT FKSI-19 Version 2 - Worry My Condition Will Get Worse

FAC043TC (Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Code)

NCI Code: C138225, Codelist extensible: No
C138225 FAC043TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138459 FAC04301 FAC043-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Lung Symptom Index - I have been short of breath. FLSI - I Have Been Short of Breath
C138460 FAC04302 FAC043-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Lung Symptom Index - I have a lack of energy. FLSI - I Have a Lack of Energy
C138461 FAC04303 FAC043-I Have Pain Functional Assessment of Cancer Therapy-Lung Symptom Index - I have pain. FLSI - I Have Pain
C138462 FAC04304 FAC043-I Am Losing Weight Functional Assessment of Cancer Therapy-Lung Symptom Index - I am losing weight. FLSI - I Am Losing Weight
C138463 FAC04305 FAC043-I Have Been Coughing Functional Assessment of Cancer Therapy-Lung Symptom Index - I have been coughing. FLSI - I Have Been Coughing
C138464 FAC04306 FAC043-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Lung Symptom Index - I have certain parts of my body where I experience pain. FLSI - Certain Parts of Body Have Pain

FAC043TN (Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Name)

NCI Code: C138224, Codelist extensible: No
C138224 FAC043TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138464 FAC043-Certain Parts of Body Have Pain FAC043-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy-Lung Symptom Index - I have certain parts of my body where I experience pain. FLSI - Certain Parts of Body Have Pain
C138462 FAC043-I Am Losing Weight FAC043-I Am Losing Weight Functional Assessment of Cancer Therapy-Lung Symptom Index - I am losing weight. FLSI - I Am Losing Weight
C138460 FAC043-I Have a Lack of Energy FAC043-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Lung Symptom Index - I have a lack of energy. FLSI - I Have a Lack of Energy
C138463 FAC043-I Have Been Coughing FAC043-I Have Been Coughing Functional Assessment of Cancer Therapy-Lung Symptom Index - I have been coughing. FLSI - I Have Been Coughing
C138459 FAC043-I Have Been Short of Breath FAC043-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Lung Symptom Index - I have been short of breath. FLSI - I Have Been Short of Breath
C138461 FAC043-I Have Pain FAC043-I Have Pain Functional Assessment of Cancer Therapy-Lung Symptom Index - I have pain. FLSI - I Have Pain

FAC049TC (Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Code)

NCI Code: C129096, Codelist extensible: No
C129096 FAC049TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129225 FAC04901 FAC049-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have a lack of energy. FOSI - I Have a Lack of Energy
C129226 FAC04902 FAC049-I Have Been Vomiting Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have been vomiting. FOSI - I Have Been Vomiting
C129227 FAC04903 FAC049-I Have Pain Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have pain. FOSI - I Have Pain
C129228 FAC04904 FAC049-I Have Nausea Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have nausea. FOSI - I Have Nausea
C129229 FAC04905 FAC049-I Have Swelling in Stomach Area Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have swelling in my stomach area. FOSI - I Have Swelling in Stomach Area
C129230 FAC04906 FAC049-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I worry that my condition will get worse. FOSI - Worry My Condition Will Get Worse
C129231 FAC04907 FAC049-Content With Quality of My Life Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I am content with the quality of my life right now. FOSI - Content With Quality of My Life
C129232 FAC04908 FAC049-I Have Cramps in My Stomach Area Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have cramps in my stomach area. FOSI - I Have Cramps in My Stomach Area

FAC049TN (Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Name)

NCI Code: C129095, Codelist extensible: No
C129095 FAC049TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129231 FAC049-Content With Quality of My Life FAC049-Content With Quality of My Life Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I am content with the quality of my life right now. FOSI - Content With Quality of My Life
C129225 FAC049-I Have a Lack of Energy FAC049-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have a lack of energy. FOSI - I Have a Lack of Energy
C129226 FAC049-I Have Been Vomiting FAC049-I Have Been Vomiting Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have been vomiting. FOSI - I Have Been Vomiting
C129232 FAC049-I Have Cramps in My Stomach Area FAC049-I Have Cramps in My Stomach Area Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have cramps in my stomach area. FOSI - I Have Cramps in My Stomach Area
C129228 FAC049-I Have Nausea FAC049-I Have Nausea Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have nausea. FOSI - I Have Nausea
C129227 FAC049-I Have Pain FAC049-I Have Pain Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have pain. FOSI - I Have Pain
C129229 FAC049-I Have Swelling in Stomach Area FAC049-I Have Swelling in Stomach Area Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I have swelling in my stomach area. FOSI - I Have Swelling in Stomach Area
C129230 FAC049-Worry My Condition Will Get Worse FAC049-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Ovarian Symptom Index - I worry that my condition will get worse. FOSI - Worry My Condition Will Get Worse

FAC050TC (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Code)

NCI Code: C129098, Codelist extensible: No
C129098 FAC050TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129233 FAC05001 FAC050-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have a lack of energy. NCCN-FACT FOSI-18 Version 2 - I Have a Lack of Energy
C129234 FAC05002 FAC050-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have pain. NCCN-FACT FOSI-18 Version 2 - I Have Pain
C129235 FAC05003 FAC050-I Feel Ill National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel ill. NCCN-FACT FOSI-18 Version 2 - I Feel Ill
C129236 FAC05004 FAC050-I Have Cramps in My Stomach Area National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have cramps in my stomach area. NCCN-FACT FOSI-18 Version 2 - I Have Cramps in My Stomach Area
C129237 FAC05005 FAC050-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel fatigued. NCCN-FACT FOSI-18 Version 2 - I Feel Fatigued
C129238 FAC05006 FAC050-I Am Bothered by Constipation National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by constipation. NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Constipation
C129239 FAC05007 FAC050-I Have Swelling in Stomach Area National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have swelling in my stomach area. NCCN-FACT FOSI-18 Version 2 - I Have Swelling in Stomach Area
C129240 FAC05008 FAC050-I Have Control of My Bowels National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have control of my bowels. NCCN-FACT FOSI-18 Version 2 - I Have Control of My Bowels
C129241 FAC05009 FAC050-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am sleeping well. NCCN-FACT FOSI-18 Version 2 - I Am Sleeping Well
C129242 FAC05010 FAC050-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I worry that my condition will get worse. NCCN-FACT FOSI-18 Version 2 - Worry My Condition Will Get Worse
C129243 FAC05011 FAC050-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have nausea. NCCN-FACT FOSI-18 Version 2 - I Have Nausea
C129244 FAC05012 FAC050-I Am Bothered by Hair Loss National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by hair loss. NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Hair Loss
C129245 FAC05013 FAC050-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FOSI-18 Version 2 - Bothered by Treatment Side Effect
C129246 FAC05014 FAC050-I Have Been Vomiting National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have been vomiting. NCCN-FACT FOSI-18 Version 2 - I Have Been Vomiting
C129247 FAC05015 FAC050-I Am Bothered by Skin Problems National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by skin problems. NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Skin Problems
C129248 FAC05016 FAC050-I Am Able to Get Around by Myself National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to get around by myself. NCCN-FACT FOSI-18 Version 2 - I Am Able to Get Around by Myself
C129249 FAC05017 FAC050-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to enjoy life. NCCN-FACT FOSI-18 Version 2 - I Am Able to Enjoy Life
C129250 FAC05018 FAC050-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am content with the quality of my life right now. NCCN-FACT FOSI-18 Version 2 - Content With Quality of My Life

FAC050TN (National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Name)

NCI Code: C129097, Codelist extensible: No
C129097 FAC050TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129245 FAC050-Bothered by Treatment Side Effect FAC050-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by side effects of treatment. NCCN-FACT FOSI-18 Version 2 - Bothered by Treatment Side Effect
C129250 FAC050-Content With Quality of My Life FAC050-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am content with the quality of my life right now. NCCN-FACT FOSI-18 Version 2 - Content With Quality of My Life
C129249 FAC050-I Am Able to Enjoy Life FAC050-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to enjoy life. NCCN-FACT FOSI-18 Version 2 - I Am Able to Enjoy Life
C129248 FAC050-I Am Able to Get Around by Myself FAC050-I Am Able to Get Around by Myself National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to get around by myself. NCCN-FACT FOSI-18 Version 2 - I Am Able to Get Around by Myself
C129238 FAC050-I Am Bothered by Constipation FAC050-I Am Bothered by Constipation National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by constipation. NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Constipation
C129244 FAC050-I Am Bothered by Hair Loss FAC050-I Am Bothered by Hair Loss National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by hair loss. NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Hair Loss
C129247 FAC050-I Am Bothered by Skin Problems FAC050-I Am Bothered by Skin Problems National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by skin problems. NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Skin Problems
C129241 FAC050-I Am Sleeping Well FAC050-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am sleeping well. NCCN-FACT FOSI-18 Version 2 - I Am Sleeping Well
C129237 FAC050-I Feel Fatigued FAC050-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel fatigued. NCCN-FACT FOSI-18 Version 2 - I Feel Fatigued
C129235 FAC050-I Feel Ill FAC050-I Feel Ill National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel ill. NCCN-FACT FOSI-18 Version 2 - I Feel Ill
C129233 FAC050-I Have a Lack of Energy FAC050-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have a lack of energy. NCCN-FACT FOSI-18 Version 2 - I Have a Lack of Energy
C129246 FAC050-I Have Been Vomiting FAC050-I Have Been Vomiting National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have been vomiting. NCCN-FACT FOSI-18 Version 2 - I Have Been Vomiting
C129240 FAC050-I Have Control of My Bowels FAC050-I Have Control of My Bowels National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have control of my bowels. NCCN-FACT FOSI-18 Version 2 - I Have Control of My Bowels
C129236 FAC050-I Have Cramps in My Stomach Area FAC050-I Have Cramps in My Stomach Area National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have cramps in my stomach area. NCCN-FACT FOSI-18 Version 2 - I Have Cramps in My Stomach Area
C129243 FAC050-I Have Nausea FAC050-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have nausea. NCCN-FACT FOSI-18 Version 2 - I Have Nausea
C129234 FAC050-I Have Pain FAC050-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have pain. NCCN-FACT FOSI-18 Version 2 - I Have Pain
C129239 FAC050-I Have Swelling in Stomach Area FAC050-I Have Swelling in Stomach Area National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have swelling in my stomach area. NCCN-FACT FOSI-18 Version 2 - I Have Swelling in Stomach Area
C129242 FAC050-Worry My Condition Will Get Worse FAC050-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I worry that my condition will get worse. NCCN-FACT FOSI-18 Version 2 - Worry My Condition Will Get Worse

FAC052TC (The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Code)

NCI Code: C127356, Codelist extensible: No
C127356 FAC052TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127448 FAC05201 FAC052-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a lack of energy. NCCN-FACT-FPSI 17 Version 2 - I Have a Lack of Energy
C127449 FAC05202 FAC052-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have pain. NCCN-FACT-FPSI 17 Version 2 - I Have Pain
C127450 FAC05203 FAC052-I Have Difficulty Urinating National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have difficulty urinating. NCCN-FACT-FPSI 17 Version 2 - I Have Difficulty Urinating
C127451 FAC05204 FAC052-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am losing weight. NCCN-FACT-FPSI 17 Version 2 - I Am Losing Weight
C127452 FAC05205 FAC052-I Have Bone Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have bone pain. NCCN-FACT-FPSI 17 Version 2 - I Have Bone Pain
C127453 FAC05206 FAC052-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I feel fatigued. NCCN-FACT-FPSI 17 Version 2 - I Feel Fatigued
C127454 FAC05207 FAC052-I Have Weakness in My Legs National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have weakness in my legs. NCCN-FACT-FPSI 17 Version 2 - I Have Weakness in My Legs
C127455 FAC05208 FAC052-Pain Keeps Me From Doing Things National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - My pain keeps me from doing things I want to do. NCCN-FACT-FPSI 17 Version 2 - Pain Keeps Me From Doing Things
C127456 FAC05209 FAC052-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a good appetite. NCCN-FACT-FPSI 17 Version 2 - I Have a Good Appetite
C127457 FAC05210 FAC052-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am sleeping well. NCCN-FACT-FPSI 17 Version 2 - I Am Sleeping Well
C127458 FAC05211 FAC052-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I worry that my condition will get worse. NCCN-FACT-FPSI 17 Version 2 - Worry My Condition Will Get Worse
C127459 FAC05212 FAC052-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have nausea. NCCN-FACT-FPSI 17 Version 2 - I Have Nausea
C127460 FAC05213 FAC052-I Have Trouble Moving My Bowels National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have trouble moving my bowels. NCCN-FACT-FPSI 17 Version 2 - I Have Trouble Moving My Bowels
C127461 FAC05214 FAC052-I Am Satisfied With My Sex Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am satisfied with my sex life. NCCN-FACT-FPSI 17 Version 2 - I Am Satisfied With My Sex Life
C127462 FAC05215 FAC052-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am bothered by side effects of treatment. NCCN-FACT-FPSI 17 Version 2 - Bothered by Treatment Side Effect
C127463 FAC05216 FAC052-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am able to enjoy life. NCCN-FACT-FPSI 17 Version 2 - I Am Able to Enjoy Life
C127464 FAC05217 FAC052-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am content with the quality of my life right now. NCCN-FACT-FPSI 17 Version 2 - Content With Quality of My Life

FAC052TN (The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Name)

NCI Code: C127355, Codelist extensible: No
C127355 FAC052TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127462 FAC052-Bothered by Treatment Side Effect FAC052-Bothered by Treatment Side Effect National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am bothered by side effects of treatment. NCCN-FACT-FPSI 17 Version 2 - Bothered by Treatment Side Effect
C127464 FAC052-Content With Quality of My Life FAC052-Content With Quality of My Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am content with the quality of my life right now. NCCN-FACT-FPSI 17 Version 2 - Content With Quality of My Life
C127463 FAC052-I Am Able to Enjoy Life FAC052-I Am Able to Enjoy Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am able to enjoy life. NCCN-FACT-FPSI 17 Version 2 - I Am Able to Enjoy Life
C127451 FAC052-I Am Losing Weight FAC052-I Am Losing Weight National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am losing weight. NCCN-FACT-FPSI 17 Version 2 - I Am Losing Weight
C127461 FAC052-I Am Satisfied With My Sex Life FAC052-I Am Satisfied With My Sex Life National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am satisfied with my sex life. NCCN-FACT-FPSI 17 Version 2 - I Am Satisfied With My Sex Life
C127457 FAC052-I Am Sleeping Well FAC052-I Am Sleeping Well National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am sleeping well. NCCN-FACT-FPSI 17 Version 2 - I Am Sleeping Well
C127453 FAC052-I Feel Fatigued FAC052-I Feel Fatigued National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I feel fatigued. NCCN-FACT-FPSI 17 Version 2 - I Feel Fatigued
C127456 FAC052-I Have a Good Appetite FAC052-I Have a Good Appetite National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a good appetite. NCCN-FACT-FPSI 17 Version 2 - I Have a Good Appetite
C127448 FAC052-I Have a Lack of Energy FAC052-I Have a Lack of Energy National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a lack of energy. NCCN-FACT-FPSI 17 Version 2 - I Have a Lack of Energy
C127452 FAC052-I Have Bone Pain FAC052-I Have Bone Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have bone pain. NCCN-FACT-FPSI 17 Version 2 - I Have Bone Pain
C127450 FAC052-I Have Difficulty Urinating FAC052-I Have Difficulty Urinating National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have difficulty urinating. NCCN-FACT-FPSI 17 Version 2 - I Have Difficulty Urinating
C127459 FAC052-I Have Nausea FAC052-I Have Nausea National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have nausea. NCCN-FACT-FPSI 17 Version 2 - I Have Nausea
C127449 FAC052-I Have Pain FAC052-I Have Pain National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have pain. NCCN-FACT-FPSI 17 Version 2 - I Have Pain
C127460 FAC052-I Have Trouble Moving My Bowels FAC052-I Have Trouble Moving My Bowels National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have trouble moving my bowels. NCCN-FACT-FPSI 17 Version 2 - I Have Trouble Moving My Bowels
C127454 FAC052-I Have Weakness in My Legs FAC052-I Have Weakness in My Legs National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have weakness in my legs. NCCN-FACT-FPSI 17 Version 2 - I Have Weakness in My Legs
C127455 FAC052-Pain Keeps Me From Doing Things FAC052-Pain Keeps Me From Doing Things National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - My pain keeps me from doing things I want to do. NCCN-FACT-FPSI 17 Version 2 - Pain Keeps Me From Doing Things
C127458 FAC052-Worry My Condition Will Get Worse FAC052-Worry My Condition Will Get Worse National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I worry that my condition will get worse. NCCN-FACT-FPSI 17 Version 2 - Worry My Condition Will Get Worse

FAC057TC (Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Code)

NCI Code: C150780, Codelist extensible: No
C150780 FAC057TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151196 FAC05701 FAC057-I Have a Lack of Energy Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have a lack of energy. FACT/GOG-NTX Version 4 - I Have a Lack of Energy
C151197 FAC05702 FAC057-I Have Nausea Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have nausea. FACT/GOG-NTX Version 4 - I Have Nausea
C151198 FAC05703 FAC057-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT/GOG-NTX Version 4 - Trouble Meeting Needs of Family
C151199 FAC05704 FAC057-I Have Pain Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have pain. FACT/GOG-NTX Version 4 - I Have Pain
C151200 FAC05705 FAC057-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT/GOG-NTX Version 4 - Bothered by Treatment Side Effect
C151201 FAC05706 FAC057-I Feel Ill Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I feel ill. FACT/GOG-NTX Version 4 - I Feel Ill
C151202 FAC05707 FAC057-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT/GOG-NTX Version 4 - I Am Forced to Spend Time in Bed
C151203 FAC05708 FAC057-I Feel Close to My Friends Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my friends. FACT/GOG-NTX Version 4 - I Feel Close to My Friends
C151204 FAC05709 FAC057-Get Emotional Support From Family Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT/GOG-NTX Version 4 - Get Emotional Support From Family
C151205 FAC05710 FAC057-I Get Support From My Friends Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get support from my friends. FACT/GOG-NTX Version 4 - I Get Support From My Friends
C151206 FAC05711 FAC057-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT/GOG-NTX Version 4 - My Family Has Accepted My Illness
C151207 FAC05712 FAC057-Satisfied Communication Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT/GOG-NTX Version 4 - Satisfied Communication Illness
C151208 FAC05713 FAC057-I Feel Close to My Partner Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT/GOG-NTX Version 4 - I Feel Close to My Partner
C151209 FAC05714 FAC057-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT/GOG-NTX Version 4 - I Am Satisfied With My Sex Life
C151210 FAC05715 FAC057-I Feel Sad Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel sad. FACT/GOG-NTX Version 4 - I Feel Sad
C151211 FAC05716 FAC057-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT/GOG-NTX Version 4 - Satisfied With How I Am Coping
C151212 FAC05717 FAC057-Losing Hope Against Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT/GOG-NTX Version 4 - Losing Hope Against Illness
C151213 FAC05718 FAC057-I Feel Nervous Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel nervous. FACT/GOG-NTX Version 4 - I Feel Nervous
C151214 FAC05719 FAC057-I Worry About Dying Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry about dying. FACT/GOG-NTX Version 4 - I Worry About Dying
C151215 FAC05720 FAC057-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT/GOG-NTX Version 4 - Worry My Condition Will Get Worse
C151216 FAC05721 FAC057-I Am Able to Work Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to work (include work at home). FACT/GOG-NTX Version 4 - I Am Able to Work
C151217 FAC05722 FAC057-My Work Is Fulfilling Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT/GOG-NTX Version 4 - My Work Is Fulfilling
C151218 FAC05723 FAC057-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to enjoy life. FACT/GOG-NTX Version 4 - I Am Able to Enjoy Life
C151219 FAC05724 FAC057-I Have Accepted My Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I have accepted my illness. FACT/GOG-NTX Version 4 - I Have Accepted My Illness
C151220 FAC05725 FAC057-I Am Sleeping Well Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am sleeping well. FACT/GOG-NTX Version 4 - I Am Sleeping Well
C151221 FAC05726 FAC057-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT/GOG-NTX Version 4 - Enjoy Things I Usually Do for Fun
C151222 FAC05727 FAC057-Content With Quality of My Life Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT/GOG-NTX Version 4 - Content With Quality of My Life
C151223 FAC05728 FAC057-Numbness or Tingling in My Hands Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my hands. FACT/GOG-NTX Version 4 - Numbness or Tingling in My Hands
C151224 FAC05729 FAC057-Numbness or Tingling in My Feet Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my feet. FACT/GOG-NTX Version 4 - Numbness or Tingling in My Feet
C151225 FAC05730 FAC057-I Feel Discomfort in My Hands Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my hands. FACT/GOG-NTX Version 4 - I Feel Discomfort in My Hands
C151226 FAC05731 FAC057-I Feel Discomfort in My Feet Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my feet. FACT/GOG-NTX Version 4 - I Feel Discomfort in My Feet
C151227 FAC05732 FAC057-Have Joint Pain or Muscle Cramps Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have joint pain or muscle cramps. FACT/GOG-NTX Version 4 - Have Joint Pain or Muscle Cramps
C151228 FAC05733 FAC057-I Feel Weak All Over Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel weak all over. FACT/GOG-NTX Version 4 - I Feel Weak All Over
C151229 FAC05734 FAC057-I Have Trouble Hearing Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble hearing. FACT/GOG-NTX Version 4 - I Have Trouble Hearing
C151230 FAC05735 FAC057-Get Ringing or Buzzing in My Ears Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I get a ringing or buzzing in my ears. FACT/GOG-NTX Version 4 - Get Ringing or Buzzing in My Ears
C151231 FAC05736 FAC057-I Have Trouble Buttoning Buttons Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble buttoning buttons. FACT/GOG-NTX Version 4 - I Have Trouble Buttoning Buttons
C151232 FAC05737 FAC057-Trouble Feeling Shape of Objects Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand. FACT/GOG-NTX Version 4 - Trouble Feeling Shape of Objects
C151233 FAC05738 FAC057-I Have Trouble Walking Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble walking. FACT/GOG-NTX Version 4 - I Have Trouble Walking

FAC057TN (Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Name)

NCI Code: C150779, Codelist extensible: No
C150779 FAC057TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151200 FAC057-Bothered by Treatment Side Effect FAC057-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT/GOG-NTX Version 4 - Bothered by Treatment Side Effect
C151222 FAC057-Content With Quality of My Life FAC057-Content With Quality of My Life Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT/GOG-NTX Version 4 - Content With Quality of My Life
C151221 FAC057-Enjoy Things I Usually Do for Fun FAC057-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT/GOG-NTX Version 4 - Enjoy Things I Usually Do for Fun
C151204 FAC057-Get Emotional Support From Family FAC057-Get Emotional Support From Family Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT/GOG-NTX Version 4 - Get Emotional Support From Family
C151230 FAC057-Get Ringing or Buzzing in My Ears FAC057-Get Ringing or Buzzing in My Ears Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I get a ringing or buzzing in my ears. FACT/GOG-NTX Version 4 - Get Ringing or Buzzing in My Ears
C151227 FAC057-Have Joint Pain or Muscle Cramps FAC057-Have Joint Pain or Muscle Cramps Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have joint pain or muscle cramps. FACT/GOG-NTX Version 4 - Have Joint Pain or Muscle Cramps
C151218 FAC057-I Am Able to Enjoy Life FAC057-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to enjoy life. FACT/GOG-NTX Version 4 - I Am Able to Enjoy Life
C151216 FAC057-I Am Able to Work FAC057-I Am Able to Work Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to work (include work at home). FACT/GOG-NTX Version 4 - I Am Able to Work
C151202 FAC057-I Am Forced to Spend Time in Bed FAC057-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT/GOG-NTX Version 4 - I Am Forced to Spend Time in Bed
C151209 FAC057-I Am Satisfied With My Sex Life FAC057-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT/GOG-NTX Version 4 - I Am Satisfied With My Sex Life
C151220 FAC057-I Am Sleeping Well FAC057-I Am Sleeping Well Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am sleeping well. FACT/GOG-NTX Version 4 - I Am Sleeping Well
C151203 FAC057-I Feel Close to My Friends FAC057-I Feel Close to My Friends Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my friends. FACT/GOG-NTX Version 4 - I Feel Close to My Friends
C151208 FAC057-I Feel Close to My Partner FAC057-I Feel Close to My Partner Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT/GOG-NTX Version 4 - I Feel Close to My Partner
C151226 FAC057-I Feel Discomfort in My Feet FAC057-I Feel Discomfort in My Feet Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my feet. FACT/GOG-NTX Version 4 - I Feel Discomfort in My Feet
C151225 FAC057-I Feel Discomfort in My Hands FAC057-I Feel Discomfort in My Hands Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my hands. FACT/GOG-NTX Version 4 - I Feel Discomfort in My Hands
C151201 FAC057-I Feel Ill FAC057-I Feel Ill Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I feel ill. FACT/GOG-NTX Version 4 - I Feel Ill
C151213 FAC057-I Feel Nervous FAC057-I Feel Nervous Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel nervous. FACT/GOG-NTX Version 4 - I Feel Nervous
C151210 FAC057-I Feel Sad FAC057-I Feel Sad Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel sad. FACT/GOG-NTX Version 4 - I Feel Sad
C151228 FAC057-I Feel Weak All Over FAC057-I Feel Weak All Over Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel weak all over. FACT/GOG-NTX Version 4 - I Feel Weak All Over
C151205 FAC057-I Get Support From My Friends FAC057-I Get Support From My Friends Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get support from my friends. FACT/GOG-NTX Version 4 - I Get Support From My Friends
C151196 FAC057-I Have a Lack of Energy FAC057-I Have a Lack of Energy Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have a lack of energy. FACT/GOG-NTX Version 4 - I Have a Lack of Energy
C151219 FAC057-I Have Accepted My Illness FAC057-I Have Accepted My Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I have accepted my illness. FACT/GOG-NTX Version 4 - I Have Accepted My Illness
C151197 FAC057-I Have Nausea FAC057-I Have Nausea Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have nausea. FACT/GOG-NTX Version 4 - I Have Nausea
C151199 FAC057-I Have Pain FAC057-I Have Pain Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have pain. FACT/GOG-NTX Version 4 - I Have Pain
C151231 FAC057-I Have Trouble Buttoning Buttons FAC057-I Have Trouble Buttoning Buttons Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble buttoning buttons. FACT/GOG-NTX Version 4 - I Have Trouble Buttoning Buttons
C151229 FAC057-I Have Trouble Hearing FAC057-I Have Trouble Hearing Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble hearing. FACT/GOG-NTX Version 4 - I Have Trouble Hearing
C151233 FAC057-I Have Trouble Walking FAC057-I Have Trouble Walking Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble walking. FACT/GOG-NTX Version 4 - I Have Trouble Walking
C151214 FAC057-I Worry About Dying FAC057-I Worry About Dying Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry about dying. FACT/GOG-NTX Version 4 - I Worry About Dying
C151212 FAC057-Losing Hope Against Illness FAC057-Losing Hope Against Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT/GOG-NTX Version 4 - Losing Hope Against Illness
C151206 FAC057-My Family Has Accepted My Illness FAC057-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT/GOG-NTX Version 4 - My Family Has Accepted My Illness
C151217 FAC057-My Work Is Fulfilling FAC057-My Work Is Fulfilling Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT/GOG-NTX Version 4 - My Work Is Fulfilling
C151224 FAC057-Numbness or Tingling in My Feet FAC057-Numbness or Tingling in My Feet Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my feet. FACT/GOG-NTX Version 4 - Numbness or Tingling in My Feet
C151223 FAC057-Numbness or Tingling in My Hands FAC057-Numbness or Tingling in My Hands Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my hands. FACT/GOG-NTX Version 4 - Numbness or Tingling in My Hands
C151207 FAC057-Satisfied Communication Illness FAC057-Satisfied Communication Illness Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT/GOG-NTX Version 4 - Satisfied Communication Illness
C151211 FAC057-Satisfied With How I Am Coping FAC057-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT/GOG-NTX Version 4 - Satisfied With How I Am Coping
C151232 FAC057-Trouble Feeling Shape of Objects FAC057-Trouble Feeling Shape of Objects Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand. FACT/GOG-NTX Version 4 - Trouble Feeling Shape of Objects
C151198 FAC057-Trouble Meeting Needs of Family FAC057-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT/GOG-NTX Version 4 - Trouble Meeting Needs of Family
C151215 FAC057-Worry My Condition Will Get Worse FAC057-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT/GOG-NTX Version 4 - Worry My Condition Will Get Worse

FAC061TC (Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Code)

NCI Code: C147540, Codelist extensible: No
C147540 FAC061TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147593 FAC06101 FAC061-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a lack of energy. FACT-BMT Version 4 - I Have a Lack of Energy
C147594 FAC06102 FAC061-I Have Nausea Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have nausea. FACT-BMT Version 4 - I Have Nausea
C147595 FAC06103 FAC061-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - Because of my physical condition, I have trouble meeting the needs of my family. FACT-BMT Version 4 - Trouble Meeting Needs of Family
C147596 FAC06104 FAC061-I Have Pain Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have pain. FACT-BMT Version 4 - I Have Pain
C147597 FAC06105 FAC061-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by side effects of treatment. FACT-BMT Version 4 - Bothered by Treatment Side Effect
C147598 FAC06106 FAC061-I Feel Ill Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel ill. FACT-BMT Version 4 - I Feel Ill
C147599 FAC06107 FAC061-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am forced to spend time in bed. FACT-BMT Version 4 - I Am Forced to Spend Time in Bed
C147600 FAC06108 FAC061-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my friends. FACT-BMT Version 4 - I Feel Close to My Friends
C147601 FAC06109 FAC061-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get emotional support from my family. FACT-BMT Version 4 - Get Emotional Support From Family
C147602 FAC06110 FAC061-I Get Support From My Friends Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get support from my friends. FACT-BMT Version 4 - I Get Support From My Friends
C147603 FAC06111 FAC061-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My family has accepted my illness. FACT-BMT Version 4 - My Family Has Accepted My Illness
C147604 FAC06112 FAC061-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with family communication about my illness. FACT-BMT Version 4 - Satisfied Communication Illness
C147605 FAC06113 FAC061-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my partner (or the person who is my main support). FACT-BMT Version 4 - I Feel Close to My Partner
C147606 FAC06114 FAC061-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with my sex life. FACT-BMT Version 4 - I Am Satisfied With My Sex Life
C147607 FAC06115 FAC061-I Feel Sad Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel sad. FACT-BMT Version 4 - I Feel Sad
C147608 FAC06116 FAC061-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with how I am coping with my illness. FACT-BMT Version 4 - Satisfied With How I Am Coping
C147609 FAC06117 FAC061-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am losing hope in the fight against my illness. FACT-BMT Version 4 - Losing Hope Against Illness
C147610 FAC06118 FAC061-I Feel Nervous Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel nervous. FACT-BMT Version 4 - I Feel Nervous
C147611 FAC06119 FAC061-I Worry About Dying Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry about dying. FACT-BMT Version 4 - I Worry About Dying
C147612 FAC06120 FAC061-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that my condition will get worse. FACT-BMT Version 4 - Worry My Condition Will Get Worse
C147613 FAC06121 FAC061-I Am Able to Work Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to work (include work at home). FACT-BMT Version 4 - I Am Able to Work
C147614 FAC06122 FAC061-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My work (include work at home) is fulfilling. FACT-BMT Version 4 - My Work Is Fulfilling
C147615 FAC06123 FAC061-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to enjoy life. FACT-BMT Version 4 - I Am Able to Enjoy Life
C147616 FAC06124 FAC061-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have accepted my illness. FACT-BMT Version 4 - I Have Accepted My Illness
C147617 FAC06125 FAC061-I Am Sleeping Well Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am sleeping well. FACT-BMT Version 4 - I Am Sleeping Well
C147618 FAC06126 FAC061-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am enjoying the things I usually do for fun. FACT-BMT Version 4 - Enjoy Things I Usually Do for Fun
C147619 FAC06127 FAC061-Content With Quality of My Life Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am content with the quality of my life right now. FACT-BMT Version 4 - Content With Quality of My Life
C147620 FAC06128 FAC061-I Am Concerned About Keeping Job Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am concerned about keeping my job (include work at home). FACT-BMT Version 4 - I Am Concerned About Keeping Job
C147621 FAC06129 FAC061-I Feel Distant From Other People Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel distant from other people. FACT-BMT Version 4 - I Feel Distant From Other People
C147622 FAC06130 FAC061-I Worry Transplant Will Not Work Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that the transplant will not work. FACT-BMT Version 4 - I Worry Transplant Will Not Work
C147623 FAC06131 FAC061-Side Effect of Treatment Worse Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The side effects of treatment are worse than I had imagined. FACT-BMT Version 4 - Side Effect of Treatment Worse
C147624 FAC06132 FAC061-I Have a Good Appetite Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a good appetite. FACT-BMT Version 4 - I Have a Good Appetite
C147625 FAC06133 FAC061-I Like the Appearance of My Body Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I like the appearance of my body. FACT-BMT Version 4 - I Like the Appearance of My Body
C147626 FAC06134 FAC061-I Am Able to Get Around by Myself Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to get around by myself. FACT-BMT Version 4 - I Am Able to Get Around by Myself
C147627 FAC06135 FAC061-I Get Tired Easily Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get tired easily. FACT-BMT Version 4 - I Get Tired Easily
C147628 FAC06136 FAC061-I Am Interested in Sex Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am interested in sex. FACT-BMT Version 4 - I Am Interested in Sex
C147629 FAC06137 FAC061-Concerns Ability to Have Children Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have concerns about my ability to have children. FACT-BMT Version 4 - Concerns Ability to Have Children
C147630 FAC06138 FAC061-Confidence in My Nurse(s) Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have confidence in my nurse(s). FACT-BMT Version 4 - Confidence in My Nurse(s)
C147631 FAC06139 FAC061-I Regret Bone Marrow Transplant Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I regret having the bone marrow transplant. FACT-BMT Version 4 - I Regret Bone Marrow Transplant
C147632 FAC06140 FAC061-I Can Remember Things Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I can remember things. FACT-BMT Version 4 - I Can Remember Things
C147633 FAC06141 FAC061-I Am Able to Concentrate Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to concentrate. FACT-BMT Version 4 - I Am Able to Concentrate
C147634 FAC06142 FAC061-I Have Frequent Colds/Infections Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have frequent colds/infections. FACT-BMT Version 4 - I Have Frequent Colds/Infections
C147635 FAC06143 FAC061-My Eyesight Is Blurry Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My eyesight is blurry. FACT-BMT Version 4 - My Eyesight Is Blurry
C147636 FAC06144 FAC061-Bothered by Change in Food Tastes Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by a change in the way food tastes. FACT-BMT Version 4 - Bothered by Change in Food Tastes
C147637 FAC06145 FAC061-I Have Tremors Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have tremors. FACT-BMT Version 4 - I Have Tremors
C147638 FAC06146 FAC061-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have been short of breath. FACT-BMT Version 4 - I Have Been Short of Breath
C147639 FAC06147 FAC061-I Am Bothered by Skin Problems Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by skin problems. FACT-BMT Version 4 - I Am Bothered by Skin Problems
C147640 FAC06148 FAC061-I Have Trouble With My Bowels Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have trouble with my bowels. FACT-BMT Version 4 - I Have Trouble With My Bowels
C147641 FAC06149 FAC061-Illness Is Hardship for My Family Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My illness is a personal hardship for my close family members. FACT-BMT Version 4 - Illness Is Hardship for My Family
C147642 FAC06150 FAC061-Cost of Treatment Is Burden on Me Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The cost of my treatment is a burden on me or my family. FACT-BMT Version 4 - Cost of Treatment Is Burden on Me

FAC061TN (Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Name)

NCI Code: C147539, Codelist extensible: No
C147539 FAC061TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147636 FAC061-Bothered by Change in Food Tastes FAC061-Bothered by Change in Food Tastes Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by a change in the way food tastes. FACT-BMT Version 4 - Bothered by Change in Food Tastes
C147597 FAC061-Bothered by Treatment Side Effect FAC061-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by side effects of treatment. FACT-BMT Version 4 - Bothered by Treatment Side Effect
C147629 FAC061-Concerns Ability to Have Children FAC061-Concerns Ability to Have Children Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have concerns about my ability to have children. FACT-BMT Version 4 - Concerns Ability to Have Children
C147630 FAC061-Confidence in My Nurse(s) FAC061-Confidence in My Nurse(s) Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have confidence in my nurse(s). FACT-BMT Version 4 - Confidence in My Nurse(s)
C147619 FAC061-Content With Quality of My Life FAC061-Content With Quality of My Life Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am content with the quality of my life right now. FACT-BMT Version 4 - Content With Quality of My Life
C147642 FAC061-Cost of Treatment Is Burden on Me FAC061-Cost of Treatment Is Burden on Me Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The cost of my treatment is a burden on me or my family. FACT-BMT Version 4 - Cost of Treatment Is Burden on Me
C147618 FAC061-Enjoy Things I Usually Do for Fun FAC061-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am enjoying the things I usually do for fun. FACT-BMT Version 4 - Enjoy Things I Usually Do for Fun
C147601 FAC061-Get Emotional Support From Family FAC061-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get emotional support from my family. FACT-BMT Version 4 - Get Emotional Support From Family
C147633 FAC061-I Am Able to Concentrate FAC061-I Am Able to Concentrate Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to concentrate. FACT-BMT Version 4 - I Am Able to Concentrate
C147615 FAC061-I Am Able to Enjoy Life FAC061-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to enjoy life. FACT-BMT Version 4 - I Am Able to Enjoy Life
C147626 FAC061-I Am Able to Get Around by Myself FAC061-I Am Able to Get Around by Myself Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to get around by myself. FACT-BMT Version 4 - I Am Able to Get Around by Myself
C147613 FAC061-I Am Able to Work FAC061-I Am Able to Work Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to work (include work at home). FACT-BMT Version 4 - I Am Able to Work
C147639 FAC061-I Am Bothered by Skin Problems FAC061-I Am Bothered by Skin Problems Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by skin problems. FACT-BMT Version 4 - I Am Bothered by Skin Problems
C147620 FAC061-I Am Concerned About Keeping Job FAC061-I Am Concerned About Keeping Job Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am concerned about keeping my job (include work at home). FACT-BMT Version 4 - I Am Concerned About Keeping Job
C147599 FAC061-I Am Forced to Spend Time in Bed FAC061-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am forced to spend time in bed. FACT-BMT Version 4 - I Am Forced to Spend Time in Bed
C147628 FAC061-I Am Interested in Sex FAC061-I Am Interested in Sex Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am interested in sex. FACT-BMT Version 4 - I Am Interested in Sex
C147606 FAC061-I Am Satisfied With My Sex Life FAC061-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with my sex life. FACT-BMT Version 4 - I Am Satisfied With My Sex Life
C147617 FAC061-I Am Sleeping Well FAC061-I Am Sleeping Well Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am sleeping well. FACT-BMT Version 4 - I Am Sleeping Well
C147632 FAC061-I Can Remember Things FAC061-I Can Remember Things Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I can remember things. FACT-BMT Version 4 - I Can Remember Things
C147600 FAC061-I Feel Close to My Friends FAC061-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my friends. FACT-BMT Version 4 - I Feel Close to My Friends
C147605 FAC061-I Feel Close to My Partner FAC061-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my partner (or the person who is my main support). FACT-BMT Version 4 - I Feel Close to My Partner
C147621 FAC061-I Feel Distant From Other People FAC061-I Feel Distant From Other People Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel distant from other people. FACT-BMT Version 4 - I Feel Distant From Other People
C147598 FAC061-I Feel Ill FAC061-I Feel Ill Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel ill. FACT-BMT Version 4 - I Feel Ill
C147610 FAC061-I Feel Nervous FAC061-I Feel Nervous Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel nervous. FACT-BMT Version 4 - I Feel Nervous
C147607 FAC061-I Feel Sad FAC061-I Feel Sad Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel sad. FACT-BMT Version 4 - I Feel Sad
C147602 FAC061-I Get Support From My Friends FAC061-I Get Support From My Friends Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get support from my friends. FACT-BMT Version 4 - I Get Support From My Friends
C147627 FAC061-I Get Tired Easily FAC061-I Get Tired Easily Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get tired easily. FACT-BMT Version 4 - I Get Tired Easily
C147624 FAC061-I Have a Good Appetite FAC061-I Have a Good Appetite Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a good appetite. FACT-BMT Version 4 - I Have a Good Appetite
C147593 FAC061-I Have a Lack of Energy FAC061-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a lack of energy. FACT-BMT Version 4 - I Have a Lack of Energy
C147616 FAC061-I Have Accepted My Illness FAC061-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have accepted my illness. FACT-BMT Version 4 - I Have Accepted My Illness
C147638 FAC061-I Have Been Short of Breath FAC061-I Have Been Short of Breath Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have been short of breath. FACT-BMT Version 4 - I Have Been Short of Breath
C147634 FAC061-I Have Frequent Colds/Infections FAC061-I Have Frequent Colds/Infections Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have frequent colds/infections. FACT-BMT Version 4 - I Have Frequent Colds/Infections
C147594 FAC061-I Have Nausea FAC061-I Have Nausea Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have nausea. FACT-BMT Version 4 - I Have Nausea
C147596 FAC061-I Have Pain FAC061-I Have Pain Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have pain. FACT-BMT Version 4 - I Have Pain
C147637 FAC061-I Have Tremors FAC061-I Have Tremors Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have tremors. FACT-BMT Version 4 - I Have Tremors
C147640 FAC061-I Have Trouble With My Bowels FAC061-I Have Trouble With My Bowels Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have trouble with my bowels. FACT-BMT Version 4 - I Have Trouble With My Bowels
C147625 FAC061-I Like the Appearance of My Body FAC061-I Like the Appearance of My Body Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I like the appearance of my body. FACT-BMT Version 4 - I Like the Appearance of My Body
C147631 FAC061-I Regret Bone Marrow Transplant FAC061-I Regret Bone Marrow Transplant Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I regret having the bone marrow transplant. FACT-BMT Version 4 - I Regret Bone Marrow Transplant
C147611 FAC061-I Worry About Dying FAC061-I Worry About Dying Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry about dying. FACT-BMT Version 4 - I Worry About Dying
C147622 FAC061-I Worry Transplant Will Not Work FAC061-I Worry Transplant Will Not Work Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that the transplant will not work. FACT-BMT Version 4 - I Worry Transplant Will Not Work
C147641 FAC061-Illness Is Hardship for My Family FAC061-Illness Is Hardship for My Family Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My illness is a personal hardship for my close family members. FACT-BMT Version 4 - Illness Is Hardship for My Family
C147609 FAC061-Losing Hope Against Illness FAC061-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am losing hope in the fight against my illness. FACT-BMT Version 4 - Losing Hope Against Illness
C147635 FAC061-My Eyesight Is Blurry FAC061-My Eyesight Is Blurry Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My eyesight is blurry. FACT-BMT Version 4 - My Eyesight Is Blurry
C147603 FAC061-My Family Has Accepted My Illness FAC061-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My family has accepted my illness. FACT-BMT Version 4 - My Family Has Accepted My Illness
C147614 FAC061-My Work Is Fulfilling FAC061-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My work (include work at home) is fulfilling. FACT-BMT Version 4 - My Work Is Fulfilling
C147604 FAC061-Satisfied Communication Illness FAC061-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with family communication about my illness. FACT-BMT Version 4 - Satisfied Communication Illness
C147608 FAC061-Satisfied With How I Am Coping FAC061-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with how I am coping with my illness. FACT-BMT Version 4 - Satisfied With How I Am Coping
C147623 FAC061-Side Effect of Treatment Worse FAC061-Side Effect of Treatment Worse Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The side effects of treatment are worse than I had imagined. FACT-BMT Version 4 - Side Effect of Treatment Worse
C147595 FAC061-Trouble Meeting Needs of Family FAC061-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - Because of my physical condition, I have trouble meeting the needs of my family. FACT-BMT Version 4 - Trouble Meeting Needs of Family
C147612 FAC061-Worry My Condition Will Get Worse FAC061-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that my condition will get worse. FACT-BMT Version 4 - Worry My Condition Will Get Worse

FAC062TC (Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Code)

NCI Code: C150778, Codelist extensible: No
C150778 FAC062TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151156 FAC06201 FAC062-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have a lack of energy. FACT-BRM Version 4 - I Have a Lack of Energy
C151157 FAC06202 FAC062-I Have Nausea Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have nausea. FACT-BRM Version 4 - I Have Nausea
C151158 FAC06203 FAC062-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-BRM Version 4 - Trouble Meeting Needs of Family
C151159 FAC06204 FAC062-I Have Pain Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have pain. FACT-BRM Version 4 - I Have Pain
C151160 FAC06205 FAC062-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-BRM Version 4 - Bothered by Treatment Side Effect
C151161 FAC06206 FAC062-I Feel Ill Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I feel ill. FACT-BRM Version 4 - I Feel Ill
C151162 FAC06207 FAC062-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-BRM Version 4 - I Am Forced to Spend Time in Bed
C151163 FAC06208 FAC062-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-BRM Version 4 - I Feel Close to My Friends
C151164 FAC06209 FAC062-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-BRM Version 4 - Get Emotional Support From Family
C151165 FAC06210 FAC062-I Get Support From My Friends Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get support from my friends. FACT-BRM Version 4 - I Get Support From My Friends
C151166 FAC06211 FAC062-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-BRM Version 4 - My Family Has Accepted My Illness
C151167 FAC06212 FAC062-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-BRM Version 4 - Satisfied Communication Illness
C151168 FAC06213 FAC062-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-BRM Version 4 - I Feel Close to My Partner
C151169 FAC06214 FAC062-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-BRM Version 4 - I Am Satisfied With My Sex Life
C151170 FAC06215 FAC062-I Feel Sad Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel sad. FACT-BRM Version 4 - I Feel Sad
C151171 FAC06216 FAC062-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-BRM Version 4 - Satisfied With How I Am Coping
C151172 FAC06217 FAC062-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-BRM Version 4 - Losing Hope Against Illness
C151173 FAC06218 FAC062-I Feel Nervous Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel nervous. FACT-BRM Version 4 - I Feel Nervous
C151174 FAC06219 FAC062-I Worry About Dying Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry about dying. FACT-BRM Version 4 - I Worry About Dying
C151175 FAC06220 FAC062-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-BRM Version 4 - Worry My Condition Will Get Worse
C151176 FAC06221 FAC062-I Am Able to Work Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-BRM Version 4 - I Am Able to Work
C151177 FAC06222 FAC062-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-BRM Version 4 - My Work Is Fulfilling
C151178 FAC06223 FAC062-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to enjoy life. FACT-BRM Version 4 - I Am Able to Enjoy Life
C151179 FAC06224 FAC062-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I have accepted my illness. FACT-BRM Version 4 - I Have Accepted My Illness
C151180 FAC06225 FAC062-I Am Sleeping Well Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am sleeping well. FACT-BRM Version 4 - I Am Sleeping Well
C151181 FAC06226 FAC062-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-BRM Version 4 - Enjoy Things I Usually Do for Fun
C151182 FAC06227 FAC062-Content With Quality of My Life Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-BRM Version 4 - Content With Quality of My Life
C151183 FAC06228 FAC062-I Get Tired Easily Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I get tired easily. FACT-BRM Version 4 - I Get Tired Easily
C151184 FAC06229 FAC062-I Feel Weak All Over Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I feel weak all over. FACT-BRM Version 4 - I Feel Weak All Over
C151185 FAC06230 FAC062-I Have a Good Appetite Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have a good appetite. FACT-BRM Version 4 - I Have a Good Appetite
C151186 FAC06231 FAC062-I Have Pain in My Joints Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have pain in my joints. FACT-BRM Version 4 - I Have Pain in My Joints
C151187 FAC06232 FAC062-I Am Bothered by the Chills Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by the chills. FACT-BRM Version 4 - I Am Bothered by the Chills
C151188 FAC06233 FAC062-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by fevers (episodes of high body temperature). FACT-BRM Version 4 - I Am Bothered by Fevers
C151189 FAC06234 FAC062-I Am Bothered by Sweating Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by sweating. FACT-BRM Version 4 - I Am Bothered by Sweating
C151190 FAC06235 FAC062-I Have Trouble Concentrating Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble concentrating. FACT-BRM Version 4 - I Have Trouble Concentrating
C151191 FAC06236 FAC062-I Have Trouble Remembering Things Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble remembering things. FACT-BRM Version 4 - I Have Trouble Remembering Things
C151192 FAC06237 FAC062-I Get Depressed Easily Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get depressed easily. FACT-BRM Version 4 - I Get Depressed Easily
C151193 FAC06238 FAC062-I Get Annoyed Easily Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get annoyed easily. FACT-BRM Version 4 - I Get Annoyed Easily
C151194 FAC06239 FAC062-I Have Emotional Ups and Downs Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have emotional ups and downs. FACT-BRM Version 4 - I Have Emotional Ups and Downs
C151195 FAC06240 FAC062-I Feel Motivated to Do Things Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I feel motivated to do things. FACT-BRM Version 4 - I Feel Motivated to Do Things

FAC062TN (Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Name)

NCI Code: C150777, Codelist extensible: No
C150777 FAC062TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151160 FAC062-Bothered by Treatment Side Effect FAC062-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-BRM Version 4 - Bothered by Treatment Side Effect
C151182 FAC062-Content With Quality of My Life FAC062-Content With Quality of My Life Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-BRM Version 4 - Content With Quality of My Life
C151181 FAC062-Enjoy Things I Usually Do for Fun FAC062-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-BRM Version 4 - Enjoy Things I Usually Do for Fun
C151164 FAC062-Get Emotional Support From Family FAC062-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-BRM Version 4 - Get Emotional Support From Family
C151178 FAC062-I Am Able to Enjoy Life FAC062-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to enjoy life. FACT-BRM Version 4 - I Am Able to Enjoy Life
C151176 FAC062-I Am Able to Work FAC062-I Am Able to Work Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-BRM Version 4 - I Am Able to Work
C151188 FAC062-I Am Bothered by Fevers FAC062-I Am Bothered by Fevers Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by fevers (episodes of high body temperature). FACT-BRM Version 4 - I Am Bothered by Fevers
C151189 FAC062-I Am Bothered by Sweating FAC062-I Am Bothered by Sweating Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by sweating. FACT-BRM Version 4 - I Am Bothered by Sweating
C151187 FAC062-I Am Bothered by the Chills FAC062-I Am Bothered by the Chills Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by the chills. FACT-BRM Version 4 - I Am Bothered by the Chills
C151162 FAC062-I Am Forced to Spend Time in Bed FAC062-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-BRM Version 4 - I Am Forced to Spend Time in Bed
C151169 FAC062-I Am Satisfied With My Sex Life FAC062-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-BRM Version 4 - I Am Satisfied With My Sex Life
C151180 FAC062-I Am Sleeping Well FAC062-I Am Sleeping Well Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am sleeping well. FACT-BRM Version 4 - I Am Sleeping Well
C151163 FAC062-I Feel Close to My Friends FAC062-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-BRM Version 4 - I Feel Close to My Friends
C151168 FAC062-I Feel Close to My Partner FAC062-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-BRM Version 4 - I Feel Close to My Partner
C151161 FAC062-I Feel Ill FAC062-I Feel Ill Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I feel ill. FACT-BRM Version 4 - I Feel Ill
C151195 FAC062-I Feel Motivated to Do Things FAC062-I Feel Motivated to Do Things Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I feel motivated to do things. FACT-BRM Version 4 - I Feel Motivated to Do Things
C151173 FAC062-I Feel Nervous FAC062-I Feel Nervous Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel nervous. FACT-BRM Version 4 - I Feel Nervous
C151170 FAC062-I Feel Sad FAC062-I Feel Sad Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel sad. FACT-BRM Version 4 - I Feel Sad
C151184 FAC062-I Feel Weak All Over FAC062-I Feel Weak All Over Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I feel weak all over. FACT-BRM Version 4 - I Feel Weak All Over
C151193 FAC062-I Get Annoyed Easily FAC062-I Get Annoyed Easily Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get annoyed easily. FACT-BRM Version 4 - I Get Annoyed Easily
C151192 FAC062-I Get Depressed Easily FAC062-I Get Depressed Easily Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get depressed easily. FACT-BRM Version 4 - I Get Depressed Easily
C151165 FAC062-I Get Support From My Friends FAC062-I Get Support From My Friends Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get support from my friends. FACT-BRM Version 4 - I Get Support From My Friends
C151183 FAC062-I Get Tired Easily FAC062-I Get Tired Easily Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I get tired easily. FACT-BRM Version 4 - I Get Tired Easily
C151185 FAC062-I Have a Good Appetite FAC062-I Have a Good Appetite Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have a good appetite. FACT-BRM Version 4 - I Have a Good Appetite
C151156 FAC062-I Have a Lack of Energy FAC062-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have a lack of energy. FACT-BRM Version 4 - I Have a Lack of Energy
C151179 FAC062-I Have Accepted My Illness FAC062-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I have accepted my illness. FACT-BRM Version 4 - I Have Accepted My Illness
C151194 FAC062-I Have Emotional Ups and Downs FAC062-I Have Emotional Ups and Downs Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have emotional ups and downs. FACT-BRM Version 4 - I Have Emotional Ups and Downs
C151157 FAC062-I Have Nausea FAC062-I Have Nausea Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have nausea. FACT-BRM Version 4 - I Have Nausea
C151186 FAC062-I Have Pain in My Joints FAC062-I Have Pain in My Joints Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have pain in my joints. FACT-BRM Version 4 - I Have Pain in My Joints
C151159 FAC062-I Have Pain FAC062-I Have Pain Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have pain. FACT-BRM Version 4 - I Have Pain
C151190 FAC062-I Have Trouble Concentrating FAC062-I Have Trouble Concentrating Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble concentrating. FACT-BRM Version 4 - I Have Trouble Concentrating
C151191 FAC062-I Have Trouble Remembering Things FAC062-I Have Trouble Remembering Things Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble remembering things. FACT-BRM Version 4 - I Have Trouble Remembering Things
C151174 FAC062-I Worry About Dying FAC062-I Worry About Dying Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry about dying. FACT-BRM Version 4 - I Worry About Dying
C151172 FAC062-Losing Hope Against Illness FAC062-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-BRM Version 4 - Losing Hope Against Illness
C151166 FAC062-My Family Has Accepted My Illness FAC062-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-BRM Version 4 - My Family Has Accepted My Illness
C151177 FAC062-My Work Is Fulfilling FAC062-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-BRM Version 4 - My Work Is Fulfilling
C151167 FAC062-Satisfied Communication Illness FAC062-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-BRM Version 4 - Satisfied Communication Illness
C151171 FAC062-Satisfied With How I Am Coping FAC062-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-BRM Version 4 - Satisfied With How I Am Coping
C151158 FAC062-Trouble Meeting Needs of Family FAC062-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-BRM Version 4 - Trouble Meeting Needs of Family
C151175 FAC062-Worry My Condition Will Get Worse FAC062-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-BRM Version 4 - Worry My Condition Will Get Worse

FAC063TC (Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Code)

NCI Code: C150776, Codelist extensible: No
C150776 FAC063TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151113 FAC06301 FAC063-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have a lack of energy. FACT-Taxane Version 4 - I Have a Lack of Energy
C151114 FAC06302 FAC063-I Have Nausea Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have nausea. FACT-Taxane Version 4 - I Have Nausea
C151115 FAC06303 FAC063-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-Taxane Version 4 - Trouble Meeting Needs of Family
C151116 FAC06304 FAC063-I Have Pain Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have pain. FACT-Taxane Version 4 - I Have Pain
C151117 FAC06305 FAC063-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-Taxane Version 4 - Bothered by Treatment Side Effect
C151118 FAC06306 FAC063-I Feel Ill Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I feel ill. FACT-Taxane Version 4 - I Feel Ill
C151119 FAC06307 FAC063-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-Taxane Version 4 - I Am Forced to Spend Time in Bed
C151120 FAC06308 FAC063-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-Taxane Version 4 - I Feel Close to My Friends
C151121 FAC06309 FAC063-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-Taxane Version 4 - Get Emotional Support From Family
C151122 FAC06310 FAC063-I Get Support From My Friends Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get support from my friends. FACT-Taxane Version 4 - I Get Support From My Friends
C151123 FAC06311 FAC063-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-Taxane Version 4 - My Family Has Accepted My Illness
C151124 FAC06312 FAC063-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-Taxane Version 4 - Satisfied Communication Illness
C151125 FAC06313 FAC063-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-Taxane Version 4 - I Feel Close to My Partner
C151126 FAC06314 FAC063-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-Taxane Version 4 - I Am Satisfied With My Sex Life
C151127 FAC06315 FAC063-I Feel Sad Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel sad. FACT-Taxane Version 4 - I Feel Sad
C151128 FAC06316 FAC063-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-Taxane Version 4 - Satisfied With How I Am Coping
C151129 FAC06317 FAC063-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-Taxane Version 4 - Losing Hope Against Illness
C151130 FAC06318 FAC063-I Feel Nervous Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel nervous. FACT-Taxane Version 4 - I Feel Nervous
C151131 FAC06319 FAC063-I Worry About Dying Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry about dying. FACT-Taxane Version 4 - I Worry About Dying
C151132 FAC06320 FAC063-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-Taxane Version 4 - Worry My Condition Will Get Worse
C151133 FAC06321 FAC063-I Am Able to Work Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-Taxane Version 4 - I Am Able to Work
C151134 FAC06322 FAC063-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-Taxane Version 4 - My Work Is Fulfilling
C151135 FAC06323 FAC063-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to enjoy life. FACT-Taxane Version 4 - I Am Able to Enjoy Life
C151136 FAC06324 FAC063-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I have accepted my illness. FACT-Taxane Version 4 - I Have Accepted My Illness
C151137 FAC06325 FAC063-I Am Sleeping Well Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am sleeping well. FACT-Taxane Version 4 - I Am Sleeping Well
C151138 FAC06326 FAC063-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-Taxane Version 4 - Enjoy Things I Usually Do for Fun
C151139 FAC06327 FAC063-Content With Quality of My Life Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-Taxane Version 4 - Content With Quality of My Life
C151140 FAC06328 FAC063-Numbness or Tingling in My Hands Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my hands. FACT-Taxane Version 4 - Numbness or Tingling in My Hands
C151141 FAC06329 FAC063-Numbness or Tingling in My Feet Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my feet. FACT-Taxane Version 4 - Numbness or Tingling in My Feet
C151142 FAC06330 FAC063-I Feel Discomfort in My Hands Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my hands. FACT-Taxane Version 4 - I Feel Discomfort in My Hands
C151143 FAC06331 FAC063-I Feel Discomfort in My Feet Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my feet. FACT-Taxane Version 4 - I Feel Discomfort in My Feet
C151144 FAC06332 FAC063-Have Joint Pain or Muscle Cramps Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have joint pain or muscle cramps. FACT-Taxane Version 4 - Have Joint Pain or Muscle Cramps
C151145 FAC06333 FAC063-I Feel Weak All Over Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel weak all over. FACT-Taxane Version 4 - I Feel Weak All Over
C151146 FAC06334 FAC063-I Have Trouble Hearing Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble hearing. FACT-Taxane Version 4 - I Have Trouble Hearing
C151147 FAC06335 FAC063-Get Ringing or Buzzing in My Ears Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I get a ringing or buzzing in my ears. FACT-Taxane Version 4 - Get Ringing or Buzzing in My Ears
C151148 FAC06336 FAC063-I Have Trouble Buttoning Buttons Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble buttoning buttons. FACT-Taxane Version 4 - I Have Trouble Buttoning Buttons
C151149 FAC06337 FAC063-Trouble Feeling Shape of Objects Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand. FACT-Taxane Version 4 - Trouble Feeling Shape of Objects
C151150 FAC06338 FAC063-I Have Trouble Walking Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble walking. FACT-Taxane Version 4 - I Have Trouble Walking
C151151 FAC06339 FAC063-I Feel Bloated Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel bloated. FACT-Taxane Version 4 - I Feel Bloated
C151152 FAC06340 FAC063-My Hands Are Swollen Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My hands are swollen. FACT-Taxane Version 4 - My Hands Are Swollen
C151153 FAC06341 FAC063-My Legs or Feet Are Swollen Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My legs or feet are swollen. FACT-Taxane Version 4 - My Legs or Feet Are Swollen
C151154 FAC06342 FAC063-I Have Pain in My Fingertips Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have pain in my fingertips. FACT-Taxane Version 4 - I Have Pain in My Fingertips
C151155 FAC06343 FAC063-Bothered by My Hands/Nails Look Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I am bothered by the way my hands or nails look. FACT-Taxane Version 4 - Bothered by My Hands/Nails Look

FAC063TN (Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Name)

NCI Code: C150775, Codelist extensible: No
C150775 FAC063TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151155 FAC063-Bothered by My Hands/Nails Look FAC063-Bothered by My Hands/Nails Look Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I am bothered by the way my hands or nails look. FACT-Taxane Version 4 - Bothered by My Hands/Nails Look
C151117 FAC063-Bothered by Treatment Side Effect FAC063-Bothered by Treatment Side Effect Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACT-Taxane Version 4 - Bothered by Treatment Side Effect
C151139 FAC063-Content With Quality of My Life FAC063-Content With Quality of My Life Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACT-Taxane Version 4 - Content With Quality of My Life
C151138 FAC063-Enjoy Things I Usually Do for Fun FAC063-Enjoy Things I Usually Do for Fun Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACT-Taxane Version 4 - Enjoy Things I Usually Do for Fun
C151121 FAC063-Get Emotional Support From Family FAC063-Get Emotional Support From Family Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get emotional support from my family. FACT-Taxane Version 4 - Get Emotional Support From Family
C151147 FAC063-Get Ringing or Buzzing in My Ears FAC063-Get Ringing or Buzzing in My Ears Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I get a ringing or buzzing in my ears. FACT-Taxane Version 4 - Get Ringing or Buzzing in My Ears
C151144 FAC063-Have Joint Pain or Muscle Cramps FAC063-Have Joint Pain or Muscle Cramps Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have joint pain or muscle cramps. FACT-Taxane Version 4 - Have Joint Pain or Muscle Cramps
C151135 FAC063-I Am Able to Enjoy Life FAC063-I Am Able to Enjoy Life Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to enjoy life. FACT-Taxane Version 4 - I Am Able to Enjoy Life
C151133 FAC063-I Am Able to Work FAC063-I Am Able to Work Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to work (include work at home). FACT-Taxane Version 4 - I Am Able to Work
C151119 FAC063-I Am Forced to Spend Time in Bed FAC063-I Am Forced to Spend Time in Bed Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am forced to spend time in bed. FACT-Taxane Version 4 - I Am Forced to Spend Time in Bed
C151126 FAC063-I Am Satisfied With My Sex Life FAC063-I Am Satisfied With My Sex Life Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACT-Taxane Version 4 - I Am Satisfied With My Sex Life
C151137 FAC063-I Am Sleeping Well FAC063-I Am Sleeping Well Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am sleeping well. FACT-Taxane Version 4 - I Am Sleeping Well
C151151 FAC063-I Feel Bloated FAC063-I Feel Bloated Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel bloated. FACT-Taxane Version 4 - I Feel Bloated
C151120 FAC063-I Feel Close to My Friends FAC063-I Feel Close to My Friends Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my friends. FACT-Taxane Version 4 - I Feel Close to My Friends
C151125 FAC063-I Feel Close to My Partner FAC063-I Feel Close to My Partner Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACT-Taxane Version 4 - I Feel Close to My Partner
C151143 FAC063-I Feel Discomfort in My Feet FAC063-I Feel Discomfort in My Feet Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my feet. FACT-Taxane Version 4 - I Feel Discomfort in My Feet
C151142 FAC063-I Feel Discomfort in My Hands FAC063-I Feel Discomfort in My Hands Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my hands. FACT-Taxane Version 4 - I Feel Discomfort in My Hands
C151118 FAC063-I Feel Ill FAC063-I Feel Ill Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I feel ill. FACT-Taxane Version 4 - I Feel Ill
C151130 FAC063-I Feel Nervous FAC063-I Feel Nervous Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel nervous. FACT-Taxane Version 4 - I Feel Nervous
C151127 FAC063-I Feel Sad FAC063-I Feel Sad Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel sad. FACT-Taxane Version 4 - I Feel Sad
C151145 FAC063-I Feel Weak All Over FAC063-I Feel Weak All Over Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel weak all over. FACT-Taxane Version 4 - I Feel Weak All Over
C151122 FAC063-I Get Support From My Friends FAC063-I Get Support From My Friends Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get support from my friends. FACT-Taxane Version 4 - I Get Support From My Friends
C151113 FAC063-I Have a Lack of Energy FAC063-I Have a Lack of Energy Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have a lack of energy. FACT-Taxane Version 4 - I Have a Lack of Energy
C151136 FAC063-I Have Accepted My Illness FAC063-I Have Accepted My Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I have accepted my illness. FACT-Taxane Version 4 - I Have Accepted My Illness
C151114 FAC063-I Have Nausea FAC063-I Have Nausea Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have nausea. FACT-Taxane Version 4 - I Have Nausea
C151154 FAC063-I Have Pain in My Fingertips FAC063-I Have Pain in My Fingertips Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have pain in my fingertips. FACT-Taxane Version 4 - I Have Pain in My Fingertips
C151116 FAC063-I Have Pain FAC063-I Have Pain Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have pain. FACT-Taxane Version 4 - I Have Pain
C151148 FAC063-I Have Trouble Buttoning Buttons FAC063-I Have Trouble Buttoning Buttons Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble buttoning buttons. FACT-Taxane Version 4 - I Have Trouble Buttoning Buttons
C151146 FAC063-I Have Trouble Hearing FAC063-I Have Trouble Hearing Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble hearing. FACT-Taxane Version 4 - I Have Trouble Hearing
C151150 FAC063-I Have Trouble Walking FAC063-I Have Trouble Walking Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble walking. FACT-Taxane Version 4 - I Have Trouble Walking
C151131 FAC063-I Worry About Dying FAC063-I Worry About Dying Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry about dying. FACT-Taxane Version 4 - I Worry About Dying
C151129 FAC063-Losing Hope Against Illness FAC063-Losing Hope Against Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACT-Taxane Version 4 - Losing Hope Against Illness
C151123 FAC063-My Family Has Accepted My Illness FAC063-My Family Has Accepted My Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: My family has accepted my illness. FACT-Taxane Version 4 - My Family Has Accepted My Illness
C151152 FAC063-My Hands Are Swollen FAC063-My Hands Are Swollen Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My hands are swollen. FACT-Taxane Version 4 - My Hands Are Swollen
C151153 FAC063-My Legs or Feet Are Swollen FAC063-My Legs or Feet Are Swollen Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My legs or feet are swollen. FACT-Taxane Version 4 - My Legs or Feet Are Swollen
C151134 FAC063-My Work Is Fulfilling FAC063-My Work Is Fulfilling Functional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACT-Taxane Version 4 - My Work Is Fulfilling
C151141 FAC063-Numbness or Tingling in My Feet FAC063-Numbness or Tingling in My Feet Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my feet. FACT-Taxane Version 4 - Numbness or Tingling in My Feet
C151140 FAC063-Numbness or Tingling in My Hands FAC063-Numbness or Tingling in My Hands Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my hands. FACT-Taxane Version 4 - Numbness or Tingling in My Hands
C151124 FAC063-Satisfied Communication Illness FAC063-Satisfied Communication Illness Functional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACT-Taxane Version 4 - Satisfied Communication Illness
C151128 FAC063-Satisfied With How I Am Coping FAC063-Satisfied With How I Am Coping Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACT-Taxane Version 4 - Satisfied With How I Am Coping
C151149 FAC063-Trouble Feeling Shape of Objects FAC063-Trouble Feeling Shape of Objects Functional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand. FACT-Taxane Version 4 - Trouble Feeling Shape of Objects
C151115 FAC063-Trouble Meeting Needs of Family FAC063-Trouble Meeting Needs of Family Functional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACT-Taxane Version 4 - Trouble Meeting Needs of Family
C151132 FAC063-Worry My Condition Will Get Worse FAC063-Worry My Condition Will Get Worse Functional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACT-Taxane Version 4 - Worry My Condition Will Get Worse

FAC065TC (Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Code)

NCI Code: C179938, Codelist extensible: No
C179938 FAC065TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C179976 FAC06501 FAC065-I Have a Lack of Energy Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a lack of energy. FAACT Version 4 - I Have a Lack of Energy
C179977 FAC06502 FAC065-I Have Nausea Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have nausea. FAACT Version 4 - I Have Nausea
C179978 FAC06503 FAC065-Trouble Meeting Needs of Family Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Because of my physical condition, I have trouble meeting the needs of my family. FAACT Version 4 - Trouble Meeting Needs of Family
C179979 FAC06504 FAC065-I Have Pain Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain. FAACT Version 4 - I Have Pain
C179980 FAC06505 FAC065-Bothered by Treatment Side Effect Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am bothered by side effects of treatment. FAACT Version 4 - Bothered by Treatment Side Effect
C179981 FAC06506 FAC065-I Feel Ill Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel ill. FAACT Version 4 - I Feel Ill
C179982 FAC06507 FAC065-I Am Forced to Spend Time in Bed Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am forced to spend time in bed. FAACT Version 4 - I Am Forced to Spend Time in Bed
C179983 FAC06508 FAC065-I Feel Close to My Friends Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my friends. FAACT Version 4 - I Feel Close to My Friends
C179984 FAC06509 FAC065-Get Emotional Support From Family Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I get emotional support from my family. FAACT Version 4 - Get Emotional Support From Family
C179985 FAC06510 FAC065-I Get Support From My Friends Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I get support from my friends. FAACT Version 4 - I Get Support From My Friends
C179986 FAC06511 FAC065-My Family Has Accepted My Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My family accepts my illness. FAACT Version 4 - My Family Has Accepted My Illness
C179987 FAC06512 FAC065-Satisfied Communication Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with family communication about my illness. FAACT Version 4 - Satisfied Communication Illness
C179988 FAC06513 FAC065-I Feel Close to My Partner Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my partner (or the person who is my main support). FAACT Version 4 - I Feel Close to My Partner
C179989 FAC06514 FAC065-I Am Satisfied With My Sex Life Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with my sex life. FAACT Version 4 - I Am Satisfied With My Sex Life
C179990 FAC06515 FAC065-I Feel Sad Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel sad. FAACT Version 4 - I Feel Sad
C179991 FAC06516 FAC065-Satisfied With How I Am Coping Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with how I am coping with my illness. FAACT Version 4 - Satisfied With How I Am Coping
C179992 FAC06517 FAC065-Losing Hope Against Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am losing hope in the fight against my illness. FAACT Version 4 - Losing Hope Against Illness
C179993 FAC06518 FAC065-I Feel Nervous Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel nervous. FAACT Version 4 - I Feel Nervous
C179994 FAC06519 FAC065-I Worry About Dying Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry about dying. FAACT Version 4 - I Worry About Dying
C179995 FAC06520 FAC065-Worry My Condition Will Get Worse Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry that my condition will get worse. FAACT Version 4 - Worry My Condition Will Get Worse
C179996 FAC06521 FAC065-I Am Able to Work Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to work (include work at home). FAACT Version 4 - I Am Able to Work
C179997 FAC06522 FAC065-My Work Is Fulfilling Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My work (include work at home) is fulfilling. FAACT Version 4 - My Work Is Fulfilling
C179998 FAC06523 FAC065-I Am Able to Enjoy Life Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to enjoy life. FAACT Version 4 - I Am Able to Enjoy Life
C179999 FAC06524 FAC065-I Have Accepted My Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have accepted my illness. FAACT Version 4 - I Have Accepted My Illness
C180000 FAC06525 FAC065-I Am Sleeping Well Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am sleeping well. FAACT Version 4 - I Am Sleeping Well
C180001 FAC06526 FAC065-Enjoy Things I Usually Do for Fun Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am enjoying the things I usually do for fun. FAACT Version 4 - Enjoy Things I Usually Do for Fun
C180002 FAC06527 FAC065-Content With Quality of My Life Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am content with the quality of my life right now. FAACT Version 4 - Content With Quality of My Life
C180003 FAC06528 FAC065-I Have a Good Appetite Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a good appetite. FAACT Version 4 - I Have a Good Appetite
C180004 FAC06529 FAC065-Amount I Eat Is Sufficient Functional Assessment of Anorexia/Cachexia Treatment Version 4 - The amount I eat is sufficient to meet my needs. FAACT Version 4 - Amount I Eat Is Sufficient
C180005 FAC06530 FAC065-I Am Worried About My Weight Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am worried about my weight. FAACT Version 4 - I Am Worried About My Weight
C180006 FAC06531 FAC065-Most Food Tastes Unpleasant to Me Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Most food tastes unpleasant to me. FAACT Version 4 - Most Food Tastes Unpleasant to Me
C180007 FAC06532 FAC065-I Am Concerned How Thin I Look Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am concerned about how thin I look. FAACT Version 4 - I Am Concerned How Thin I Look
C180008 FAC06533 FAC065-Interest in Food Drops Try to Eat Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My interest in food drops as soon as I try to eat. FAACT Version 4 - Interest in Food Drops Try to Eat
C180009 FAC06534 FAC065-Have Difficulty Eating Rich Foods Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have difficulty eating rich or "heavy" foods. FAACT Version 4 - Have Difficulty Eating Rich Foods
C180010 FAC06535 FAC065-My Family Pressuring Me to Eat Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My family or friends are pressuring me to eat. FAACT Version 4 - My Family Pressuring Me to Eat
C180011 FAC06536 FAC065-I Have Been Vomiting Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have been vomiting. FAACT Version 4 - I Have Been Vomiting
C180012 FAC06537 FAC065-I Seem to Get Full Quickly Functional Assessment of Anorexia/Cachexia Treatment Version 4 - When I eat, I seem to get full quickly. FAACT Version 4 - I Seem to Get Full Quickly
C180013 FAC06538 FAC065-I Have Pain in My Stomach Area Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain in my stomach area. FAACT Version 4 - I Have Pain in My Stomach Area
C180014 FAC06539 FAC065-My General Health Is Improving Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My general health is improving. FAACT Version 4 - My General Health Is Improving
C180015 FAC06540 FAC065-Physical Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Physical Well-Being: Subscale score. FAACT Version 4 - Physical Subscale Score
C180016 FAC06541 FAC065-Social/Family Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Social/Family Well-Being: Subscale score. FAACT Version 4 - Social/Family Subscale Score
C180017 FAC06542 FAC065-Emotional Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Emotional Well-Being: Subscale score. FAACT Version 4 - Emotional Subscale Score
C180018 FAC06543 FAC065-Functional Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Functional Well-Being: Subscale score. FAACT Version 4 - Functional Subscale Score
C180019 FAC06544 FAC065-Additional Concern Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Additional Concerns: Well-Being subscale score. FAACT Version 4 - Additional Concern Subscale Score
C180020 FAC06545 FAC065-Trial Outcome Index Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - FAACT trial outcome index. FAACT Version 4 - Trial Outcome Index Score
C180021 FAC06546 FAC065-FACT-G Total Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - FACT-G total score. FAACT Version 4 - FACT-G Total Score
C180022 FAC06547 FAC065-Total Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Total score. FAACT Version 4 - Total Score

FAC065TN (Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Name)

NCI Code: C179937, Codelist extensible: No
C179937 FAC065TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180019 FAC065-Additional Concern Subscale Score FAC065-Additional Concern Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Additional Concerns: Well-Being subscale score. FAACT Version 4 - Additional Concern Subscale Score
C180004 FAC065-Amount I Eat Is Sufficient FAC065-Amount I Eat Is Sufficient Functional Assessment of Anorexia/Cachexia Treatment Version 4 - The amount I eat is sufficient to meet my needs. FAACT Version 4 - Amount I Eat Is Sufficient
C179980 FAC065-Bothered by Treatment Side Effect FAC065-Bothered by Treatment Side Effect Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am bothered by side effects of treatment. FAACT Version 4 - Bothered by Treatment Side Effect
C180002 FAC065-Content With Quality of My Life FAC065-Content With Quality of My Life Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am content with the quality of my life right now. FAACT Version 4 - Content With Quality of My Life
C180017 FAC065-Emotional Subscale Score FAC065-Emotional Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Emotional Well-Being: Subscale score. FAACT Version 4 - Emotional Subscale Score
C180001 FAC065-Enjoy Things I Usually Do for Fun FAC065-Enjoy Things I Usually Do for Fun Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am enjoying the things I usually do for fun. FAACT Version 4 - Enjoy Things I Usually Do for Fun
C180021 FAC065-FACT-G Total Score FAC065-FACT-G Total Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - FACT-G total score. FAACT Version 4 - FACT-G Total Score
C180018 FAC065-Functional Subscale Score FAC065-Functional Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Functional Well-Being: Subscale score. FAACT Version 4 - Functional Subscale Score
C179984 FAC065-Get Emotional Support From Family FAC065-Get Emotional Support From Family Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I get emotional support from my family. FAACT Version 4 - Get Emotional Support From Family
C180009 FAC065-Have Difficulty Eating Rich Foods FAC065-Have Difficulty Eating Rich Foods Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have difficulty eating rich or "heavy" foods. FAACT Version 4 - Have Difficulty Eating Rich Foods
C179998 FAC065-I Am Able to Enjoy Life FAC065-I Am Able to Enjoy Life Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to enjoy life. FAACT Version 4 - I Am Able to Enjoy Life
C179996 FAC065-I Am Able to Work FAC065-I Am Able to Work Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to work (include work at home). FAACT Version 4 - I Am Able to Work
C180007 FAC065-I Am Concerned How Thin I Look FAC065-I Am Concerned How Thin I Look Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am concerned about how thin I look. FAACT Version 4 - I Am Concerned How Thin I Look
C179982 FAC065-I Am Forced to Spend Time in Bed FAC065-I Am Forced to Spend Time in Bed Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am forced to spend time in bed. FAACT Version 4 - I Am Forced to Spend Time in Bed
C179989 FAC065-I Am Satisfied With My Sex Life FAC065-I Am Satisfied With My Sex Life Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with my sex life. FAACT Version 4 - I Am Satisfied With My Sex Life
C180000 FAC065-I Am Sleeping Well FAC065-I Am Sleeping Well Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am sleeping well. FAACT Version 4 - I Am Sleeping Well
C180005 FAC065-I Am Worried About My Weight FAC065-I Am Worried About My Weight Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am worried about my weight. FAACT Version 4 - I Am Worried About My Weight
C179983 FAC065-I Feel Close to My Friends FAC065-I Feel Close to My Friends Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my friends. FAACT Version 4 - I Feel Close to My Friends
C179988 FAC065-I Feel Close to My Partner FAC065-I Feel Close to My Partner Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my partner (or the person who is my main support). FAACT Version 4 - I Feel Close to My Partner
C179981 FAC065-I Feel Ill FAC065-I Feel Ill Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel ill. FAACT Version 4 - I Feel Ill
C179993 FAC065-I Feel Nervous FAC065-I Feel Nervous Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel nervous. FAACT Version 4 - I Feel Nervous
C179990 FAC065-I Feel Sad FAC065-I Feel Sad Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel sad. FAACT Version 4 - I Feel Sad
C179985 FAC065-I Get Support From My Friends FAC065-I Get Support From My Friends Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I get support from my friends. FAACT Version 4 - I Get Support From My Friends
C180003 FAC065-I Have a Good Appetite FAC065-I Have a Good Appetite Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a good appetite. FAACT Version 4 - I Have a Good Appetite
C179976 FAC065-I Have a Lack of Energy FAC065-I Have a Lack of Energy Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a lack of energy. FAACT Version 4 - I Have a Lack of Energy
C179999 FAC065-I Have Accepted My Illness FAC065-I Have Accepted My Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have accepted my illness. FAACT Version 4 - I Have Accepted My Illness
C180011 FAC065-I Have Been Vomiting FAC065-I Have Been Vomiting Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have been vomiting. FAACT Version 4 - I Have Been Vomiting
C179977 FAC065-I Have Nausea FAC065-I Have Nausea Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have nausea. FAACT Version 4 - I Have Nausea
C180013 FAC065-I Have Pain in My Stomach Area FAC065-I Have Pain in My Stomach Area Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain in my stomach area. FAACT Version 4 - I Have Pain in My Stomach Area
C179979 FAC065-I Have Pain FAC065-I Have Pain Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain. FAACT Version 4 - I Have Pain
C180012 FAC065-I Seem to Get Full Quickly FAC065-I Seem to Get Full Quickly Functional Assessment of Anorexia/Cachexia Treatment Version 4 - When I eat, I seem to get full quickly. FAACT Version 4 - I Seem to Get Full Quickly
C179994 FAC065-I Worry About Dying FAC065-I Worry About Dying Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry about dying. FAACT Version 4 - I Worry About Dying
C180008 FAC065-Interest in Food Drops Try to Eat FAC065-Interest in Food Drops Try to Eat Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My interest in food drops as soon as I try to eat. FAACT Version 4 - Interest in Food Drops Try to Eat
C179992 FAC065-Losing Hope Against Illness FAC065-Losing Hope Against Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am losing hope in the fight against my illness. FAACT Version 4 - Losing Hope Against Illness
C180006 FAC065-Most Food Tastes Unpleasant to Me FAC065-Most Food Tastes Unpleasant to Me Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Most food tastes unpleasant to me. FAACT Version 4 - Most Food Tastes Unpleasant to Me
C179986 FAC065-My Family Has Accepted My Illness FAC065-My Family Has Accepted My Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My family accepts my illness. FAACT Version 4 - My Family Has Accepted My Illness
C180010 FAC065-My Family Pressuring Me to Eat FAC065-My Family Pressuring Me to Eat Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My family or friends are pressuring me to eat. FAACT Version 4 - My Family Pressuring Me to Eat
C180014 FAC065-My General Health Is Improving FAC065-My General Health Is Improving Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My general health is improving. FAACT Version 4 - My General Health Is Improving
C179997 FAC065-My Work Is Fulfilling FAC065-My Work Is Fulfilling Functional Assessment of Anorexia/Cachexia Treatment Version 4 - My work (include work at home) is fulfilling. FAACT Version 4 - My Work Is Fulfilling
C180015 FAC065-Physical Subscale Score FAC065-Physical Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Physical Well-Being: Subscale score. FAACT Version 4 - Physical Subscale Score
C179987 FAC065-Satisfied Communication Illness FAC065-Satisfied Communication Illness Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with family communication about my illness. FAACT Version 4 - Satisfied Communication Illness
C179991 FAC065-Satisfied With How I Am Coping FAC065-Satisfied With How I Am Coping Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with how I am coping with my illness. FAACT Version 4 - Satisfied With How I Am Coping
C180016 FAC065-Social/Family Subscale Score FAC065-Social/Family Subscale Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Social/Family Well-Being: Subscale score. FAACT Version 4 - Social/Family Subscale Score
C180022 FAC065-Total Score FAC065-Total Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Total score. FAACT Version 4 - Total Score
C180020 FAC065-Trial Outcome Index Score FAC065-Trial Outcome Index Score Functional Assessment of Anorexia/Cachexia Treatment Version 4 - FAACT trial outcome index. FAACT Version 4 - Trial Outcome Index Score
C179978 FAC065-Trouble Meeting Needs of Family FAC065-Trouble Meeting Needs of Family Functional Assessment of Anorexia/Cachexia Treatment Version 4 - Because of my physical condition, I have trouble meeting the needs of my family. FAACT Version 4 - Trouble Meeting Needs of Family
C179995 FAC065-Worry My Condition Will Get Worse FAC065-Worry My Condition Will Get Worse Functional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry that my condition will get worse. FAACT Version 4 - Worry My Condition Will Get Worse

FAC070TC (Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Code)

NCI Code: C147544, Codelist extensible: No
C147544 FAC070TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147673 FAC07001 FAC070-I Feel Fatigued Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel fatigued. FACIT-Fatigue 13-Item Version 4 - I Feel Fatigued
C147674 FAC07002 FAC070-I Feel Weak All Over Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel weak all over. FACIT-Fatigue 13-Item Version 4 - I Feel Weak All Over
C147675 FAC07003 FAC070-I Feel Listless Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel listless ("washed out"). FACIT-Fatigue 13-Item Version 4 - I Feel Listless
C147676 FAC07004 FAC070-I Feel Tired Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel tired. FACIT-Fatigue 13-Item Version 4 - I Feel Tired
C147677 FAC07005 FAC070-Trouble Starting Things Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble starting things because I am tired. FACIT-Fatigue 13-Item Version 4 - Trouble Starting Things
C147678 FAC07006 FAC070-Trouble Finishing Things Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble finishing things because I am tired. FACIT-Fatigue 13-Item Version 4 - Trouble Finishing Things
C147679 FAC07007 FAC070-I Have Energy Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have energy. FACIT-Fatigue 13-Item Version 4 - I Have Energy
C147680 FAC07008 FAC070-Able to Do My Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am able to do my usual activities. FACIT-Fatigue 13-Item Version 4 - Able to Do My Usual Activities
C147681 FAC07009 FAC070-I Need to Sleep During the Day Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need to sleep during the day. FACIT-Fatigue 13-Item Version 4 - I Need to Sleep During the Day
C147682 FAC07010 FAC070-I Am Too Tired to Eat Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am too tired to eat. FACIT-Fatigue 13-Item Version 4 - I Am Too Tired to Eat
C147683 FAC07011 FAC070-Need Help Doing Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need help doing my usual activities. FACIT-Fatigue 13-Item Version 4 - Need Help Doing Usual Activities
C147684 FAC07012 FAC070-Frustrated by Being Too Tired Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am frustrated by being too tired to do the things I want to do. FACIT-Fatigue 13-Item Version 4 - Frustrated by Being Too Tired
C147685 FAC07013 FAC070-Limit Social Activity, I am Tired Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have to limit my social activity because I am tired. FACIT-Fatigue 13-Item Version 4 - Limit Social Activity, I am Tired
C163947 FAC07014 FAC070-Total Score Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - Total score. FACIT-Fatigue 13-Item Version 4 - Total Score

FAC070TN (Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Name)

NCI Code: C147543, Codelist extensible: No
C147543 FAC070TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147680 FAC070-Able to Do My Usual Activities FAC070-Able to Do My Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am able to do my usual activities. FACIT-Fatigue 13-Item Version 4 - Able to Do My Usual Activities
C147684 FAC070-Frustrated by Being Too Tired FAC070-Frustrated by Being Too Tired Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am frustrated by being too tired to do the things I want to do. FACIT-Fatigue 13-Item Version 4 - Frustrated by Being Too Tired
C147682 FAC070-I Am Too Tired to Eat FAC070-I Am Too Tired to Eat Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am too tired to eat. FACIT-Fatigue 13-Item Version 4 - I Am Too Tired to Eat
C147673 FAC070-I Feel Fatigued FAC070-I Feel Fatigued Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel fatigued. FACIT-Fatigue 13-Item Version 4 - I Feel Fatigued
C147675 FAC070-I Feel Listless FAC070-I Feel Listless Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel listless ("washed out"). FACIT-Fatigue 13-Item Version 4 - I Feel Listless
C147676 FAC070-I Feel Tired FAC070-I Feel Tired Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel tired. FACIT-Fatigue 13-Item Version 4 - I Feel Tired
C147674 FAC070-I Feel Weak All Over FAC070-I Feel Weak All Over Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel weak all over. FACIT-Fatigue 13-Item Version 4 - I Feel Weak All Over
C147679 FAC070-I Have Energy FAC070-I Have Energy Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have energy. FACIT-Fatigue 13-Item Version 4 - I Have Energy
C147681 FAC070-I Need to Sleep During the Day FAC070-I Need to Sleep During the Day Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need to sleep during the day. FACIT-Fatigue 13-Item Version 4 - I Need to Sleep During the Day
C147685 FAC070-Limit Social Activity, I am Tired FAC070-Limit Social Activity, I am Tired Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have to limit my social activity because I am tired. FACIT-Fatigue 13-Item Version 4 - Limit Social Activity, I am Tired
C147683 FAC070-Need Help Doing Usual Activities FAC070-Need Help Doing Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need help doing my usual activities. FACIT-Fatigue 13-Item Version 4 - Need Help Doing Usual Activities
C163947 FAC070-Total Score FAC070-Total Score Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - Total score. FACIT-Fatigue 13-Item Version 4 - Total Score
C147678 FAC070-Trouble Finishing Things FAC070-Trouble Finishing Things Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble finishing things because I am tired. FACIT-Fatigue 13-Item Version 4 - Trouble Finishing Things
C147677 FAC070-Trouble Starting Things FAC070-Trouble Starting Things Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble starting things because I am tired. FACIT-Fatigue 13-Item Version 4 - Trouble Starting Things

FAC071TC (Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Code)

NCI Code: C129088, Codelist extensible: No
C129088 FAC071TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129111 FAC07101 FAC071-I Have a Lack of Energy Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have a lack of energy. FACIT-F Version 4 - I Have a Lack of Energy
C129112 FAC07102 FAC071-I Have Nausea Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have nausea. FACIT-F Version 4 - I Have Nausea
C129113 FAC07103 FAC071-Trouble Meeting Needs of Family Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACIT-F Version 4 - Trouble Meeting Needs of Family
C129114 FAC07104 FAC071-I Have Pain Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have pain. FACIT-F Version 4 - I Have Pain
C129115 FAC07105 FAC071-Bothered by Treatment Side Effect Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACIT-F Version 4 - Bothered by Treatment Side Effect
C129116 FAC07106 FAC071-I Feel Ill Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I feel ill. FACIT-F Version 4 - I Feel Ill
C129117 FAC07107 FAC071-I Am Forced to Spend Time in Bed Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am forced to spend time in bed. FACIT-F Version 4 - I Am Forced to Spend Time in Bed
C129118 FAC07108 FAC071-I Feel Close to My Friends Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my friends. FACIT-F Version 4 - I Feel Close to My Friends
C129119 FAC07109 FAC071-Get Emotional Support From Family Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get emotional support from my family. FACIT-F Version 4 - Get Emotional Support From Family
C129120 FAC07110 FAC071-I Get Support From My Friends Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get support from my friends. FACIT-F Version 4 - I Get Support From My Friends
C129121 FAC07111 FAC071-My Family Has Accepted My Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: My family has accepted my illness. FACIT-F Version 4 - My Family Has Accepted My Illness
C129122 FAC07112 FAC071-Satisfied Communication Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACIT-F Version 4 - Satisfied Family Communication of Illness
C129123 FAC07113 FAC071-I Feel Close to My Partner Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACIT-F Version 4 - I Feel Close to My Partner
C129124 FAC07114 FAC071-I Am Satisfied With My Sex Life Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACIT-F Version 4 - I Am Satisfied With My Sex Life
C129125 FAC07115 FAC071-I Feel Sad Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel sad. FACIT-F Version 4 - I Feel Sad
C129126 FAC07116 FAC071-Satisfied With How I Am Coping Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACIT-F Version 4 - Satisfied With How I Am Coping
C129127 FAC07117 FAC071-Losing Hope Against Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACIT-F Version 4 - Losing Hope Against Illness
C129128 FAC07118 FAC071-I Feel Nervous Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel nervous. FACIT-F Version 4 - I Feel Nervous
C129129 FAC07119 FAC071-I Worry About Dying Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry about dying. FACIT-F Version 4 - I Worry About Dying
C129130 FAC07120 FAC071-Worry My Condition Will Get Worse Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACIT-F Version 4 - Worry My Condition Will Get Worse
C129131 FAC07121 FAC071-I Am Able to Work Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to work (include work at home). FACIT-F Version 4 - I Am Able to Work
C129132 FAC07122 FAC071-My Work Is Fulfilling Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACIT-F Version 4 - My Work Is Fulfilling
C129133 FAC07123 FAC071-I Am Able to Enjoy Life Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to enjoy life. FACIT-F Version 4 - I Am Able to Enjoy Life
C129134 FAC07124 FAC071-I Have Accepted My Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I have accepted my illness. FACIT-F Version 4 - I Have Accepted My Illness
C129135 FAC07125 FAC071-I Am Sleeping Well Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am sleeping well. FACIT-F Version 4 - I Am Sleeping Well
C129136 FAC07126 FAC071-Enjoy Things I Usually Do for Fun Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACIT-F Version 4 - Enjoy Things I Usually Do for Fun
C129137 FAC07127 FAC071-Content With Quality of My Life Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACIT-F Version 4 - Content With Quality of My Life
C129138 FAC07128 FAC071-I Feel Fatigued Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel fatigued. FACIT-F Version 4 - I Feel Fatigued
C129139 FAC07129 FAC071-I Feel Weak All Over Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel weak all over. FACIT-F Version 4 - I Feel Weak All Over
C129140 FAC07130 FAC071-I Feel Listless Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel listless ('washed out'). FACIT-F Version 4 - I Feel Listless
C129141 FAC07131 FAC071-I Feel Tired Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel tired. FACIT-F Version 4 - I Feel Tired
C129142 FAC07132 FAC071-Trouble Starting Things Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble starting things because I am tired. FACIT-F Version 4 - Trouble Starting Things
C129143 FAC07133 FAC071-Trouble Finishing Things Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble finishing things because I am tired. FACIT-F Version 4 - Trouble Finishing Things
C129144 FAC07134 FAC071-I Have Energy Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have energy. FACIT-F Version 4 - I Have Energy
C129145 FAC07135 FAC071-Able to Do My Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am able to do my usual activities. FACIT-F Version 4 - Able to Do My Usual Activities
C129146 FAC07136 FAC071-I Need to Sleep During the Day Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need to sleep during the day. FACIT-F Version 4 - I Need to Sleep During the Day
C129147 FAC07137 FAC071-I Am Too Tired to Eat Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am too tired to eat. FACIT-F Version 4 - I Am Too Tired to Eat
C129148 FAC07138 FAC071-Need Help Doing Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need help doing my usual activities. FACIT-F Version 4 - Need Help Doing Usual Activities
C129149 FAC07139 FAC071-Frustrated by Being Too Tired Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am frustrated by being too tired to do the things I want to do. FACIT-F Version 4 - Frustrated by Being Too Tired
C129150 FAC07140 FAC071-Limit Social Activity, I am Tired Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have to limit my social activity because I am tired. FACIT-F Version 4 - Limit Social Activity, I am Tired
C166341 FAC07141 FAC071-Physical Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Subscale score. FACIT-F Version 4 - Physical Subscale Score
C166342 FAC07142 FAC071-Social/Family Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Socia/Family Well-Being: Subscale score. FACIT-F Version 4 - Social/Family Subscale Score
C166343 FAC07143 FAC071-Emotional Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: Subscale score. FACIT-F Version 4 - Emotional Subscale Score
C166344 FAC07144 FAC071-Functional Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: Subscale score. FACIT-F Version 4 - Functional Subscale Score
C166345 FAC07145 FAC071-Additional Concern Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: Subscale score. FACIT-F Version 4 - Additional Concern Subscale Score
C166346 FAC07146 FAC071-Trial Outcome Index Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Trial outcome index score. FACIT-F Version 4 - Trial Outcome Index Score
C166347 FAC07147 FAC071-FACT-G Total Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - FACT-G total score. FACIT-F Version 4 - FACT-G Total Score
C166348 FAC07148 FAC071-Total Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Total score. FACIT-F Version 4 - Total Score

FAC071TN (Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Name)

NCI Code: C129087, Codelist extensible: No
C129087 FAC071TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C129145 FAC071-Able to Do My Usual Activities FAC071-Able to Do My Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am able to do my usual activities. FACIT-F Version 4 - Able to Do My Usual Activities
C166345 FAC071-Additional Concern Subscale Score FAC071-Additional Concern Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: Subscale score. FACIT-F Version 4 - Additional Concern Subscale Score
C129115 FAC071-Bothered by Treatment Side Effect FAC071-Bothered by Treatment Side Effect Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am bothered by side effects of treatment. FACIT-F Version 4 - Bothered by Treatment Side Effect
C129137 FAC071-Content With Quality of My Life FAC071-Content With Quality of My Life Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am content with the quality of my life right now. FACIT-F Version 4 - Content With Quality of My Life
C166343 FAC071-Emotional Subscale Score FAC071-Emotional Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: Subscale score. FACIT-F Version 4 - Emotional Subscale Score
C129136 FAC071-Enjoy Things I Usually Do for Fun FAC071-Enjoy Things I Usually Do for Fun Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun. FACIT-F Version 4 - Enjoy Things I Usually Do for Fun
C166347 FAC071-FACT-G Total Score FAC071-FACT-G Total Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - FACT-G total score. FACIT-F Version 4 - FACT-G Total Score
C129149 FAC071-Frustrated by Being Too Tired FAC071-Frustrated by Being Too Tired Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am frustrated by being too tired to do the things I want to do. FACIT-F Version 4 - Frustrated by Being Too Tired
C166344 FAC071-Functional Subscale Score FAC071-Functional Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: Subscale score. FACIT-F Version 4 - Functional Subscale Score
C129119 FAC071-Get Emotional Support From Family FAC071-Get Emotional Support From Family Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get emotional support from my family. FACIT-F Version 4 - Get Emotional Support From Family
C129133 FAC071-I Am Able to Enjoy Life FAC071-I Am Able to Enjoy Life Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to enjoy life. FACIT-F Version 4 - I Am Able to Enjoy Life
C129131 FAC071-I Am Able to Work FAC071-I Am Able to Work Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to work (include work at home). FACIT-F Version 4 - I Am Able to Work
C129117 FAC071-I Am Forced to Spend Time in Bed FAC071-I Am Forced to Spend Time in Bed Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am forced to spend time in bed. FACIT-F Version 4 - I Am Forced to Spend Time in Bed
C129124 FAC071-I Am Satisfied With My Sex Life FAC071-I Am Satisfied With My Sex Life Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with my sex life. FACIT-F Version 4 - I Am Satisfied With My Sex Life
C129135 FAC071-I Am Sleeping Well FAC071-I Am Sleeping Well Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am sleeping well. FACIT-F Version 4 - I Am Sleeping Well
C129147 FAC071-I Am Too Tired to Eat FAC071-I Am Too Tired to Eat Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am too tired to eat. FACIT-F Version 4 - I Am Too Tired to Eat
C129118 FAC071-I Feel Close to My Friends FAC071-I Feel Close to My Friends Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my friends. FACIT-F Version 4 - I Feel Close to My Friends
C129123 FAC071-I Feel Close to My Partner FAC071-I Feel Close to My Partner Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support). FACIT-F Version 4 - I Feel Close to My Partner
C129138 FAC071-I Feel Fatigued FAC071-I Feel Fatigued Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel fatigued. FACIT-F Version 4 - I Feel Fatigued
C129116 FAC071-I Feel Ill FAC071-I Feel Ill Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I feel ill. FACIT-F Version 4 - I Feel Ill
C129140 FAC071-I Feel Listless FAC071-I Feel Listless Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel listless ('washed out'). FACIT-F Version 4 - I Feel Listless
C129128 FAC071-I Feel Nervous FAC071-I Feel Nervous Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel nervous. FACIT-F Version 4 - I Feel Nervous
C129125 FAC071-I Feel Sad FAC071-I Feel Sad Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel sad. FACIT-F Version 4 - I Feel Sad
C129141 FAC071-I Feel Tired FAC071-I Feel Tired Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel tired. FACIT-F Version 4 - I Feel Tired
C129139 FAC071-I Feel Weak All Over FAC071-I Feel Weak All Over Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel weak all over. FACIT-F Version 4 - I Feel Weak All Over
C129120 FAC071-I Get Support From My Friends FAC071-I Get Support From My Friends Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get support from my friends. FACIT-F Version 4 - I Get Support From My Friends
C129111 FAC071-I Have a Lack of Energy FAC071-I Have a Lack of Energy Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have a lack of energy. FACIT-F Version 4 - I Have a Lack of Energy
C129134 FAC071-I Have Accepted My Illness FAC071-I Have Accepted My Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I have accepted my illness. FACIT-F Version 4 - I Have Accepted My Illness
C129144 FAC071-I Have Energy FAC071-I Have Energy Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have energy. FACIT-F Version 4 - I Have Energy
C129112 FAC071-I Have Nausea FAC071-I Have Nausea Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have nausea. FACIT-F Version 4 - I Have Nausea
C129114 FAC071-I Have Pain FAC071-I Have Pain Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have pain. FACIT-F Version 4 - I Have Pain
C129146 FAC071-I Need to Sleep During the Day FAC071-I Need to Sleep During the Day Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need to sleep during the day. FACIT-F Version 4 - I Need to Sleep During the Day
C129129 FAC071-I Worry About Dying FAC071-I Worry About Dying Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry about dying. FACIT-F Version 4 - I Worry About Dying
C129150 FAC071-Limit Social Activity, I am Tired FAC071-Limit Social Activity, I am Tired Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have to limit my social activity because I am tired. FACIT-F Version 4 - Limit Social Activity, I am Tired
C129127 FAC071-Losing Hope Against Illness FAC071-Losing Hope Against Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness. FACIT-F Version 4 - Losing Hope Against Illness
C129121 FAC071-My Family Has Accepted My Illness FAC071-My Family Has Accepted My Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: My family has accepted my illness. FACIT-F Version 4 - My Family Has Accepted My Illness
C129132 FAC071-My Work Is Fulfilling FAC071-My Work Is Fulfilling Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: My work (include work at home) is fulfilling. FACIT-F Version 4 - My Work Is Fulfilling
C129148 FAC071-Need Help Doing Usual Activities FAC071-Need Help Doing Usual Activities Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need help doing my usual activities. FACIT-F Version 4 - Need Help Doing Usual Activities
C166341 FAC071-Physical Subscale Score FAC071-Physical Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Subscale score. FACIT-F Version 4 - Physical Subscale Score
C129122 FAC071-Satisfied Communication Illness FAC071-Satisfied Communication Illness Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness. FACIT-F Version 4 - Satisfied Family Communication of Illness
C129126 FAC071-Satisfied With How I Am Coping FAC071-Satisfied With How I Am Coping Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness. FACIT-F Version 4 - Satisfied With How I Am Coping
C166342 FAC071-Social/Family Subscale Score FAC071-Social/Family Subscale Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Socia/Family Well-Being: Subscale score. FACIT-F Version 4 - Social/Family Subscale Score
C166348 FAC071-Total Score FAC071-Total Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Total score. FACIT-F Version 4 - Total Score
C166346 FAC071-Trial Outcome Index Score FAC071-Trial Outcome Index Score Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Trial outcome index score. FACIT-F Version 4 - Trial Outcome Index Score
C129143 FAC071-Trouble Finishing Things FAC071-Trouble Finishing Things Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble finishing things because I am tired. FACIT-F Version 4 - Trouble Finishing Things
C129113 FAC071-Trouble Meeting Needs of Family FAC071-Trouble Meeting Needs of Family Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family. FACIT-F Version 4 - Trouble Meeting Needs of Family
C129142 FAC071-Trouble Starting Things FAC071-Trouble Starting Things Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble starting things because I am tired. FACIT-F Version 4 - Trouble Starting Things
C129130 FAC071-Worry My Condition Will Get Worse FAC071-Worry My Condition Will Get Worse Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry that my condition will get worse. FACIT-F Version 4 - Worry My Condition Will Get Worse

FAC074TC (Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Code)

NCI Code: C179940, Codelist extensible: No
C179940 FAC074TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180023 FAC07401 FAC074-How Many Places in Body Felt Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: In how many places in your body have you felt bone pain. FACT-BP Version 4 - How Many Places in Body Felt Pain
C180024 FAC07402 FAC074-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have certain parts of my body where I experience pain. FACT-BP Version 4 - Certain Parts of Body Have Pain
C180025 FAC07403 FAC074-I Have Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain. FACT-BP Version 4 - I Have Bone Pain
C180026 FAC07404 FAC074-Hurts When Put Weight/Pressure on Functional Assessment of Cancer Therapy - BP: for patients with bone pain: It hurts when I put weight or pressure on the place where I have bone pain. FACT-BP Version 4 - Hurts When Put Weight/Pressure on
C180027 FAC07405 FAC074-Bone Pain Even When I Sit Still Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain even when I sit stil. FACT-BP Version 4 - Bone Pain Even When I Sit Still
C180028 FAC07406 FAC074-Need Help Doing Usual Activities Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I need help doing my usual activities because of bone pain. FACT-BP Version 4 - Need Help Doing Usual Activities
C180029 FAC07407 FAC074-Rest During Day Due to Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I am forced to rest during the day due to bone pain. FACT-BP Version 4 - Rest During Day Due to Bone Pain
C180030 FAC07408 FAC074-Trouble Walking Because Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble walking because of bone pain. FACT-BP Version 4 - Trouble Walking Because Bone Pain
C180031 FAC07409 FAC074-Bone Pain Interferes Care Myself Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.). FACT-BP Version 4 - Bone Pain Interferes Care Myself
C180032 FAC07410 FAC074-Bone Pain Interferes w/Social Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my social activities. FACT-BP Version 4 - Bone Pain Interferes w/Social
C180033 FAC07411 FAC074-Bone Pain Interferes w/My Sleep Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my sleep. FACT-BP Version 4 - Bone Pain Interferes w/My Sleep
C180034 FAC07412 FAC074-I am Frustrated by My Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I am frustrated by my bone pain. FACT-BP Version 4 - I am Frustrated by My Bone Pain
C180035 FAC07413 FAC074-I Feel Depressed about Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I feel depressed about my bone pain. FACT-BP Version 4 - I Feel Depressed about Bone Pain
C180036 FAC07414 FAC074-I Worry Bone Pain Will Get Worse Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I worry that my bone pain will get worse. FACT-BP Version 4 - I Worry Bone Pain Will Get Worse
C180037 FAC07415 FAC074-Bone Pain Interferes w/My Family Functional Assessment of Cancer Therapy - BP: for patients with bone pain: My bone pain interferes with my family life. FACT-BP Version 4 - Bone Pain Interferes w/My Family
C180038 FAC07416 FAC074-Pain Interferes Vigorous Activity Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to do vigorous activity (exercise, heavy lifting, etc.). FACT-BP Version 4 - Pain Interferes Vigorous Activity
C180039 FAC07417 FAC074-Trouble Concentrating Due to Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble concentrating due to my bone pain. FACT-BP Version 4 - Trouble Concentrating Due to Pain
C180040 FAC07418 FAC074-Difficulty Coping w/My Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty coping with my bone pain. FACT-BP Version 4 - Difficulty Coping w/My Bone Pain
C180041 FAC07419 FAC074-Difficulty Working Due to Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty working due to my bone pain (including work at home) FACT-BP Version 4 - Difficulty Working Due to Pain
C180042 FAC07420 FAC074-Content With Quality of My Life Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I am content with the quality of my life right now. FACT-BP Version 4 - Content With Quality of My Life
C180043 FAC07421 FAC074-Total Score Functional Assessment of Cancer therapy - BP: BP subscale score. FACT-BP Version 4 - Total Score

FAC074TN (Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Name)

NCI Code: C179939, Codelist extensible: No
C179939 FAC074TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180027 FAC074-Bone Pain Even When I Sit Still FAC074-Bone Pain Even When I Sit Still Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain even when I sit stil. FACT-BP Version 4 - Bone Pain Even When I Sit Still
C180031 FAC074-Bone Pain Interferes Care Myself FAC074-Bone Pain Interferes Care Myself Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.). FACT-BP Version 4 - Bone Pain Interferes Care Myself
C180037 FAC074-Bone Pain Interferes w/My Family FAC074-Bone Pain Interferes w/My Family Functional Assessment of Cancer Therapy - BP: for patients with bone pain: My bone pain interferes with my family life. FACT-BP Version 4 - Bone Pain Interferes w/My Family
C180033 FAC074-Bone Pain Interferes w/My Sleep FAC074-Bone Pain Interferes w/My Sleep Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my sleep. FACT-BP Version 4 - Bone Pain Interferes w/My Sleep
C180032 FAC074-Bone Pain Interferes w/Social FAC074-Bone Pain Interferes w/Social Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my social activities. FACT-BP Version 4 - Bone Pain Interferes w/Social
C180024 FAC074-Certain Parts of Body Have Pain FAC074-Certain Parts of Body Have Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have certain parts of my body where I experience pain. FACT-BP Version 4 - Certain Parts of Body Have Pain
C180042 FAC074-Content With Quality of My Life FAC074-Content With Quality of My Life Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I am content with the quality of my life right now. FACT-BP Version 4 - Content With Quality of My Life
C180040 FAC074-Difficulty Coping w/My Bone Pain FAC074-Difficulty Coping w/My Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty coping with my bone pain. FACT-BP Version 4 - Difficulty Coping w/My Bone Pain
C180041 FAC074-Difficulty Working Due to Pain FAC074-Difficulty Working Due to Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty working due to my bone pain (including work at home) FACT-BP Version 4 - Difficulty Working Due to Pain
C180023 FAC074-How Many Places in Body Felt Pain FAC074-How Many Places in Body Felt Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: In how many places in your body have you felt bone pain. FACT-BP Version 4 - How Many Places in Body Felt Pain
C180026 FAC074-Hurts When Put Weight/Pressure on FAC074-Hurts When Put Weight/Pressure on Functional Assessment of Cancer Therapy - BP: for patients with bone pain: It hurts when I put weight or pressure on the place where I have bone pain. FACT-BP Version 4 - Hurts When Put Weight/Pressure on
C180034 FAC074-I am Frustrated by My Bone Pain FAC074-I am Frustrated by My Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I am frustrated by my bone pain. FACT-BP Version 4 - I am Frustrated by My Bone Pain
C180035 FAC074-I Feel Depressed about Bone Pain FAC074-I Feel Depressed about Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I feel depressed about my bone pain. FACT-BP Version 4 - I Feel Depressed about Bone Pain
C180025 FAC074-I Have Bone Pain FAC074-I Have Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain. FACT-BP Version 4 - I Have Bone Pain
C180036 FAC074-I Worry Bone Pain Will Get Worse FAC074-I Worry Bone Pain Will Get Worse Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I worry that my bone pain will get worse. FACT-BP Version 4 - I Worry Bone Pain Will Get Worse
C180028 FAC074-Need Help Doing Usual Activities FAC074-Need Help Doing Usual Activities Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I need help doing my usual activities because of bone pain. FACT-BP Version 4 - Need Help Doing Usual Activities
C180038 FAC074-Pain Interferes Vigorous Activity FAC074-Pain Interferes Vigorous Activity Functional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to do vigorous activity (exercise, heavy lifting, etc.). FACT-BP Version 4 - Pain Interferes Vigorous Activity
C180029 FAC074-Rest During Day Due to Bone Pain FAC074-Rest During Day Due to Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I am forced to rest during the day due to bone pain. FACT-BP Version 4 - Rest During Day Due to Bone Pain
C180043 FAC074-Total Score FAC074-Total Score Functional Assessment of Cancer therapy - BP: BP subscale score. FACT-BP Version 4 - Total Score
C180039 FAC074-Trouble Concentrating Due to Pain FAC074-Trouble Concentrating Due to Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble concentrating due to my bone pain. FACT-BP Version 4 - Trouble Concentrating Due to Pain
C180030 FAC074-Trouble Walking Because Bone Pain FAC074-Trouble Walking Because Bone Pain Functional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble walking because of bone pain. FACT-BP Version 4 - Trouble Walking Because Bone Pain

FAC075TC (Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Code)

NCI Code: C166184, Codelist extensible: No
C166184 FAC075TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166280 FAC07501 FAC075-I Have Trouble Forming Thoughts Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble forming thoughts. FACT-COG Version 3 - I Have Trouble Forming Thoughts
C166281 FAC07502 FAC075-My Thinking Has Been Slow Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slow. FACT-COG Version 3 - My Thinking Has Been Slow
C166282 FAC07503 FAC075-I Have Had Trouble Concentrating Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble concentrating. FACT-COG Version 3 - I Have Had Trouble Concentrating
C166283 FAC07504 FAC075-Trouble Finding Familiar Place Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding my way to a familiar place. FACT-COG Version 3 - Trouble Finding Familiar Place
C166284 FAC07505 FAC075-Trouble Remember Where Put Things Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering where I put things, like my keys or my wallet. FACT-COG Version 3 - Trouble Remember Where Put Things
C166285 FAC07506 FAC075-Trouble Remembering New Info Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering new information, like phone numbers or simple instructions. FACT-COG Version 3 - Trouble Remembering New Info
C166286 FAC07507 FAC075-Trouble Recalling Name of Object Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble recalling the name of an object while talking to someone. FACT-COG Version 3 - Trouble Recalling Name of Object
C166287 FAC07508 FAC075-Trouble Finding Right Words Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding the right word(s) to express myself. FACT-COG Version 3 - Trouble Finding Right Words
C166288 FAC07509 FAC075-Used Wrong Word When Refer Object Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have used the wrong word when I referred to an object. FACT-COG Version 3 - Used Wrong Word When Refer Object
C166289 FAC07510 FAC075-Trouble Saying What I Mean Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble saying what I mean in conversations with others. FACT-COG Version 3 - Trouble Saying What I Mean
C166290 FAC07511 FAC075-Walked Into a Room and Forgotten Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have walked into a room and forgotten what I meant to get or do there. FACT-COG Version 3 - Walked Into a Room and Forgotten
C166291 FAC07512 FAC075-Work Hard to Pay Attention Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work really hard to pay attention or I would make a mistake. FACT-COG Version 3 - Work Hard to Pay Attention
C166292 FAC07513 FAC075-Forgotten Names After Introduced Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have forgotten names of people soon after being introduced. FACT-COG Version 3 - Forgotten Names After Introduced
C166293 FAC07514 FAC075-Reaction Everyday Situations Slow Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My reactions in everyday situations have been slow. FACT-COG Version 3 - Reaction Everyday Situations Slow
C166294 FAC07515 FAC075-Work Harder Than Usual to Track Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to keep track of what I was doing. FACT-COG Version 3 - Work Harder Than Usual to Track
C166295 FAC07516 FAC075-My Thinking Slower Than Usual Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slower than usual. FACT-COG Version 3 - My Thinking Slower Than Usual
C166296 FAC07517 FAC075-Work Harder Than Usual to Express Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to express myself clearly. FACT-COG Version 3 - Work Harder Than Usual to Express
C166297 FAC07518 FAC075-Use Written Lists More Often Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to use written lists more often than usual so I would not forget things. FACT-COG Version 3 - Use Written Lists More Often
C166298 FAC07519 FAC075-Trouble Keeping Track Interrupted Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble keeping track of what I am doing if I am interrupted. FACT-COG Version 3 - Trouble Keeping Track Interrupted
C166299 FAC07520 FAC075-Trouble Shifting Back and Forth Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble shifting back and forth between different activities that require thinking. FACT-COG Version 3 - Trouble Shifting Back and Forth
C166300 FAC07521 FAC075-Told Me Trouble Remembering Info Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble remembering information. FACT-COG Version 3 - Told Me Trouble Remembering Info
C166301 FAC07522 FAC075-Told Me Trouble Speaking Clearly Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble speaking clearly. FACT-COG Version 3 - Told Me Trouble Speaking Clearly
C166302 FAC07523 FAC075-Told Me Trouble Thinking Clearly Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble thinking clearly. FACT-COG Version 3 - Told Me Trouble Thinking Clearly
C166303 FAC07524 FAC075-People Told Me I Seemed Confused Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed confused. FACT-COG Version 3 - People Told Me I Seemed Confused
C166304 FAC07525 FAC075-I Have Been Able to Concentrate Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to concentrate. FACT-COG Version 3 - I Have Been Able to Concentrate
C166305 FAC07526 FAC075-Able to Bring to Mind Words Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to bring to mind words that I wanted to use while talking to someone. FACT-COG Version 3 - Able to Bring to Mind Words
C166306 FAC07527 FAC075-Able Remember Things Where Left Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember things, like where I left my keys or wallet. FACT-COG Version 3 - Able Remember Things Where Left
C166307 FAC07528 FAC075-Able Remember to Do Things Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember to do things, like take medicine or buy something I needed. FACT-COG Version 3 - Able Remember to Do Things
C166308 FAC07529 FAC075-Able to Pay Attention w/o Effort Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to pay attention and keep track of what I am doing without extra effort. FACT-COG Version 3 - Able to Pay Attention Without Effort
C166309 FAC07530 FAC075-Mind Is as Sharp as Always Been Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My mind is as sharp as it has always been. FACT-COG Version 3 - Mind Is as Sharp as Always Been
C166310 FAC07531 FAC075-Memory Is as Good as Always Been Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My memory is as good as it has always been. FACT-COG Version 3 - Memory Is as Good as Always Been
C166311 FAC07532 FAC075-Able to Shift Between Activities Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to shift back and forth between two activities that require thinking. FACT-COG Version 3 - Able to Shift Between Activities
C166312 FAC07533 FAC075-Able to Track What I Am Doing Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to keep track of what I am doing, even if I am interrupted. FACT-COG Version 3 - Able to Track What I Am Doing
C166313 FAC07534 FAC075-Been Upset about These Problems Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: I have been upset about these problems. FACT-COG Version 3 - Been Upset about These Problems
C166314 FAC07535 FAC075-Problems Interfered Ability Work Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to work. FACT-COG Version 3 - Problems Interfered Ability Work
C166315 FAC07536 FAC075-Problems Interfered Ability Enjoy Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to do things I enjoy. FACT-COG Version 3 - Problems Interfered Ability Enjoy
C166316 FAC07537 FAC075-Problems Interfered Quality Life Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with the quality of my life. FACT-COG Version 3 - Problems Interfered Quality Life
C166317 FAC07538 FAC075-Cognitive Impairments Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: Subscale score. FACT-COG Version 3 - Cognitive Impairments Score
C166318 FAC07539 FAC075-Comments From Others Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Subscale score. FACT-COG Version 3 - Comments From Others Score
C166319 FAC07540 FAC075-Cognitive Abilities Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: Subscale score. FACT-COG Version 3 - Cognitive Abilities Score
C166320 FAC07541 FAC075-Impact on Quality of Life Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: Subscale score. FACT-COG Version 3 - Impact on Quality of Life Score

FAC075TN (Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Name)

NCI Code: C166183, Codelist extensible: No
C166183 FAC075TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166306 FAC075-Able Remember Things Where Left FAC075-Able Remember Things Where Left Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember things, like where I left my keys or wallet. FACT-COG Version 3 - Able Remember Things Where Left
C166307 FAC075-Able Remember to Do Things FAC075-Able Remember to Do Things Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember to do things, like take medicine or buy something I needed. FACT-COG Version 3 - Able Remember to Do Things
C166305 FAC075-Able to Bring to Mind Words FAC075-Able to Bring to Mind Words Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to bring to mind words that I wanted to use while talking to someone. FACT-COG Version 3 - Able to Bring to Mind Words
C166308 FAC075-Able to Pay Attention w/o Effort FAC075-Able to Pay Attention w/o Effort Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to pay attention and keep track of what I am doing without extra effort. FACT-COG Version 3 - Able to Pay Attention Without Effort
C166311 FAC075-Able to Shift Between Activities FAC075-Able to Shift Between Activities Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to shift back and forth between two activities that require thinking. FACT-COG Version 3 - Able to Shift Between Activities
C166312 FAC075-Able to Track What I Am Doing FAC075-Able to Track What I Am Doing Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to keep track of what I am doing, even if I am interrupted. FACT-COG Version 3 - Able to Track What I Am Doing
C166313 FAC075-Been Upset about These Problems FAC075-Been Upset about These Problems Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: I have been upset about these problems. FACT-COG Version 3 - Been Upset about These Problems
C166319 FAC075-Cognitive Abilities Score FAC075-Cognitive Abilities Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: Subscale score. FACT-COG Version 3 - Cognitive Abilities Score
C166317 FAC075-Cognitive Impairments Score FAC075-Cognitive Impairments Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: Subscale score. FACT-COG Version 3 - Cognitive Impairments Score
C166318 FAC075-Comments From Others Score FAC075-Comments From Others Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Subscale score. FACT-COG Version 3 - Comments From Others Score
C166292 FAC075-Forgotten Names After Introduced FAC075-Forgotten Names After Introduced Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have forgotten names of people soon after being introduced. FACT-COG Version 3 - Forgotten Names After Introduced
C166304 FAC075-I Have Been Able to Concentrate FAC075-I Have Been Able to Concentrate Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to concentrate. FACT-COG Version 3 - I Have Been Able to Concentrate
C166282 FAC075-I Have Had Trouble Concentrating FAC075-I Have Had Trouble Concentrating Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble concentrating. FACT-COG Version 3 - I Have Had Trouble Concentrating
C166280 FAC075-I Have Trouble Forming Thoughts FAC075-I Have Trouble Forming Thoughts Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble forming thoughts. FACT-COG Version 3 - I Have Trouble Forming Thoughts
C166320 FAC075-Impact on Quality of Life Score FAC075-Impact on Quality of Life Score Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: Subscale score. FACT-COG Version 3 - Impact on Quality of Life Score
C166310 FAC075-Memory Is as Good as Always Been FAC075-Memory Is as Good as Always Been Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My memory is as good as it has always been. FACT-COG Version 3 - Memory Is as Good as Always Been
C166309 FAC075-Mind Is as Sharp as Always Been FAC075-Mind Is as Sharp as Always Been Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My mind is as sharp as it has always been. FACT-COG Version 3 - Mind Is as Sharp as Always Been
C166281 FAC075-My Thinking Has Been Slow FAC075-My Thinking Has Been Slow Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slow. FACT-COG Version 3 - My Thinking Has Been Slow
C166295 FAC075-My Thinking Slower Than Usual FAC075-My Thinking Slower Than Usual Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slower than usual. FACT-COG Version 3 - My Thinking Slower Than Usual
C166303 FAC075-People Told Me I Seemed Confused FAC075-People Told Me I Seemed Confused Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed confused. FACT-COG Version 3 - People Told Me I Seemed Confused
C166315 FAC075-Problems Interfered Ability Enjoy FAC075-Problems Interfered Ability Enjoy Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to do things I enjoy. FACT-COG Version 3 - Problems Interfered Ability Enjoy
C166314 FAC075-Problems Interfered Ability Work FAC075-Problems Interfered Ability Work Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to work. FACT-COG Version 3 - Problems Interfered Ability Work
C166316 FAC075-Problems Interfered Quality Life FAC075-Problems Interfered Quality Life Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with the quality of my life. FACT-COG Version 3 - Problems Interfered Quality Life
C166293 FAC075-Reaction Everyday Situations Slow FAC075-Reaction Everyday Situations Slow Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My reactions in everyday situations have been slow. FACT-COG Version 3 - Reaction Everyday Situations Slow
C166300 FAC075-Told Me Trouble Remembering Info FAC075-Told Me Trouble Remembering Info Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble remembering information. FACT-COG Version 3 - Told Me Trouble Remembering Info
C166301 FAC075-Told Me Trouble Speaking Clearly FAC075-Told Me Trouble Speaking Clearly Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble speaking clearly. FACT-COG Version 3 - Told Me Trouble Speaking Clearly
C166302 FAC075-Told Me Trouble Thinking Clearly FAC075-Told Me Trouble Thinking Clearly Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble thinking clearly. FACT-COG Version 3 - Told Me Trouble Thinking Clearly
C166283 FAC075-Trouble Finding Familiar Place FAC075-Trouble Finding Familiar Place Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding my way to a familiar place. FACT-COG Version 3 - Trouble Finding Familiar Place
C166287 FAC075-Trouble Finding Right Words FAC075-Trouble Finding Right Words Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding the right word(s) to express myself. FACT-COG Version 3 - Trouble Finding Right Words
C166298 FAC075-Trouble Keeping Track Interrupted FAC075-Trouble Keeping Track Interrupted Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble keeping track of what I am doing if I am interrupted. FACT-COG Version 3 - Trouble Keeping Track Interrupted
C166286 FAC075-Trouble Recalling Name of Object FAC075-Trouble Recalling Name of Object Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble recalling the name of an object while talking to someone. FACT-COG Version 3 - Trouble Recalling Name of Object
C166284 FAC075-Trouble Remember Where Put Things FAC075-Trouble Remember Where Put Things Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering where I put things, like my keys or my wallet. FACT-COG Version 3 - Trouble Remember Where Put Things
C166285 FAC075-Trouble Remembering New Info FAC075-Trouble Remembering New Info Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering new information, like phone numbers or simple instructions. FACT-COG Version 3 - Trouble Remembering New Info
C166289 FAC075-Trouble Saying What I Mean FAC075-Trouble Saying What I Mean Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble saying what I mean in conversations with others. FACT-COG Version 3 - Trouble Saying What I Mean
C166299 FAC075-Trouble Shifting Back and Forth FAC075-Trouble Shifting Back and Forth Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble shifting back and forth between different activities that require thinking. FACT-COG Version 3 - Trouble Shifting Back and Forth
C166297 FAC075-Use Written Lists More Often FAC075-Use Written Lists More Often Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to use written lists more often than usual so I would not forget things. FACT-COG Version 3 - Use Written Lists More Often
C166288 FAC075-Used Wrong Word When Refer Object FAC075-Used Wrong Word When Refer Object Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have used the wrong word when I referred to an object. FACT-COG Version 3 - Used Wrong Word When Refer Object
C166290 FAC075-Walked Into a Room and Forgotten FAC075-Walked Into a Room and Forgotten Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have walked into a room and forgotten what I meant to get or do there. FACT-COG Version 3 - Walked Into a Room and Forgotten
C166291 FAC075-Work Hard to Pay Attention FAC075-Work Hard to Pay Attention Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work really hard to pay attention or I would make a mistake. FACT-COG Version 3 - Work Hard to Pay Attention
C166296 FAC075-Work Harder Than Usual to Express FAC075-Work Harder Than Usual to Express Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to express myself clearly. FACT-COG Version 3 - Work Harder Than Usual to Express
C166294 FAC075-Work Harder Than Usual to Track FAC075-Work Harder Than Usual to Track Functional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to keep track of what I was doing. FACT-COG Version 3 - Work Harder Than Usual to Track

FAC084TC (Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Code)

NCI Code: C147542, Codelist extensible: No
C147542 FAC084TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147643 FAC08401 FAC084-Part I: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Without Help
C147644 FAC08402 FAC084-Part I: Dressing Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Why Not
C147645 FAC08403 FAC084-Part I: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps
C147646 FAC08404 FAC084-Part I: Walk 50 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps Why Not
C147647 FAC08405 FAC084-Part I: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs
C147648 FAC08406 FAC084-Part I: Walk Up 20 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs Why Not
C147649 FAC08407 FAC084-Part I: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals. FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals
C147650 FAC08408 FAC084-Part I: Preparing Meals Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals Why Not
C147651 FAC08409 FAC084-Part I: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes
C147652 FAC08410 FAC084-Part I: Washing Dishes Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes Why Not
C147653 FAC08411 FAC084-Part I: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping
C147654 FAC08412 FAC084-Part I: Sweeping/Mopping Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping Why Not
C147655 FAC08413 FAC084-Part I: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed
C147656 FAC08414 FAC084-Part I: Making a Bed Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed Why Not
C147657 FAC08415 FAC084-Part I: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs
C147658 FAC08416 FAC084-Part I: Lifting 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs Why Not
C147659 FAC08417 FAC084-Part I: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs
C147660 FAC08418 FAC084-Part I: Carry 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs Why Not
C147661 FAC08419 FAC084-Part I: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile
C147662 FAC08420 FAC084-Part I: Walk for 1/2 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile Why Not
C147663 FAC08421 FAC084-Part II: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help. FACIT-Dyspnea 10 Item Short Form - Part II: Dressing Without Help
C147664 FAC08422 FAC084-Part II: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea 10 Item Short Form - Part II: Walk 50 Steps
C147665 FAC08423 FAC084-Part II: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea 10 Item Short Form - Part II: Walk Up 20 Stairs
C147666 FAC08424 FAC084-Part II: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals. FACIT-Dyspnea 10 Item Short Form - Part II: Preparing Meals
C147667 FAC08425 FAC084-Part II: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes. FACIT-Dyspnea 10 Item Short Form - Part II: Washing Dishes
C147668 FAC08426 FAC084-Part II: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping. FACIT-Dyspnea 10 Item Short Form - Part II: Sweeping/Mopping
C147669 FAC08427 FAC084-Part II: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed. FACIT-Dyspnea 10 Item Short Form - Part II: Making a Bed
C147670 FAC08428 FAC084-Part II: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea 10 Item Short Form - Part II: Lifting 10-20 Lbs
C147671 FAC08429 FAC084-Part II: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea 10 Item Short Form - Part II: Carry 10-20 Lbs
C147672 FAC08430 FAC084-Part II: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea 10 Item Short Form - Part II: Walk for 1/2 Mile

FAC084TN (Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Name)

NCI Code: C147541, Codelist extensible: No
C147541 FAC084TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147660 FAC084-Part I: Carry 10-20 Lbs Why Not FAC084-Part I: Carry 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs Why Not
C147659 FAC084-Part I: Carry 10-20 Lbs FAC084-Part I: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs
C147644 FAC084-Part I: Dressing Why Not FAC084-Part I: Dressing Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Why Not
C147643 FAC084-Part I: Dressing Without Help FAC084-Part I: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Without Help
C147658 FAC084-Part I: Lifting 10-20 Lbs Why Not FAC084-Part I: Lifting 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs Why Not
C147657 FAC084-Part I: Lifting 10-20 Lbs FAC084-Part I: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs
C147656 FAC084-Part I: Making a Bed Why Not FAC084-Part I: Making a Bed Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed Why Not
C147655 FAC084-Part I: Making a Bed FAC084-Part I: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed
C147650 FAC084-Part I: Preparing Meals Why Not FAC084-Part I: Preparing Meals Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals Why Not
C147649 FAC084-Part I: Preparing Meals FAC084-Part I: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals. FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals
C147654 FAC084-Part I: Sweeping/Mopping Why Not FAC084-Part I: Sweeping/Mopping Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping Why Not
C147653 FAC084-Part I: Sweeping/Mopping FAC084-Part I: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping
C147646 FAC084-Part I: Walk 50 Steps Why Not FAC084-Part I: Walk 50 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps Why Not
C147645 FAC084-Part I: Walk 50 Steps FAC084-Part I: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps
C147662 FAC084-Part I: Walk for 1/2 Mile Why Not FAC084-Part I: Walk for 1/2 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile Why Not
C147661 FAC084-Part I: Walk for 1/2 Mile FAC084-Part I: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile
C147648 FAC084-Part I: Walk Up 20 Stairs Why Not FAC084-Part I: Walk Up 20 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs Why Not
C147647 FAC084-Part I: Walk Up 20 Stairs FAC084-Part I: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs
C147652 FAC084-Part I: Washing Dishes Why Not FAC084-Part I: Washing Dishes Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes Why Not
C147651 FAC084-Part I: Washing Dishes FAC084-Part I: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes
C147671 FAC084-Part II: Carry 10-20 Lbs FAC084-Part II: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea 10 Item Short Form - Part II: Carry 10-20 Lbs
C147663 FAC084-Part II: Dressing Without Help FAC084-Part II: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help. FACIT-Dyspnea 10 Item Short Form - Part II: Dressing Without Help
C147670 FAC084-Part II: Lifting 10-20 Lbs FAC084-Part II: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea 10 Item Short Form - Part II: Lifting 10-20 Lbs
C147669 FAC084-Part II: Making a Bed FAC084-Part II: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed. FACIT-Dyspnea 10 Item Short Form - Part II: Making a Bed
C147666 FAC084-Part II: Preparing Meals FAC084-Part II: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals. FACIT-Dyspnea 10 Item Short Form - Part II: Preparing Meals
C147668 FAC084-Part II: Sweeping/Mopping FAC084-Part II: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping. FACIT-Dyspnea 10 Item Short Form - Part II: Sweeping/Mopping
C147664 FAC084-Part II: Walk 50 Steps FAC084-Part II: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea 10 Item Short Form - Part II: Walk 50 Steps
C147672 FAC084-Part II: Walk for 1/2 Mile FAC084-Part II: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea 10 Item Short Form - Part II: Walk for 1/2 Mile
C147665 FAC084-Part II: Walk Up 20 Stairs FAC084-Part II: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea 10 Item Short Form - Part II: Walk Up 20 Stairs
C147667 FAC084-Part II: Washing Dishes FAC084-Part II: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes. FACIT-Dyspnea 10 Item Short Form - Part II: Washing Dishes

FAC099TC (Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Code)

NCI Code: C147546, Codelist extensible: No
C147546 FAC099TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147686 FAC09901 FAC099-I Feel Tired Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel tired. Peds-FACIT-F - I Feel Tired
C147687 FAC09902 FAC099-I Have Energy Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I have energy (or strength). Peds-FACIT-F - I Have Energy
C147688 FAC09903 FAC099-Could Do My Usual Things at Home Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I could do my usual things at home. Peds-FACIT-F - Could Do My Usual Things at Home
C147689 FAC09904 FAC099-Trouble Starting Things Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble starting things because I was too tired. Peds-FACIT-F - Trouble Starting Things
C147690 FAC09905 FAC099-Trouble Finishing Things Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble finishing things because I was too tired. Peds-FACIT-F - Trouble Finishing Things
C147691 FAC09906 FAC099-I Needed to Sleep During the Day Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed to sleep during the day. Peds-FACIT-F - I Needed to Sleep During the Day
C147692 FAC09907 FAC099-Upset by Being Too Tired Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I got upset by being too tired to do things I wanted to do. Peds-FACIT-F - Upset by Being Too Tired
C147693 FAC09908 FAC099-Hard for Me to Play With Friends Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made it hard for me to play or go out with my friends as much as I'd like. Peds-FACIT-F - Hard for Me to Play With Friends
C147694 FAC09909 FAC099-Needed Help Doing Usual Things Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed help doing my usual things at home. Peds-FACIT-F - Needed Help Doing Usual Things
C147695 FAC09910 FAC099-I Feel Weak Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel weak. Peds-FACIT-F - I Feel Weak
C147696 FAC09911 FAC099-I Was Too Tired to Eat Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I was too tired to eat. Peds-FACIT-F - I Was Too Tired to Eat
C147697 FAC09912 FAC099-Being Tired Made Me Sad Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me sad. Peds-FACIT-F - Being Tired Made Me Sad
C147698 FAC09913 FAC099-Being Tired Made Me Mad Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me mad (angry). Peds-FACIT-F - Being Tired Made Me Mad

FAC099TN (Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Name)

NCI Code: C147545, Codelist extensible: No
C147545 FAC099TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147698 FAC099-Being Tired Made Me Mad FAC099-Being Tired Made Me Mad Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me mad (angry). Peds-FACIT-F - Being Tired Made Me Mad
C147697 FAC099-Being Tired Made Me Sad FAC099-Being Tired Made Me Sad Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me sad. Peds-FACIT-F - Being Tired Made Me Sad
C147688 FAC099-Could Do My Usual Things at Home FAC099-Could Do My Usual Things at Home Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I could do my usual things at home. Peds-FACIT-F - Could Do My Usual Things at Home
C147693 FAC099-Hard for Me to Play With Friends FAC099-Hard for Me to Play With Friends Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made it hard for me to play or go out with my friends as much as I'd like. Peds-FACIT-F - Hard for Me to Play With Friends
C147686 FAC099-I Feel Tired FAC099-I Feel Tired Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel tired. Peds-FACIT-F - I Feel Tired
C147695 FAC099-I Feel Weak FAC099-I Feel Weak Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel weak. Peds-FACIT-F - I Feel Weak
C147687 FAC099-I Have Energy FAC099-I Have Energy Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I have energy (or strength). Peds-FACIT-F - I Have Energy
C147691 FAC099-I Needed to Sleep During the Day FAC099-I Needed to Sleep During the Day Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed to sleep during the day. Peds-FACIT-F - I Needed to Sleep During the Day
C147696 FAC099-I Was Too Tired to Eat FAC099-I Was Too Tired to Eat Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I was too tired to eat. Peds-FACIT-F - I Was Too Tired to Eat
C147694 FAC099-Needed Help Doing Usual Things FAC099-Needed Help Doing Usual Things Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed help doing my usual things at home. Peds-FACIT-F - Needed Help Doing Usual Things
C147690 FAC099-Trouble Finishing Things FAC099-Trouble Finishing Things Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble finishing things because I was too tired. Peds-FACIT-F - Trouble Finishing Things
C147689 FAC099-Trouble Starting Things FAC099-Trouble Starting Things Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble starting things because I was too tired. Peds-FACIT-F - Trouble Starting Things
C147692 FAC099-Upset by Being Too Tired FAC099-Upset by Being Too Tired Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I got upset by being too tired to do things I wanted to do. Peds-FACIT-F - Upset by Being Too Tired

FAC100TC (Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Code)

NCI Code: C154451, Codelist extensible: No
C154451 FAC100TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155482 FAC10001 FAC100-Sev: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Without Help
C155483 FAC10002 FAC100-Sev: Dressing Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Why Not
C155484 FAC10003 FAC100-Sev: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps
C155485 FAC10004 FAC100-Sev: Walk 50 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps Why Not
C155486 FAC10005 FAC100-Sev: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs
C155487 FAC10006 FAC100-Sev: Walk Up 20 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs Why Not
C155488 FAC10007 FAC100-Sev: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals
C155489 FAC10008 FAC100-Sev: Preparing Meals Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals Why Not
C155490 FAC10009 FAC100-Sev: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes
C155491 FAC10010 FAC100-Sev: Washing Dishes Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes Why Not
C155492 FAC10011 FAC100-Sev: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping
C155493 FAC10012 FAC100-Sev: Sweeping/Mopping Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping Why Not
C155494 FAC10013 FAC100-Sev: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed
C155495 FAC10014 FAC100-Sev: Making a Bed Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed Why Not
C155496 FAC10015 FAC100-Sev: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs
C155497 FAC10016 FAC100-Sev: Lifting 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs Why Not
C155498 FAC10017 FAC100-Sev: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs
C155499 FAC10018 FAC100-Sev: Carry 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs Why Not
C155500 FAC10019 FAC100-Sev: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile
C155501 FAC10020 FAC100-Sev: Walk for 1/2 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile Why Not
C155502 FAC10021 FAC100-Sev: Bath Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help
C155503 FAC10022 FAC100-Sev: Bath Without Help Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help Why Not
C155504 FAC10023 FAC100-Sev: Taking a Shower Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower
C155505 FAC10024 FAC100-Sev: Taking a Shower Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower Why Not
C155506 FAC10025 FAC100-Sev: Putting on Socks Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks
C155507 FAC10026 FAC100-Sev: Putting on Socks Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks Why Not
C155508 FAC10027 FAC100-Sev: Standing 5 Minutes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes
C155509 FAC10028 FAC100-Sev: Standing 5 Minutes Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes Why Not
C155510 FAC10029 FAC100-Sev: Walking 10 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps
C155511 FAC10030 FAC100-Sev: Walking 10 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps Why Not
C155512 FAC10031 FAC100-Sev: Walking 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile
C155513 FAC10032 FAC100-Sev: Walking 1/2 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile Why Not
C155514 FAC10033 FAC100-Sev: Walking Up 5 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs
C155515 FAC10034 FAC100-Sev: Walking Up 5 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs Why Not
C155516 FAC10035 FAC100-Sev: Walking Up 10 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs
C155517 FAC10036 FAC100-Sev: Walking Up 10 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs Why Not
C155518 FAC10037 FAC100-Sev: Walking Up 30 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs
C155519 FAC10038 FAC100-Sev: Walking Up 30 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs Why Not
C155520 FAC10039 FAC100-Sev: Lift Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs
C155521 FAC10040 FAC100-Sev: Lift Less Than 5 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs Why Not
C155522 FAC10041 FAC100-Sev: Lifting 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs
C155523 FAC10042 FAC100-Sev: Lifting 5-10 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs Why Not
C155524 FAC10043 FAC100-Sev: Lift More Than 20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs
C155525 FAC10044 FAC100-Sev: Lift More Than 20 Lb Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs Why Not
C155526 FAC10045 FAC100-Sev: Carrying Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Lbs
C155527 FAC10046 FAC100-Sev: Carrying Less Than 5 Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Why Not
C155528 FAC10047 FAC100-Sev: Carrying 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs
C155529 FAC10048 FAC100-Sev: Carrying 5-10 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs Why Not
C155530 FAC10049 FAC100-Sev: Get In/Out of a Car Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car
C155531 FAC10050 FAC100-Sev: Get In/Out of a Car Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car Why Not
C155532 FAC10051 FAC100-Sev: Dining Out Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out
C155533 FAC10052 FAC100-Sev: Dining Out Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out Why Not
C155534 FAC10053 FAC100-Sev: Low-intensity Activ Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity
C155535 FAC10054 FAC100-Sev: Low-intensity Activ Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity Why Not
C155536 FAC10055 FAC100-Sev: Moderate Activity Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity
C155537 FAC10056 FAC100-Sev: Moderate Activity Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity Why Not
C155538 FAC10057 FAC100-Sev: Walk Fast 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps
C155539 FAC10058 FAC100-Sev: Walk Fast 50 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps Why Not
C155540 FAC10059 FAC100-Sev: Walking Fast 1 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile
C155541 FAC10060 FAC100-Sev: Walking Fast 1 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile Why Not
C155542 FAC10061 FAC100-Sev: Singing or Humming Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming
C155543 FAC10062 FAC100-Sev: Singing or Humming Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming Why Not
C155544 FAC10063 FAC100-Sev: Talking While Walking Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walking
C155545 FAC10064 FAC100-Sev: Talking While Walk Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walk Why Not
C155546 FAC10065 FAC100-Sev: Scrubbing the Floor Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor
C155547 FAC10066 FAC100-Sev: Scrubbing the Floor Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor Why Not
C155548 FAC10067 FAC100-Limit: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dressing Without Help
C155549 FAC10068 FAC100-Limit: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk 50 Steps
C155550 FAC10069 FAC100-Limit: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Up 20 Stairs
C155551 FAC10070 FAC100-Limit: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Preparing Meals
C155552 FAC10071 FAC100-Limit: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Washing Dishes
C155553 FAC10072 FAC100-Limit: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Sweeping/Mopping
C155554 FAC10073 FAC100-Limit: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Making a Bed
C155555 FAC10074 FAC100-Limit: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 10-20 Lbs
C155556 FAC10075 FAC100-Limit: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carry 10-20 Lbs
C155557 FAC10076 FAC100-Limit: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk for 1/2 Mile
C155558 FAC10077 FAC100-Limit: Taking a Bath Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a bath without help. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Bath Without Help
C155559 FAC10078 FAC100-Limit: Taking a Shower Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a shower. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Shower
C155560 FAC10079 FAC100-Limit: Putting on Socks Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Putting on socks or stockings. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Putting on Socks
C155561 FAC10080 FAC100-Limit: Standing 5 Minutes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Standing for at least 5 minutes. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Standing 5 Minutes
C155562 FAC10081 FAC100-Limit: Walking 10 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 10 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 10 Steps
C155563 FAC10082 FAC100-Limit: Walking 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 1/2 Mile
C155564 FAC10083 FAC100-Limit: Walking Up 5 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 5 stairs without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 5 Stairs
C155565 FAC10084 FAC100-Limit: Walking Up 10 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 10 stairs (1 flight) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 10 Stairs
C155566 FAC10085 FAC100-Limit: Walking Up 30 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 30 stairs (3 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 30 Stairs
C155567 FAC10086 FAC100-Limit: Scrubbing the Floor Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Scrubbing the floor or counter. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Scrubbing the Floor
C155568 FAC10087 FAC100-Limit: Lifting Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting Less Than 5 Lbs
C155569 FAC10088 FAC100-Limit: Lifting 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 5-10 Lbs
C155570 FAC10089 FAC100-Limit: Lifting More Than 20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting More Than 20 Lbs
C155571 FAC10090 FAC100-Limit: Carrying Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying Less Than 5 Lbs
C155572 FAC10091 FAC100-Limit: Carrying 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying 5-10 Lbs
C155573 FAC10092 FAC100-Limit: Get In/Out of a Car Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Getting in or out of a car. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Get In/Out of a Car
C155574 FAC10093 FAC100-Limit: Dining Out Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dining out. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dining Out
C155575 FAC10094 FAC100-Limit: Low-intensity Activity Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Low-intensity leisure activity (gardening, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Low-intensity Activity
C155576 FAC10095 FAC100-Limit: Moderate Activity Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Moderate-intensity leisure activity (bicycling on level terrain, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Moderate Activity
C155577 FAC10096 FAC100-Limit: Walk Fast 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 50 steps without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Fast 50 Steps
C155578 FAC10097 FAC100-Limit: Walking Fast 1 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Fast 1 Mile
C155579 FAC10098 FAC100-Limit: Singing or Humming Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Singing or humming. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Singing or Humming
C155580 FAC10099 FAC100-Limit: Talking While Walking Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Talking while walking. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Talking While Walking

FAC100TN (Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Name)

NCI Code: C154450, Codelist extensible: No
C154450 FAC100TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155556 FAC100-Limit: Carry 10-20 Lbs FAC100-Limit: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carry 10-20 Lbs
C155572 FAC100-Limit: Carrying 5-10 Lbs FAC100-Limit: Carrying 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying 5-10 Lbs
C155571 FAC100-Limit: Carrying Less Than 5 Lbs FAC100-Limit: Carrying Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying Less Than 5 Lbs
C155574 FAC100-Limit: Dining Out FAC100-Limit: Dining Out Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dining out. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dining Out
C155548 FAC100-Limit: Dressing Without Help FAC100-Limit: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dressing Without Help
C155573 FAC100-Limit: Get In/Out of a Car FAC100-Limit: Get In/Out of a Car Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Getting in or out of a car. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Get In/Out of a Car
C155555 FAC100-Limit: Lifting 10-20 Lbs FAC100-Limit: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 10-20 Lbs
C155569 FAC100-Limit: Lifting 5-10 Lbs FAC100-Limit: Lifting 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 5-10 Lbs
C155568 FAC100-Limit: Lifting Less Than 5 Lbs FAC100-Limit: Lifting Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting Less Than 5 Lbs
C155570 FAC100-Limit: Lifting More Than 20 Lbs FAC100-Limit: Lifting More Than 20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting More Than 20 Lbs
C155575 FAC100-Limit: Low-intensity Activity FAC100-Limit: Low-intensity Activity Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Low-intensity leisure activity (gardening, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Low-intensity Activity
C155554 FAC100-Limit: Making a Bed FAC100-Limit: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Making a Bed
C155576 FAC100-Limit: Moderate Activity FAC100-Limit: Moderate Activity Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Moderate-intensity leisure activity (bicycling on level terrain, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Moderate Activity
C155551 FAC100-Limit: Preparing Meals FAC100-Limit: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Preparing Meals
C155560 FAC100-Limit: Putting on Socks FAC100-Limit: Putting on Socks Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Putting on socks or stockings. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Putting on Socks
C155567 FAC100-Limit: Scrubbing the Floor FAC100-Limit: Scrubbing the Floor Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Scrubbing the floor or counter. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Scrubbing the Floor
C155579 FAC100-Limit: Singing or Humming FAC100-Limit: Singing or Humming Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Singing or humming. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Singing or Humming
C155561 FAC100-Limit: Standing 5 Minutes FAC100-Limit: Standing 5 Minutes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Standing for at least 5 minutes. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Standing 5 Minutes
C155553 FAC100-Limit: Sweeping/Mopping FAC100-Limit: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Sweeping/Mopping
C155558 FAC100-Limit: Taking a Bath Without Help FAC100-Limit: Taking a Bath Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a bath without help. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Bath Without Help
C155559 FAC100-Limit: Taking a Shower FAC100-Limit: Taking a Shower Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a shower. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Shower
C155580 FAC100-Limit: Talking While Walking FAC100-Limit: Talking While Walking Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Talking while walking. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Talking While Walking
C155549 FAC100-Limit: Walk 50 Steps FAC100-Limit: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk 50 Steps
C155577 FAC100-Limit: Walk Fast 50 Steps FAC100-Limit: Walk Fast 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 50 steps without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Fast 50 Steps
C155557 FAC100-Limit: Walk for 1/2 Mile FAC100-Limit: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk for 1/2 Mile
C155550 FAC100-Limit: Walk Up 20 Stairs FAC100-Limit: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Up 20 Stairs
C155563 FAC100-Limit: Walking 1/2 Mile FAC100-Limit: Walking 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 1/2 Mile
C155562 FAC100-Limit: Walking 10 Steps FAC100-Limit: Walking 10 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 10 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 10 Steps
C155578 FAC100-Limit: Walking Fast 1 Mile FAC100-Limit: Walking Fast 1 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Fast 1 Mile
C155565 FAC100-Limit: Walking Up 10 Stairs FAC100-Limit: Walking Up 10 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 10 stairs (1 flight) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 10 Stairs
C155566 FAC100-Limit: Walking Up 30 Stairs FAC100-Limit: Walking Up 30 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 30 stairs (3 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 30 Stairs
C155564 FAC100-Limit: Walking Up 5 Stairs FAC100-Limit: Walking Up 5 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 5 stairs without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 5 Stairs
C155552 FAC100-Limit: Washing Dishes FAC100-Limit: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes. FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Washing Dishes
C155503 FAC100-Sev: Bath Without Help Why Not FAC100-Sev: Bath Without Help Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help Why Not
C155502 FAC100-Sev: Bath Without Help FAC100-Sev: Bath Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help
C155499 FAC100-Sev: Carry 10-20 Lbs Why Not FAC100-Sev: Carry 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs Why Not
C155498 FAC100-Sev: Carry 10-20 Lbs FAC100-Sev: Carry 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs
C155529 FAC100-Sev: Carrying 5-10 Lbs Why Not FAC100-Sev: Carrying 5-10 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs Why Not
C155528 FAC100-Sev: Carrying 5-10 Lbs FAC100-Sev: Carrying 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs
C155526 FAC100-Sev: Carrying Less Than 5 Lbs FAC100-Sev: Carrying Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Lbs
C155527 FAC100-Sev: Carrying Less Than 5 Why Not FAC100-Sev: Carrying Less Than 5 Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Why Not
C155533 FAC100-Sev: Dining Out Why Not FAC100-Sev: Dining Out Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out Why Not
C155532 FAC100-Sev: Dining Out FAC100-Sev: Dining Out Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out
C155483 FAC100-Sev: Dressing Why Not FAC100-Sev: Dressing Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Why Not
C155482 FAC100-Sev: Dressing Without Help FAC100-Sev: Dressing Without Help Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Without Help
C155531 FAC100-Sev: Get In/Out of a Car Why Not FAC100-Sev: Get In/Out of a Car Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car Why Not
C155530 FAC100-Sev: Get In/Out of a Car FAC100-Sev: Get In/Out of a Car Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car
C155521 FAC100-Sev: Lift Less Than 5 Lbs Why Not FAC100-Sev: Lift Less Than 5 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs Why Not
C155520 FAC100-Sev: Lift Less Than 5 Lbs FAC100-Sev: Lift Less Than 5 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs
C155525 FAC100-Sev: Lift More Than 20 Lb Why Not FAC100-Sev: Lift More Than 20 Lb Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs Why Not
C155524 FAC100-Sev: Lift More Than 20 Lbs FAC100-Sev: Lift More Than 20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs
C155497 FAC100-Sev: Lifting 10-20 Lbs Why Not FAC100-Sev: Lifting 10-20 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs Why Not
C155496 FAC100-Sev: Lifting 10-20 Lbs FAC100-Sev: Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs
C155523 FAC100-Sev: Lifting 5-10 Lbs Why Not FAC100-Sev: Lifting 5-10 Lbs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs Why Not
C155522 FAC100-Sev: Lifting 5-10 Lbs FAC100-Sev: Lifting 5-10 Lbs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs
C155535 FAC100-Sev: Low-intensity Activ Why Not FAC100-Sev: Low-intensity Activ Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity Why Not
C155534 FAC100-Sev: Low-intensity Activ FAC100-Sev: Low-intensity Activ Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity
C155495 FAC100-Sev: Making a Bed Why Not FAC100-Sev: Making a Bed Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed Why Not
C155494 FAC100-Sev: Making a Bed FAC100-Sev: Making a Bed Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed
C155537 FAC100-Sev: Moderate Activity Why Not FAC100-Sev: Moderate Activity Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.). Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity Why Not
C155536 FAC100-Sev: Moderate Activity FAC100-Sev: Moderate Activity Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.). FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity
C155489 FAC100-Sev: Preparing Meals Why Not FAC100-Sev: Preparing Meals Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals Why Not
C155488 FAC100-Sev: Preparing Meals FAC100-Sev: Preparing Meals Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals
C155507 FAC100-Sev: Putting on Socks Why Not FAC100-Sev: Putting on Socks Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks Why Not
C155506 FAC100-Sev: Putting on Socks FAC100-Sev: Putting on Socks Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks
C155547 FAC100-Sev: Scrubbing the Floor Why Not FAC100-Sev: Scrubbing the Floor Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor Why Not
C155546 FAC100-Sev: Scrubbing the Floor FAC100-Sev: Scrubbing the Floor Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor
C155543 FAC100-Sev: Singing or Humming Why Not FAC100-Sev: Singing or Humming Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming Why Not
C155542 FAC100-Sev: Singing or Humming FAC100-Sev: Singing or Humming Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming
C155509 FAC100-Sev: Standing 5 Minutes Why Not FAC100-Sev: Standing 5 Minutes Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes Why Not
C155508 FAC100-Sev: Standing 5 Minutes FAC100-Sev: Standing 5 Minutes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes
C155493 FAC100-Sev: Sweeping/Mopping Why Not FAC100-Sev: Sweeping/Mopping Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping Why Not
C155492 FAC100-Sev: Sweeping/Mopping FAC100-Sev: Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping
C155505 FAC100-Sev: Taking a Shower Why Not FAC100-Sev: Taking a Shower Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower Why Not
C155504 FAC100-Sev: Taking a Shower FAC100-Sev: Taking a Shower Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower
C155545 FAC100-Sev: Talking While Walk Why Not FAC100-Sev: Talking While Walk Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walk Why Not
C155544 FAC100-Sev: Talking While Walking FAC100-Sev: Talking While Walking Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walking
C155485 FAC100-Sev: Walk 50 Steps Why Not FAC100-Sev: Walk 50 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps Why Not
C155484 FAC100-Sev: Walk 50 Steps FAC100-Sev: Walk 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps
C155539 FAC100-Sev: Walk Fast 50 Steps Why Not FAC100-Sev: Walk Fast 50 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps Why Not
C155538 FAC100-Sev: Walk Fast 50 Steps FAC100-Sev: Walk Fast 50 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps
C155501 FAC100-Sev: Walk for 1/2 Mile Why Not FAC100-Sev: Walk for 1/2 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile Why Not
C155500 FAC100-Sev: Walk for 1/2 Mile FAC100-Sev: Walk for 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile
C155487 FAC100-Sev: Walk Up 20 Stairs Why Not FAC100-Sev: Walk Up 20 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs Why Not
C155486 FAC100-Sev: Walk Up 20 Stairs FAC100-Sev: Walk Up 20 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs
C155513 FAC100-Sev: Walking 1/2 Mile Why Not FAC100-Sev: Walking 1/2 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile Why Not
C155512 FAC100-Sev: Walking 1/2 Mile FAC100-Sev: Walking 1/2 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile
C155511 FAC100-Sev: Walking 10 Steps Why Not FAC100-Sev: Walking 10 Steps Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps Why Not
C155510 FAC100-Sev: Walking 10 Steps FAC100-Sev: Walking 10 Steps Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps
C155541 FAC100-Sev: Walking Fast 1 Mile Why Not FAC100-Sev: Walking Fast 1 Mile Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile Why Not
C155540 FAC100-Sev: Walking Fast 1 Mile FAC100-Sev: Walking Fast 1 Mile Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile
C155517 FAC100-Sev: Walking Up 10 Stairs Why Not FAC100-Sev: Walking Up 10 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs Why Not
C155516 FAC100-Sev: Walking Up 10 Stairs FAC100-Sev: Walking Up 10 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs
C155519 FAC100-Sev: Walking Up 30 Stairs Why Not FAC100-Sev: Walking Up 30 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs Why Not
C155518 FAC100-Sev: Walking Up 30 Stairs FAC100-Sev: Walking Up 30 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs
C155515 FAC100-Sev: Walking Up 5 Stairs Why Not FAC100-Sev: Walking Up 5 Stairs Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs Why Not
C155514 FAC100-Sev: Walking Up 5 Stairs FAC100-Sev: Walking Up 5 Stairs Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs
C155491 FAC100-Sev: Washing Dishes Why Not FAC100-Sev: Washing Dishes Why Not Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes Why Not
C155490 FAC100-Sev: Washing Dishes FAC100-Sev: Washing Dishes Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes

FAMS01TC (Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code)

NCI Code: C112441, Codelist extensible: No
C112441 FAMS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112551 FAMS0101 FAMS01-Trouble Meeting Needs of Family Functional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family. FAMS - Have Trouble Meeting Needs of Family Because of My Condition
C112552 FAMS0102 FAMS01-I Am Able to Work Functional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home). FAMS - I Am Able to Work
C112553 FAMS0103 FAMS01-I Have Trouble Walking Functional Assessment of Multiple Sclerosis - Mobility: I have trouble walking. FAMS - I Have Trouble Walking
C112554 FAMS0104 FAMS01-Limit My Social Activity Functional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition. FAMS - Limit Social Activity Because of Condition
C112555 FAMS0105 FAMS01-I Have Strength in My Legs Functional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs. FAMS - I Have Strength in My Legs
C112556 FAMS0106 FAMS01-Trouble Getting Around in Public Functional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places. FAMS - Trouble Getting Around in Public Places
C112557 FAMS0107 FAMS01-Take My Condition Into Account Functional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans. FAMS - Have to Take Condition Into Account When Making Plans
C112558 FAMS0108 FAMS01-I Have Nausea Functional Assessment of Multiple Sclerosis - Symptoms: I have nausea. FAMS - I Have Nausea
C112559 FAMS0109 FAMS01-I Have Pain Functional Assessment of Multiple Sclerosis - Symptoms: I have pain. FAMS - I Have Pain
C112560 FAMS0110 FAMS01-I Feel Ill Functional Assessment of Multiple Sclerosis - Symptoms: I feel ill. FAMS - I Feel Ill
C112561 FAMS0111 FAMS01-I Feel Weak All Over Functional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over. FAMS - I Feel Weak All Over
C112562 FAMS0112 FAMS01-I Have Pain in My Joints Functional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints. FAMS - I Have Pain in My Joints
C112563 FAMS0113 FAMS01-I Am Bothered by Headaches Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches. FAMS - Bothered by Headaches
C112564 FAMS0114 FAMS01-I Am Bothered by Muscle Pains Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains. FAMS - Bothered by Muscle Pains
C112565 FAMS0115 FAMS01-I Feel Sad Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad. FAMS - I Feel Sad
C112566 FAMS0116 FAMS01-Losing Hope Against Illness Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness. FAMS - Losing Hope in Fight Against My Illness
C112567 FAMS0117 FAMS01-I Am Able to Enjoy Life Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life. FAMS - I Am Able to Enjoy Life
C112568 FAMS0118 FAMS01-I Feel Trapped by My Condition Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition. FAMS - Feel Trapped by My Condition
C112569 FAMS0119 FAMS01-I Am Depressed About My Condition Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition. FAMS - Depressed About My Condition
C112570 FAMS0120 FAMS01-I Feel Useless Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless. FAMS - I Feel Useless
C112571 FAMS0121 FAMS01-Feel Overwhelmed by My Condition Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition. FAMS - Feel Overwhelmed by My Condition
C112572 FAMS0122 FAMS01-My Work Is Fulfilling Functional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling. FAMS - My Work is Fulfilling
C112573 FAMS0123 FAMS01-I Have Accepted My Illness Functional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness. FAMS - I Have Accepted My Illness
C112574 FAMS0124 FAMS01-Enjoy Things I Usually Do for Fun Functional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun. FAMS - Enjoying Things I Usually Do for Fun
C112575 FAMS0125 FAMS01-Content With Quality of My Life Functional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now. FAMS - Content With Quality of My Life Now
C112576 FAMS0126 FAMS01-I Am Frustrated by My Condition Functional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition. FAMS - I Am Frustrated by My Condition
C112577 FAMS0127 FAMS01-Feel Sense of Purpose in My Life Functional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life. FAMS - Feel Sense of Purpose in My Life
C112578 FAMS0128 FAMS01-I Feel Motivated to Do Things Functional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things. FAMS - Feel Motivated to Do Things
C112579 FAMS0129 FAMS01-I Have a Lack of Energy Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy. FAMS - Have a Lack of Energy
C112580 FAMS0130 FAMS01-I Feel Tired Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired. FAMS - I Feel Tired
C112581 FAMS0131 FAMS01-Trouble Starting Things Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired. FAMS - Trouble Starting Things Because I Am Tired
C112582 FAMS0132 FAMS01-Trouble Finishing Things Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired. FAMS - Trouble Finishing Things Because I Am Tired
C112583 FAMS0133 FAMS01-I Need to Rest During the Day Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day. FAMS - Need to Rest During the Day
C112584 FAMS0134 FAMS01-I Have Trouble Remembering Things Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things. FAMS - Trouble Remembering Things
C112585 FAMS0135 FAMS01-I Have Trouble Concentrating Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating. FAMS - Trouble Concentrating
C112586 FAMS0136 FAMS01-My Thinking Is Slower Than Before Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before. FAMS - My Thinking is Slower Than Before
C112587 FAMS0137 FAMS01-I Have Trouble Learning New Tasks Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions. FAMS - Trouble Learning New Tasks or Directions
C112588 FAMS0138 FAMS01-I Feel Close to My Friends Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends. FAMS - Feel Close to My Friends
C112589 FAMS0139 FAMS01-Get Emotional Support From Family Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family. FAMS - Get Emotional Support From Family
C112590 FAMS0140 FAMS01-I Get Support From My Friends Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends. FAMS - Get Support From Friends
C112591 FAMS0141 FAMS01-My Family Has Accepted My Illness Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness. FAMS - Family Has Accepted My Illness
C112592 FAMS0142 FAMS01-Satisfied Communication Illness Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness. FAMS - Satisfied With Family Communication About My Illness
C112593 FAMS0143 FAMS01-Trouble Understanding Worsening Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse. FAMS - Family Has Trouble Understanding When My Condition Gets Worse
C112594 FAMS0144 FAMS01-I Feel Left Out of Things Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things. FAMS - Feel Left Out of Things
C112595 FAMS0145 FAMS01-Bothered by Treatment Side Effect Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment. FAMS - Bothered by Side Effects of Treatment
C112596 FAMS0146 FAMS01-I Am Forced to Spend Time in Bed Functional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed. FAMS - Forced to Spend Time in Bed
C112597 FAMS0147 FAMS01-I Feel Close to My Partner Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support). FAMS - Feel Close to My Partner
C112598 FAMS0148 FAMS01-I Am Satisfied With My Sex Life Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life. FAMS - Satisfied With My Sex Life
C112599 FAMS0149 FAMS01-Satisfied With How I Am Coping Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness. FAMS - Satisfied With How I Am Coping With Illness
C112600 FAMS0150 FAMS01-I Feel Nervous Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous. FAMS - I Feel Nervous
C112601 FAMS0151 FAMS01-Worry My Condition Will Get Worse Functional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse. FAMS - Worry My Condition Will Get Worse
C112602 FAMS0152 FAMS01-I Am Sleeping Well Functional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well. FAMS - I Am Sleeping Well
C112603 FAMS0153 FAMS01-Heat Worsens My Symptoms Functional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms. FAMS - Heat Worsens My Symptoms
C112604 FAMS0154 FAMS01-Have Trouble Controlling My Urine Functional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine. FAMS - Trouble Controlling My Urine
C112605 FAMS0155 FAMS01-I Urinate More Frequently Functional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual. FAMS - Urinate More Frequently Than Usual
C112606 FAMS0156 FAMS01-I Am Bothered by the Chills Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills. FAMS - Bothered by Chills
C112607 FAMS0157 FAMS01-I Am Bothered by Fevers Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature). FAMS - Bothered by Fevers
C112608 FAMS0158 FAMS01-I Am Bothered by Muscle Spasms Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms. FAMS - Bothered by Muscle Spasms

FAMS01TN (Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name)

NCI Code: C112440, Codelist extensible: No
C112440 FAMS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112595 FAMS01-Bothered by Treatment Side Effect FAMS01-Bothered by Treatment Side Effect Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment. FAMS - Bothered by Side Effects of Treatment
C112575 FAMS01-Content With Quality of My Life FAMS01-Content With Quality of My Life Functional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now. FAMS - Content With Quality of My Life Now
C112574 FAMS01-Enjoy Things I Usually Do for Fun FAMS01-Enjoy Things I Usually Do for Fun Functional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun. FAMS - Enjoying Things I Usually Do for Fun
C112571 FAMS01-Feel Overwhelmed by My Condition FAMS01-Feel Overwhelmed by My Condition Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition. FAMS - Feel Overwhelmed by My Condition
C112577 FAMS01-Feel Sense of Purpose in My Life FAMS01-Feel Sense of Purpose in My Life Functional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life. FAMS - Feel Sense of Purpose in My Life
C112589 FAMS01-Get Emotional Support From Family FAMS01-Get Emotional Support From Family Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family. FAMS - Get Emotional Support From Family
C112604 FAMS01-Have Trouble Controlling My Urine FAMS01-Have Trouble Controlling My Urine Functional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine. FAMS - Trouble Controlling My Urine
C112603 FAMS01-Heat Worsens My Symptoms FAMS01-Heat Worsens My Symptoms Functional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms. FAMS - Heat Worsens My Symptoms
C112567 FAMS01-I Am Able to Enjoy Life FAMS01-I Am Able to Enjoy Life Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life. FAMS - I Am Able to Enjoy Life
C112552 FAMS01-I Am Able to Work FAMS01-I Am Able to Work Functional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home). FAMS - I Am Able to Work
C112607 FAMS01-I Am Bothered by Fevers FAMS01-I Am Bothered by Fevers Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature). FAMS - Bothered by Fevers
C112563 FAMS01-I Am Bothered by Headaches FAMS01-I Am Bothered by Headaches Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches. FAMS - Bothered by Headaches
C112564 FAMS01-I Am Bothered by Muscle Pains FAMS01-I Am Bothered by Muscle Pains Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains. FAMS - Bothered by Muscle Pains
C112608 FAMS01-I Am Bothered by Muscle Spasms FAMS01-I Am Bothered by Muscle Spasms Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms. FAMS - Bothered by Muscle Spasms
C112606 FAMS01-I Am Bothered by the Chills FAMS01-I Am Bothered by the Chills Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills. FAMS - Bothered by Chills
C112569 FAMS01-I Am Depressed About My Condition FAMS01-I Am Depressed About My Condition Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition. FAMS - Depressed About My Condition
C112596 FAMS01-I Am Forced to Spend Time in Bed FAMS01-I Am Forced to Spend Time in Bed Functional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed. FAMS - Forced to Spend Time in Bed
C112576 FAMS01-I Am Frustrated by My Condition FAMS01-I Am Frustrated by My Condition Functional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition. FAMS - I Am Frustrated by My Condition
C112598 FAMS01-I Am Satisfied With My Sex Life FAMS01-I Am Satisfied With My Sex Life Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life. FAMS - Satisfied With My Sex Life
C112602 FAMS01-I Am Sleeping Well FAMS01-I Am Sleeping Well Functional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well. FAMS - I Am Sleeping Well
C112588 FAMS01-I Feel Close to My Friends FAMS01-I Feel Close to My Friends Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends. FAMS - Feel Close to My Friends
C112597 FAMS01-I Feel Close to My Partner FAMS01-I Feel Close to My Partner Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support). FAMS - Feel Close to My Partner
C112560 FAMS01-I Feel Ill FAMS01-I Feel Ill Functional Assessment of Multiple Sclerosis - Symptoms: I feel ill. FAMS - I Feel Ill
C112594 FAMS01-I Feel Left Out of Things FAMS01-I Feel Left Out of Things Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things. FAMS - Feel Left Out of Things
C112578 FAMS01-I Feel Motivated to Do Things FAMS01-I Feel Motivated to Do Things Functional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things. FAMS - Feel Motivated to Do Things
C112600 FAMS01-I Feel Nervous FAMS01-I Feel Nervous Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous. FAMS - I Feel Nervous
C112565 FAMS01-I Feel Sad FAMS01-I Feel Sad Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad. FAMS - I Feel Sad
C112580 FAMS01-I Feel Tired FAMS01-I Feel Tired Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired. FAMS - I Feel Tired
C112568 FAMS01-I Feel Trapped by My Condition FAMS01-I Feel Trapped by My Condition Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition. FAMS - Feel Trapped by My Condition
C112570 FAMS01-I Feel Useless FAMS01-I Feel Useless Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless. FAMS - I Feel Useless
C112561 FAMS01-I Feel Weak All Over FAMS01-I Feel Weak All Over Functional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over. FAMS - I Feel Weak All Over
C112590 FAMS01-I Get Support From My Friends FAMS01-I Get Support From My Friends Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends. FAMS - Get Support From Friends
C112579 FAMS01-I Have a Lack of Energy FAMS01-I Have a Lack of Energy Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy. FAMS - Have a Lack of Energy
C112573 FAMS01-I Have Accepted My Illness FAMS01-I Have Accepted My Illness Functional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness. FAMS - I Have Accepted My Illness
C112558 FAMS01-I Have Nausea FAMS01-I Have Nausea Functional Assessment of Multiple Sclerosis - Symptoms: I have nausea. FAMS - I Have Nausea
C112562 FAMS01-I Have Pain in My Joints FAMS01-I Have Pain in My Joints Functional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints. FAMS - I Have Pain in My Joints
C112559 FAMS01-I Have Pain FAMS01-I Have Pain Functional Assessment of Multiple Sclerosis - Symptoms: I have pain. FAMS - I Have Pain
C112555 FAMS01-I Have Strength in My Legs FAMS01-I Have Strength in My Legs Functional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs. FAMS - I Have Strength in My Legs
C112585 FAMS01-I Have Trouble Concentrating FAMS01-I Have Trouble Concentrating Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating. FAMS - Trouble Concentrating
C112587 FAMS01-I Have Trouble Learning New Tasks FAMS01-I Have Trouble Learning New Tasks Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions. FAMS - Trouble Learning New Tasks or Directions
C112584 FAMS01-I Have Trouble Remembering Things FAMS01-I Have Trouble Remembering Things Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things. FAMS - Trouble Remembering Things
C112553 FAMS01-I Have Trouble Walking FAMS01-I Have Trouble Walking Functional Assessment of Multiple Sclerosis - Mobility: I have trouble walking. FAMS - I Have Trouble Walking
C112583 FAMS01-I Need to Rest During the Day FAMS01-I Need to Rest During the Day Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day. FAMS - Need to Rest During the Day
C112605 FAMS01-I Urinate More Frequently FAMS01-I Urinate More Frequently Functional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual. FAMS - Urinate More Frequently Than Usual
C112554 FAMS01-Limit My Social Activity FAMS01-Limit My Social Activity Functional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition. FAMS - Limit Social Activity Because of Condition
C112566 FAMS01-Losing Hope Against Illness FAMS01-Losing Hope Against Illness Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness. FAMS - Losing Hope in Fight Against My Illness
C112591 FAMS01-My Family Has Accepted My Illness FAMS01-My Family Has Accepted My Illness Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness. FAMS - Family Has Accepted My Illness
C112586 FAMS01-My Thinking Is Slower Than Before FAMS01-My Thinking Is Slower Than Before Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before. FAMS - My Thinking is Slower Than Before
C112572 FAMS01-My Work Is Fulfilling FAMS01-My Work Is Fulfilling Functional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling. FAMS - My Work is Fulfilling
C112592 FAMS01-Satisfied Communication Illness FAMS01-Satisfied Communication Illness Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness. FAMS - Satisfied With Family Communication About My Illness
C112599 FAMS01-Satisfied With How I Am Coping FAMS01-Satisfied With How I Am Coping Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness. FAMS - Satisfied With How I Am Coping With Illness
C112557 FAMS01-Take My Condition Into Account FAMS01-Take My Condition Into Account Functional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans. FAMS - Have to Take Condition Into Account When Making Plans
C112582 FAMS01-Trouble Finishing Things FAMS01-Trouble Finishing Things Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired. FAMS - Trouble Finishing Things Because I Am Tired
C112556 FAMS01-Trouble Getting Around in Public FAMS01-Trouble Getting Around in Public Functional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places. FAMS - Trouble Getting Around in Public Places
C112551 FAMS01-Trouble Meeting Needs of Family FAMS01-Trouble Meeting Needs of Family Functional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family. FAMS - Have Trouble Meeting Needs of Family Because of My Condition
C112581 FAMS01-Trouble Starting Things FAMS01-Trouble Starting Things Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired. FAMS - Trouble Starting Things Because I Am Tired
C112593 FAMS01-Trouble Understanding Worsening FAMS01-Trouble Understanding Worsening Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse. FAMS - Family Has Trouble Understanding When My Condition Gets Worse
C112601 FAMS01-Worry My Condition Will Get Worse FAMS01-Worry My Condition Will Get Worse Functional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse. FAMS - Worry My Condition Will Get Worse

FAQ01TC (Functional Activities Questionnaire Clinical Classification Test Code)

NCI Code: C111344, Codelist extensible: No
C111344 FAQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111499 FAQ0101 FAQ01-Write Checks/Pay Bills/Checkbook Functional Activities Questionnaire - Writing checks, paying bills, balancing checkbook. FAQ - Write checks, Pay bills, Balance checkbook
C111500 FAQ0102 FAQ01-Assembling Functional Activities Questionnaire - Assembling tax records, business affairs, or papers. FAQ - Assemble
C111501 FAQ0103 FAQ01-Shopping Alone Functional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries. FAQ - Shop Alone
C111502 FAQ0104 FAQ01-Playing a Game of Skill Functional Activities Questionnaire - Playing a game of skill, working on a hobby. FAQ - Play Game of Skill, Work on Hobby
C111503 FAQ0105 FAQ01-Heat Water/Make Coffee/Stove Off Functional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use. FAQ - Heat water, Make Coffee, Turn Off Stove
C111504 FAQ0106 FAQ01-Preparing a Balanced Meal Functional Activities Questionnaire - Preparing a balanced meal. FAQ - Prepare a Meal
C111505 FAQ0107 FAQ01-Keeping Track of Current Events Functional Activities Questionnaire - Keeping track of current events. FAQ - Keep Track of Current Events
C111506 FAQ0108 FAQ01-Paying Attention Functional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine. FAQ - Pay Attention, Understand, Discuss
C111507 FAQ0109 FAQ01-Remembering Functional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications. FAQ - Remember
C111508 FAQ0110 FAQ01-Traveling Functional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses. FAQ - Travel
C111509 FAQ0111 FAQ01-Total Score Functional Activities Questionnaire - Total Score. FAQ - Total Score

FAQ01TN (Functional Activities Questionnaire Clinical Classification Test Name)

NCI Code: C111343, Codelist extensible: No
C111343 FAQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111500 FAQ01-Assembling FAQ01-Assembling Functional Activities Questionnaire - Assembling tax records, business affairs, or papers. FAQ - Assemble
C111503 FAQ01-Heat Water/Make Coffee/Stove Off FAQ01-Heat Water/Make Coffee/Stove Off Functional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use. FAQ - Heat water, Make Coffee, Turn Off Stove
C111505 FAQ01-Keeping Track of Current Events FAQ01-Keeping Track of Current Events Functional Activities Questionnaire - Keeping track of current events. FAQ - Keep Track of Current Events
C111506 FAQ01-Paying Attention FAQ01-Paying Attention Functional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine. FAQ - Pay Attention, Understand, Discuss
C111502 FAQ01-Playing a Game of Skill FAQ01-Playing a Game of Skill Functional Activities Questionnaire - Playing a game of skill, working on a hobby. FAQ - Play Game of Skill, Work on Hobby
C111504 FAQ01-Preparing a Balanced Meal FAQ01-Preparing a Balanced Meal Functional Activities Questionnaire - Preparing a balanced meal. FAQ - Prepare a Meal
C111507 FAQ01-Remembering FAQ01-Remembering Functional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications. FAQ - Remember
C111501 FAQ01-Shopping Alone FAQ01-Shopping Alone Functional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries. FAQ - Shop Alone
C111509 FAQ01-Total Score FAQ01-Total Score Functional Activities Questionnaire - Total Score. FAQ - Total Score
C111508 FAQ01-Traveling FAQ01-Traveling Functional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses. FAQ - Travel
C111499 FAQ01-Write Checks/Pay Bills/Checkbook FAQ01-Write Checks/Pay Bills/Checkbook Functional Activities Questionnaire - Writing checks, paying bills, balancing checkbook. FAQ - Write checks, Pay bills, Balance checkbook

FAQNA1TC (Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Code)

NCI Code: C111346, Codelist extensible: No
C111346 FAQNA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111510 FAQNA101 FAQNA1-Write Checks/Pay Bills/Checkbook Functional Assessment Questionnaire-NACC UDS V2.0 - Writing checks, paying bills, or balancing a checkbook. FAQ-NACC UDS Version 2.0 - Write checks, Pay bills, Balance checkbook
C111511 FAQNA102 FAQNA1-Assembling Functional Assessment Questionnaire-NACC UDS V2.0 - Assembling tax records, business affairs, or other papers. FAQ-NACC UDS Version 2.0 - Assemble
C111512 FAQNA103 FAQNA1-Shopping Alone Functional Assessment Questionnaire-NACC UDS V2.0 - Shopping alone for clothes, household necessities, or groceries. FAQ-NACC UDS Version 2.0 - Shop Alone
C111513 FAQNA104 FAQNA1-Playing a Game of Skill Functional Assessment Questionnaire-NACC UDS V2.0 - Playing a game of skill such as bridge or chess, working on a hobby. FAQ-NACC UDS Version 2.0 - Play Game of Skill, Work on Hobby
C111514 FAQNA105 FAQNA1-Heat Water/Make Coffee/Stove Off Functional Assessment Questionnaire-NACC UDS V2.0 - Heating water, making a cup of coffee, turning off the stove. FAQ-NACC UDS Version 2.0 - Heat water, Make Coffee, Turn Off Stove
C111515 FAQNA106 FAQNA1-Preparing a Balanced Meal Functional Assessment Questionnaire-NACC UDS V2.0 - Preparing a balanced meal. FAQ-NACC UDS Version 2.0 - Prepare a Meal
C111516 FAQNA107 FAQNA1-Keeping Track of Current Events Functional Assessment Questionnaire-NACC UDS V2.0 - Keeping track of current events. FAQ-NACC UDS Version 2.0 - Keep Track of Current Events
C111517 FAQNA108 FAQNA1-Paying Attention Functional Assessment Questionnaire-NACC UDS V2.0 - Paying attention to and understanding a TV program, book, or magazine. FAQ-NACC UDS Version 2.0 - Pay Attention, Understand, Discuss
C111518 FAQNA109 FAQNA1-Remembering Functional Assessment Questionnaire-NACC UDS V2.0 - Remembering appointments, family occasions, holidays, medications. FAQ-NACC UDS Version 2.0 - Remember
C111519 FAQNA110 FAQNA1-Traveling Functional Assessment Questionnaire-NACC UDS V2.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation. FAQ-NACC UDS Version 2.0 - Travel

FAQNA1TN (Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Name)

NCI Code: C111345, Codelist extensible: No
C111345 FAQNA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111511 FAQNA1-Assembling FAQNA1-Assembling Functional Assessment Questionnaire-NACC UDS V2.0 - Assembling tax records, business affairs, or other papers. FAQ-NACC UDS Version 2.0 - Assemble
C111514 FAQNA1-Heat Water/Make Coffee/Stove Off FAQNA1-Heat Water/Make Coffee/Stove Off Functional Assessment Questionnaire-NACC UDS V2.0 - Heating water, making a cup of coffee, turning off the stove. FAQ-NACC UDS Version 2.0 - Heat water, Make Coffee, Turn Off Stove
C111516 FAQNA1-Keeping Track of Current Events FAQNA1-Keeping Track of Current Events Functional Assessment Questionnaire-NACC UDS V2.0 - Keeping track of current events. FAQ-NACC UDS Version 2.0 - Keep Track of Current Events
C111517 FAQNA1-Paying Attention FAQNA1-Paying Attention Functional Assessment Questionnaire-NACC UDS V2.0 - Paying attention to and understanding a TV program, book, or magazine. FAQ-NACC UDS Version 2.0 - Pay Attention, Understand, Discuss
C111513 FAQNA1-Playing a Game of Skill FAQNA1-Playing a Game of Skill Functional Assessment Questionnaire-NACC UDS V2.0 - Playing a game of skill such as bridge or chess, working on a hobby. FAQ-NACC UDS Version 2.0 - Play Game of Skill, Work on Hobby
C111515 FAQNA1-Preparing a Balanced Meal FAQNA1-Preparing a Balanced Meal Functional Assessment Questionnaire-NACC UDS V2.0 - Preparing a balanced meal. FAQ-NACC UDS Version 2.0 - Prepare a Meal
C111518 FAQNA1-Remembering FAQNA1-Remembering Functional Assessment Questionnaire-NACC UDS V2.0 - Remembering appointments, family occasions, holidays, medications. FAQ-NACC UDS Version 2.0 - Remember
C111512 FAQNA1-Shopping Alone FAQNA1-Shopping Alone Functional Assessment Questionnaire-NACC UDS V2.0 - Shopping alone for clothes, household necessities, or groceries. FAQ-NACC UDS Version 2.0 - Shop Alone
C111519 FAQNA1-Traveling FAQNA1-Traveling Functional Assessment Questionnaire-NACC UDS V2.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation. FAQ-NACC UDS Version 2.0 - Travel
C111510 FAQNA1-Write Checks/Pay Bills/Checkbook FAQNA1-Write Checks/Pay Bills/Checkbook Functional Assessment Questionnaire-NACC UDS V2.0 - Writing checks, paying bills, or balancing a checkbook. FAQ-NACC UDS Version 2.0 - Write checks, Pay bills, Balance checkbook

FASNA1TC (Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Code)

NCI Code: C170523, Codelist extensible: No
C170523 FASNA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170647 FASNA101 FASNA1-Writing Checks, Paying Bills Functional Assessment Scale-NACC UDS V3.0 - Writing checks, paying bills, or balancing a checkbook. FAS-NACC UDS Version 3.0 - Writing Checks, Paying Bills
C170648 FASNA102 FASNA1-Assembling Tax Records Functional Assessment Scale-NACC UDS V3.0 - Assembling tax records, business affairs, or other papers. FAS-NACC UDS Version 3.0 - Assembling Tax Records
C170649 FASNA103 FASNA1-Shopping Alone for Clothes Functional Assessment Scale-NACC UDS V3.0 - Shopping alone for clothes, household necessities, or groceries. FAS-NACC UDS Version 3.0 - Shopping Alone for Clothes
C170650 FASNA104 FASNA1-Playing a Game of Skill Functional Assessment Scale-NACC UDS V3.0 - Playing a game of skill such as bridge or chess, working on a hobby. FAS-NACC UDS Version 3.0 - Playing a Game of Skill
C170651 FASNA105 FASNA1-Heating Water, Making Coffee Functional Assessment Scale-NACC UDS V3.0 - Heating water, making a cup of coffee, turning off the stove. FAS-NACC UDS Version 3.0 - Heating Water, Making Coffee
C170652 FASNA106 FASNA1-Preparing a Balanced Meal Functional Assessment Scale-NACC UDS V3.0 - Preparing a balanced meal. FAS-NACC UDS Version 3.0 - Preparing a Balanced Meal
C170653 FASNA107 FASNA1-Keeping Track of Current Events Functional Assessment Scale-NACC UDS V3.0 - Keeping track of current events. FAS-NACC UDS Version 3.0 - Keeping Track of Current Events
C170654 FASNA108 FASNA1-Paying Attention/Understanding TV Functional Assessment Scale-NACC UDS V3.0 - Paying attention to and understanding a TV program, book, or magazine. FAS-NACC UDS Version 3.0 - Paying Attention and Understanding TV
C170655 FASNA109 FASNA1-Remembering Appointments Functional Assessment Scale-NACC UDS V3.0 - Remembering appointments, family occasions, holidays, medications. FAS-NACC UDS Version 3.0 - Remembering Appointments
C170656 FASNA110 FASNA1-Traveling Out of the Neighborhood Functional Assessment Scale-NACC UDS V3.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation. FAS-NACC UDS Version 3.0 - Traveling Out of the Neighborhood

FASNA1TN (Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Name)

NCI Code: C170522, Codelist extensible: No
C170522 FASNA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170648 FASNA1-Assembling Tax Records FASNA1-Assembling Tax Records Functional Assessment Scale-NACC UDS V3.0 - Assembling tax records, business affairs, or other papers. FAS-NACC UDS Version 3.0 - Assembling Tax Records
C170651 FASNA1-Heating Water, Making Coffee FASNA1-Heating Water, Making Coffee Functional Assessment Scale-NACC UDS V3.0 - Heating water, making a cup of coffee, turning off the stove. FAS-NACC UDS Version 3.0 - Heating Water, Making Coffee
C170653 FASNA1-Keeping Track of Current Events FASNA1-Keeping Track of Current Events Functional Assessment Scale-NACC UDS V3.0 - Keeping track of current events. FAS-NACC UDS Version 3.0 - Keeping Track of Current Events
C170654 FASNA1-Paying Attention/Understanding TV FASNA1-Paying Attention/Understanding TV Functional Assessment Scale-NACC UDS V3.0 - Paying attention to and understanding a TV program, book, or magazine. FAS-NACC UDS Version 3.0 - Paying Attention and Understanding TV
C170650 FASNA1-Playing a Game of Skill FASNA1-Playing a Game of Skill Functional Assessment Scale-NACC UDS V3.0 - Playing a game of skill such as bridge or chess, working on a hobby. FAS-NACC UDS Version 3.0 - Playing a Game of Skill
C170652 FASNA1-Preparing a Balanced Meal FASNA1-Preparing a Balanced Meal Functional Assessment Scale-NACC UDS V3.0 - Preparing a balanced meal. FAS-NACC UDS Version 3.0 - Preparing a Balanced Meal
C170655 FASNA1-Remembering Appointments FASNA1-Remembering Appointments Functional Assessment Scale-NACC UDS V3.0 - Remembering appointments, family occasions, holidays, medications. FAS-NACC UDS Version 3.0 - Remembering Appointments
C170649 FASNA1-Shopping Alone for Clothes FASNA1-Shopping Alone for Clothes Functional Assessment Scale-NACC UDS V3.0 - Shopping alone for clothes, household necessities, or groceries. FAS-NACC UDS Version 3.0 - Shopping Alone for Clothes
C170656 FASNA1-Traveling Out of the Neighborhood FASNA1-Traveling Out of the Neighborhood Functional Assessment Scale-NACC UDS V3.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation. FAS-NACC UDS Version 3.0 - Traveling Out of the Neighborhood
C170647 FASNA1-Writing Checks, Paying Bills FASNA1-Writing Checks, Paying Bills Functional Assessment Scale-NACC UDS V3.0 - Writing checks, paying bills, or balancing a checkbook. FAS-NACC UDS Version 3.0 - Writing Checks, Paying Bills

FCVD1TC (Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code)

NCI Code: C124670, Codelist extensible: No
C124670 FCVD1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124722 FCVD101 FCVD1-Framingham CVD 10-Year Risk Score Framingham Heart Study Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score. FHS CVD 10-Year Risk Score - Risk Score

FCVD1TN (Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name)

NCI Code: C124669, Codelist extensible: No
C124669 FCVD1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124722 FCVD1-Framingham CVD 10-Year Risk Score FCVD1-Framingham CVD 10-Year Risk Score Framingham Heart Study Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score. FHS CVD 10-Year Risk Score - Risk Score

FIQR01TC (Revised Fibromyalgia Impact Questionnaire Questionnaire Test Code)

NCI Code: C103465, Codelist extensible: No
C103465 FIQR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103544 FIQR0101 FIQR01-Brush or Comb Your Hair Revised Fibromyalgia Impact Questionnaire - Brush or comb your hair. FIQR - Brush or Comb Your Hair
C103545 FIQR0102 FIQR01-Walk Continuously for 20 Minutes Revised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes. FIQR - Walk Continuously for 20 Minutes
C103546 FIQR0103 FIQR01-Prepare a Homemade Meal Revised Fibromyalgia Impact Questionnaire - Prepare a homemade meal. FIQR - Prepare a Homemade Meal
C103547 FIQR0104 FIQR01-Vacuum Scrub or Sweep Floors Revised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors. FIQR - Vacuum Scrub or Sweep Floors
C103548 FIQR0105 FIQR01-Lift/Carry Bag Full of Groceries Revised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries. FIQR - Lift and Carry a Bag Full of Groceries
C103549 FIQR0106 FIQR01-Climb One Flight of Stairs Revised Fibromyalgia Impact Questionnaire - Climb one flight of stairs. FIQR - Climb One Flight of Stairs
C103550 FIQR0107 FIQR01-Change Bed Sheets Revised Fibromyalgia Impact Questionnaire - Change bed sheets. FIQR - Change Bed Sheets
C103551 FIQR0108 FIQR01-Sit in a Chair for 45 Minutes Revised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes. FIQR - Sit in a Chair for 45 Minutes
C103552 FIQR0109 FIQR01-Go Shopping for Groceries Revised Fibromyalgia Impact Questionnaire - Go shopping for groceries. FIQR - Go Shopping for Groceries
C103553 FIQR0110 FIQR01-Fibromyalgia Prevented Goals Revised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week. FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
C103554 FIQR0111 FIQR01-Overwhelmed by Fibromyalgia Revised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms. FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
C103555 FIQR0112 FIQR01-Pain Revised Fibromyalgia Impact Questionnaire - Please rate your level of pain. FIQR - Pain
C103556 FIQR0113 FIQR01-Energy Revised Fibromyalgia Impact Questionnaire - Please rate your level of energy. FIQR - Energy
C103557 FIQR0114 FIQR01-Stiffness Revised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness. FIQR - Stiffness
C103558 FIQR0115 FIQR01-Your Sleep Revised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep. FIQR - Your Sleep
C103559 FIQR0116 FIQR01-Depression Revised Fibromyalgia Impact Questionnaire - Please rate your level of depression. FIQR - Depression
C103560 FIQR0117 FIQR01-Memory Problems Revised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems. FIQR - Memory Problems
C103561 FIQR0118 FIQR01-Anxiety Revised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety. FIQR - Anxiety
C103562 FIQR0119 FIQR01-Tenderness to Touch Revised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch. FIQR - Tenderness to Touch
C103563 FIQR0120 FIQR01-Balance Problems Revised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems. FIQR - Balance Problems
C103564 FIQR0121 FIQR01-Sensitivity Noise/Light/Odor/Cold Revised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
C118107 FIQR0122 FIQR01-Activities Sub-Total Revised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory. FIQR - Activities Sub-Total
C118108 FIQR0123 FIQR01-Overall Impact Sub-Total Revised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory. FIQR - Overall Impact Sub-Total
C118109 FIQR0124 FIQR01-Symptoms Sub-Total Revised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory. FIQR - Symptoms Sub-Total
C118110 FIQR0125 FIQR01-FIQR Total Revised Fibromyalgia Impact Questionnaire - FIQR total. FIQR - FIQR Total

FIQR01TN (Revised Fibromyalgia Impact Questionnaire Questionnaire Test Name)

NCI Code: C103464, Codelist extensible: No
C103464 FIQR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C118107 FIQR01-Activities Sub-Total FIQR01-Activities Sub-Total Revised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory. FIQR - Activities Sub-Total
C103561 FIQR01-Anxiety FIQR01-Anxiety Revised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety. FIQR - Anxiety
C103563 FIQR01-Balance Problems FIQR01-Balance Problems Revised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems. FIQR - Balance Problems
C103544 FIQR01-Brush or Comb Your Hair FIQR01-Brush or Comb Your Hair Revised Fibromyalgia Impact Questionnaire - Brush or comb your hair. FIQR - Brush or Comb Your Hair
C103550 FIQR01-Change Bed Sheets FIQR01-Change Bed Sheets Revised Fibromyalgia Impact Questionnaire - Change bed sheets. FIQR - Change Bed Sheets
C103549 FIQR01-Climb One Flight of Stairs FIQR01-Climb One Flight of Stairs Revised Fibromyalgia Impact Questionnaire - Climb one flight of stairs. FIQR - Climb One Flight of Stairs
C103559 FIQR01-Depression FIQR01-Depression Revised Fibromyalgia Impact Questionnaire - Please rate your level of depression. FIQR - Depression
C103556 FIQR01-Energy FIQR01-Energy Revised Fibromyalgia Impact Questionnaire - Please rate your level of energy. FIQR - Energy
C103553 FIQR01-Fibromyalgia Prevented Goals FIQR01-Fibromyalgia Prevented Goals Revised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week. FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
C118110 FIQR01-FIQR Total FIQR01-FIQR Total Revised Fibromyalgia Impact Questionnaire - FIQR total. FIQR - FIQR Total
C103552 FIQR01-Go Shopping for Groceries FIQR01-Go Shopping for Groceries Revised Fibromyalgia Impact Questionnaire - Go shopping for groceries. FIQR - Go Shopping for Groceries
C103548 FIQR01-Lift/Carry Bag Full of Groceries FIQR01-Lift/Carry Bag Full of Groceries Revised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries. FIQR - Lift and Carry a Bag Full of Groceries
C103560 FIQR01-Memory Problems FIQR01-Memory Problems Revised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems. FIQR - Memory Problems
C118108 FIQR01-Overall Impact Sub-Total FIQR01-Overall Impact Sub-Total Revised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory. FIQR - Overall Impact Sub-Total
C103554 FIQR01-Overwhelmed by Fibromyalgia FIQR01-Overwhelmed by Fibromyalgia Revised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms. FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
C103555 FIQR01-Pain FIQR01-Pain Revised Fibromyalgia Impact Questionnaire - Please rate your level of pain. FIQR - Pain
C103546 FIQR01-Prepare a Homemade Meal FIQR01-Prepare a Homemade Meal Revised Fibromyalgia Impact Questionnaire - Prepare a homemade meal. FIQR - Prepare a Homemade Meal
C103564 FIQR01-Sensitivity Noise/Light/Odor/Cold FIQR01-Sensitivity Noise/Light/Odor/Cold Revised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
C103551 FIQR01-Sit in a Chair for 45 Minutes FIQR01-Sit in a Chair for 45 Minutes Revised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes. FIQR - Sit in a Chair for 45 Minutes
C103557 FIQR01-Stiffness FIQR01-Stiffness Revised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness. FIQR - Stiffness
C118109 FIQR01-Symptoms Sub-Total FIQR01-Symptoms Sub-Total Revised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory. FIQR - Symptoms Sub-Total
C103562 FIQR01-Tenderness to Touch FIQR01-Tenderness to Touch Revised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch. FIQR - Tenderness to Touch
C103547 FIQR01-Vacuum Scrub or Sweep Floors FIQR01-Vacuum Scrub or Sweep Floors Revised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors. FIQR - Vacuum Scrub or Sweep Floors
C103545 FIQR01-Walk Continuously for 20 Minutes FIQR01-Walk Continuously for 20 Minutes Revised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes. FIQR - Walk Continuously for 20 Minutes
C103558 FIQR01-Your Sleep FIQR01-Your Sleep Revised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep. FIQR - Your Sleep

FPSR1TC (Faces Pain Scale - Revised Questionnaire Test Code)

NCI Code: C100154, Codelist extensible: No
C100154 FPSR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C101013 FPSR101 FPSR1-How Much Do You Hurt Faces Pain Scale - Revised - Point to the face that shows how much you hurt [right now]. FPSR - How Much Do You Hurt

FPSR1TN (Faces Pain Scale - Revised Questionnaire Test Name)

NCI Code: C100153, Codelist extensible: No
C100153 FPSR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C101013 FPSR1-How Much Do You Hurt FPSR1-How Much Do You Hurt Faces Pain Scale - Revised - Point to the face that shows how much you hurt [right now]. FPSR - How Much Do You Hurt

FSILTC (Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Code)

NCI Code: C183551, Codelist extensible: No
C183551 FSILTC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183618 FSIL0001 FSIL-Fatigue Keeps Me From Doing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My fatigue keeps me from doing the things I want to do. FACIT-Searchable Item Library Adult Version - Fatigue Keeps Me From Doing Things
C183619 FSIL0002 FSIL-Bothered by Swelling Certain Areas Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in certain areas of my body. FACIT-Searchable Item Library Adult Version - Bothered by Swelling Certain Areas
C183620 FSIL0003 FSIL-Bothered by Mouth Sores/Tenderness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by mouth sores or tenderness. FACIT-Searchable Item Library Adult Version - Bothered by Mouth Sores/Tenderness
C183621 FSIL0004 FSIL-Because of Sores Eating Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my mouth sores, eating is difficult. FACIT-Searchable Item Library Adult Version - Because of Sores Eating Difficult
C183622 FSIL0005 FSIL-The Skin on My Hands Hurts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my hands hurts. FACIT-Searchable Item Library Adult Version - The Skin on My Hands Hurts
C183623 FSIL0006 FSIL-Hand Pain Interferes Daily Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Hand pain or tenderness interferes with my daily activities. FACIT-Searchable Item Library Adult Version - Hand Pain Interferes Daily Activ
C183624 FSIL0007 FSIL-The Skin on My Feet Hurts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my feet hurts. FACIT-Searchable Item Library Adult Version - The Skin on My Feet Hurts
C183625 FSIL0008 FSIL-Pain on My Feet Interferes Walking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Pain on the bottom of my feet interferes with my walking. FACIT-Searchable Item Library Adult Version - Pain on My Feet Interferes Walking
C183626 FSIL0009 FSIL-Limit Activities Because Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my activities because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Activities Because Diarrhea
C183627 FSIL0010 FSIL-Bothered by a Skin Rash Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a skin rash. FACIT-Searchable Item Library Adult Version - Bothered by a Skin Rash
C183628 FSIL0011 FSIL-Amount I Eat Is Sufficient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The amount I eat is sufficient to meet my needs. FACIT-Searchable Item Library Adult Version - Amount I Eat Is Sufficient
C183629 FSIL0012 FSIL-I Seem to Get Full Quickly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: When I eat, I seem to get full quickly. FACIT-Searchable Item Library Adult Version - I Seem to Get Full Quickly
C183630 FSIL0013 FSIL-I Have Pain in My Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my stomach area. FACIT-Searchable Item Library Adult Version - I Have Pain in My Stomach Area
C183631 FSIL0014 FSIL-My General Health Is Improving Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My general health is improving. FACIT-Searchable Item Library Adult Version - My General Health Is Improving
C183632 FSIL0015 FSIL-Worried About My Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am worried about my weight. FACIT-Searchable Item Library Adult Version - Worried About My Weight
C183633 FSIL0016 FSIL-Most Food Tastes Unpleasant to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Most food tastes unpleasant to me. FACIT-Searchable Item Library Adult Version - Most Food Tastes Unpleasant to Me
C183634 FSIL0017 FSIL-Concerned About How Thin I Look Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about how thin I look. FACIT-Searchable Item Library Adult Version - Concerned About How Thin I Look
C183635 FSIL0018 FSIL-Interest in Food Drops Try to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My interest in food drops as soon as I try to eat. FACIT-Searchable Item Library Adult Version - Interest in Food Drops Try to Eat
C183636 FSIL0019 FSIL-Have Difficulty Eating Rich Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty eating rich or "heavy" foods. FACIT-Searchable Item Library Adult Version - Have Difficulty Eating Rich Foods
C183637 FSIL0020 FSIL-My Family Pressuring Me to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family or friends are pressuring me to eat. FACIT-Searchable Item Library Adult Version - My Family Pressuring Me to Eat
C183638 FSIL0021 FSIL-Stomach Pain Interferes Functioning Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Stomach pain interferes with my daily functioning. FACIT-Searchable Item Library Adult Version - Stomach Pain Interferes Functioning
C183639 FSIL0022 FSIL-I Have Been Emotionally Distressed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been emotionally distressed. FACIT-Searchable Item Library Adult Version - I Have Been Emotionally Distressed
C183640 FSIL0023 FSIL-I Feel Listless Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel listless ("washed out"). FACIT-Searchable Item Library Adult Version - I Feel Listless
C183641 FSIL0024 FSIL-I Get Headaches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get headaches. FACIT-Searchable Item Library Adult Version - I Get Headaches
C183642 FSIL0025 FSIL-I Have Pain in My Chest Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest. FACIT-Searchable Item Library Adult Version - I Have Pain in My Chest
C183643 FSIL0026 FSIL-Too Tired to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am too tired to eat. FACIT-Searchable Item Library Adult Version - Too Tired to Eat
C183644 FSIL0027 FSIL-Motivated to Do Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am motivated to do my usual activities. FACIT-Searchable Item Library Adult Version - Motivated to Do Activities
C183645 FSIL0028 FSIL-Need Help Doing Usual Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities. FACIT-Searchable Item Library Adult Version - Need Help Doing Usual Activities
C183646 FSIL0029 FSIL-Frustrated by Being Too Tired Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being too tired to do the things I want to do. FACIT-Searchable Item Library Adult Version - Frustrated by Being Too Tired
C183647 FSIL0030 FSIL-Limit Social Activity B/c Tired Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because I am tired. FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Tired
C183648 FSIL0031 FSIL-I Feel Tired Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tired. FACIT-Searchable Item Library Adult Version - I Feel Tired
C183649 FSIL0032 FSIL-Trouble Starting Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble starting things because I am tired. FACIT-Searchable Item Library Adult Version - Trouble Starting Things
C183650 FSIL0033 FSIL-Trouble Finishing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble finishing things because I am tired. FACIT-Searchable Item Library Adult Version - Trouble Finishing Things
C183651 FSIL0034 FSIL-I Have Energy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have energy. FACIT-Searchable Item Library Adult Version - I Have Energy
C183652 FSIL0035 FSIL-I Have Trouble Walking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking. FACIT-Searchable Item Library Adult Version - I Have Trouble Walking
C183653 FSIL0036 FSIL-Able to Do My Usual Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to do my usual activities. FACIT-Searchable Item Library Adult Version - Able to Do My Usual Activities
C183654 FSIL0037 FSIL-I Need to Sleep During the Day Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to sleep during the day. FACIT-Searchable Item Library Adult Version - I Need to Sleep During the Day
C183655 FSIL0038 FSIL-I Feel Lightheaded Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel lightheaded (dizzy). FACIT-Searchable Item Library Adult Version - I Feel Lightheaded
C183656 FSIL0039 FSIL-I Have Been Short of Breath Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been short of breath. FACIT-Searchable Item Library Adult Version - I Have Been Short of Breath
C183657 FSIL0040 FSIL-Movement of Arm This Side Painful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my arm on this side is painful. FACIT-Searchable Item Library Adult Version - Movement of Arm This Side Painful
C183658 FSIL0041 FSIL-Poor Range Arm Movements This Side Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a poor range of arm movements on this side. FACIT-Searchable Item Library Adult Version - Poor Range Arm Movements This Side
C183659 FSIL0042 FSIL-My Arm on This Side Feels Numb Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My arm on this side feels numb. FACIT-Searchable Item Library Adult Version - My Arm on This Side Feels Numb
C183660 FSIL0043 FSIL-Have Stiffness of Arm on This Side Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness of my arm on this side. FACIT-Searchable Item Library Adult Version - Have Stiffness of Arm on This Side
C183661 FSIL0044 FSIL-Self-conscious About Way I Dress Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am self-conscious about the way I dress. FACIT-Searchable Item Library Adult Version - Self-conscious About Way I Dress
C183662 FSIL0045 FSIL-One/Both Arms Are Swollen/Tender Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: One or both of my arms are swollen or tender. FACIT-Searchable Item Library Adult Version - One/Both Arms Are Swollen/Tender
C183663 FSIL0046 FSIL-I Feel Sexually Attractive Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sexually attractive. FACIT-Searchable Item Library Adult Version - I Feel Sexually Attractive
C183664 FSIL0047 FSIL-Bothered by Hair Loss Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hair loss. FACIT-Searchable Item Library Adult Version - Bothered by Hair Loss
C183665 FSIL0048 FSIL-Worry Family Will Get Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that other members of my family might someday get the same illness I have. FACIT-Searchable Item Library Adult Version - Worry Family Will Get Illness
C183666 FSIL0049 FSIL-Worry About the Effect of Stress Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the effect of stress on my illness. FACIT-Searchable Item Library Adult Version - Worry About the Effect of Stress
C183667 FSIL0050 FSIL-Bothered by Change in Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in weight. FACIT-Searchable Item Library Adult Version - Bothered by Change in Weight
C183668 FSIL0051 FSIL-Able to Feel Like a Woman Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a woman. FACIT-Searchable Item Library Adult Version - Able to Feel Like a Woman
C183669 FSIL0052 FSIL-Have Trouble Controlling My Urine Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble controlling my urine. FACIT-Searchable Item Library Adult Version - Have Trouble Controlling My Urine
C183670 FSIL0053 FSIL-I Urinate More Frequently Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I urinate more frequently than usual. FACIT-Searchable Item Library Adult Version - I Urinate More Frequently
C183671 FSIL0054 FSIL-It Burns When I Urinate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It burns when I urinate. FACIT-Searchable Item Library Adult Version - It Burns When I Urinate
C183672 FSIL0055 FSIL-Interested in Sex Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am interested in sex. FACIT-Searchable Item Library Adult Version - Interested in Sex
C183673 FSIL0056 FSIL-Able to Have/Maintain Erection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to have and maintain an erection. (For men only) FACIT-Searchable Item Library Adult Version - Able to Have/Maintain Erection
C183674 FSIL0057 FSIL-Concerned About Keeping My Job Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job (include work at home). FACIT-Searchable Item Library Adult Version - Concerned About Keeping My Job
C183675 FSIL0058 FSIL-I Can Remember Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember things. FACIT-Searchable Item Library Adult Version - I Can Remember Things
C183676 FSIL0059 FSIL-I Have Frequent Colds/Infections Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have frequent colds/infections. FACIT-Searchable Item Library Adult Version - I Have Frequent Colds/Infections
C183677 FSIL0060 FSIL-My Eyesight Is Blurry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyesight is blurry. FACIT-Searchable Item Library Adult Version - My Eyesight Is Blurry
C183678 FSIL0061 FSIL-Bothered by Change in Food Tastes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in the way food tastes. FACIT-Searchable Item Library Adult Version - Bothered by Change in Food Tastes
C183679 FSIL0062 FSIL-I Have Tremors Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have tremors. FACIT-Searchable Item Library Adult Version - I Have Tremors
C183680 FSIL0063 FSIL-Bothered by Skin Problems Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems. FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems
C183681 FSIL0064 FSIL-I Have Trouble With My Bowels Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my bowels. FACIT-Searchable Item Library Adult Version - I Have Trouble With My Bowels
C183682 FSIL0065 FSIL-Illness Is Hardship for My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness is a personal hardship for my close family members. FACIT-Searchable Item Library Adult Version - Illness Is Hardship for My Family
C183683 FSIL0066 FSIL-Cost of Treatment Is Burden on Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The cost of my treatment is a burden on me or my family. FACIT-Searchable Item Library Adult Version - Cost of Treatment Is Burden on Me
C183684 FSIL0067 FSIL-I Feel Distant From Other People Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel distant from other people. FACIT-Searchable Item Library Adult Version - I Feel Distant From Other People
C183685 FSIL0068 FSIL-I Worry Transplant Will Not Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the transplant will not work. FACIT-Searchable Item Library Adult Version - I Worry Transplant Will Not Work
C183686 FSIL0069 FSIL-Side Effects of Treatment Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The side effects of treatment are worse than I had imagined. FACIT-Searchable Item Library Adult Version - Side Effects of Treatment Worse
C183687 FSIL0070 FSIL-Able to Get Around by Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to get around by myself. FACIT-Searchable Item Library Adult Version - Able to Get Around by Myself
C183688 FSIL0071 FSIL-I Get Tired Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get tired easily. FACIT-Searchable Item Library Adult Version - I Get Tired Easily
C183689 FSIL0072 FSIL-Concerns Ability to Have Children Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to have children. FACIT-Searchable Item Library Adult Version - Concerns Ability to Have Children
C183690 FSIL0073 FSIL-Confidence in My Nurse(s) Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my nurse(s). FACIT-Searchable Item Library Adult Version - Confidence in My Nurse(s)
C183691 FSIL0074 FSIL-I Regret Bone Marrow Transplant Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret having the bone marrow transplant. FACIT-Searchable Item Library Adult Version - I Regret Bone Marrow Transplant
C183692 FSIL0075 FSIL-I Have Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain. FACIT-Searchable Item Library Adult Version - I Have Bone Pain
C183693 FSIL0076 FSIL-Frustrated by My Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my bone pain. FACIT-Searchable Item Library Adult Version - Frustrated by My Bone Pain
C183694 FSIL0077 FSIL-I Feel Depressed about Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel depressed about my bone pain. FACIT-Searchable Item Library Adult Version - I Feel Depressed about Bone Pain
C183695 FSIL0078 FSIL-I Worry Bone Pain Will Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my bone pain will get worse. FACIT-Searchable Item Library Adult Version - I Worry Bone Pain Will Get Worse
C183696 FSIL0079 FSIL-Family Trouble Understand Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my bone pain interferes with my activity. FACIT-Searchable Item Library Adult Version - Family Trouble Understand Bone Pain
C183697 FSIL0080 FSIL-Hurts When Put Weight/Pressure on Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It hurts when I put weight or pressure on the place where I have bone pain. FACIT-Searchable Item Library Adult Version - Hurts When Put Weight/Pressure on
C183698 FSIL0081 FSIL-Bone Pain Even When I Sit/Lie Still Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain even when I sit or lie still. FACIT-Searchable Item Library Adult Version - Bone Pain Even When I Sit/Lie Still
C183699 FSIL0082 FSIL-Need Help Doing Activ B/c Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities because of bone pain. FACIT-Searchable Item Library Adult Version - Need Help Doing Activ B/c Bone Pain
C183700 FSIL0083 FSIL-Rest During Day B/c of Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to rest during the day because of bone pain. FACIT-Searchable Item Library Adult Version - Rest During Day B/c of Bone Pain
C183701 FSIL0084 FSIL-Trouble Walking Because Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of bone pain. FACIT-Searchable Item Library Adult Version - Trouble Walking Because Bone Pain
C183702 FSIL0085 FSIL-Bone Pain Interferes Care Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.). FACIT-Searchable Item Library Adult Version - Bone Pain Interferes Care Myself
C183703 FSIL0086 FSIL-Bone Pain Interferes w/Social Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my social activities. FACIT-Searchable Item Library Adult Version - Bone Pain Interferes w/Social
C183704 FSIL0087 FSIL-Bone Pain Wakes Me Up at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain wakes me up at night. FACIT-Searchable Item Library Adult Version - Bone Pain Wakes Me Up at Night
C183705 FSIL0088 FSIL-Able to Concentrate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to concentrate. FACIT-Searchable Item Library Adult Version - Able to Concentrate
C183706 FSIL0089 FSIL-Bothered by Change in Personality Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my personality. FACIT-Searchable Item Library Adult Version - Bothered by Change in Personality
C183707 FSIL0090 FSIL-Make Decisions Take Responsibility Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions and take responsibility. FACIT-Searchable Item Library Adult Version - Make Decisions Take Responsibility
C183708 FSIL0091 FSIL-Bothered by Drop in My Contribution Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the drop in my contribution to the family. FACIT-Searchable Item Library Adult Version - Bothered by Drop in My Contribution
C183709 FSIL0092 FSIL-Able to Put My Thoughts Together Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts together. FACIT-Searchable Item Library Adult Version - Able to Put My Thoughts Together
C183710 FSIL0093 FSIL-I Need Help in Caring for Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help in caring for myself (bathing, dressing, eating, etc.). FACIT-Searchable Item Library Adult Version - I Need Help in Caring for Myself
C183711 FSIL0094 FSIL-Able to Put My thoughts Into Action Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts into action. FACIT-Searchable Item Library Adult Version - Able to Put My thoughts Into Action
C183712 FSIL0095 FSIL-Able to Read Like I Used to Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to read like I used to. FACIT-Searchable Item Library Adult Version - Able to Read Like I Used to
C183713 FSIL0096 FSIL-Able to Write Like I Used to Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to write like I used to. FACIT-Searchable Item Library Adult Version - Able to Write Like I Used to
C183714 FSIL0097 FSIL-Able to Drive a Vehicle Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to drive a vehicle (my car, truck, etc.). FACIT-Searchable Item Library Adult Version - Able to Drive a Vehicle
C183715 FSIL0098 FSIL-Trouble Feeling Arm/Hands/Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling sensations in my arm, hands or legs. FACIT-Searchable Item Library Adult Version - Trouble Feeling Arm/Hands/Legs
C183716 FSIL0099 FSIL-I Have Had Seizures Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had seizures (convulsions). FACIT-Searchable Item Library Adult Version - I Have Had Seizures
C183717 FSIL0100 FSIL-Have Weakness in My Arms or Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my arms or legs. FACIT-Searchable Item Library Adult Version - Have Weakness in My Arms or Legs
C183718 FSIL0101 FSIL-I Have Trouble With Coordination Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with coordination. FACIT-Searchable Item Library Adult Version - I Have Trouble With Coordination
C183719 FSIL0102 FSIL-I Can Remember New Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember new things. FACIT-Searchable Item Library Adult Version - I Can Remember New Things
C183720 FSIL0103 FSIL-Frustrated I Cannot Do Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get frustrated that I cannot do things I used to. FACIT-Searchable Item Library Adult Version - Frustrated I Cannot Do Things
C183721 FSIL0104 FSIL-Afraid of Having a Seizure Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid of having a seizure (convulsion). FACIT-Searchable Item Library Adult Version - Afraid of Having a Seizure
C183722 FSIL0105 FSIL-I Have Trouble With My Eyesight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my eyesight. FACIT-Searchable Item Library Adult Version - I Have Trouble With My Eyesight
C183723 FSIL0106 FSIL-I Feel Independent Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel independent. FACIT-Searchable Item Library Adult Version - I Feel Independent
C183724 FSIL0107 FSIL-Able to Find the Right Words Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to find the right word(s) to say what I mean. FACIT-Searchable Item Library Adult Version - Able to Find the Right Words
C183725 FSIL0108 FSIL-Difficulty Expressing My Thoughts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty expressing my thoughts. FACIT-Searchable Item Library Adult Version - Difficulty Expressing My Thoughts
C183726 FSIL0109 FSIL-I Have Pain in My Joints Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my joints. FACIT-Searchable Item Library Adult Version - I Have Pain in My Joints
C183727 FSIL0110 FSIL-Bothered by Sweating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sweating. FACIT-Searchable Item Library Adult Version - Bothered by Sweating
C183728 FSIL0111 FSIL-Bothered by the Chills Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the chills. FACIT-Searchable Item Library Adult Version - Bothered by the Chills
C183729 FSIL0112 FSIL-Bothered by Fevers Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by fevers (episodes of high body temperature). FACIT-Searchable Item Library Adult Version - Bothered by Fevers
C183730 FSIL0113 FSIL-Bothered by Dry Mouth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry mouth. FACIT-Searchable Item Library Adult Version - Bothered by Dry Mouth
C183731 FSIL0114 FSIL-I Get Depressed Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get depressed easily. FACIT-Searchable Item Library Adult Version - I Get Depressed Easily
C183732 FSIL0115 FSIL-I Get Annoyed Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get annoyed easily. FACIT-Searchable Item Library Adult Version - I Get Annoyed Easily
C183733 FSIL0116 FSIL-I Have Emotional Ups and Downs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have emotional ups and downs. FACIT-Searchable Item Library Adult Version - I Have Emotional Ups and Downs
C183734 FSIL0117 FSIL-Treatment Bone Disease Takes Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease takes up my time. FACIT-Searchable Item Library Adult Version - Treatment Bone Disease Takes Time
C183735 FSIL0118 FSIL-Bothered by Effects Treatment Bone Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment for bone disease. FACIT-Searchable Item Library Adult Version - Bothered by Effects Treatment Bone
C183736 FSIL0119 FSIL-Satisfied With Results of Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the results of the treatment for your bone disease so far? FACIT-Searchable Item Library Adult Version - Satisfied With Results of Treatment
C183737 FSIL0120 FSIL-Treatment Bone Disease to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment for bone disease to others with your illness? FACIT-Searchable Item Library Adult Version - Treatment Bone Disease to Others
C183738 FSIL0121 FSIL-Choose This Treatment Bone Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment for bone disease again? FACIT-Searchable Item Library Adult Version - Choose This Treatment Bone Again
C183739 FSIL0122 FSIL-Treatment Takes Up My Family's Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease takes up my family's time. FACIT-Searchable Item Library Adult Version - Treatment Takes Up My Family's Time
C183740 FSIL0123 FSIL-Worry About Side Effects Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from treatment for bone disease. FACIT-Searchable Item Library Adult Version - Worry About Side Effects Treatment
C183741 FSIL0124 FSIL-Taking Drug Infusion Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Taking the drug by infusion is inconvenient. FACIT-Searchable Item Library Adult Version - Taking Drug Infusion Inconvenient
C183742 FSIL0125 FSIL-Infusion Causes Me Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The infusion for my bone treatment causes me physical pain. FACIT-Searchable Item Library Adult Version - Infusion Causes Me Physical Pain
C183743 FSIL0126 FSIL-Treatment Causes Me Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease causes me physical pain. FACIT-Searchable Item Library Adult Version - Treatment Causes Me Physical Pain
C183744 FSIL0127 FSIL-Receiving Treatment Is Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving treatment for bone disease is inconvenient. FACIT-Searchable Item Library Adult Version - Receiving Treatment Is Inconvenient
C183745 FSIL0128 FSIL-Waiting Breakfast Is Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Waiting up to 60 minutes before eating breakfast in the morning is inconvenient. FACIT-Searchable Item Library Adult Version - Waiting Breakfast Is Inconvenient
C183746 FSIL0129 FSIL-Having Blood Drawn Is Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Having my blood drawn is inconvenient. FACIT-Searchable Item Library Adult Version - Having Blood Drawn Is Inconvenient
C183747 FSIL0130 FSIL-Worry Treatment Not Effective Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment for bone disease will not be effective. FACIT-Searchable Item Library Adult Version - Worry Treatment Not Effective
C183748 FSIL0131 FSIL-Treatment Seems Harmful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease seems harmful to me. FACIT-Searchable Item Library Adult Version - Treatment Seems Harmful to Me
C183749 FSIL0132 FSIL-Treatment Schedule Stressful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to me. FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful to Me
C183750 FSIL0133 FSIL-Treatment Schedule Stressful Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to my family. FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful Family
C183751 FSIL0134 FSIL-Believe Treatment Will Take Up Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will take up my time. FACIT-Searchable Item Library Adult Version - Believe Treatment Will Take Up Time
C183752 FSIL0135 FSIL-Believe Will Be Bothered by Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that I will be bothered by side effects of treatment for bone disease. FACIT-Searchable Item Library Adult Version - Believe Will Be Bothered by Effects
C183753 FSIL0136 FSIL-Believe Eating Will Be Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that waiting up to 60 minutes before eating breakfast in the morning will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Eating Will Be Inconvenient
C183754 FSIL0137 FSIL-Believe Infusion Will Cause Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that an infusion for my bone treatment will cause me physical pain. FACIT-Searchable Item Library Adult Version - Believe Infusion Will Cause Pain
C183755 FSIL0138 FSIL-Believe Blood Will Be Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that having my blood drawn will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Blood Will Be Inconvenient
C183756 FSIL0139 FSIL-Believe Treatment Take Family Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will take up my family's time. FACIT-Searchable Item Library Adult Version - Believe Treatment Take Family Time
C183757 FSIL0140 FSIL-Believe Treatment Will Cause Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will cause me physical pain. FACIT-Searchable Item Library Adult Version - Believe Treatment Will Cause Pain
C183758 FSIL0141 FSIL-Believe Treatment Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that receiving treatment for bone disease will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Treatment Inconvenient
C183759 FSIL0142 FSIL-Believe Treatment Will Be Harmful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will be harmful to me. FACIT-Searchable Item Library Adult Version - Believe Treatment Will Be Harmful
C183760 FSIL0143 FSIL-Believe Schedule Stressful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to me. FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful to Me
C183761 FSIL0144 FSIL-Believe Schedule Stressful Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to my family. FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful Family
C183762 FSIL0145 FSIL-Swelling/Cramps in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling or cramps in my stomach area. FACIT-Searchable Item Library Adult Version - Swelling/Cramps in Stomach Area
C183763 FSIL0146 FSIL-Losing Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing weight. FACIT-Searchable Item Library Adult Version - Losing Weight
C183764 FSIL0147 FSIL-I Have Control of My Bowels Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have control of my bowels. FACIT-Searchable Item Library Adult Version - I Have Control of My Bowels
C183765 FSIL0148 FSIL-I Can Digest My Food Well Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can digest my food well. FACIT-Searchable Item Library Adult Version - I Can Digest My Food Well
C183766 FSIL0149 FSIL-I Have Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - I Have Diarrhea
C183767 FSIL0150 FSIL-I Have a Good Appetite Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a good appetite. FACIT-Searchable Item Library Adult Version - I Have a Good Appetite
C183768 FSIL0151 FSIL-I Like the Appearance of My Body Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I like the appearance of my body. FACIT-Searchable Item Library Adult Version - I Like the Appearance of My Body
C183769 FSIL0152 FSIL-Embarrassed by Ostomy Appliance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my ostomy appliance. FACIT-Searchable Item Library Adult Version - Embarrassed by Ostomy Appliance
C183770 FSIL0153 FSIL-Caring for Ostomy Is Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my ostomy appliance is difficult. FACIT-Searchable Item Library Adult Version - Caring for Ostomy Is Difficult
C183771 FSIL0154 FSIL-Bothered by Hot Flashes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hot flashes. FACIT-Searchable Item Library Adult Version - Bothered by Hot Flashes
C183772 FSIL0155 FSIL-My Breasts Are Swollen Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are swollen. FACIT-Searchable Item Library Adult Version - My Breasts Are Swollen
C183773 FSIL0156 FSIL-My Breasts Are Painful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are painful. FACIT-Searchable Item Library Adult Version - My Breasts Are Painful
C183774 FSIL0157 FSIL-Discomfort in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort in my pelvic area. FACIT-Searchable Item Library Adult Version - Discomfort in My Pelvic Area
C183775 FSIL0158 FSIL-Accepted I Have This Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted that I have this infection. FACIT-Searchable Item Library Adult Version - Accepted I Have This Infection
C183776 FSIL0159 FSIL-Worry Infection Will Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the infection will get worse. FACIT-Searchable Item Library Adult Version - Worry Infection Will Get Worse
C183777 FSIL0160 FSIL-Hidden Problem Others Not Notice Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hidden this problem so others will not notice. FACIT-Searchable Item Library Adult Version - Hidden Problem Others Not Notice
C183778 FSIL0161 FSIL-Concerns Ability Become Pregnant Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to become pregnant. FACIT-Searchable Item Library Adult Version - Concerns Ability Become Pregnant
C183779 FSIL0162 FSIL-Worry About Attitudes Towards Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about other people's attitudes towards me. FACIT-Searchable Item Library Adult Version - Worry About Attitudes Towards Me
C183780 FSIL0163 FSIL-Embarrassed About the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel embarrassed about the infection. FACIT-Searchable Item Library Adult Version - Embarrassed About the Infection
C183781 FSIL0164 FSIL-Blame Myself for the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I tend to blame myself for the infection. FACIT-Searchable Item Library Adult Version - Blame Myself for the Infection
C183782 FSIL0165 FSIL-Careful Who I told About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I was careful who I told about the infection. FACIT-Searchable Item Library Adult Version - Careful Who I told About Infection
C183783 FSIL0166 FSIL-Difficulty Telling Partner/Spouse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had difficulty telling my partner/spouse about the infection. FACIT-Searchable Item Library Adult Version - Difficulty Telling Partner/Spouse
C183784 FSIL0167 FSIL-Frustrated by the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by the infection. FACIT-Searchable Item Library Adult Version - Frustrated by the Infection
C183785 FSIL0168 FSIL-I Have Pain in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my pelvic area. FACIT-Searchable Item Library Adult Version - I Have Pain in My Pelvic Area
C183786 FSIL0169 FSIL-Depressed About the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about the infection. FACIT-Searchable Item Library Adult Version - Depressed About the Infection
C183787 FSIL0170 FSIL-Get Emotional Support Partner Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my partner/spouse. FACIT-Searchable Item Library Adult Version - Get Emotional Support Partner
C183788 FSIL0171 FSIL-Emotional Support Family Members Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from family members. FACIT-Searchable Item Library Adult Version - Emotional Support Family Members
C183789 FSIL0172 FSIL-I Have Cramping in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramping in my pelvic area. FACIT-Searchable Item Library Adult Version - I Have Cramping in My Pelvic Area
C183790 FSIL0173 FSIL-Limit My Sexual Activity Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of the infection. FACIT-Searchable Item Library Adult Version - Limit My Sexual Activity Infection
C183791 FSIL0174 FSIL-Worry About Spreading the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading the infection. FACIT-Searchable Item Library Adult Version - Worry About Spreading the Infection
C183792 FSIL0175 FSIL-Received Treatment That Was Right Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I received the treatment that was right for me. FACIT-Searchable Item Library Adult Version - Received Treatment That Was Right
C183793 FSIL0176 FSIL-Doctor Gave Explanations Understand Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor gave me explanations that I could understand. FACIT-Searchable Item Library Adult Version - Doctor Gave Explanations Understand
C183794 FSIL0177 FSIL-Doctor Explained Possible Benefits Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor explained the possible benefits of my treatment. FACIT-Searchable Item Library Adult Version - Doctor Explained Possible Benefits
C183795 FSIL0178 FSIL-Can Manage Things Around Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I can manage things that come up around this infection. FACIT-Searchable Item Library Adult Version - Can Manage Things Around Infection
C183796 FSIL0179 FSIL-Able to Maintain My Balance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to maintain my balance. FACIT-Searchable Item Library Adult Version - Able to Maintain My Balance
C183797 FSIL0180 FSIL-Able to Walk Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to walk. FACIT-Searchable Item Library Adult Version - Able to Walk
C183798 FSIL0181 FSIL-I Have Strength in My Arm(s) Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my arm(s). FACIT-Searchable Item Library Adult Version - I Have Strength in My Arm(s)
C183799 FSIL0182 FSIL-I Have Strength in My Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my legs. FACIT-Searchable Item Library Adult Version - I Have Strength in My Legs
C183800 FSIL0183 FSIL-I Have Numbness in My Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness in my legs. FACIT-Searchable Item Library Adult Version - I Have Numbness in My Legs
C183801 FSIL0184 FSIL-I Have Pain in My Back Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my back. FACIT-Searchable Item Library Adult Version - I Have Pain in My Back
C183802 FSIL0185 FSIL-I Have Trouble Forming Thoughts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble forming thoughts. FACIT-Searchable Item Library Adult Version - I Have Trouble Forming Thoughts
C183803 FSIL0186 FSIL-My Thinking Has Been Slow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slow. FACIT-Searchable Item Library Adult Version - My Thinking Has Been Slow
C183804 FSIL0187 FSIL-Work Harder Than Usual to Track Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to keep track of what I was doing. FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Track
C183805 FSIL0188 FSIL-My Thinking Slower Than Usual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slower than usual. FACIT-Searchable Item Library Adult Version - My Thinking Slower Than Usual
C183806 FSIL0189 FSIL-Work Harder Than Usual to Express Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to express myself clearly. FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Express
C183807 FSIL0190 FSIL-Use Written Lists More Often Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to use written lists more often than usual so I would not forget things. FACIT-Searchable Item Library Adult Version - Use Written Lists More Often
C183808 FSIL0191 FSIL-I Have Had Trouble Concentrating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble concentrating. FACIT-Searchable Item Library Adult Version - I Have Had Trouble Concentrating
C183809 FSIL0192 FSIL-Walked Into a Room and Forgotten Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have walked into a room and forgotten what I meant to get or do there. FACIT-Searchable Item Library Adult Version - Walked Into a Room and Forgotten
C183810 FSIL0193 FSIL-Work Hard to Pay Attention Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work really hard to pay attention or I would make a mistake. FACIT-Searchable Item Library Adult Version - Work Hard to Pay Attention
C183811 FSIL0194 FSIL-Forgotten Names After Introduced Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have forgotten names of people soon after being introduced. FACIT-Searchable Item Library Adult Version - Forgotten Names After Introduced
C183812 FSIL0195 FSIL-Reaction Everyday Situations Slow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My reactions in everyday situations have been slow. FACIT-Searchable Item Library Adult Version - Reaction Everyday Situations Slow
C183813 FSIL0196 FSIL-Trouble Remember Where Put Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering where I put things, like my keys or my wallet. FACIT-Searchable Item Library Adult Version - Trouble Remember Where Put Things
C183814 FSIL0197 FSIL-Trouble Remembering New Info Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering new information, like phone numbers or simple instructions. FACIT-Searchable Item Library Adult Version - Trouble Remembering New Info
C183815 FSIL0198 FSIL-Trouble Finding Familiar Place Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding my way to a familiar place. FACIT-Searchable Item Library Adult Version - Trouble Finding Familiar Place
C183816 FSIL0199 FSIL-Trouble Keeping Track Interrupted Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble keeping track of what I am doing if I am interrupted. FACIT-Searchable Item Library Adult Version - Trouble Keeping Track Interrupted
C183817 FSIL0200 FSIL-Trouble Shifting Back and Forth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble shifting back and forth between different activities that require thinking. FACIT-Searchable Item Library Adult Version - Trouble Shifting Back and Forth
C183818 FSIL0201 FSIL-Told Me Trouble Remembering Info Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble remembering information. FACIT-Searchable Item Library Adult Version - Told Me Trouble Remembering Info
C183819 FSIL0202 FSIL-Told Me Trouble Speaking Clearly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble speaking clearly. FACIT-Searchable Item Library Adult Version - Told Me Trouble Speaking Clearly
C183820 FSIL0203 FSIL-Told Me Trouble Thinking Clearly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble thinking clearly. FACIT-Searchable Item Library Adult Version - Told Me Trouble Thinking Clearly
C183821 FSIL0204 FSIL-People Told Me I Seemed Confused Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed confused. FACIT-Searchable Item Library Adult Version - People Told Me I Seemed Confused
C183822 FSIL0205 FSIL-I Have Been Able to Concentrate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to concentrate. FACIT-Searchable Item Library Adult Version - I Have Been Able to Concentrate
C183823 FSIL0206 FSIL-Mind Is as Sharp as Always Been Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mind is as sharp as it has always been. FACIT-Searchable Item Library Adult Version - Mind Is as Sharp as Always Been
C183824 FSIL0207 FSIL-Memory Is as Good as Always Been Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My memory is as good as it has always been. FACIT-Searchable Item Library Adult Version - Memory Is as Good as Always Been
C183825 FSIL0208 FSIL-Able to Pay Attention w/o Effort Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to pay attention and keep track of what I am doing without extra effort. FACIT-Searchable Item Library Adult Version - Able to Pay Attention w/o Effort
C183826 FSIL0209 FSIL-Able Remember Things Where Left Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember things, like where I left my keys or wallet. FACIT-Searchable Item Library Adult Version - Able Remember Things Where Left
C183827 FSIL0210 FSIL-Able Remember to Do Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember to do things, like take medicine or buy something I needed. FACIT-Searchable Item Library Adult Version - Able Remember to Do Things
C183828 FSIL0211 FSIL-Able to Shift Between Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to shift back and forth between two activities that require thinking. FACIT-Searchable Item Library Adult Version - Able to Shift Between Activities
C183829 FSIL0212 FSIL-Able to Track What I Am Doing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to keep track of what I am doing, even if I am interrupted. FACIT-Searchable Item Library Adult Version - Able to Track What I Am Doing
C183830 FSIL0213 FSIL-Able to Bring to Mind Words Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to bring to mind words that I wanted to use while talking to someone. FACIT-Searchable Item Library Adult Version - Able to Bring to Mind Words
C183831 FSIL0214 FSIL-I Have Been Upset About Problems Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been upset about these problems. FACIT-Searchable Item Library Adult Version - I Have Been Upset About Problems
C183832 FSIL0215 FSIL-Problems Interfered Ability Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to work. FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Work
C183833 FSIL0216 FSIL-Problems Interfered Ability Enjoy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to do things I enjoy. FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Enjoy
C183834 FSIL0217 FSIL-Problems Interfered Quality Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with the quality of my life. FACIT-Searchable Item Library Adult Version - Problems Interfered Quality Life
C183835 FSIL0218 FSIL-Trouble Recalling Name of Object Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble recalling the name of an object while talking to someone. FACIT-Searchable Item Library Adult Version - Trouble Recalling Name of Object
C183836 FSIL0219 FSIL-Trouble Finding Right Words Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding the right word(s) to express myself. FACIT-Searchable Item Library Adult Version - Trouble Finding Right Words
C183837 FSIL0220 FSIL-Used Wrong Word When Refer Object Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have used the wrong word when I referred to an object. FACIT-Searchable Item Library Adult Version - Used Wrong Word When Refer Object
C183838 FSIL0221 FSIL-Trouble Saying What I Mean Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble saying what I mean in conversations with others. FACIT-Searchable Item Library Adult Version - Trouble Saying What I Mean
C183839 FSIL0222 FSIL-Chemo Treatment Takes Up My Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment takes up my time. FACIT-Searchable Item Library Adult Version - Chemo Treatment Takes Up My Time
C183840 FSIL0223 FSIL-Satisfied With Results Chemo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the current results of your chemotherapy? FACIT-Searchable Item Library Adult Version - Satisfied With Results Chemo
C183841 FSIL0224 FSIL-Recommend Chemo to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this chemotherapy to others with your illness? FACIT-Searchable Item Library Adult Version - Recommend Chemo to Others
C183842 FSIL0225 FSIL-Choose This Chemo Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this chemotherapy again? FACIT-Searchable Item Library Adult Version - Choose This Chemo Again
C183843 FSIL0226 FSIL-Rate This Chemo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How would you rate this chemotherapy? FACIT-Searchable Item Library Adult Version - Rate This Chemo
C183844 FSIL0227 FSIL-Chemo Takes Family Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment takes up my family's time. FACIT-Searchable Item Library Adult Version - Chemo Takes Family Time
C183845 FSIL0228 FSIL-Worry Side Effects From Chemo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from chemotherapy treatment. FACIT-Searchable Item Library Adult Version - Worry Side Effects From Chemo
C183846 FSIL0229 FSIL-Chemo Causes Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment causes me physical pain. FACIT-Searchable Item Library Adult Version - Chemo Causes Physical Pain
C183847 FSIL0230 FSIL-Receiving Chemo Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving chemotherapy is inconvenient. FACIT-Searchable Item Library Adult Version - Receiving Chemo Inconvenient
C183848 FSIL0231 FSIL-Worry Chemo Not Effective Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my chemotherapy will not be effective. FACIT-Searchable Item Library Adult Version - Worry Chemo Not Effective
C183849 FSIL0232 FSIL-Chemo Seems Harmful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment seems harmful to me. FACIT-Searchable Item Library Adult Version - Chemo Seems Harmful
C183850 FSIL0233 FSIL-Chemo Schedule Is Stressful Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to me. FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Me
C183851 FSIL0234 FSIL-Chemo Schedule Is Stressful Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to my family. FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Family
C183852 FSIL0235 FSIL-Believe Chemo Take Up My Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will take up my time. FACIT-Searchable Item Library Adult Version - Believe Chemo Take Up My Time
C183853 FSIL0236 FSIL-Believe Chemo Cause Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy treatment will cause me physical pain. FACIT-Searchable Item Library Adult Version - Believe Chemo Cause Physical Pain
C183854 FSIL0237 FSIL-Believe Chemo Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe receiving chemotherapy will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Chemo Inconvenient
C183855 FSIL0238 FSIL-Believe Chemo Harmful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will be harmful to me. FACIT-Searchable Item Library Adult Version - Believe Chemo Harmful to Me
C183856 FSIL0239 FSIL-Believe Chemo Schedule Stressful Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to me. FACIT-Searchable Item Library Adult Version - Believe Chemo Schedule Stressful Me
C183857 FSIL0240 FSIL-Believe Chemo Sched Stress Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to my family. FACIT-Searchable Item Library Adult Version - Believe Chemo Sched Stress Family
C183858 FSIL0241 FSIL-My Skin Itches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin itches. FACIT-Searchable Item Library Adult Version - My Skin Itches
C183859 FSIL0242 FSIL-Trouble Sleeping B/c Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping because of my skin condition. FACIT-Searchable Item Library Adult Version - Trouble Sleeping B/c Skin Condition
C183860 FSIL0243 FSIL-Family Bothered by Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is bothered by my skin condition. FACIT-Searchable Item Library Adult Version - Family Bothered by Skin Condition
C183861 FSIL0244 FSIL-Difficulty Doing Things B/c of Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty doing things with my hands because of the condition of my skin. FACIT-Searchable Item Library Adult Version - Difficulty Doing Things B/c of Skin
C183862 FSIL0245 FSIL-Difficulty Walking B/c of Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty walking because of my skin condition. FACIT-Searchable Item Library Adult Version - Difficulty Walking B/c of Skin
C183863 FSIL0246 FSIL-Bothered Red/Pink Appearance Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the red or pink appearance of my skin. FACIT-Searchable Item Library Adult Version - Bothered Red/Pink Appearance Skin
C183864 FSIL0247 FSIL-Bothered by Uncertainty Prognosis Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by uncertainty about my prognosis. FACIT-Searchable Item Library Adult Version - Bothered by Uncertainty Prognosis
C183865 FSIL0248 FSIL-Tired Dealing With Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am tired of dealing with my skin condition. FACIT-Searchable Item Library Adult Version - Tired Dealing With Skin Condition
C183866 FSIL0249 FSIL-Painful Lesions/Tumors on My Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful lesions or tumors on my skin. FACIT-Searchable Item Library Adult Version - Painful Lesions/Tumors on My Skin
C183867 FSIL0250 FSIL-Bothered Inconvenience Treat Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the inconvenience of treatment for my skin condition. FACIT-Searchable Item Library Adult Version - Bothered Inconvenience Treat Skin
C183868 FSIL0251 FSIL-Skin Feels Sensitive or Raw Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels sensitive or "raw". FACIT-Searchable Item Library Adult Version - Skin Feels Sensitive or Raw
C183869 FSIL0252 FSIL-Painful Cracks Skin on Hands/Feet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful cracks in the skin on my hands or feet. FACIT-Searchable Item Library Adult Version - Painful Cracks Skin on Hands/Feet
C183870 FSIL0253 FSIL-My Skin Feels Irritated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels irritated. FACIT-Searchable Item Library Adult Version - My Skin Feels Irritated
C183871 FSIL0254 FSIL-Worry Skin condition Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my skin condition may get worse. FACIT-Searchable Item Library Adult Version - Worry Skin condition Get Worse
C183872 FSIL0255 FSIL-Embarrassed by Appearance of Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by the appearance of my skin. FACIT-Searchable Item Library Adult Version - Embarrassed by Appearance of Skin
C183873 FSIL0256 FSIL-Frustrated by My Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my skin condition. FACIT-Searchable Item Library Adult Version - Frustrated by My Skin Condition
C183874 FSIL0257 FSIL-Skin Is Dry or Flaky Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin is dry or "flaky". FACIT-Searchable Item Library Adult Version - Skin Is Dry or Flaky
C183875 FSIL0258 FSIL-Bothered Discharge/Bleeding Vagina Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vagina. FACIT-Searchable Item Library Adult Version - Bothered Discharge/Bleeding Vagina
C183876 FSIL0259 FSIL-Bothered by Odor From Vagina Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vagina. FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vagina
C183877 FSIL0260 FSIL-Afraid to Have Sex Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to have sex. FACIT-Searchable Item Library Adult Version - Afraid to Have Sex
C183878 FSIL0261 FSIL-Vagina Feels Too Narrow/Short Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My vagina feels too narrow or short. FACIT-Searchable Item Library Adult Version - Vagina Feels Too Narrow/Short
C183879 FSIL0262 FSIL-Afraid Treatment May Harm Body Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid the treatment may harm my body. FACIT-Searchable Item Library Adult Version - Afraid Treatment May Harm Body
C183880 FSIL0263 FSIL-Bothered by Constipation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by constipation. FACIT-Searchable Item Library Adult Version - Bothered by Constipation
C183881 FSIL0264 FSIL-I Have Discomfort When I Urinate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I urinate. FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Urinate
C183882 FSIL0265 FSIL-Limit Social Activity B/c Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Diarrhea
C183883 FSIL0266 FSIL-Limit Physical Activ B/c Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Diarrhea
C183884 FSIL0267 FSIL-Limit Sexual Activity B/c Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Sexual Activity B/c Diarrhea
C183885 FSIL0268 FSIL-Embarrassed by Having Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by having diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Embarrassed by Having Diarrhea
C183886 FSIL0269 FSIL-Abdominal Cramps Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have abdominal cramps or discomfort due to my diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Abdominal Cramps Diarrhea
C183887 FSIL0270 FSIL-Diarrhea Keeps/Wakes Me Up at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problem with diarrhea (diarrhoea) keeps/wakes me up at night. FACIT-Searchable Item Library Adult Version - Diarrhea Keeps/Wakes Me Up at Night
C183888 FSIL0271 FSIL-Dressing Yourself Without Help Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Dressing yourself without help. FACIT-Searchable Item Library Adult Version - Dressing Yourself Without Help
C183889 FSIL0272 FSIL-Walking 50 Steps Flat Normal Speed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Searchable Item Library Adult Version - Walking 50 Steps Flat Normal Speed
C183890 FSIL0273 FSIL-Walking Up 20 Stairs w/o Stopping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking up 20 stairs (2 flights) without stopping. FACIT-Searchable Item Library Adult Version - Walking Up 20 Stairs w/o Stopping
C183891 FSIL0274 FSIL-Preparing Meals Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Preparing meals. FACIT-Searchable Item Library Adult Version - Preparing Meals
C183892 FSIL0275 FSIL-Washing Dishes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Washing dishes. FACIT-Searchable Item Library Adult Version - Washing Dishes
C183893 FSIL0276 FSIL-Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sweeping or mopping. FACIT-Searchable Item Library Adult Version - Sweeping/Mopping
C183894 FSIL0277 FSIL-Making a Bed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Making a bed. FACIT-Searchable Item Library Adult Version - Making a Bed
C183895 FSIL0278 FSIL-Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Searchable Item Library Adult Version - Lifting 10-20 Lbs
C183896 FSIL0279 FSIL-Carrying 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Searchable Item Library Adult Version - Carrying 10-20 Lbs
C183897 FSIL0280 FSIL-Walking for 1/2 Mile w/o Stopping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Searchable Item Library Adult Version - Walking for 1/2 Mile w/o Stopping
C183898 FSIL0281 FSIL-Difficulty Swallowing Solid Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing solid foods. FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Solid Foods
C183899 FSIL0282 FSIL-Difficulty Swallowing Soft Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing soft or mashed foods. FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Soft Foods
C183900 FSIL0283 FSIL-Difficulty Swallowing Liquids Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing liquids. FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Liquids
C183901 FSIL0284 FSIL-Pain in My Chest When I Swallow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest when I swallow. FACIT-Searchable Item Library Adult Version - Pain in My Chest When I Swallow
C183902 FSIL0285 FSIL-I Choke When I Swallow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I choke when I swallow. FACIT-Searchable Item Library Adult Version - I Choke When I Swallow
C183903 FSIL0286 FSIL-Enjoy Meals With Family/Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy meals with family or friends. FACIT-Searchable Item Library Adult Version - Enjoy Meals With Family/Friends
C183904 FSIL0287 FSIL-Wake at Night Because of Coughing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wake at night because of coughing. FACIT-Searchable Item Library Adult Version - Wake at Night Because of Coughing
C183905 FSIL0288 FSIL-Pleasant Feel Fullness Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience a pleasant feeling of fullness during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Pleasant Feel Fullness Tube Feeding
C183906 FSIL0289 FSIL-I Have the Desire to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have the desire to eat. FACIT-Searchable Item Library Adult Version - I Have the Desire to Eat
C183907 FSIL0290 FSIL-Worry Feeding Tube Health Is Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that having a feeding tube means my health is worse. FACIT-Searchable Item Library Adult Version - Worry Feeding Tube Health Is Worse
C183908 FSIL0291 FSIL-Worry Tube Coming Out by Accident Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube coming out by accident. FACIT-Searchable Item Library Adult Version - Worry Tube Coming Out by Accident
C183909 FSIL0292 FSIL-Worry Tube Getting Plugged/Blocked Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube getting plugged or blocked. FACIT-Searchable Item Library Adult Version - Worry Tube Getting Plugged/Blocked
C183910 FSIL0293 FSIL-Worry Infection From Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting an infection from the feeding tube. FACIT-Searchable Item Library Adult Version - Worry Infection From Feeding Tube
C183911 FSIL0294 FSIL-Worry Losing Weight Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about losing weight because I have a feeding tube. FACIT-Searchable Item Library Adult Version - Worry Losing Weight Feeding Tube
C183912 FSIL0295 FSIL-Lost Food Choices Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I have lost control of my food choices because I have a feeding tube. FACIT-Searchable Item Library Adult Version - Lost Food Choices Feeding Tube
C183913 FSIL0296 FSIL-Dependent on Others Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel dependent on others because I have a feeding tube. FACIT-Searchable Item Library Adult Version - Dependent on Others Feeding Tube
C183914 FSIL0297 FSIL-Left Out When Others Are Eating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel left out when others are eating. FACIT-Searchable Item Library Adult Version - Left Out When Others Are Eating
C183915 FSIL0298 FSIL-Confident Nutrition Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am more confident about my nutrition because of my feeding tube. FACIT-Searchable Item Library Adult Version - Confident Nutrition Feeding Tube
C183916 FSIL0299 FSIL-Uncomfortably Full Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncomfortably full during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Uncomfortably Full Tube Feeding
C183917 FSIL0300 FSIL-Feeding Tube Was Right Decision Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Getting a feeding tube was the right decision for me. FACIT-Searchable Item Library Adult Version - Feeding Tube Was Right Decision
C183918 FSIL0301 FSIL-Constipation Dur/After Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have constipation during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Constipation Dur/After Tube Feeding
C183919 FSIL0302 FSIL-Vomiting Dur/After Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience vomiting during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Vomiting Dur/After Tube Feeding
C183920 FSIL0303 FSIL-Tube Feed Limits Do Inside House Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do inside the house (for example housework, watching TV or reading). FACIT-Searchable Item Library Adult Version - Tube Feed Limits Do Inside House
C183921 FSIL0304 FSIL-Tube Feeding Limits Do Outside Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do outside of the house (for example shopping, driving or yard work). FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Do Outside
C183922 FSIL0305 FSIL-Tube Feeding Limits Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits my activities with my friends. FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Activities
C183923 FSIL0306 FSIL-Dur Tube Feeding Eat/Drink by Mouth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: During the use of tube feeding, I can eat and drink by mouth. FACIT-Searchable Item Library Adult Version - Dur Tube Feeding Eat/Drink by Mouth
C183924 FSIL0307 FSIL-Miss Food/Drink Mouth Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I miss being able to take more food or drink by mouth now that I have a feeding tube. FACIT-Searchable Item Library Adult Version - Miss Food/Drink Mouth Feeding Tube
C183925 FSIL0308 FSIL-Trouble Digesting Food Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble digesting food. FACIT-Searchable Item Library Adult Version - Trouble Digesting Food
C183926 FSIL0309 FSIL-Discomfort/Pain in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my pelvic area. FACIT-Searchable Item Library Adult Version - Discomfort/Pain in My Pelvic Area
C183927 FSIL0310 FSIL-I Have Hot Flashes/Hot Flushes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hot flashes/hot flushes. FACIT-Searchable Item Library Adult Version - I Have Hot Flashes/Hot Flushes
C183928 FSIL0311 FSIL-I Have Gained Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have gained weight. FACIT-Searchable Item Library Adult Version - I Have Gained Weight
C183929 FSIL0312 FSIL-Have Breast Sensitivity/Tenderness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have breast sensitivity/tenderness. FACIT-Searchable Item Library Adult Version - Have Breast Sensitivity/Tenderness
C183930 FSIL0313 FSIL-I Have Mood Swings Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mood swings. FACIT-Searchable Item Library Adult Version - I Have Mood Swings
C183931 FSIL0314 FSIL-Irritable Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am irritable. FACIT-Searchable Item Library Adult Version - Irritable
C183932 FSIL0315 FSIL-I Have Cold Sweats Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cold sweats. FACIT-Searchable Item Library Adult Version - I Have Cold Sweats
C183933 FSIL0316 FSIL-I Have Night Sweats Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have night sweats. FACIT-Searchable Item Library Adult Version - I Have Night Sweats
C183934 FSIL0317 FSIL-I Have Vaginal Discharge Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal discharge. FACIT-Searchable Item Library Adult Version - I Have Vaginal Discharge
C183935 FSIL0318 FSIL-I Have Vaginal Itching/Irritation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal itching/irritation. FACIT-Searchable Item Library Adult Version - I Have Vaginal Itching/Irritation
C183936 FSIL0319 FSIL-I Have Vaginal Bleeding or Spotting Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal bleeding or spotting. FACIT-Searchable Item Library Adult Version - I Have Vaginal Bleeding or Spotting
C183937 FSIL0320 FSIL-I Have Vaginal Dryness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal dryness. FACIT-Searchable Item Library Adult Version - I Have Vaginal Dryness
C183938 FSIL0321 FSIL-Have Pain/Discomfort w/Intercourse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain or discomfort with intercourse. FACIT-Searchable Item Library Adult Version - Have Pain/Discomfort w/Intercourse
C183939 FSIL0322 FSIL-I Have Lost Interest in Sex Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have lost interest in sex. FACIT-Searchable Item Library Adult Version - I Have Lost Interest in Sex
C183940 FSIL0323 FSIL-Enough Money to Cover Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that I have enough money in savings, retirement, or assets to cover the costs of my treatment. FACIT-Searchable Item Library Adult Version - Enough Money to Cover Treatment
C183941 FSIL0324 FSIL-Reduced Satisfaction Financial Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My cancer or treatment has reduced my satisfaction with my present financial situation. FACIT-Searchable Item Library Adult Version - Reduced Satisfaction Financial
C183942 FSIL0325 FSIL-In control of Financial Situation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel in control of my financial situation. FACIT-Searchable Item Library Adult Version - In control of Financial Situation
C183943 FSIL0326 FSIL-Illness a Financial Hardship Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has been a financial hardship to my family and me. FACIT-Searchable Item Library Adult Version - Illness a Financial Hardship
C183944 FSIL0327 FSIL-Medical Expense More Than I Thought Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My out-of-pocket medical expenses are more than I thought they would be. FACIT-Searchable Item Library Adult Version - Medical Expense More Than I Thought
C183945 FSIL0328 FSIL-Worry Financial Problems in Future Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the financial problems I will have in the future as a result of my illness or treatment. FACIT-Searchable Item Library Adult Version - Worry Financial Problems in Future
C183946 FSIL0329 FSIL-No Choice Money Spend on Care Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel I have no choice about the amount of money I spend on care. FACIT-Searchable Item Library Adult Version - No Choice Money Spend on Care
C183947 FSIL0330 FSIL-Frustrated Cannot Work as Usual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated that I cannot work or contribute as much as I usually do. FACIT-Searchable Item Library Adult Version - Frustrated Cannot Work as Usual
C183948 FSIL0331 FSIL-Satisfied With Financial Situation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my current financial situation. FACIT-Searchable Item Library Adult Version - Satisfied With Financial Situation
C183949 FSIL0332 FSIL-Able to Meet My Monthly Expenses Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to meet my monthly expenses. FACIT-Searchable Item Library Adult Version - Able to Meet My Monthly Expenses
C183950 FSIL0333 FSIL-Feel Financially Stressed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel financially stressed. FACIT-Searchable Item Library Adult Version - Feel Financially Stressed
C183951 FSIL0334 FSIL-Concerned Keeping My Job and Income Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job and income, including work at home. FACIT-Searchable Item Library Adult Version - Concerned Keeping My Job and Income
C183952 FSIL0335 FSIL-I Have a Loss of Appetite Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a loss of appetite. FACIT-Searchable Item Library Adult Version - I Have a Loss of Appetite
C183953 FSIL0336 FSIL-Digestive Problems Interfere Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My digestive problems interfere with my usual activities. FACIT-Searchable Item Library Adult Version - Digestive Problems Interfere Activ
C183954 FSIL0337 FSIL-Have Trouble Swallowing Food Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble swallowing food. FACIT-Searchable Item Library Adult Version - Have Trouble Swallowing Food
C183955 FSIL0338 FSIL-Bothered by Gas Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by gas (flatulence). FACIT-Searchable Item Library Adult Version - Bothered by Gas
C183956 FSIL0339 FSIL-Bothered by Reflux or Heartburn Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by reflux or heartburn. FACIT-Searchable Item Library Adult Version - Bothered by Reflux or Heartburn
C183957 FSIL0340 FSIL-Bothered by Change in Eating Habits Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my eating habits. FACIT-Searchable Item Library Adult Version - Bothered by Change in Eating Habits
C183958 FSIL0341 FSIL-Fullness/Heaviness in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a feeling of fullness or heaviness in my stomach area. FACIT-Searchable Item Library Adult Version - Fullness/Heaviness in Stomach Area
C183959 FSIL0342 FSIL-Discomfort or Pain When I Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain when I eat. FACIT-Searchable Item Library Adult Version - Discomfort or Pain When I Eat
C183960 FSIL0343 FSIL-Stomach Problems That Worry Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stomach problems that worry me. FACIT-Searchable Item Library Adult Version - Stomach Problems That Worry Me
C183961 FSIL0344 FSIL-Avoid Going Out to Eat B/c Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out to eat because of my illness. FACIT-Searchable Item Library Adult Version - Avoid Going Out to Eat B/c Illness
C183962 FSIL0345 FSIL-I Feel Sad Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sad. FACIT-Searchable Item Library Adult Version - I Feel Sad
C183963 FSIL0346 FSIL-Satisfied With How I Am Coping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with how I am coping with my illness. FACIT-Searchable Item Library Adult Version - Satisfied With How I Am Coping
C183964 FSIL0347 FSIL-Losing Hope Fight Against Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing hope in the fight against my illness. FACIT-Searchable Item Library Adult Version - Losing Hope Fight Against Illness
C183965 FSIL0348 FSIL-I Feel Nervous Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel nervous. FACIT-Searchable Item Library Adult Version - I Feel Nervous
C183966 FSIL0349 FSIL-I Worry About Dying Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about dying. FACIT-Searchable Item Library Adult Version - I Worry About Dying
C183967 FSIL0350 FSIL-Worry My Condition Will Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my condition will get worse. FACIT-Searchable Item Library Adult Version - Worry My Condition Will Get Worse
C183968 FSIL0351 FSIL-Able to Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to work (include work at home). FACIT-Searchable Item Library Adult Version - Able to Work
C183969 FSIL0352 FSIL-My Work Is Fulfilling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My work (include work at home) is fulfilling. FACIT-Searchable Item Library Adult Version - My Work Is Fulfilling
C183970 FSIL0353 FSIL-Able to Enjoy Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy life. FACIT-Searchable Item Library Adult Version - Able to Enjoy Life
C183971 FSIL0354 FSIL-I Have Accepted My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted my illness. FACIT-Searchable Item Library Adult Version - I Have Accepted My Illness
C183972 FSIL0355 FSIL-Sleeping Well Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am sleeping well. FACIT-Searchable Item Library Adult Version - Sleeping Well
C183973 FSIL0356 FSIL-Enjoy Things I Usually Do for Fun Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am enjoying the things I usually do for fun. FACIT-Searchable Item Library Adult Version - Enjoy Things I Usually Do for Fun
C183974 FSIL0357 FSIL-Content With Quality of My Life Now Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am content with the quality of my life right now. FACIT-Searchable Item Library Adult Version - Content With Quality of My Life Now
C183975 FSIL0358 FSIL-I Have a Lack of Energy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a lack of energy. FACIT-Searchable Item Library Adult Version - I Have a Lack of Energy
C183976 FSIL0359 FSIL-I Have Nausea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have nausea. FACIT-Searchable Item Library Adult Version - I Have Nausea
C183977 FSIL0360 FSIL-Trouble Meeting Needs of Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my physical condition, I have trouble meeting the needs of my family. FACIT-Searchable Item Library Adult Version - Trouble Meeting Needs of Family
C183978 FSIL0361 FSIL-I Have Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain. FACIT-Searchable Item Library Adult Version - I Have Pain
C183979 FSIL0362 FSIL-Bothered by Side Effects Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment. FACIT-Searchable Item Library Adult Version - Bothered by Side Effects Treatment
C183980 FSIL0363 FSIL-I Feel Ill Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel ill. FACIT-Searchable Item Library Adult Version - I Feel Ill
C183981 FSIL0364 FSIL-Forced to Spend Time in Bed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to spend time in bed. FACIT-Searchable Item Library Adult Version - Forced to Spend Time in Bed
C183982 FSIL0365 FSIL-Believe Bothered by Side Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe I will be bothered by side effects of treatment. FACIT-Searchable Item Library Adult Version - Believe Bothered by Side Effects
C183983 FSIL0366 FSIL-I Have Confidence in My Doctor(s) Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my doctor(s). FACIT-Searchable Item Library Adult Version - I Have Confidence in My Doctor(s)
C183984 FSIL0367 FSIL-Doctor Available Answer Questions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor is available to answer my questions. FACIT-Searchable Item Library Adult Version - Doctor Available Answer Questions
C183985 FSIL0368 FSIL-I Feel Close to My Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my friends. FACIT-Searchable Item Library Adult Version - I Feel Close to My Friends
C183986 FSIL0369 FSIL-Emotional Support From My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my family. FACIT-Searchable Item Library Adult Version - Emotional Support From My Family
C183987 FSIL0370 FSIL-I Get Support From My Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get support from my friends. FACIT-Searchable Item Library Adult Version - I Get Support From My Friends
C183988 FSIL0371 FSIL-My Family Has Accepted My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has accepted my illness. FACIT-Searchable Item Library Adult Version - My Family Has Accepted My Illness
C183989 FSIL0372 FSIL-Satisfied Communication Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with family communication about my illness. FACIT-Searchable Item Library Adult Version - Satisfied Communication Illness
C183990 FSIL0373 FSIL-I Feel Close to My Partner Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my partner (or the person who is my main support). FACIT-Searchable Item Library Adult Version - I Feel Close to My Partner
C183991 FSIL0374 FSIL-Satisfied With My Sex Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my sex life. FACIT-Searchable Item Library Adult Version - Satisfied With My Sex Life
C183992 FSIL0375 FSIL-I Feel Close to My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my family. FACIT-Searchable Item Library Adult Version - I Feel Close to My Family
C183993 FSIL0376 FSIL-Family Is Well Despite My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is doing well despite my illness. FACIT-Searchable Item Library Adult Version - Family Is Well Despite My Illness
C183994 FSIL0377 FSIL-Illness Caused Problems w/ Sex Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness or treatment has caused problems with my sex life. FACIT-Searchable Item Library Adult Version - Illness Caused Problems w/ Sex Life
C183995 FSIL0378 FSIL-Unhappy About Change in My Appear Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy about a change in my appearance. FACIT-Searchable Item Library Adult Version - Unhappy About Change in My Appear
C183996 FSIL0379 FSIL-Bothered by Jaundice/Yellow Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by jaundice or yellow color to my skin. FACIT-Searchable Item Library Adult Version - Bothered by Jaundice/Yellow Skin
C183997 FSIL0380 FSIL-I Have Had Fevers Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had fevers (episodes of high body temperature). FACIT-Searchable Item Library Adult Version - I Have Had Fevers
C183998 FSIL0381 FSIL-I Have Had Itching Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had itching. FACIT-Searchable Item Library Adult Version - I Have Had Itching
C183999 FSIL0382 FSIL-Had Change in the Way Food Tastes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had a change in the way food tastes. FACIT-Searchable Item Library Adult Version - Had Change in the Way Food Tastes
C184000 FSIL0383 FSIL-I Have Had Chills Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had chills. FACIT-Searchable Item Library Adult Version - I Have Had Chills
C184001 FSIL0384 FSIL-Discomfort/Pain in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my stomach area. FACIT-Searchable Item Library Adult Version - Discomfort/Pain in Stomach Area
C184002 FSIL0385 FSIL-Unhappy With My Appearance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with my appearance. FACIT-Searchable Item Library Adult Version - Unhappy With My Appearance
C184003 FSIL0386 FSIL-Embarrassed by My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my illness. FACIT-Searchable Item Library Adult Version - Embarrassed by My Illness
C184004 FSIL0387 FSIL-Hopeful About the Future Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am hopeful about the future. FACIT-Searchable Item Library Adult Version - Hopeful About the Future
C184005 FSIL0388 FSIL-I Feel Weak All Over Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel weak all over. FACIT-Searchable Item Library Adult Version - I Feel Weak All Over
C184006 FSIL0389 FSIL-Hard to Tell People About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is hard to tell other people about my infection. FACIT-Searchable Item Library Adult Version - Hard to Tell People About Infection
C184007 FSIL0390 FSIL-Have People to Help Me if I Need It Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have people to help me if I need it. FACIT-Searchable Item Library Adult Version - Have People to Help Me if I Need It
C184008 FSIL0391 FSIL-Worry About Spreading My Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading my infection. FACIT-Searchable Item Library Adult Version - Worry About Spreading My Infection
C184009 FSIL0392 FSIL-Concerned What the Future Holds Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about what the future holds for me. FACIT-Searchable Item Library Adult Version - Concerned What the Future Holds
C184010 FSIL0393 FSIL-I Feel Motivated to Do Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel motivated to do things. FACIT-Searchable Item Library Adult Version - I Feel Motivated to Do Things
C184011 FSIL0394 FSIL-I Feel Fatigued Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel fatigued. FACIT-Searchable Item Library Adult Version - I Feel Fatigued
C184012 FSIL0395 FSIL-I Have Trouble Concentrating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble concentrating. FACIT-Searchable Item Library Adult Version - I Have Trouble Concentrating
C184013 FSIL0396 FSIL-I Have Trouble Remembering Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble remembering things. FACIT-Searchable Item Library Adult Version - I Have Trouble Remembering Things
C184014 FSIL0397 FSIL-Able to Eat the Foods That I Like Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat the foods that I like. FACIT-Searchable Item Library Adult Version - Able to Eat the Foods That I Like
C184015 FSIL0398 FSIL-Able to Communicate With Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to communicate with others. FACIT-Searchable Item Library Adult Version - Able to Communicate With Others
C184016 FSIL0399 FSIL-I Can Eat Solid Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can eat solid foods. FACIT-Searchable Item Library Adult Version - I Can Eat Solid Foods
C184017 FSIL0400 FSIL-Pain in My Mouth, Throat or Neck Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my mouth, throat or neck. FACIT-Searchable Item Library Adult Version - Pain in My Mouth, Throat or Neck
C184018 FSIL0401 FSIL-My Mouth Is Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth is dry. FACIT-Searchable Item Library Adult Version - My Mouth Is Dry
C184019 FSIL0402 FSIL-I Have Trouble Breathing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble breathing. FACIT-Searchable Item Library Adult Version - I Have Trouble Breathing
C184020 FSIL0403 FSIL-Voice Has Usual Quality & Strength Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My voice has its usual quality and strength. FACIT-Searchable Item Library Adult Version - Voice Has Usual Quality & Strength
C184021 FSIL0404 FSIL-Able to Eat as Much Food as I Want Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat as much food as I want. FACIT-Searchable Item Library Adult Version - Able to Eat as Much Food as I Want
C184022 FSIL0405 FSIL-Unhappy With How Face & Neck Look Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with how my face and neck look. FACIT-Searchable Item Library Adult Version - Unhappy With How Face & Neck Look
C184023 FSIL0406 FSIL-Can Swallow Naturally and Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can swallow naturally and easily. FACIT-Searchable Item Library Adult Version - Can Swallow Naturally and Easily
C184024 FSIL0407 FSIL-Smoke Cigarettes/Other Tobacco Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I smoke cigarettes or other tobacco products. FACIT-Searchable Item Library Adult Version - Smoke Cigarettes/Other Tobacco
C184025 FSIL0408 FSIL-I Drink Alcohol Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I drink alcohol (e.g. beer, wine, etc.). FACIT-Searchable Item Library Adult Version - I Drink Alcohol
C184026 FSIL0409 FSIL-I Have Been Bothered by Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been bothered by diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - I Have Been Bothered by Diarrhea
C184027 FSIL0410 FSIL-Bothered by Blistering of My Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blistering of my skin. FACIT-Searchable Item Library Adult Version - Bothered by Blistering of My Skin
C184028 FSIL0411 FSIL-I Have Been Wheezing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been wheezing (whistling sound when I breathe). FACIT-Searchable Item Library Adult Version - I Have Been Wheezing
C184029 FSIL0412 FSIL-Stiffness/Tightness in My Joints Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness or tightness in my joints. FACIT-Searchable Item Library Adult Version - Stiffness/Tightness in My Joints
C184030 FSIL0413 FSIL-Joint Stiffness/Tight Limits Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint stiffness or tightness limits my usual activities. FACIT-Searchable Item Library Adult Version - Joint Stiffness/Tight Limits Activ
C184031 FSIL0414 FSIL-Joint Pain Limits My Usual Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint pain limits my usual activities. FACIT-Searchable Item Library Adult Version - Joint Pain Limits My Usual Activ
C184032 FSIL0415 FSIL-I Have Episodes of Heart Racing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have episodes of heart racing. FACIT-Searchable Item Library Adult Version - I Have Episodes of Heart Racing
C184033 FSIL0416 FSIL-My Eyes Feel Sandy or Gritty Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes feel sandy or gritty. FACIT-Searchable Item Library Adult Version - My Eyes Feel Sandy or Gritty
C184034 FSIL0417 FSIL-I Have Pain in My Sinus Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my sinus area. FACIT-Searchable Item Library Adult Version - I Have Pain in My Sinus Area
C184035 FSIL0418 FSIL-Bothered by Dry Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry skin. FACIT-Searchable Item Library Adult Version - Bothered by Dry Skin
C184036 FSIL0419 FSIL-Bothered by Vitiligo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by vitiligo (white patches appearing on my skin). FACIT-Searchable Item Library Adult Version - Bothered by Vitiligo
C184037 FSIL0420 FSIL-Pain/Soreness/Aches in Some Muscles Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel pain, soreness or aches in some of my muscles. FACIT-Searchable Item Library Adult Version - Pain/Soreness/Aches in Some Muscles
C184038 FSIL0421 FSIL-Worry Neg Impacts Long-term Health Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about negative impacts that my treatment may have upon my long-term health. FACIT-Searchable Item Library Adult Version - Worry Neg Impacts Long-term Health
C184039 FSIL0422 FSIL-Bothered by Short-term Reactions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by short-term treatment reactions that I experience immediately after, or within 24 hours of, an infusion (such as chills, dizziness, hives, rashes lasting no more than 24 hours). FACIT-Searchable Item Library Adult Version - Bothered by Short-term Reactions
C184040 FSIL0423 FSIL-Troubled Not Knowing Side Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am troubled by not knowing when exactly my side effects will happen, how long they will last and how bad they will be. FACIT-Searchable Item Library Adult Version - Troubled Not Knowing Side Effects
C184041 FSIL0424 FSIL-Bothered New Allergy-like Reactions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by new allergy-like reactions (e.g., to foods, insects, pollen). FACIT-Searchable Item Library Adult Version - Bothered New Allergy-like Reactions
C184042 FSIL0425 FSIL-Bothered by Cracking/Peeling Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by cracking or peeling of my skin. FACIT-Searchable Item Library Adult Version - Bothered by Cracking/Peeling Skin
C184043 FSIL0426 FSIL-Move My Bowels More Than Usual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I move my bowels more frequently than usual. FACIT-Searchable Item Library Adult Version - Move My Bowels More Than Usual
C184044 FSIL0427 FSIL-Condition Wakes/Keeps Me Up Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes or keeps me up at night. FACIT-Searchable Item Library Adult Version - Condition Wakes/Keeps Me Up Night
C184045 FSIL0428 FSIL-Move Bowels Freq to Avoid Accidents Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must move my bowels frequently to avoid accidents. FACIT-Searchable Item Library Adult Version - Move Bowels Freq to Avoid Accidents
C184046 FSIL0429 FSIL-Far From Home/Work W/o Fear Soilage Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can be far from home/work without fearing soilage. FACIT-Searchable Item Library Adult Version - Far From Home/Work W/o Fear Soilage
C184047 FSIL0430 FSIL-Wear Pads/Protect Prevent Soiling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear pads or protection to prevent soiling my underwear. FACIT-Searchable Item Library Adult Version - Wear Pads/Protect Prevent Soiling
C184048 FSIL0431 FSIL-Comfortable Discuss Cond w/Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am comfortable discussing my condition with friends. FACIT-Searchable Item Library Adult Version - Comfortable Discuss Cond w/Friends
C184049 FSIL0432 FSIL-Afraid to Be Far From a Toilet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to be far from a toilet. FACIT-Searchable Item Library Adult Version - Afraid to Be Far From a Toilet
C184050 FSIL0433 FSIL-Limit My Social Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of my condition. FACIT-Searchable Item Library Adult Version - Limit My Social Activity
C184051 FSIL0434 FSIL-Limit Physical Activ B/c Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of my condition. FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Condition
C184052 FSIL0435 FSIL-Limit Sexual Activ B/c Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of my condition. FACIT-Searchable Item Library Adult Version - Limit Sexual Activ B/c Condition
C184053 FSIL0436 FSIL-Embarrassed by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my condition. FACIT-Searchable Item Library Adult Version - Embarrassed by My Condition
C184054 FSIL0437 FSIL-My Condition Wakes Me Up at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes me up at night. FACIT-Searchable Item Library Adult Version - My Condition Wakes Me Up at Night
C184055 FSIL0438 FSIL-Urinate Frequently to Avoid Leaking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must urinate frequently to avoid leaking. FACIT-Searchable Item Library Adult Version - Urinate Frequently to Avoid Leaking
C184056 FSIL0439 FSIL-Wear Protection Leakage of Urine Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear protection for leakage of urine. FACIT-Searchable Item Library Adult Version - Wear Protection Leakage of Urine
C184057 FSIL0440 FSIL-My Thinking Is Clear Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is clear. FACIT-Searchable Item Library Adult Version - My Thinking Is Clear
C184058 FSIL0441 FSIL-I Have Been Coughing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been coughing. FACIT-Searchable Item Library Adult Version - I Have Been Coughing
C184059 FSIL0442 FSIL-I Feel Tightness in My Chest Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tightness in my chest. FACIT-Searchable Item Library Adult Version - I Feel Tightness in My Chest
C184060 FSIL0443 FSIL-Breathing Is Easy for Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Breathing is easy for me. FACIT-Searchable Item Library Adult Version - Breathing Is Easy for Me
C184061 FSIL0444 FSIL-I Regret My Smoking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret my smoking. FACIT-Searchable Item Library Adult Version - I Regret My Smoking
C184062 FSIL0445 FSIL-Bothered by Lumps or Swelling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin). FACIT-Searchable Item Library Adult Version - Bothered by Lumps or Swelling
C184063 FSIL0446 FSIL-Frustrated Unable Do Things I Want Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being unable to do the things I want to do. FACIT-Searchable Item Library Adult Version - Frustrated Unable Do Things I Want
C184064 FSIL0447 FSIL-I Feel Discouraged About My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discouraged about my illness. FACIT-Searchable Item Library Adult Version - I Feel Discouraged About My Illness
C184065 FSIL0448 FSIL-Difficulty Planning for Future Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my illness, I have difficulty planning for the future. FACIT-Searchable Item Library Adult Version - Difficulty Planning for Future
C184066 FSIL0449 FSIL-Uncertain About My Future Health Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncertain about my future health. FACIT-Searchable Item Library Adult Version - Uncertain About My Future Health
C184067 FSIL0450 FSIL-Worry I Might Get New Symptoms Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that I might get new symptoms of my illness. FACIT-Searchable Item Library Adult Version - Worry I Might Get New Symptoms
C184068 FSIL0451 FSIL-Feel Isolated Because of Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel isolated from others because of my illness or treatment. FACIT-Searchable Item Library Adult Version - Feel Isolated Because of Illness
C184069 FSIL0452 FSIL-Worry Support Myself/Family Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about being able to support myself or my family due to my illness. FACIT-Searchable Item Library Adult Version - Worry Support Myself/Family Illness
C184070 FSIL0453 FSIL-Bothered by Itching Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching. FACIT-Searchable Item Library Adult Version - Bothered by Itching
C184071 FSIL0454 FSIL-I Have Trouble Sleeping at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping at night. FACIT-Searchable Item Library Adult Version - I Have Trouble Sleeping at Night
C184072 FSIL0455 FSIL-Nervous Making Decisions Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get nervous about making decisions regarding treatment. FACIT-Searchable Item Library Adult Version - Nervous Making Decisions Treatment
C184073 FSIL0456 FSIL-Pain at My Melanoma/Surgical Site Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain at my melanoma site or surgical site. FACIT-Searchable Item Library Adult Version - Pain at My Melanoma/Surgical Site
C184074 FSIL0457 FSIL-I Have Swelling at My Melanoma Site Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling at my melanoma site. FACIT-Searchable Item Library Adult Version - I Have Swelling at My Melanoma Site
C184075 FSIL0458 FSIL-Swelling as a Result of Surgery Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling as a result of surgery. FACIT-Searchable Item Library Adult Version - Swelling as a Result of Surgery
C184076 FSIL0459 FSIL-Bothered by the Amount of Swelling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the amount of swelling. FACIT-Searchable Item Library Adult Version - Bothered by the Amount of Swelling
C184077 FSIL0460 FSIL-Movement of Swollen Area Is Painful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my swollen area is painful. FACIT-Searchable Item Library Adult Version - Movement of Swollen Area Is Painful
C184078 FSIL0461 FSIL-Swelling Keeps Me From Doing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from doing the things I want to do. FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Doing Things
C184079 FSIL0462 FSIL-Swelling Keeps Me From Wearing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from wearing clothes or shoes I want to wear. FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Wearing
C184080 FSIL0463 FSIL-I Feel Numbness at My Surgical Site Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel numbness at my surgical site. FACIT-Searchable Item Library Adult Version - I Feel Numbness at My Surgical Site
C184081 FSIL0464 FSIL-Good Range of Movement in Arm/Leg Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have good range of movement in my arm or leg. FACIT-Searchable Item Library Adult Version - Good Range of Movement in Arm/Leg
C184082 FSIL0465 FSIL-Noticed New Changes in My Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed new changes in my skin (lumps, bumps, color (colour)). FACIT-Searchable Item Library Adult Version - Noticed New Changes in My Skin
C184083 FSIL0466 FSIL-Worry Appearance of Surgical Scars Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the appearance of surgical scars. FACIT-Searchable Item Library Adult Version - Worry Appearance of Surgical Scars
C184084 FSIL0467 FSIL-I Have Aches and Pains in My Bones Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains in my bones. FACIT-Searchable Item Library Adult Version - I Have Aches and Pains in My Bones
C184085 FSIL0468 FSIL-I Have Noticed Blood in My Stool Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed blood in my stool. FACIT-Searchable Item Library Adult Version - I Have Noticed Blood in My Stool
C184086 FSIL0469 FSIL-Isolate From Others B/c Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I isolate myself from others because of my condition. FACIT-Searchable Item Library Adult Version - Isolate From Others B/c Condition
C184087 FSIL0470 FSIL-I Have Difficulty Thinking Clearly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty thinking clearly (remembering, concentrating). FACIT-Searchable Item Library Adult Version - I Have Difficulty Thinking Clearly
C184088 FSIL0471 FSIL-Trouble Walking Because of Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of pain. FACIT-Searchable Item Library Adult Version - Trouble Walking Because of Pain
C184089 FSIL0472 FSIL-Trouble Getting Around in Public Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble getting around in public places. FACIT-Searchable Item Library Adult Version - Trouble Getting Around in Public
C184090 FSIL0473 FSIL-I Need to Rest During the Day Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to rest during the day. FACIT-Searchable Item Library Adult Version - I Need to Rest During the Day
C184091 FSIL0474 FSIL-My Thinking Is Slower Than Before Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is slower than before. FACIT-Searchable Item Library Adult Version - My Thinking Is Slower Than Before
C184092 FSIL0475 FSIL-I Have Trouble Learning New Tasks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble learning new tasks or directions. FACIT-Searchable Item Library Adult Version - I Have Trouble Learning New Tasks
C184093 FSIL0476 FSIL-Family Trouble Understand Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my condition gets worse. FACIT-Searchable Item Library Adult Version - Family Trouble Understand Worse
C184094 FSIL0477 FSIL-I Feel Left Out of Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel "left out" of things. FACIT-Searchable Item Library Adult Version - I Feel Left Out of Things
C184095 FSIL0478 FSIL-Heat Worsens My Symptoms Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Heat worsens my symptoms. FACIT-Searchable Item Library Adult Version - Heat Worsens My Symptoms
C184096 FSIL0479 FSIL-Bothered by Muscle Spasms Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle spasms. FACIT-Searchable Item Library Adult Version - Bothered by Muscle Spasms
C184097 FSIL0480 FSIL-Take My Condition Into Account Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to take my condition into account when making plans. FACIT-Searchable Item Library Adult Version - Take My Condition Into Account
C184098 FSIL0481 FSIL-Bothered by Headaches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by headaches. FACIT-Searchable Item Library Adult Version - Bothered by Headaches
C184099 FSIL0482 FSIL-Bothered by Muscle Pains Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle pains. FACIT-Searchable Item Library Adult Version - Bothered by Muscle Pains
C184100 FSIL0483 FSIL-I Feel Trapped by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel trapped by my condition. FACIT-Searchable Item Library Adult Version - I Feel Trapped by My Condition
C184101 FSIL0484 FSIL-Depressed About My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about my condition. FACIT-Searchable Item Library Adult Version - Depressed About My Condition
C184102 FSIL0485 FSIL-I Feel Useless Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useless. FACIT-Searchable Item Library Adult Version - I Feel Useless
C184103 FSIL0486 FSIL-Feel Overwhelmed by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel overwhelmed by my condition. FACIT-Searchable Item Library Adult Version - Feel Overwhelmed by My Condition
C184104 FSIL0487 FSIL-Frustrated by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my condition. FACIT-Searchable Item Library Adult Version - Frustrated by My Condition
C184105 FSIL0488 FSIL-Worry Getting Sick Low Blood Counts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting sick due to low blood counts. FACIT-Searchable Item Library Adult Version - Worry Getting Sick Low Blood Counts
C184106 FSIL0489 FSIL-Avoid Public Places Fear Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid public places for fear of getting an infection. FACIT-Searchable Item Library Adult Version - Avoid Public Places Fear Infection
C184107 FSIL0490 FSIL-I Worry About Getting Infections Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting infections. FACIT-Searchable Item Library Adult Version - I Worry About Getting Infections
C184108 FSIL0491 FSIL-Worry Not improve Treatment Delayed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry my condition will not improve if my treatment is delayed. FACIT-Searchable Item Library Adult Version - Worry Not improve Treatment Delayed
C184109 FSIL0492 FSIL-I Have Mouth Sores Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mouth sores. FACIT-Searchable Item Library Adult Version - I Have Mouth Sores
C184110 FSIL0493 FSIL-Partner Worries My Blood Counts Low Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My partner worries about me when my blood counts are low. FACIT-Searchable Item Library Adult Version - Partner Worries My Blood Counts Low
C184111 FSIL0494 FSIL-Low Blood Counts Interfere Relation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My low blood counts interfere with my intimate relationships. FACIT-Searchable Item Library Adult Version - Low Blood Counts Interfere Relation
C184112 FSIL0495 FSIL-I Have Weakness in My Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my legs. FACIT-Searchable Item Library Adult Version - I Have Weakness in My Legs
C184113 FSIL0496 FSIL-Diff Moving Neck & Shoulders Stiff Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my neck and shoulders because of stiffness. FACIT-Searchable Item Library Adult Version - Diff Moving Neck & Shoulders Stiff
C184114 FSIL0497 FSIL-Bothered by Ringing in My Ear Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by ringing in my ear(s). FACIT-Searchable Item Library Adult Version - Bothered by Ringing in My Ear
C184115 FSIL0498 FSIL-Bothered by Worsening Eyesight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by worsening eyesight. FACIT-Searchable Item Library Adult Version - Bothered by Worsening Eyesight
C184116 FSIL0499 FSIL-I Have Trouble Smelling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble smelling. FACIT-Searchable Item Library Adult Version - I Have Trouble Smelling
C184117 FSIL0500 FSIL-I Can Enjoy the Taste of Food Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can enjoy the taste of food. FACIT-Searchable Item Library Adult Version - I Can Enjoy the Taste of Food
C184118 FSIL0501 FSIL-Bothered by Having a Blocked Nose Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by having a blocked nose. FACIT-Searchable Item Library Adult Version - Bothered by Having a Blocked Nose
C184119 FSIL0502 FSIL-Numbness or Tingling in My Hands Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my hands. FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Hands
C184120 FSIL0503 FSIL-Pain in Hands/Feet Exposed to Cold Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my hands or feet when I am exposed to cold temperatures. FACIT-Searchable Item Library Adult Version - Pain in Hands/Feet Exposed to Cold
C184121 FSIL0504 FSIL-Difficulty Breathing Exposed Cold Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing when I am exposed to cold temperatures. FACIT-Searchable Item Library Adult Version - Difficulty Breathing Exposed Cold
C184122 FSIL0505 FSIL-Numbness or Tingling in My Feet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my feet. FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Feet
C184123 FSIL0506 FSIL-I Feel Discomfort in My Hands Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my hands. FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Hands
C184124 FSIL0507 FSIL-I Feel Discomfort in My Feet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my feet. FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Feet
C184125 FSIL0508 FSIL-Have Joint Pain or Muscle Cramps Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have joint pain or muscle cramps. FACIT-Searchable Item Library Adult Version - Have Joint Pain or Muscle Cramps
C184126 FSIL0509 FSIL-I Have Trouble Hearing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble hearing. FACIT-Searchable Item Library Adult Version - I Have Trouble Hearing
C184127 FSIL0510 FSIL-Get Ringing or Buzzing in My Ears Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get a ringing or buzzing in my ears. FACIT-Searchable Item Library Adult Version - Get Ringing or Buzzing in My Ears
C184128 FSIL0511 FSIL-I Have Trouble Buttoning Buttons Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble buttoning buttons. FACIT-Searchable Item Library Adult Version - I Have Trouble Buttoning Buttons
C184129 FSIL0512 FSIL-Trouble Feeling Shape of Objects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling the shape of small objects when they are in my hand. FACIT-Searchable Item Library Adult Version - Trouble Feeling Shape of Objects
C184130 FSIL0513 FSIL-I Have Swelling in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in my stomach area. FACIT-Searchable Item Library Adult Version - I Have Swelling in Stomach Area
C184131 FSIL0514 FSIL-I Have Been Vomiting Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been vomiting. FACIT-Searchable Item Library Adult Version - I Have Been Vomiting
C184132 FSIL0515 FSIL-I Have Cramps in My Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramps in my stomach area. FACIT-Searchable Item Library Adult Version - I Have Cramps in My Stomach Area
C184133 FSIL0516 FSIL-I Have Aches/Pains That Bother Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains that bother me. FACIT-Searchable Item Library Adult Version - I Have Aches/Pains That Bother Me
C184134 FSIL0517 FSIL-Certain Parts of Body Have Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have certain parts of my body where I experience pain. FACIT-Searchable Item Library Adult Version - Certain Parts of Body Have Pain
C184135 FSIL0518 FSIL-Pain Keeps Me From Doing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pain keeps me from doing things I want to do. FACIT-Searchable Item Library Adult Version - Pain Keeps Me From Doing Things
C184136 FSIL0519 FSIL-Satisfied With Comfort Level Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my present comfort level. FACIT-Searchable Item Library Adult Version - Satisfied With Comfort Level
C184137 FSIL0520 FSIL-Able to Feel Like a Man Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a man. FACIT-Searchable Item Library Adult Version - Able to Feel Like a Man
C184138 FSIL0521 FSIL-I Have Trouble Moving My Bowels Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble moving my bowels. FACIT-Searchable Item Library Adult Version - I Have Trouble Moving My Bowels
C184139 FSIL0522 FSIL-I Have Difficulty Urinating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty urinating. FACIT-Searchable Item Library Adult Version - I Have Difficulty Urinating
C184140 FSIL0523 FSIL-Problem Urinating Limits Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problems with urinating limit my activities. FACIT-Searchable Item Library Adult Version - Problem Urinating Limits Activity
C184141 FSIL0524 FSIL-I Maintain Contact With My Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I maintain contact with my friends. FACIT-Searchable Item Library Adult Version - I Maintain Contact With My Friends
C184142 FSIL0525 FSIL-I Have Peace of Mind Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have peace of mind. FACIT-Searchable Item Library Adult Version - I Have Peace of Mind
C184143 FSIL0526 FSIL-Able to Make Decisions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions. FACIT-Searchable Item Library Adult Version - Able to Make Decisions
C184144 FSIL0527 FSIL-Able to Reconcile With Other People Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to reconcile (make peace) with other people. FACIT-Searchable Item Library Adult Version - Able to Reconcile With Other People
C184145 FSIL0528 FSIL-Discuss Concerns w/ People Closest Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to openly discuss my concerns with the people closest to me. FACIT-Searchable Item Library Adult Version - Discuss Concerns w/ People Closest
C184146 FSIL0529 FSIL-Family Who Take My Responsibilities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have family members who will take on my responsibilities. FACIT-Searchable Item Library Adult Version - Family Who Take My Responsibilities
C184147 FSIL0530 FSIL-Feel That My Family Appreciates Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that my family appreciates me. FACIT-Searchable Item Library Adult Version - Feel That My Family Appreciates Me
C184148 FSIL0531 FSIL-I Feel Like a Burden to My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel like a burden to my family. FACIT-Searchable Item Library Adult Version - I Feel Like a Burden to My Family
C184149 FSIL0532 FSIL-Constipated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am constipated. FACIT-Searchable Item Library Adult Version - Constipated
C184150 FSIL0533 FSIL-Have Swelling in Parts of My Body Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in parts of my body. FACIT-Searchable Item Library Adult Version - Have Swelling in Parts of My Body
C184151 FSIL0534 FSIL-My Mouth and Throat Are Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth and throat are dry. FACIT-Searchable Item Library Adult Version - My Mouth and Throat Are Dry
C184152 FSIL0535 FSIL-I Feel Useful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useful. FACIT-Searchable Item Library Adult Version - I Feel Useful
C184153 FSIL0536 FSIL-I Make Each Day Count Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I make each day count. FACIT-Searchable Item Library Adult Version - I Make Each Day Count
C184154 FSIL0537 FSIL-Told Family Members About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told family members about my infection. FACIT-Searchable Item Library Adult Version - Told Family Members About Infection
C184155 FSIL0538 FSIL-Do You Have an Ostomy Appliance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you have an ostomy appliance? FACIT-Searchable Item Library Adult Version - Do You Have an Ostomy Appliance
C184156 FSIL0539 FSIL-Have You Ever Smoked Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Have you ever smoked? FACIT-Searchable Item Library Adult Version - Have You Ever Smoked
C184157 FSIL0540 FSIL-Which Side Was Breast Operation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: On which side was your breast operation? FACIT-Searchable Item Library Adult Version - Which Side Was Breast Operation
C184158 FSIL0541 FSIL-How Many Places in Body Felt Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: In how many places in your body have you felt bone pain? FACIT-Searchable Item Library Adult Version - How Many Places in Body Felt Pain
C184159 FSIL0542 FSIL-Told Partner/Spouse About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told my partner/spouse about my infection. FACIT-Searchable Item Library Adult Version - Told Partner/Spouse About Infection
C184160 FSIL0543 FSIL-I Have Had Blood in My Urine Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had blood in my urine. FACIT-Searchable Item Library Adult Version - I Have Had Blood in My Urine
C184161 FSIL0544 FSIL-Inconvenient to Come for Radiation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is inconvenient for me to come for my radiation treatments. FACIT-Searchable Item Library Adult Version - Inconvenient to Come for Radiation
C184162 FSIL0545 FSIL-I Have Difficultly Raising My Arm Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficultly raising my arm. FACIT-Searchable Item Library Adult Version - I Have Difficultly Raising My Arm
C184163 FSIL0546 FSIL-Difficulty Moving My Arm Sideways Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my arm sideways. FACIT-Searchable Item Library Adult Version - Difficulty Moving My Arm Sideways
C184164 FSIL0547 FSIL-Numbness/Tingling in Arm/Shoulder Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my arm, shoulder, or breast. FACIT-Searchable Item Library Adult Version - Numbness/Tingling in Arm/Shoulder
C184165 FSIL0548 FSIL-I Have Difficulty Breathing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing. FACIT-Searchable Item Library Adult Version - I Have Difficulty Breathing
C184166 FSIL0549 FSIL-Bothered by Appearance Skin Breast Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the appearance of the skin in my breast area. FACIT-Searchable Item Library Adult Version - Bothered by Appearance Skin Breast
C184167 FSIL0550 FSIL-I Have Pain in My Breast Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my breast. FACIT-Searchable Item Library Adult Version - I Have Pain in My Breast
C184168 FSIL0551 FSIL-I Have Pain in Arm and/or Shoulder Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my arm and/or shoulder. FACIT-Searchable Item Library Adult Version - I Have Pain in Arm and/or Shoulder
C184169 FSIL0552 FSIL-My Chest Area Is Sore Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chest area (not including the breast itself) is sore. FACIT-Searchable Item Library Adult Version - My Chest Area Is Sore
C184170 FSIL0553 FSIL-Bothered by Swelling in My Breast Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in my breast. FACIT-Searchable Item Library Adult Version - Bothered by Swelling in My Breast
C184171 FSIL0554 FSIL-My Breast Is Sensitive/Tender Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breast is sensitive/tender. FACIT-Searchable Item Library Adult Version - My Breast Is Sensitive/Tender
C184172 FSIL0555 FSIL-My Underarm Area Sensitive/Tender Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My underarm area is sensitive/tender. FACIT-Searchable Item Library Adult Version - My Underarm Area Sensitive/Tender
C184173 FSIL0556 FSIL-Skin in Breast Area Itchy/Flaky/Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin in my breast area is itchy, flaky or dry. FACIT-Searchable Item Library Adult Version - Skin in Breast Area Itchy/Flaky/Dry
C184174 FSIL0557 FSIL-Bothered by Skin Problems Underarm Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems in my underarm area. FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems Underarm
C184175 FSIL0558 FSIL-I Feel Peaceful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel peaceful. FACIT-Searchable Item Library Adult Version - I Feel Peaceful
C184176 FSIL0559 FSIL-Strength in Faith/Spiritual Beliefs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find strength in my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Strength in Faith/Spiritual Beliefs
C184177 FSIL0560 FSIL-Illness Strengthen Faith/Spiritual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has strengthened my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Illness Strengthen Faith/Spiritual
C184178 FSIL0561 FSIL-Whatever Happens Illness Will Be OK Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that whatever happens with my illness, things will be okay. FACIT-Searchable Item Library Adult Version - Whatever Happens Illness Will Be OK
C184179 FSIL0562 FSIL-I Feel Connected to Higher Power Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to a higher power (or God). FACIT-Searchable Item Library Adult Version - I Feel Connected to Higher Power
C184180 FSIL0563 FSIL-I Feel Connected to Other People Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to other people. FACIT-Searchable Item Library Adult Version - I Feel Connected to Other People
C184181 FSIL0564 FSIL-I Feel Loved Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel loved. FACIT-Searchable Item Library Adult Version - I Feel Loved
C184182 FSIL0565 FSIL-I Feel Love for Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel love for others. FACIT-Searchable Item Library Adult Version - I Feel Love for Others
C184183 FSIL0566 FSIL-Forgive Others for Harm Caused Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to forgive others for any harm they have ever caused me. FACIT-Searchable Item Library Adult Version - Forgive Others for Harm Caused Me
C184184 FSIL0567 FSIL-Feel Forgiven for Harm I Caused Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel forgiven for any harm I may have ever caused. FACIT-Searchable Item Library Adult Version - Feel Forgiven for Harm I Caused
C184185 FSIL0568 FSIL-Feel Sense of Thankfulness for Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for my life. FACIT-Searchable Item Library Adult Version - Feel Sense of Thankfulness for Life
C184186 FSIL0569 FSIL-I Have a Reason for Living Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a reason for living. FACIT-Searchable Item Library Adult Version - I Have a Reason for Living
C184187 FSIL0570 FSIL-Thankfulness Others Bring to Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for what others bring to my life. FACIT-Searchable Item Library Adult Version - Thankfulness Others Bring to Life
C184188 FSIL0571 FSIL-I Feel Hopeful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel hopeful. FACIT-Searchable Item Library Adult Version - I Feel Hopeful
C184189 FSIL0572 FSIL-Appreciation for Beauty of Nature Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of appreciation for the beauty of nature. FACIT-Searchable Item Library Adult Version - Appreciation for Beauty of Nature
C184190 FSIL0573 FSIL-Compassion for Others Difficulties Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel compassion for others in the difficulties they are facing. FACIT-Searchable Item Library Adult Version - Compassion for Others Difficulties
C184191 FSIL0574 FSIL-My Life Has Been Productive Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life has been productive. FACIT-Searchable Item Library Adult Version - My Life Has Been Productive
C184192 FSIL0575 FSIL-Have Trouble Feeling Peace of Mind Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling peace of mind. FACIT-Searchable Item Library Adult Version - Have Trouble Feeling Peace of Mind
C184193 FSIL0576 FSIL-Feel Sense of Purpose in My Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of purpose in my life. FACIT-Searchable Item Library Adult Version - Feel Sense of Purpose in My Life
C184194 FSIL0577 FSIL-Reach Into Myself for Comfort Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to reach down deep into myself for comfort. FACIT-Searchable Item Library Adult Version - Reach Into Myself for Comfort
C184195 FSIL0578 FSIL-Feel Sense of Harmony Within Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of harmony within myself. FACIT-Searchable Item Library Adult Version - Feel Sense of Harmony Within Myself
C184196 FSIL0579 FSIL-My Life Lacks Meaning and Purpose Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life lacks meaning and purpose. FACIT-Searchable Item Library Adult Version - My Life Lacks Meaning and Purpose
C184197 FSIL0580 FSIL-Comfort in Faith/Spiritual Beliefs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find comfort in my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Comfort in Faith/Spiritual Beliefs
C184198 FSIL0581 FSIL-Difficult Times Strengthened Faith Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Difficult times have strengthened my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Difficult Times Strengthened Faith
C184199 FSIL0582 FSIL-During Difficult Times Things Be OK Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Even during difficult times, I know that things will be okay. FACIT-Searchable Item Library Adult Version - During Difficult Times Things Be OK
C184200 FSIL0583 FSIL-Bothered by Increased Facial Hair Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by increased facial hair. FACIT-Searchable Item Library Adult Version - Bothered by Increased Facial Hair
C184201 FSIL0584 FSIL-Bothered by Sensitivity Fingernails Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sensitivity around my fingernails or toenails. FACIT-Searchable Item Library Adult Version - Bothered by Sensitivity Fingernails
C184202 FSIL0585 FSIL-My Eyes Are Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes are dry. FACIT-Searchable Item Library Adult Version - My Eyes Are Dry
C184203 FSIL0586 FSIL-Skin Cond Interferes w/ Social Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my social life. FACIT-Searchable Item Library Adult Version - Skin Cond Interferes w/ Social Life
C184204 FSIL0587 FSIL-My Skin Condition Affects My Mood Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition affects my mood. FACIT-Searchable Item Library Adult Version - My Skin Condition Affects My Mood
C184205 FSIL0588 FSIL-Embarrassed by My Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my skin condition. FACIT-Searchable Item Library Adult Version - Embarrassed by My Skin Condition
C184206 FSIL0589 FSIL-Unattractive B/c How My Skin Looks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel unattractive because of how my skin looks. FACIT-Searchable Item Library Adult Version - Unattractive B/c How My Skin Looks
C184207 FSIL0590 FSIL-Sensitivity Fingernails Diff Tasks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sensitivity around my fingernails makes it difficult to perform household tasks. FACIT-Searchable Item Library Adult Version - Sensitivity Fingernails Diff Tasks
C184208 FSIL0591 FSIL-Skin Condition Interferes w/ Sleep Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my ability to sleep. FACIT-Searchable Item Library Adult Version - Skin Condition Interferes w/ Sleep
C184209 FSIL0592 FSIL-Skin Condition Make Life Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Changes in my skin condition make daily life difficult. FACIT-Searchable Item Library Adult Version - Skin Condition Make Life Difficult
C184210 FSIL0593 FSIL-Avoid Public B/c How My Skin Looks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out in public because of how my skin looks. FACIT-Searchable Item Library Adult Version - Avoid Public B/c How My Skin Looks
C184211 FSIL0594 FSIL-Skin Side Effects Interfered Tasks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin side effects from treatment have interfered with household tasks. FACIT-Searchable Item Library Adult Version - Skin Side Effects Interfered Tasks
C184212 FSIL0595 FSIL-My Skin or Scalp Feels Irritated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp feels irritated. FACIT-Searchable Item Library Adult Version - My Skin or Scalp Feels Irritated
C184213 FSIL0596 FSIL-My Skin or Scalp Is Dry or Flaky Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp is dry or "flaky". FACIT-Searchable Item Library Adult Version - My Skin or Scalp Is Dry or Flaky
C184214 FSIL0597 FSIL-My Skin or Scalp Itches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp itches. FACIT-Searchable Item Library Adult Version - My Skin or Scalp Itches
C184215 FSIL0598 FSIL-My Skin Bleeds Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin bleeds easily. FACIT-Searchable Item Library Adult Version - My Skin Bleeds Easily
C184216 FSIL0599 FSIL-Bothered by Skin Sensitivity to Sun Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my skin's sensitivity to the sun. FACIT-Searchable Item Library Adult Version - Bothered by Skin Sensitivity to Sun
C184217 FSIL0600 FSIL-Pharmacist Advises Use of Medicines Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the proper use of my medicines. FACIT-Searchable Item Library Adult Version - Pharmacist Advises Use of Medicines
C184218 FSIL0601 FSIL-Pharmacist Advises Adverse Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the adverse (side) effects of my medicines. FACIT-Searchable Item Library Adult Version - Pharmacist Advises Adverse Effects
C184219 FSIL0602 FSIL-I Have Confidence in My Pharmacist Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my pharmacist(s). FACIT-Searchable Item Library Adult Version - I Have Confidence in My Pharmacist
C184220 FSIL0603 FSIL-Pharmacist Available Questions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is available to answer my questions. FACIT-Searchable Item Library Adult Version - Pharmacist Available Questions
C184221 FSIL0604 FSIL-Helps Arrangements Obtain Medicines Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist helps with the arrangements necessary to obtain my medicines. FACIT-Searchable Item Library Adult Version - Helps Arrangements Obtain Medicines
C184222 FSIL0605 FSIL-Pharmacist Aware Treatment Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is aware of my treatment-related needs. FACIT-Searchable Item Library Adult Version - Pharmacist Aware Treatment Needs
C184223 FSIL0606 FSIL-Pharmacist Responds Treatment Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist responds to my treatment-related needs. FACIT-Searchable Item Library Adult Version - Pharmacist Responds Treatment Needs
C184224 FSIL0607 FSIL-I Feel Bloated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel bloated. FACIT-Searchable Item Library Adult Version - I Feel Bloated
C184225 FSIL0608 FSIL-My Hands Are Swollen Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My hands are swollen. FACIT-Searchable Item Library Adult Version - My Hands Are Swollen
C184226 FSIL0609 FSIL-My Legs or Feet Are Swollen Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My legs or feet are swollen. FACIT-Searchable Item Library Adult Version - My Legs or Feet Are Swollen
C184227 FSIL0610 FSIL-I Have Pain in My Fingertips Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my fingertips. FACIT-Searchable Item Library Adult Version - I Have Pain in My Fingertips
C184228 FSIL0611 FSIL-Bothered by My Hands/Nails Look Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the way my hands or nails look. FACIT-Searchable Item Library Adult Version - Bothered by My Hands/Nails Look
C184229 FSIL0612 FSIL-I Bleed Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bleed easily. FACIT-Searchable Item Library Adult Version - I Bleed Easily
C184230 FSIL0613 FSIL-Avoid or Limit Physical Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit physical activity (because of concern with bleeding or bruising). FACIT-Searchable Item Library Adult Version - Avoid or Limit Physical Activity
C184231 FSIL0614 FSIL-Avoid or Limit Social Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit social activity (because of concern with bleeding or bruising). FACIT-Searchable Item Library Adult Version - Avoid or Limit Social Activity
C184232 FSIL0615 FSIL-Frustrated Not Do Usual Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by not being able to do my usual activities. FACIT-Searchable Item Library Adult Version - Frustrated Not Do Usual Activities
C184233 FSIL0616 FSIL-Worry Treatment Will Be Delayed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment will be delayed (because of low blood counts). FACIT-Searchable Item Library Adult Version - Worry Treatment Will Be Delayed
C184234 FSIL0617 FSIL-Worry Treatment Dose Will Reduced Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment dose will be reduced (because of low blood counts). FACIT-Searchable Item Library Adult Version - Worry Treatment Dose Will Reduced
C184235 FSIL0618 FSIL-Women: Bothered by Vaginal Bleeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: For women only: I am bothered by vaginal bleeding. FACIT-Searchable Item Library Adult Version - Women: Bothered by Vaginal Bleeding
C184236 FSIL0619 FSIL-I Bruise Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bruise easily. FACIT-Searchable Item Library Adult Version - I Bruise Easily
C184237 FSIL0620 FSIL-Worry Problems Bruising/Bleeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about problems with bruising or bleeding. FACIT-Searchable Item Library Adult Version - Worry Problems Bruising/Bleeding
C184238 FSIL0621 FSIL-Worry About Serious Bleeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the possibility of serious bleeding. FACIT-Searchable Item Library Adult Version - Worry About Serious Bleeding
C184239 FSIL0622 FSIL-Bothered by Nosebleeds Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by nosebleeds. FACIT-Searchable Item Library Adult Version - Bothered by Nosebleeds
C184240 FSIL0623 FSIL-Bothered by Bleeding in Gums/Mouth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by bleeding in my gums or mouth. FACIT-Searchable Item Library Adult Version - Bothered by Bleeding in Gums/Mouth
C184241 FSIL0624 FSIL-Bothered by Bruising Beneath Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pinpoint bruising beneath my skin. FACIT-Searchable Item Library Adult Version - Bothered by Bruising Beneath Skin
C184242 FSIL0625 FSIL-Bothered by Blood in My Urine/Stool Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blood in my urine or stool. FACIT-Searchable Item Library Adult Version - Bothered by Blood in My Urine/Stool
C184243 FSIL0626 FSIL-Inconvenienced Platelet Transfusion Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am inconvenienced by platelet transfusions. FACIT-Searchable Item Library Adult Version - Inconvenienced Platelet Transfusion
C184244 FSIL0627 FSIL-Effectiveness of Treatment So Far Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the effectiveness of the treatment so far? FACIT-Searchable Item Library Adult Version - Effectiveness of Treatment So Far
C184245 FSIL0628 FSIL-Doctor Explain Benefits Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible benefits of your treatment? FACIT-Searchable Item Library Adult Version - Doctor Explain Benefits Treatment
C184246 FSIL0629 FSIL-Doctor Explain Side Effects/Risks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible side effects or risks of your treatment? FACIT-Searchable Item Library Adult Version - Doctor Explain Side Effects/Risks
C184247 FSIL0630 FSIL-Have Opportunity to Ask Questions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have an opportunity to ask questions? FACIT-Searchable Item Library Adult Version - Have Opportunity to Ask Questions
C184248 FSIL0631 FSIL-Get to Say Things Important to You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you get to say the things that were important to you? FACIT-Searchable Item Library Adult Version - Get to Say Things Important to You
C184249 FSIL0632 FSIL-Doctor Understand Important to You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand what was important to you? FACIT-Searchable Item Library Adult Version - Doctor Understand Important to You
C184250 FSIL0633 FSIL-Doctor Show Genuine Concern for You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) show genuine concern for you? FACIT-Searchable Item Library Adult Version - Doctor Show Genuine Concern for You
C184251 FSIL0634 FSIL-Doctor Seem Understand Your Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand your needs? FACIT-Searchable Item Library Adult Version - Doctor Seem Understand Your Needs
C184252 FSIL0635 FSIL-Able to Talk to Doctor When Needed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you able to talk to your doctor(s) when you needed to? FACIT-Searchable Item Library Adult Version - Able to Talk to Doctor When Needed
C184253 FSIL0636 FSIL-Treatment Staff Discuss Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Work
C184254 FSIL0637 FSIL-Side Effects of Treatment So Far Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the side effects of treatment so far? FACIT-Searchable Item Library Adult Version - Side Effects of Treatment So Far
C184255 FSIL0638 FSIL-Treatment Staff Discuss Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal daily activities? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Activities
C184256 FSIL0639 FSIL-Treatment Staff Discuss Relation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your personal relationships? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Relation
C184257 FSIL0640 FSIL-Treatment Staff Discuss Emotionally Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect you emotionally? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Emotionally
C184258 FSIL0641 FSIL-Doctor Experience Treating Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) had experience treating your illness? FACIT-Searchable Item Library Adult Version - Doctor Experience Treating Illness
C184259 FSIL0642 FSIL-Doctor Knew Medical Developments Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) knew about the latest medical developments for your illness? FACIT-Searchable Item Library Adult Version - Doctor Knew Medical Developments
C184260 FSIL0643 FSIL-Treatment Staff Thorough Examining Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Was the treatment staff thorough in examining and treating you? FACIT-Searchable Item Library Adult Version - Treatment Staff Thorough Examining
C184261 FSIL0644 FSIL-Participate Decisions Health Care Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you encouraged to participate in decisions about your health care? FACIT-Searchable Item Library Adult Version - Participate Decisions Health Care
C184262 FSIL0645 FSIL-Have Enough Time to Make Decisions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have enough time to make decisions about your health care? FACIT-Searchable Item Library Adult Version - Have Enough Time to Make Decisions
C184263 FSIL0646 FSIL-Doctor Evaluate Effects Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) help you evaluate the effects of your treatment so far? FACIT-Searchable Item Library Adult Version - Doctor Evaluate Effects Treatment
C184264 FSIL0647 FSIL-Doctor Seem Respect Your Opinions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to respect your opinions? FACIT-Searchable Item Library Adult Version - Doctor Seem Respect Your Opinions
C184265 FSIL0648 FSIL-Nurse Explanations You Understand Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) give explanations that you could understand? FACIT-Searchable Item Library Adult Version - Nurse Explanations You Understand
C184266 FSIL0649 FSIL-Nurse Show Genuine Concern for You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) show genuine concern for you? FACIT-Searchable Item Library Adult Version - Nurse Show Genuine Concern for You
C184267 FSIL0650 FSIL-Nurse Seem to Understand Your Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) seem to understand your needs? FACIT-Searchable Item Library Adult Version - Nurse Seem to Understand Your Needs
C184268 FSIL0651 FSIL-Treatment Staff Answered Honestly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel that the treatment staff answered your questions honestly? FACIT-Searchable Item Library Adult Version - Treatment Staff Answered Honestly
C184269 FSIL0652 FSIL-Treatment Staff Respect Privacy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff respect your privacy? FACIT-Searchable Item Library Adult Version - Treatment Staff Respect Privacy
C184270 FSIL0653 FSIL-Have Confidence in Your Doctor Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have confidence in your doctor(s)? FACIT-Searchable Item Library Adult Version - Have Confidence in Your Doctor
C184271 FSIL0654 FSIL-Trust Doctor Suggestions Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you trust your doctor(s)' suggestions for treatment? FACIT-Searchable Item Library Adult Version - Trust Doctor Suggestions Treatment
C184272 FSIL0655 FSIL-Recommend Clinic/Office to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this clinic or office to others? FACIT-Searchable Item Library Adult Version - Recommend Clinic/Office to Others
C184273 FSIL0656 FSIL-Choose This Clinic/Office Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this clinic or office again? FACIT-Searchable Item Library Adult Version - Choose This Clinic/Office Again
C184274 FSIL0657 FSIL-Received Treatment Right for You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you feel you received the treatment that was right for you? FACIT-Searchable Item Library Adult Version - Received Treatment Right for You
C184275 FSIL0658 FSIL-Rate the Care You Received Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate the care you received? FACIT-Searchable Item Library Adult Version - Rate the Care You Received
C184276 FSIL0659 FSIL-Satisfied With Effects of Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the effects of this treatment so far? FACIT-Searchable Item Library Adult Version - Satisfied With Effects of Treatment
C184277 FSIL0660 FSIL-Recommend This Treatment to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment to others with your illness? FACIT-Searchable Item Library Adult Version - Recommend This Treatment to Others
C184278 FSIL0661 FSIL-Choose This Treatment Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment again? FACIT-Searchable Item Library Adult Version - Choose This Treatment Again
C184279 FSIL0662 FSIL-Rate This Treatment Overall Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate this treatment overall? FACIT-Searchable Item Library Adult Version - Rate This Treatment Overall
C184280 FSIL0663 FSIL-Doctor Explanations You Understand Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) give explanations that you could understand? FACIT-Searchable Item Library Adult Version - Doctor Explanations You Understand
C184281 FSIL0664 FSIL-Bothered by Discharge From Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vulva. FACIT-Searchable Item Library Adult Version - Bothered by Discharge From Vulva
C184282 FSIL0665 FSIL-Bothered by Odor From Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vulva. FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vulva
C184283 FSIL0666 FSIL-Bothered by Swelling/Fluid in Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling/fluid in my legs. FACIT-Searchable Item Library Adult Version - Bothered by Swelling/Fluid in Legs
C184284 FSIL0667 FSIL-Bothered by Discomfort Groin/Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discomfort in my groin or legs. FACIT-Searchable Item Library Adult Version - Bothered by Discomfort Groin/Legs
C184285 FSIL0668 FSIL-Bothered by Itching/Burning Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching/burning in my vulva area. FACIT-Searchable Item Library Adult Version - Bothered by Itching/Burning Vulva
C184286 FSIL0669 FSIL-Bothered by Pain/Numbness in Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pain or numbness in my vulva area. FACIT-Searchable Item Library Adult Version - Bothered by Pain/Numbness in Vulva
C184287 FSIL0670 FSIL-I Have Trouble Bending Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble bending. FACIT-Searchable Item Library Adult Version - I Have Trouble Bending
C184288 FSIL0671 FSIL-I Have Discomfort When I Am Sitting Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I am sitting. FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Am Sitting
C184289 FSIL0672 FSIL-Bothered by Compression Stockings Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by wearing compression stockings. FACIT-Searchable Item Library Adult Version - Bothered by Compression Stockings
C184290 FSIL0673 FSIL-Satisfied With Urinary Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my urinary condition. FACIT-Searchable Item Library Adult Version - Satisfied With Urinary Condition
C184291 FSIL0674 FSIL-Caring Urinary Condition Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my urinary condition is difficult. FACIT-Searchable Item Library Adult Version - Caring Urinary Condition Difficult

FSILTN (Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Name)

NCI Code: C183550, Codelist extensible: No
C183550 FSILTN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183886 FSIL-Abdominal Cramps Diarrhea FSIL-Abdominal Cramps Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have abdominal cramps or discomfort due to my diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Abdominal Cramps Diarrhea
C183826 FSIL-Able Remember Things Where Left FSIL-Able Remember Things Where Left Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember things, like where I left my keys or wallet. FACIT-Searchable Item Library Adult Version - Able Remember Things Where Left
C183827 FSIL-Able Remember to Do Things FSIL-Able Remember to Do Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember to do things, like take medicine or buy something I needed. FACIT-Searchable Item Library Adult Version - Able Remember to Do Things
C183830 FSIL-Able to Bring to Mind Words FSIL-Able to Bring to Mind Words Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to bring to mind words that I wanted to use while talking to someone. FACIT-Searchable Item Library Adult Version - Able to Bring to Mind Words
C184015 FSIL-Able to Communicate With Others FSIL-Able to Communicate With Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to communicate with others. FACIT-Searchable Item Library Adult Version - Able to Communicate With Others
C183705 FSIL-Able to Concentrate FSIL-Able to Concentrate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to concentrate. FACIT-Searchable Item Library Adult Version - Able to Concentrate
C183653 FSIL-Able to Do My Usual Activities FSIL-Able to Do My Usual Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to do my usual activities. FACIT-Searchable Item Library Adult Version - Able to Do My Usual Activities
C183714 FSIL-Able to Drive a Vehicle FSIL-Able to Drive a Vehicle Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to drive a vehicle (my car, truck, etc.). FACIT-Searchable Item Library Adult Version - Able to Drive a Vehicle
C184021 FSIL-Able to Eat as Much Food as I Want FSIL-Able to Eat as Much Food as I Want Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat as much food as I want. FACIT-Searchable Item Library Adult Version - Able to Eat as Much Food as I Want
C184014 FSIL-Able to Eat the Foods That I Like FSIL-Able to Eat the Foods That I Like Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat the foods that I like. FACIT-Searchable Item Library Adult Version - Able to Eat the Foods That I Like
C183970 FSIL-Able to Enjoy Life FSIL-Able to Enjoy Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy life. FACIT-Searchable Item Library Adult Version - Able to Enjoy Life
C184137 FSIL-Able to Feel Like a Man FSIL-Able to Feel Like a Man Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a man. FACIT-Searchable Item Library Adult Version - Able to Feel Like a Man
C183668 FSIL-Able to Feel Like a Woman FSIL-Able to Feel Like a Woman Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a woman. FACIT-Searchable Item Library Adult Version - Able to Feel Like a Woman
C183724 FSIL-Able to Find the Right Words FSIL-Able to Find the Right Words Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to find the right word(s) to say what I mean. FACIT-Searchable Item Library Adult Version - Able to Find the Right Words
C183687 FSIL-Able to Get Around by Myself FSIL-Able to Get Around by Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to get around by myself. FACIT-Searchable Item Library Adult Version - Able to Get Around by Myself
C183673 FSIL-Able to Have/Maintain Erection FSIL-Able to Have/Maintain Erection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to have and maintain an erection. (For men only) FACIT-Searchable Item Library Adult Version - Able to Have/Maintain Erection
C183796 FSIL-Able to Maintain My Balance FSIL-Able to Maintain My Balance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to maintain my balance. FACIT-Searchable Item Library Adult Version - Able to Maintain My Balance
C184143 FSIL-Able to Make Decisions FSIL-Able to Make Decisions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions. FACIT-Searchable Item Library Adult Version - Able to Make Decisions
C183949 FSIL-Able to Meet My Monthly Expenses FSIL-Able to Meet My Monthly Expenses Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to meet my monthly expenses. FACIT-Searchable Item Library Adult Version - Able to Meet My Monthly Expenses
C183825 FSIL-Able to Pay Attention w/o Effort FSIL-Able to Pay Attention w/o Effort Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to pay attention and keep track of what I am doing without extra effort. FACIT-Searchable Item Library Adult Version - Able to Pay Attention w/o Effort
C183711 FSIL-Able to Put My thoughts Into Action FSIL-Able to Put My thoughts Into Action Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts into action. FACIT-Searchable Item Library Adult Version - Able to Put My thoughts Into Action
C183709 FSIL-Able to Put My Thoughts Together FSIL-Able to Put My Thoughts Together Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts together. FACIT-Searchable Item Library Adult Version - Able to Put My Thoughts Together
C183712 FSIL-Able to Read Like I Used to FSIL-Able to Read Like I Used to Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to read like I used to. FACIT-Searchable Item Library Adult Version - Able to Read Like I Used to
C184144 FSIL-Able to Reconcile With Other People FSIL-Able to Reconcile With Other People Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to reconcile (make peace) with other people. FACIT-Searchable Item Library Adult Version - Able to Reconcile With Other People
C183828 FSIL-Able to Shift Between Activities FSIL-Able to Shift Between Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to shift back and forth between two activities that require thinking. FACIT-Searchable Item Library Adult Version - Able to Shift Between Activities
C184252 FSIL-Able to Talk to Doctor When Needed FSIL-Able to Talk to Doctor When Needed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you able to talk to your doctor(s) when you needed to? FACIT-Searchable Item Library Adult Version - Able to Talk to Doctor When Needed
C183829 FSIL-Able to Track What I Am Doing FSIL-Able to Track What I Am Doing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to keep track of what I am doing, even if I am interrupted. FACIT-Searchable Item Library Adult Version - Able to Track What I Am Doing
C183797 FSIL-Able to Walk FSIL-Able to Walk Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to walk. FACIT-Searchable Item Library Adult Version - Able to Walk
C183968 FSIL-Able to Work FSIL-Able to Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to work (include work at home). FACIT-Searchable Item Library Adult Version - Able to Work
C183713 FSIL-Able to Write Like I Used to FSIL-Able to Write Like I Used to Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to write like I used to. FACIT-Searchable Item Library Adult Version - Able to Write Like I Used to
C183775 FSIL-Accepted I Have This Infection FSIL-Accepted I Have This Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted that I have this infection. FACIT-Searchable Item Library Adult Version - Accepted I Have This Infection
C183721 FSIL-Afraid of Having a Seizure FSIL-Afraid of Having a Seizure Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid of having a seizure (convulsion). FACIT-Searchable Item Library Adult Version - Afraid of Having a Seizure
C184049 FSIL-Afraid to Be Far From a Toilet FSIL-Afraid to Be Far From a Toilet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to be far from a toilet. FACIT-Searchable Item Library Adult Version - Afraid to Be Far From a Toilet
C183877 FSIL-Afraid to Have Sex FSIL-Afraid to Have Sex Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to have sex. FACIT-Searchable Item Library Adult Version - Afraid to Have Sex
C183879 FSIL-Afraid Treatment May Harm Body FSIL-Afraid Treatment May Harm Body Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid the treatment may harm my body. FACIT-Searchable Item Library Adult Version - Afraid Treatment May Harm Body
C183628 FSIL-Amount I Eat Is Sufficient FSIL-Amount I Eat Is Sufficient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The amount I eat is sufficient to meet my needs. FACIT-Searchable Item Library Adult Version - Amount I Eat Is Sufficient
C184189 FSIL-Appreciation for Beauty of Nature FSIL-Appreciation for Beauty of Nature Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of appreciation for the beauty of nature. FACIT-Searchable Item Library Adult Version - Appreciation for Beauty of Nature
C183961 FSIL-Avoid Going Out to Eat B/c Illness FSIL-Avoid Going Out to Eat B/c Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out to eat because of my illness. FACIT-Searchable Item Library Adult Version - Avoid Going Out to Eat B/c Illness
C184230 FSIL-Avoid or Limit Physical Activity FSIL-Avoid or Limit Physical Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit physical activity (because of concern with bleeding or bruising). FACIT-Searchable Item Library Adult Version - Avoid or Limit Physical Activity
C184231 FSIL-Avoid or Limit Social Activity FSIL-Avoid or Limit Social Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit social activity (because of concern with bleeding or bruising). FACIT-Searchable Item Library Adult Version - Avoid or Limit Social Activity
C184210 FSIL-Avoid Public B/c How My Skin Looks FSIL-Avoid Public B/c How My Skin Looks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out in public because of how my skin looks. FACIT-Searchable Item Library Adult Version - Avoid Public B/c How My Skin Looks
C184106 FSIL-Avoid Public Places Fear Infection FSIL-Avoid Public Places Fear Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid public places for fear of getting an infection. FACIT-Searchable Item Library Adult Version - Avoid Public Places Fear Infection
C183621 FSIL-Because of Sores Eating Difficult FSIL-Because of Sores Eating Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my mouth sores, eating is difficult. FACIT-Searchable Item Library Adult Version - Because of Sores Eating Difficult
C183755 FSIL-Believe Blood Will Be Inconvenient FSIL-Believe Blood Will Be Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that having my blood drawn will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Blood Will Be Inconvenient
C183982 FSIL-Believe Bothered by Side Effects FSIL-Believe Bothered by Side Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe I will be bothered by side effects of treatment. FACIT-Searchable Item Library Adult Version - Believe Bothered by Side Effects
C183853 FSIL-Believe Chemo Cause Physical Pain FSIL-Believe Chemo Cause Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy treatment will cause me physical pain. FACIT-Searchable Item Library Adult Version - Believe Chemo Cause Physical Pain
C183855 FSIL-Believe Chemo Harmful to Me FSIL-Believe Chemo Harmful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will be harmful to me. FACIT-Searchable Item Library Adult Version - Believe Chemo Harmful to Me
C183854 FSIL-Believe Chemo Inconvenient FSIL-Believe Chemo Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe receiving chemotherapy will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Chemo Inconvenient
C183857 FSIL-Believe Chemo Sched Stress Family FSIL-Believe Chemo Sched Stress Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to my family. FACIT-Searchable Item Library Adult Version - Believe Chemo Sched Stress Family
C183856 FSIL-Believe Chemo Schedule Stressful Me FSIL-Believe Chemo Schedule Stressful Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to me. FACIT-Searchable Item Library Adult Version - Believe Chemo Schedule Stressful Me
C183852 FSIL-Believe Chemo Take Up My Time FSIL-Believe Chemo Take Up My Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will take up my time. FACIT-Searchable Item Library Adult Version - Believe Chemo Take Up My Time
C183753 FSIL-Believe Eating Will Be Inconvenient FSIL-Believe Eating Will Be Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that waiting up to 60 minutes before eating breakfast in the morning will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Eating Will Be Inconvenient
C183754 FSIL-Believe Infusion Will Cause Pain FSIL-Believe Infusion Will Cause Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that an infusion for my bone treatment will cause me physical pain. FACIT-Searchable Item Library Adult Version - Believe Infusion Will Cause Pain
C183761 FSIL-Believe Schedule Stressful Family FSIL-Believe Schedule Stressful Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to my family. FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful Family
C183760 FSIL-Believe Schedule Stressful to Me FSIL-Believe Schedule Stressful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to me. FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful to Me
C183758 FSIL-Believe Treatment Inconvenient FSIL-Believe Treatment Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that receiving treatment for bone disease will be inconvenient. FACIT-Searchable Item Library Adult Version - Believe Treatment Inconvenient
C183756 FSIL-Believe Treatment Take Family Time FSIL-Believe Treatment Take Family Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will take up my family's time. FACIT-Searchable Item Library Adult Version - Believe Treatment Take Family Time
C183759 FSIL-Believe Treatment Will Be Harmful FSIL-Believe Treatment Will Be Harmful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will be harmful to me. FACIT-Searchable Item Library Adult Version - Believe Treatment Will Be Harmful
C183757 FSIL-Believe Treatment Will Cause Pain FSIL-Believe Treatment Will Cause Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will cause me physical pain. FACIT-Searchable Item Library Adult Version - Believe Treatment Will Cause Pain
C183751 FSIL-Believe Treatment Will Take Up Time FSIL-Believe Treatment Will Take Up Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will take up my time. FACIT-Searchable Item Library Adult Version - Believe Treatment Will Take Up Time
C183752 FSIL-Believe Will Be Bothered by Effects FSIL-Believe Will Be Bothered by Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that I will be bothered by side effects of treatment for bone disease. FACIT-Searchable Item Library Adult Version - Believe Will Be Bothered by Effects
C183781 FSIL-Blame Myself for the Infection FSIL-Blame Myself for the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I tend to blame myself for the infection. FACIT-Searchable Item Library Adult Version - Blame Myself for the Infection
C183698 FSIL-Bone Pain Even When I Sit/Lie Still FSIL-Bone Pain Even When I Sit/Lie Still Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain even when I sit or lie still. FACIT-Searchable Item Library Adult Version - Bone Pain Even When I Sit/Lie Still
C183702 FSIL-Bone Pain Interferes Care Myself FSIL-Bone Pain Interferes Care Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.). FACIT-Searchable Item Library Adult Version - Bone Pain Interferes Care Myself
C183703 FSIL-Bone Pain Interferes w/Social FSIL-Bone Pain Interferes w/Social Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my social activities. FACIT-Searchable Item Library Adult Version - Bone Pain Interferes w/Social
C183704 FSIL-Bone Pain Wakes Me Up at Night FSIL-Bone Pain Wakes Me Up at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain wakes me up at night. FACIT-Searchable Item Library Adult Version - Bone Pain Wakes Me Up at Night
C183627 FSIL-Bothered by a Skin Rash FSIL-Bothered by a Skin Rash Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a skin rash. FACIT-Searchable Item Library Adult Version - Bothered by a Skin Rash
C184166 FSIL-Bothered by Appearance Skin Breast FSIL-Bothered by Appearance Skin Breast Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the appearance of the skin in my breast area. FACIT-Searchable Item Library Adult Version - Bothered by Appearance Skin Breast
C184240 FSIL-Bothered by Bleeding in Gums/Mouth FSIL-Bothered by Bleeding in Gums/Mouth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by bleeding in my gums or mouth. FACIT-Searchable Item Library Adult Version - Bothered by Bleeding in Gums/Mouth
C184027 FSIL-Bothered by Blistering of My Skin FSIL-Bothered by Blistering of My Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blistering of my skin. FACIT-Searchable Item Library Adult Version - Bothered by Blistering of My Skin
C184242 FSIL-Bothered by Blood in My Urine/Stool FSIL-Bothered by Blood in My Urine/Stool Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blood in my urine or stool. FACIT-Searchable Item Library Adult Version - Bothered by Blood in My Urine/Stool
C184241 FSIL-Bothered by Bruising Beneath Skin FSIL-Bothered by Bruising Beneath Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pinpoint bruising beneath my skin. FACIT-Searchable Item Library Adult Version - Bothered by Bruising Beneath Skin
C183957 FSIL-Bothered by Change in Eating Habits FSIL-Bothered by Change in Eating Habits Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my eating habits. FACIT-Searchable Item Library Adult Version - Bothered by Change in Eating Habits
C183678 FSIL-Bothered by Change in Food Tastes FSIL-Bothered by Change in Food Tastes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in the way food tastes. FACIT-Searchable Item Library Adult Version - Bothered by Change in Food Tastes
C183706 FSIL-Bothered by Change in Personality FSIL-Bothered by Change in Personality Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my personality. FACIT-Searchable Item Library Adult Version - Bothered by Change in Personality
C183667 FSIL-Bothered by Change in Weight FSIL-Bothered by Change in Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in weight. FACIT-Searchable Item Library Adult Version - Bothered by Change in Weight
C184289 FSIL-Bothered by Compression Stockings FSIL-Bothered by Compression Stockings Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by wearing compression stockings. FACIT-Searchable Item Library Adult Version - Bothered by Compression Stockings
C183880 FSIL-Bothered by Constipation FSIL-Bothered by Constipation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by constipation. FACIT-Searchable Item Library Adult Version - Bothered by Constipation
C184042 FSIL-Bothered by Cracking/Peeling Skin FSIL-Bothered by Cracking/Peeling Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by cracking or peeling of my skin. FACIT-Searchable Item Library Adult Version - Bothered by Cracking/Peeling Skin
C184281 FSIL-Bothered by Discharge From Vulva FSIL-Bothered by Discharge From Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vulva. FACIT-Searchable Item Library Adult Version - Bothered by Discharge From Vulva
C184284 FSIL-Bothered by Discomfort Groin/Legs FSIL-Bothered by Discomfort Groin/Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discomfort in my groin or legs. FACIT-Searchable Item Library Adult Version - Bothered by Discomfort Groin/Legs
C183708 FSIL-Bothered by Drop in My Contribution FSIL-Bothered by Drop in My Contribution Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the drop in my contribution to the family. FACIT-Searchable Item Library Adult Version - Bothered by Drop in My Contribution
C183730 FSIL-Bothered by Dry Mouth FSIL-Bothered by Dry Mouth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry mouth. FACIT-Searchable Item Library Adult Version - Bothered by Dry Mouth
C184035 FSIL-Bothered by Dry Skin FSIL-Bothered by Dry Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry skin. FACIT-Searchable Item Library Adult Version - Bothered by Dry Skin
C183735 FSIL-Bothered by Effects Treatment Bone FSIL-Bothered by Effects Treatment Bone Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment for bone disease. FACIT-Searchable Item Library Adult Version - Bothered by Effects Treatment Bone
C183729 FSIL-Bothered by Fevers FSIL-Bothered by Fevers Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by fevers (episodes of high body temperature). FACIT-Searchable Item Library Adult Version - Bothered by Fevers
C183955 FSIL-Bothered by Gas FSIL-Bothered by Gas Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by gas (flatulence). FACIT-Searchable Item Library Adult Version - Bothered by Gas
C183664 FSIL-Bothered by Hair Loss FSIL-Bothered by Hair Loss Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hair loss. FACIT-Searchable Item Library Adult Version - Bothered by Hair Loss
C184118 FSIL-Bothered by Having a Blocked Nose FSIL-Bothered by Having a Blocked Nose Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by having a blocked nose. FACIT-Searchable Item Library Adult Version - Bothered by Having a Blocked Nose
C184098 FSIL-Bothered by Headaches FSIL-Bothered by Headaches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by headaches. FACIT-Searchable Item Library Adult Version - Bothered by Headaches
C183771 FSIL-Bothered by Hot Flashes FSIL-Bothered by Hot Flashes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hot flashes. FACIT-Searchable Item Library Adult Version - Bothered by Hot Flashes
C184200 FSIL-Bothered by Increased Facial Hair FSIL-Bothered by Increased Facial Hair Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by increased facial hair. FACIT-Searchable Item Library Adult Version - Bothered by Increased Facial Hair
C184070 FSIL-Bothered by Itching FSIL-Bothered by Itching Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching. FACIT-Searchable Item Library Adult Version - Bothered by Itching
C184285 FSIL-Bothered by Itching/Burning Vulva FSIL-Bothered by Itching/Burning Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching/burning in my vulva area. FACIT-Searchable Item Library Adult Version - Bothered by Itching/Burning Vulva
C183996 FSIL-Bothered by Jaundice/Yellow Skin FSIL-Bothered by Jaundice/Yellow Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by jaundice or yellow color to my skin. FACIT-Searchable Item Library Adult Version - Bothered by Jaundice/Yellow Skin
C184062 FSIL-Bothered by Lumps or Swelling FSIL-Bothered by Lumps or Swelling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin). FACIT-Searchable Item Library Adult Version - Bothered by Lumps or Swelling
C183620 FSIL-Bothered by Mouth Sores/Tenderness FSIL-Bothered by Mouth Sores/Tenderness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by mouth sores or tenderness. FACIT-Searchable Item Library Adult Version - Bothered by Mouth Sores/Tenderness
C184099 FSIL-Bothered by Muscle Pains FSIL-Bothered by Muscle Pains Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle pains. FACIT-Searchable Item Library Adult Version - Bothered by Muscle Pains
C184096 FSIL-Bothered by Muscle Spasms FSIL-Bothered by Muscle Spasms Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle spasms. FACIT-Searchable Item Library Adult Version - Bothered by Muscle Spasms
C184228 FSIL-Bothered by My Hands/Nails Look FSIL-Bothered by My Hands/Nails Look Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the way my hands or nails look. FACIT-Searchable Item Library Adult Version - Bothered by My Hands/Nails Look
C184239 FSIL-Bothered by Nosebleeds FSIL-Bothered by Nosebleeds Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by nosebleeds. FACIT-Searchable Item Library Adult Version - Bothered by Nosebleeds
C183876 FSIL-Bothered by Odor From Vagina FSIL-Bothered by Odor From Vagina Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vagina. FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vagina
C184282 FSIL-Bothered by Odor From Vulva FSIL-Bothered by Odor From Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vulva. FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vulva
C184286 FSIL-Bothered by Pain/Numbness in Vulva FSIL-Bothered by Pain/Numbness in Vulva Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pain or numbness in my vulva area. FACIT-Searchable Item Library Adult Version - Bothered by Pain/Numbness in Vulva
C183956 FSIL-Bothered by Reflux or Heartburn FSIL-Bothered by Reflux or Heartburn Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by reflux or heartburn. FACIT-Searchable Item Library Adult Version - Bothered by Reflux or Heartburn
C184114 FSIL-Bothered by Ringing in My Ear FSIL-Bothered by Ringing in My Ear Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by ringing in my ear(s). FACIT-Searchable Item Library Adult Version - Bothered by Ringing in My Ear
C184201 FSIL-Bothered by Sensitivity Fingernails FSIL-Bothered by Sensitivity Fingernails Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sensitivity around my fingernails or toenails. FACIT-Searchable Item Library Adult Version - Bothered by Sensitivity Fingernails
C184039 FSIL-Bothered by Short-term Reactions FSIL-Bothered by Short-term Reactions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by short-term treatment reactions that I experience immediately after, or within 24 hours of, an infusion (such as chills, dizziness, hives, rashes lasting no more than 24 hours). FACIT-Searchable Item Library Adult Version - Bothered by Short-term Reactions
C183979 FSIL-Bothered by Side Effects Treatment FSIL-Bothered by Side Effects Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment. FACIT-Searchable Item Library Adult Version - Bothered by Side Effects Treatment
C184174 FSIL-Bothered by Skin Problems Underarm FSIL-Bothered by Skin Problems Underarm Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems in my underarm area. FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems Underarm
C183680 FSIL-Bothered by Skin Problems FSIL-Bothered by Skin Problems Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems. FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems
C184216 FSIL-Bothered by Skin Sensitivity to Sun FSIL-Bothered by Skin Sensitivity to Sun Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my skin's sensitivity to the sun. FACIT-Searchable Item Library Adult Version - Bothered by Skin Sensitivity to Sun
C183727 FSIL-Bothered by Sweating FSIL-Bothered by Sweating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sweating. FACIT-Searchable Item Library Adult Version - Bothered by Sweating
C183619 FSIL-Bothered by Swelling Certain Areas FSIL-Bothered by Swelling Certain Areas Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in certain areas of my body. FACIT-Searchable Item Library Adult Version - Bothered by Swelling Certain Areas
C184170 FSIL-Bothered by Swelling in My Breast FSIL-Bothered by Swelling in My Breast Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in my breast. FACIT-Searchable Item Library Adult Version - Bothered by Swelling in My Breast
C184283 FSIL-Bothered by Swelling/Fluid in Legs FSIL-Bothered by Swelling/Fluid in Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling/fluid in my legs. FACIT-Searchable Item Library Adult Version - Bothered by Swelling/Fluid in Legs
C184076 FSIL-Bothered by the Amount of Swelling FSIL-Bothered by the Amount of Swelling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the amount of swelling. FACIT-Searchable Item Library Adult Version - Bothered by the Amount of Swelling
C183728 FSIL-Bothered by the Chills FSIL-Bothered by the Chills Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the chills. FACIT-Searchable Item Library Adult Version - Bothered by the Chills
C183864 FSIL-Bothered by Uncertainty Prognosis FSIL-Bothered by Uncertainty Prognosis Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by uncertainty about my prognosis. FACIT-Searchable Item Library Adult Version - Bothered by Uncertainty Prognosis
C184036 FSIL-Bothered by Vitiligo FSIL-Bothered by Vitiligo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by vitiligo (white patches appearing on my skin). FACIT-Searchable Item Library Adult Version - Bothered by Vitiligo
C184115 FSIL-Bothered by Worsening Eyesight FSIL-Bothered by Worsening Eyesight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by worsening eyesight. FACIT-Searchable Item Library Adult Version - Bothered by Worsening Eyesight
C183875 FSIL-Bothered Discharge/Bleeding Vagina FSIL-Bothered Discharge/Bleeding Vagina Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vagina. FACIT-Searchable Item Library Adult Version - Bothered Discharge/Bleeding Vagina
C183867 FSIL-Bothered Inconvenience Treat Skin FSIL-Bothered Inconvenience Treat Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the inconvenience of treatment for my skin condition. FACIT-Searchable Item Library Adult Version - Bothered Inconvenience Treat Skin
C184041 FSIL-Bothered New Allergy-like Reactions FSIL-Bothered New Allergy-like Reactions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by new allergy-like reactions (e.g., to foods, insects, pollen). FACIT-Searchable Item Library Adult Version - Bothered New Allergy-like Reactions
C183863 FSIL-Bothered Red/Pink Appearance Skin FSIL-Bothered Red/Pink Appearance Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the red or pink appearance of my skin. FACIT-Searchable Item Library Adult Version - Bothered Red/Pink Appearance Skin
C184060 FSIL-Breathing Is Easy for Me FSIL-Breathing Is Easy for Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Breathing is easy for me. FACIT-Searchable Item Library Adult Version - Breathing Is Easy for Me
C183795 FSIL-Can Manage Things Around Infection FSIL-Can Manage Things Around Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I can manage things that come up around this infection. FACIT-Searchable Item Library Adult Version - Can Manage Things Around Infection
C184023 FSIL-Can Swallow Naturally and Easily FSIL-Can Swallow Naturally and Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can swallow naturally and easily. FACIT-Searchable Item Library Adult Version - Can Swallow Naturally and Easily
C183782 FSIL-Careful Who I told About Infection FSIL-Careful Who I told About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I was careful who I told about the infection. FACIT-Searchable Item Library Adult Version - Careful Who I told About Infection
C183770 FSIL-Caring for Ostomy Is Difficult FSIL-Caring for Ostomy Is Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my ostomy appliance is difficult. FACIT-Searchable Item Library Adult Version - Caring for Ostomy Is Difficult
C184291 FSIL-Caring Urinary Condition Difficult FSIL-Caring Urinary Condition Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my urinary condition is difficult. FACIT-Searchable Item Library Adult Version - Caring Urinary Condition Difficult
C183896 FSIL-Carrying 10-20 Lbs FSIL-Carrying 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. FACIT-Searchable Item Library Adult Version - Carrying 10-20 Lbs
C184134 FSIL-Certain Parts of Body Have Pain FSIL-Certain Parts of Body Have Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have certain parts of my body where I experience pain. FACIT-Searchable Item Library Adult Version - Certain Parts of Body Have Pain
C183846 FSIL-Chemo Causes Physical Pain FSIL-Chemo Causes Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment causes me physical pain. FACIT-Searchable Item Library Adult Version - Chemo Causes Physical Pain
C183851 FSIL-Chemo Schedule Is Stressful Family FSIL-Chemo Schedule Is Stressful Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to my family. FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Family
C183850 FSIL-Chemo Schedule Is Stressful Me FSIL-Chemo Schedule Is Stressful Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to me. FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Me
C183849 FSIL-Chemo Seems Harmful FSIL-Chemo Seems Harmful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment seems harmful to me. FACIT-Searchable Item Library Adult Version - Chemo Seems Harmful
C183844 FSIL-Chemo Takes Family Time FSIL-Chemo Takes Family Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment takes up my family's time. FACIT-Searchable Item Library Adult Version - Chemo Takes Family Time
C183839 FSIL-Chemo Treatment Takes Up My Time FSIL-Chemo Treatment Takes Up My Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment takes up my time. FACIT-Searchable Item Library Adult Version - Chemo Treatment Takes Up My Time
C183842 FSIL-Choose This Chemo Again FSIL-Choose This Chemo Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this chemotherapy again? FACIT-Searchable Item Library Adult Version - Choose This Chemo Again
C184273 FSIL-Choose This Clinic/Office Again FSIL-Choose This Clinic/Office Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this clinic or office again? FACIT-Searchable Item Library Adult Version - Choose This Clinic/Office Again
C184278 FSIL-Choose This Treatment Again FSIL-Choose This Treatment Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment again? FACIT-Searchable Item Library Adult Version - Choose This Treatment Again
C183738 FSIL-Choose This Treatment Bone Again FSIL-Choose This Treatment Bone Again Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment for bone disease again? FACIT-Searchable Item Library Adult Version - Choose This Treatment Bone Again
C184197 FSIL-Comfort in Faith/Spiritual Beliefs FSIL-Comfort in Faith/Spiritual Beliefs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find comfort in my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Comfort in Faith/Spiritual Beliefs
C184048 FSIL-Comfortable Discuss Cond w/Friends FSIL-Comfortable Discuss Cond w/Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am comfortable discussing my condition with friends. FACIT-Searchable Item Library Adult Version - Comfortable Discuss Cond w/Friends
C184190 FSIL-Compassion for Others Difficulties FSIL-Compassion for Others Difficulties Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel compassion for others in the difficulties they are facing. FACIT-Searchable Item Library Adult Version - Compassion for Others Difficulties
C183634 FSIL-Concerned About How Thin I Look FSIL-Concerned About How Thin I Look Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about how thin I look. FACIT-Searchable Item Library Adult Version - Concerned About How Thin I Look
C183674 FSIL-Concerned About Keeping My Job FSIL-Concerned About Keeping My Job Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job (include work at home). FACIT-Searchable Item Library Adult Version - Concerned About Keeping My Job
C183951 FSIL-Concerned Keeping My Job and Income FSIL-Concerned Keeping My Job and Income Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job and income, including work at home. FACIT-Searchable Item Library Adult Version - Concerned Keeping My Job and Income
C184009 FSIL-Concerned What the Future Holds FSIL-Concerned What the Future Holds Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about what the future holds for me. FACIT-Searchable Item Library Adult Version - Concerned What the Future Holds
C183778 FSIL-Concerns Ability Become Pregnant FSIL-Concerns Ability Become Pregnant Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to become pregnant. FACIT-Searchable Item Library Adult Version - Concerns Ability Become Pregnant
C183689 FSIL-Concerns Ability to Have Children FSIL-Concerns Ability to Have Children Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to have children. FACIT-Searchable Item Library Adult Version - Concerns Ability to Have Children
C184044 FSIL-Condition Wakes/Keeps Me Up Night FSIL-Condition Wakes/Keeps Me Up Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes or keeps me up at night. FACIT-Searchable Item Library Adult Version - Condition Wakes/Keeps Me Up Night
C183690 FSIL-Confidence in My Nurse(s) FSIL-Confidence in My Nurse(s) Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my nurse(s). FACIT-Searchable Item Library Adult Version - Confidence in My Nurse(s)
C183915 FSIL-Confident Nutrition Feeding Tube FSIL-Confident Nutrition Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am more confident about my nutrition because of my feeding tube. FACIT-Searchable Item Library Adult Version - Confident Nutrition Feeding Tube
C184149 FSIL-Constipated FSIL-Constipated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am constipated. FACIT-Searchable Item Library Adult Version - Constipated
C183918 FSIL-Constipation Dur/After Tube Feeding FSIL-Constipation Dur/After Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have constipation during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Constipation Dur/After Tube Feeding
C183974 FSIL-Content With Quality of My Life Now FSIL-Content With Quality of My Life Now Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am content with the quality of my life right now. FACIT-Searchable Item Library Adult Version - Content With Quality of My Life Now
C183683 FSIL-Cost of Treatment Is Burden on Me FSIL-Cost of Treatment Is Burden on Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The cost of my treatment is a burden on me or my family. FACIT-Searchable Item Library Adult Version - Cost of Treatment Is Burden on Me
C183913 FSIL-Dependent on Others Feeding Tube FSIL-Dependent on Others Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel dependent on others because I have a feeding tube. FACIT-Searchable Item Library Adult Version - Dependent on Others Feeding Tube
C184101 FSIL-Depressed About My Condition FSIL-Depressed About My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about my condition. FACIT-Searchable Item Library Adult Version - Depressed About My Condition
C183786 FSIL-Depressed About the Infection FSIL-Depressed About the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about the infection. FACIT-Searchable Item Library Adult Version - Depressed About the Infection
C183887 FSIL-Diarrhea Keeps/Wakes Me Up at Night FSIL-Diarrhea Keeps/Wakes Me Up at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problem with diarrhea (diarrhoea) keeps/wakes me up at night. FACIT-Searchable Item Library Adult Version - Diarrhea Keeps/Wakes Me Up at Night
C184113 FSIL-Diff Moving Neck & Shoulders Stiff FSIL-Diff Moving Neck & Shoulders Stiff Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my neck and shoulders because of stiffness. FACIT-Searchable Item Library Adult Version - Diff Moving Neck & Shoulders Stiff
C184198 FSIL-Difficult Times Strengthened Faith FSIL-Difficult Times Strengthened Faith Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Difficult times have strengthened my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Difficult Times Strengthened Faith
C184121 FSIL-Difficulty Breathing Exposed Cold FSIL-Difficulty Breathing Exposed Cold Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing when I am exposed to cold temperatures. FACIT-Searchable Item Library Adult Version - Difficulty Breathing Exposed Cold
C183861 FSIL-Difficulty Doing Things B/c of Skin FSIL-Difficulty Doing Things B/c of Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty doing things with my hands because of the condition of my skin. FACIT-Searchable Item Library Adult Version - Difficulty Doing Things B/c of Skin
C183725 FSIL-Difficulty Expressing My Thoughts FSIL-Difficulty Expressing My Thoughts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty expressing my thoughts. FACIT-Searchable Item Library Adult Version - Difficulty Expressing My Thoughts
C184163 FSIL-Difficulty Moving My Arm Sideways FSIL-Difficulty Moving My Arm Sideways Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my arm sideways. FACIT-Searchable Item Library Adult Version - Difficulty Moving My Arm Sideways
C184065 FSIL-Difficulty Planning for Future FSIL-Difficulty Planning for Future Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my illness, I have difficulty planning for the future. FACIT-Searchable Item Library Adult Version - Difficulty Planning for Future
C183900 FSIL-Difficulty Swallowing Liquids FSIL-Difficulty Swallowing Liquids Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing liquids. FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Liquids
C183899 FSIL-Difficulty Swallowing Soft Foods FSIL-Difficulty Swallowing Soft Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing soft or mashed foods. FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Soft Foods
C183898 FSIL-Difficulty Swallowing Solid Foods FSIL-Difficulty Swallowing Solid Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing solid foods. FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Solid Foods
C183783 FSIL-Difficulty Telling Partner/Spouse FSIL-Difficulty Telling Partner/Spouse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had difficulty telling my partner/spouse about the infection. FACIT-Searchable Item Library Adult Version - Difficulty Telling Partner/Spouse
C183862 FSIL-Difficulty Walking B/c of Skin FSIL-Difficulty Walking B/c of Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty walking because of my skin condition. FACIT-Searchable Item Library Adult Version - Difficulty Walking B/c of Skin
C183953 FSIL-Digestive Problems Interfere Activ FSIL-Digestive Problems Interfere Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My digestive problems interfere with my usual activities. FACIT-Searchable Item Library Adult Version - Digestive Problems Interfere Activ
C183774 FSIL-Discomfort in My Pelvic Area FSIL-Discomfort in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort in my pelvic area. FACIT-Searchable Item Library Adult Version - Discomfort in My Pelvic Area
C183959 FSIL-Discomfort or Pain When I Eat FSIL-Discomfort or Pain When I Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain when I eat. FACIT-Searchable Item Library Adult Version - Discomfort or Pain When I Eat
C183926 FSIL-Discomfort/Pain in My Pelvic Area FSIL-Discomfort/Pain in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my pelvic area. FACIT-Searchable Item Library Adult Version - Discomfort/Pain in My Pelvic Area
C184001 FSIL-Discomfort/Pain in Stomach Area FSIL-Discomfort/Pain in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my stomach area. FACIT-Searchable Item Library Adult Version - Discomfort/Pain in Stomach Area
C184145 FSIL-Discuss Concerns w/ People Closest FSIL-Discuss Concerns w/ People Closest Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to openly discuss my concerns with the people closest to me. FACIT-Searchable Item Library Adult Version - Discuss Concerns w/ People Closest
C184155 FSIL-Do You Have an Ostomy Appliance FSIL-Do You Have an Ostomy Appliance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you have an ostomy appliance? FACIT-Searchable Item Library Adult Version - Do You Have an Ostomy Appliance
C183984 FSIL-Doctor Available Answer Questions FSIL-Doctor Available Answer Questions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor is available to answer my questions. FACIT-Searchable Item Library Adult Version - Doctor Available Answer Questions
C184263 FSIL-Doctor Evaluate Effects Treatment FSIL-Doctor Evaluate Effects Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) help you evaluate the effects of your treatment so far? FACIT-Searchable Item Library Adult Version - Doctor Evaluate Effects Treatment
C184258 FSIL-Doctor Experience Treating Illness FSIL-Doctor Experience Treating Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) had experience treating your illness? FACIT-Searchable Item Library Adult Version - Doctor Experience Treating Illness
C184245 FSIL-Doctor Explain Benefits Treatment FSIL-Doctor Explain Benefits Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible benefits of your treatment? FACIT-Searchable Item Library Adult Version - Doctor Explain Benefits Treatment
C184246 FSIL-Doctor Explain Side Effects/Risks FSIL-Doctor Explain Side Effects/Risks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible side effects or risks of your treatment? FACIT-Searchable Item Library Adult Version - Doctor Explain Side Effects/Risks
C183794 FSIL-Doctor Explained Possible Benefits FSIL-Doctor Explained Possible Benefits Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor explained the possible benefits of my treatment. FACIT-Searchable Item Library Adult Version - Doctor Explained Possible Benefits
C184280 FSIL-Doctor Explanations You Understand FSIL-Doctor Explanations You Understand Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) give explanations that you could understand? FACIT-Searchable Item Library Adult Version - Doctor Explanations You Understand
C183793 FSIL-Doctor Gave Explanations Understand FSIL-Doctor Gave Explanations Understand Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor gave me explanations that I could understand. FACIT-Searchable Item Library Adult Version - Doctor Gave Explanations Understand
C184259 FSIL-Doctor Knew Medical Developments FSIL-Doctor Knew Medical Developments Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) knew about the latest medical developments for your illness? FACIT-Searchable Item Library Adult Version - Doctor Knew Medical Developments
C184264 FSIL-Doctor Seem Respect Your Opinions FSIL-Doctor Seem Respect Your Opinions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to respect your opinions? FACIT-Searchable Item Library Adult Version - Doctor Seem Respect Your Opinions
C184251 FSIL-Doctor Seem Understand Your Needs FSIL-Doctor Seem Understand Your Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand your needs? FACIT-Searchable Item Library Adult Version - Doctor Seem Understand Your Needs
C184250 FSIL-Doctor Show Genuine Concern for You FSIL-Doctor Show Genuine Concern for You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) show genuine concern for you? FACIT-Searchable Item Library Adult Version - Doctor Show Genuine Concern for You
C184249 FSIL-Doctor Understand Important to You FSIL-Doctor Understand Important to You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand what was important to you? FACIT-Searchable Item Library Adult Version - Doctor Understand Important to You
C183888 FSIL-Dressing Yourself Without Help FSIL-Dressing Yourself Without Help Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Dressing yourself without help. FACIT-Searchable Item Library Adult Version - Dressing Yourself Without Help
C183923 FSIL-Dur Tube Feeding Eat/Drink by Mouth FSIL-Dur Tube Feeding Eat/Drink by Mouth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: During the use of tube feeding, I can eat and drink by mouth. FACIT-Searchable Item Library Adult Version - Dur Tube Feeding Eat/Drink by Mouth
C184199 FSIL-During Difficult Times Things Be OK FSIL-During Difficult Times Things Be OK Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Even during difficult times, I know that things will be okay. FACIT-Searchable Item Library Adult Version - During Difficult Times Things Be OK
C184244 FSIL-Effectiveness of Treatment So Far FSIL-Effectiveness of Treatment So Far Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the effectiveness of the treatment so far? FACIT-Searchable Item Library Adult Version - Effectiveness of Treatment So Far
C183780 FSIL-Embarrassed About the Infection FSIL-Embarrassed About the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel embarrassed about the infection. FACIT-Searchable Item Library Adult Version - Embarrassed About the Infection
C183872 FSIL-Embarrassed by Appearance of Skin FSIL-Embarrassed by Appearance of Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by the appearance of my skin. FACIT-Searchable Item Library Adult Version - Embarrassed by Appearance of Skin
C183885 FSIL-Embarrassed by Having Diarrhea FSIL-Embarrassed by Having Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by having diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Embarrassed by Having Diarrhea
C184053 FSIL-Embarrassed by My Condition FSIL-Embarrassed by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my condition. FACIT-Searchable Item Library Adult Version - Embarrassed by My Condition
C184003 FSIL-Embarrassed by My Illness FSIL-Embarrassed by My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my illness. FACIT-Searchable Item Library Adult Version - Embarrassed by My Illness
C184205 FSIL-Embarrassed by My Skin Condition FSIL-Embarrassed by My Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my skin condition. FACIT-Searchable Item Library Adult Version - Embarrassed by My Skin Condition
C183769 FSIL-Embarrassed by Ostomy Appliance FSIL-Embarrassed by Ostomy Appliance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my ostomy appliance. FACIT-Searchable Item Library Adult Version - Embarrassed by Ostomy Appliance
C183788 FSIL-Emotional Support Family Members FSIL-Emotional Support Family Members Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from family members. FACIT-Searchable Item Library Adult Version - Emotional Support Family Members
C183986 FSIL-Emotional Support From My Family FSIL-Emotional Support From My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my family. FACIT-Searchable Item Library Adult Version - Emotional Support From My Family
C183903 FSIL-Enjoy Meals With Family/Friends FSIL-Enjoy Meals With Family/Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy meals with family or friends. FACIT-Searchable Item Library Adult Version - Enjoy Meals With Family/Friends
C183973 FSIL-Enjoy Things I Usually Do for Fun FSIL-Enjoy Things I Usually Do for Fun Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am enjoying the things I usually do for fun. FACIT-Searchable Item Library Adult Version - Enjoy Things I Usually Do for Fun
C183940 FSIL-Enough Money to Cover Treatment FSIL-Enough Money to Cover Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that I have enough money in savings, retirement, or assets to cover the costs of my treatment. FACIT-Searchable Item Library Adult Version - Enough Money to Cover Treatment
C183860 FSIL-Family Bothered by Skin Condition FSIL-Family Bothered by Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is bothered by my skin condition. FACIT-Searchable Item Library Adult Version - Family Bothered by Skin Condition
C183993 FSIL-Family Is Well Despite My Illness FSIL-Family Is Well Despite My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is doing well despite my illness. FACIT-Searchable Item Library Adult Version - Family Is Well Despite My Illness
C183696 FSIL-Family Trouble Understand Bone Pain FSIL-Family Trouble Understand Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my bone pain interferes with my activity. FACIT-Searchable Item Library Adult Version - Family Trouble Understand Bone Pain
C184093 FSIL-Family Trouble Understand Worse FSIL-Family Trouble Understand Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my condition gets worse. FACIT-Searchable Item Library Adult Version - Family Trouble Understand Worse
C184146 FSIL-Family Who Take My Responsibilities FSIL-Family Who Take My Responsibilities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have family members who will take on my responsibilities. FACIT-Searchable Item Library Adult Version - Family Who Take My Responsibilities
C184046 FSIL-Far From Home/Work W/o Fear Soilage FSIL-Far From Home/Work W/o Fear Soilage Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can be far from home/work without fearing soilage. FACIT-Searchable Item Library Adult Version - Far From Home/Work W/o Fear Soilage
C183618 FSIL-Fatigue Keeps Me From Doing Things FSIL-Fatigue Keeps Me From Doing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My fatigue keeps me from doing the things I want to do. FACIT-Searchable Item Library Adult Version - Fatigue Keeps Me From Doing Things
C183917 FSIL-Feeding Tube Was Right Decision FSIL-Feeding Tube Was Right Decision Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Getting a feeding tube was the right decision for me. FACIT-Searchable Item Library Adult Version - Feeding Tube Was Right Decision
C183950 FSIL-Feel Financially Stressed FSIL-Feel Financially Stressed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel financially stressed. FACIT-Searchable Item Library Adult Version - Feel Financially Stressed
C184184 FSIL-Feel Forgiven for Harm I Caused FSIL-Feel Forgiven for Harm I Caused Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel forgiven for any harm I may have ever caused. FACIT-Searchable Item Library Adult Version - Feel Forgiven for Harm I Caused
C184068 FSIL-Feel Isolated Because of Illness FSIL-Feel Isolated Because of Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel isolated from others because of my illness or treatment. FACIT-Searchable Item Library Adult Version - Feel Isolated Because of Illness
C184103 FSIL-Feel Overwhelmed by My Condition FSIL-Feel Overwhelmed by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel overwhelmed by my condition. FACIT-Searchable Item Library Adult Version - Feel Overwhelmed by My Condition
C184195 FSIL-Feel Sense of Harmony Within Myself FSIL-Feel Sense of Harmony Within Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of harmony within myself. FACIT-Searchable Item Library Adult Version - Feel Sense of Harmony Within Myself
C184193 FSIL-Feel Sense of Purpose in My Life FSIL-Feel Sense of Purpose in My Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of purpose in my life. FACIT-Searchable Item Library Adult Version - Feel Sense of Purpose in My Life
C184185 FSIL-Feel Sense of Thankfulness for Life FSIL-Feel Sense of Thankfulness for Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for my life. FACIT-Searchable Item Library Adult Version - Feel Sense of Thankfulness for Life
C184147 FSIL-Feel That My Family Appreciates Me FSIL-Feel That My Family Appreciates Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that my family appreciates me. FACIT-Searchable Item Library Adult Version - Feel That My Family Appreciates Me
C183981 FSIL-Forced to Spend Time in Bed FSIL-Forced to Spend Time in Bed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to spend time in bed. FACIT-Searchable Item Library Adult Version - Forced to Spend Time in Bed
C184183 FSIL-Forgive Others for Harm Caused Me FSIL-Forgive Others for Harm Caused Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to forgive others for any harm they have ever caused me. FACIT-Searchable Item Library Adult Version - Forgive Others for Harm Caused Me
C183811 FSIL-Forgotten Names After Introduced FSIL-Forgotten Names After Introduced Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have forgotten names of people soon after being introduced. FACIT-Searchable Item Library Adult Version - Forgotten Names After Introduced
C183646 FSIL-Frustrated by Being Too Tired FSIL-Frustrated by Being Too Tired Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being too tired to do the things I want to do. FACIT-Searchable Item Library Adult Version - Frustrated by Being Too Tired
C183693 FSIL-Frustrated by My Bone Pain FSIL-Frustrated by My Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my bone pain. FACIT-Searchable Item Library Adult Version - Frustrated by My Bone Pain
C184104 FSIL-Frustrated by My Condition FSIL-Frustrated by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my condition. FACIT-Searchable Item Library Adult Version - Frustrated by My Condition
C183873 FSIL-Frustrated by My Skin Condition FSIL-Frustrated by My Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my skin condition. FACIT-Searchable Item Library Adult Version - Frustrated by My Skin Condition
C183784 FSIL-Frustrated by the Infection FSIL-Frustrated by the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by the infection. FACIT-Searchable Item Library Adult Version - Frustrated by the Infection
C183947 FSIL-Frustrated Cannot Work as Usual FSIL-Frustrated Cannot Work as Usual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated that I cannot work or contribute as much as I usually do. FACIT-Searchable Item Library Adult Version - Frustrated Cannot Work as Usual
C183720 FSIL-Frustrated I Cannot Do Things FSIL-Frustrated I Cannot Do Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get frustrated that I cannot do things I used to. FACIT-Searchable Item Library Adult Version - Frustrated I Cannot Do Things
C184232 FSIL-Frustrated Not Do Usual Activities FSIL-Frustrated Not Do Usual Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by not being able to do my usual activities. FACIT-Searchable Item Library Adult Version - Frustrated Not Do Usual Activities
C184063 FSIL-Frustrated Unable Do Things I Want FSIL-Frustrated Unable Do Things I Want Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being unable to do the things I want to do. FACIT-Searchable Item Library Adult Version - Frustrated Unable Do Things I Want
C183958 FSIL-Fullness/Heaviness in Stomach Area FSIL-Fullness/Heaviness in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a feeling of fullness or heaviness in my stomach area. FACIT-Searchable Item Library Adult Version - Fullness/Heaviness in Stomach Area
C183787 FSIL-Get Emotional Support Partner FSIL-Get Emotional Support Partner Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my partner/spouse. FACIT-Searchable Item Library Adult Version - Get Emotional Support Partner
C184127 FSIL-Get Ringing or Buzzing in My Ears FSIL-Get Ringing or Buzzing in My Ears Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get a ringing or buzzing in my ears. FACIT-Searchable Item Library Adult Version - Get Ringing or Buzzing in My Ears
C184248 FSIL-Get to Say Things Important to You FSIL-Get to Say Things Important to You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you get to say the things that were important to you? FACIT-Searchable Item Library Adult Version - Get to Say Things Important to You
C184081 FSIL-Good Range of Movement in Arm/Leg FSIL-Good Range of Movement in Arm/Leg Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have good range of movement in my arm or leg. FACIT-Searchable Item Library Adult Version - Good Range of Movement in Arm/Leg
C183999 FSIL-Had Change in the Way Food Tastes FSIL-Had Change in the Way Food Tastes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had a change in the way food tastes. FACIT-Searchable Item Library Adult Version - Had Change in the Way Food Tastes
C183623 FSIL-Hand Pain Interferes Daily Activ FSIL-Hand Pain Interferes Daily Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Hand pain or tenderness interferes with my daily activities. FACIT-Searchable Item Library Adult Version - Hand Pain Interferes Daily Activ
C184006 FSIL-Hard to Tell People About Infection FSIL-Hard to Tell People About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is hard to tell other people about my infection. FACIT-Searchable Item Library Adult Version - Hard to Tell People About Infection
C183929 FSIL-Have Breast Sensitivity/Tenderness FSIL-Have Breast Sensitivity/Tenderness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have breast sensitivity/tenderness. FACIT-Searchable Item Library Adult Version - Have Breast Sensitivity/Tenderness
C184270 FSIL-Have Confidence in Your Doctor FSIL-Have Confidence in Your Doctor Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have confidence in your doctor(s)? FACIT-Searchable Item Library Adult Version - Have Confidence in Your Doctor
C183636 FSIL-Have Difficulty Eating Rich Foods FSIL-Have Difficulty Eating Rich Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty eating rich or "heavy" foods. FACIT-Searchable Item Library Adult Version - Have Difficulty Eating Rich Foods
C184262 FSIL-Have Enough Time to Make Decisions FSIL-Have Enough Time to Make Decisions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have enough time to make decisions about your health care? FACIT-Searchable Item Library Adult Version - Have Enough Time to Make Decisions
C184125 FSIL-Have Joint Pain or Muscle Cramps FSIL-Have Joint Pain or Muscle Cramps Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have joint pain or muscle cramps. FACIT-Searchable Item Library Adult Version - Have Joint Pain or Muscle Cramps
C184247 FSIL-Have Opportunity to Ask Questions FSIL-Have Opportunity to Ask Questions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have an opportunity to ask questions? FACIT-Searchable Item Library Adult Version - Have Opportunity to Ask Questions
C183938 FSIL-Have Pain/Discomfort w/Intercourse FSIL-Have Pain/Discomfort w/Intercourse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain or discomfort with intercourse. FACIT-Searchable Item Library Adult Version - Have Pain/Discomfort w/Intercourse
C184007 FSIL-Have People to Help Me if I Need It FSIL-Have People to Help Me if I Need It Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have people to help me if I need it. FACIT-Searchable Item Library Adult Version - Have People to Help Me if I Need It
C183660 FSIL-Have Stiffness of Arm on This Side FSIL-Have Stiffness of Arm on This Side Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness of my arm on this side. FACIT-Searchable Item Library Adult Version - Have Stiffness of Arm on This Side
C184150 FSIL-Have Swelling in Parts of My Body FSIL-Have Swelling in Parts of My Body Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in parts of my body. FACIT-Searchable Item Library Adult Version - Have Swelling in Parts of My Body
C183669 FSIL-Have Trouble Controlling My Urine FSIL-Have Trouble Controlling My Urine Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble controlling my urine. FACIT-Searchable Item Library Adult Version - Have Trouble Controlling My Urine
C184192 FSIL-Have Trouble Feeling Peace of Mind FSIL-Have Trouble Feeling Peace of Mind Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling peace of mind. FACIT-Searchable Item Library Adult Version - Have Trouble Feeling Peace of Mind
C183954 FSIL-Have Trouble Swallowing Food FSIL-Have Trouble Swallowing Food Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble swallowing food. FACIT-Searchable Item Library Adult Version - Have Trouble Swallowing Food
C183717 FSIL-Have Weakness in My Arms or Legs FSIL-Have Weakness in My Arms or Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my arms or legs. FACIT-Searchable Item Library Adult Version - Have Weakness in My Arms or Legs
C184156 FSIL-Have You Ever Smoked FSIL-Have You Ever Smoked Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Have you ever smoked? FACIT-Searchable Item Library Adult Version - Have You Ever Smoked
C183746 FSIL-Having Blood Drawn Is Inconvenient FSIL-Having Blood Drawn Is Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Having my blood drawn is inconvenient. FACIT-Searchable Item Library Adult Version - Having Blood Drawn Is Inconvenient
C184095 FSIL-Heat Worsens My Symptoms FSIL-Heat Worsens My Symptoms Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Heat worsens my symptoms. FACIT-Searchable Item Library Adult Version - Heat Worsens My Symptoms
C184221 FSIL-Helps Arrangements Obtain Medicines FSIL-Helps Arrangements Obtain Medicines Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist helps with the arrangements necessary to obtain my medicines. FACIT-Searchable Item Library Adult Version - Helps Arrangements Obtain Medicines
C183777 FSIL-Hidden Problem Others Not Notice FSIL-Hidden Problem Others Not Notice Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hidden this problem so others will not notice. FACIT-Searchable Item Library Adult Version - Hidden Problem Others Not Notice
C184004 FSIL-Hopeful About the Future FSIL-Hopeful About the Future Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am hopeful about the future. FACIT-Searchable Item Library Adult Version - Hopeful About the Future
C184158 FSIL-How Many Places in Body Felt Pain FSIL-How Many Places in Body Felt Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: In how many places in your body have you felt bone pain? FACIT-Searchable Item Library Adult Version - How Many Places in Body Felt Pain
C183697 FSIL-Hurts When Put Weight/Pressure on FSIL-Hurts When Put Weight/Pressure on Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It hurts when I put weight or pressure on the place where I have bone pain. FACIT-Searchable Item Library Adult Version - Hurts When Put Weight/Pressure on
C184229 FSIL-I Bleed Easily FSIL-I Bleed Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bleed easily. FACIT-Searchable Item Library Adult Version - I Bleed Easily
C184236 FSIL-I Bruise Easily FSIL-I Bruise Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bruise easily. FACIT-Searchable Item Library Adult Version - I Bruise Easily
C183765 FSIL-I Can Digest My Food Well FSIL-I Can Digest My Food Well Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can digest my food well. FACIT-Searchable Item Library Adult Version - I Can Digest My Food Well
C184016 FSIL-I Can Eat Solid Foods FSIL-I Can Eat Solid Foods Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can eat solid foods. FACIT-Searchable Item Library Adult Version - I Can Eat Solid Foods
C184117 FSIL-I Can Enjoy the Taste of Food FSIL-I Can Enjoy the Taste of Food Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can enjoy the taste of food. FACIT-Searchable Item Library Adult Version - I Can Enjoy the Taste of Food
C183719 FSIL-I Can Remember New Things FSIL-I Can Remember New Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember new things. FACIT-Searchable Item Library Adult Version - I Can Remember New Things
C183675 FSIL-I Can Remember Things FSIL-I Can Remember Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember things. FACIT-Searchable Item Library Adult Version - I Can Remember Things
C183902 FSIL-I Choke When I Swallow FSIL-I Choke When I Swallow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I choke when I swallow. FACIT-Searchable Item Library Adult Version - I Choke When I Swallow
C184025 FSIL-I Drink Alcohol FSIL-I Drink Alcohol Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I drink alcohol (e.g. beer, wine, etc.). FACIT-Searchable Item Library Adult Version - I Drink Alcohol
C184224 FSIL-I Feel Bloated FSIL-I Feel Bloated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel bloated. FACIT-Searchable Item Library Adult Version - I Feel Bloated
C183992 FSIL-I Feel Close to My Family FSIL-I Feel Close to My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my family. FACIT-Searchable Item Library Adult Version - I Feel Close to My Family
C183985 FSIL-I Feel Close to My Friends FSIL-I Feel Close to My Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my friends. FACIT-Searchable Item Library Adult Version - I Feel Close to My Friends
C183990 FSIL-I Feel Close to My Partner FSIL-I Feel Close to My Partner Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my partner (or the person who is my main support). FACIT-Searchable Item Library Adult Version - I Feel Close to My Partner
C184179 FSIL-I Feel Connected to Higher Power FSIL-I Feel Connected to Higher Power Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to a higher power (or God). FACIT-Searchable Item Library Adult Version - I Feel Connected to Higher Power
C184180 FSIL-I Feel Connected to Other People FSIL-I Feel Connected to Other People Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to other people. FACIT-Searchable Item Library Adult Version - I Feel Connected to Other People
C183694 FSIL-I Feel Depressed about Bone Pain FSIL-I Feel Depressed about Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel depressed about my bone pain. FACIT-Searchable Item Library Adult Version - I Feel Depressed about Bone Pain
C184124 FSIL-I Feel Discomfort in My Feet FSIL-I Feel Discomfort in My Feet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my feet. FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Feet
C184123 FSIL-I Feel Discomfort in My Hands FSIL-I Feel Discomfort in My Hands Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my hands. FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Hands
C184064 FSIL-I Feel Discouraged About My Illness FSIL-I Feel Discouraged About My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discouraged about my illness. FACIT-Searchable Item Library Adult Version - I Feel Discouraged About My Illness
C183684 FSIL-I Feel Distant From Other People FSIL-I Feel Distant From Other People Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel distant from other people. FACIT-Searchable Item Library Adult Version - I Feel Distant From Other People
C184011 FSIL-I Feel Fatigued FSIL-I Feel Fatigued Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel fatigued. FACIT-Searchable Item Library Adult Version - I Feel Fatigued
C184188 FSIL-I Feel Hopeful FSIL-I Feel Hopeful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel hopeful. FACIT-Searchable Item Library Adult Version - I Feel Hopeful
C183980 FSIL-I Feel Ill FSIL-I Feel Ill Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel ill. FACIT-Searchable Item Library Adult Version - I Feel Ill
C183723 FSIL-I Feel Independent FSIL-I Feel Independent Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel independent. FACIT-Searchable Item Library Adult Version - I Feel Independent
C184094 FSIL-I Feel Left Out of Things FSIL-I Feel Left Out of Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel "left out" of things. FACIT-Searchable Item Library Adult Version - I Feel Left Out of Things
C183655 FSIL-I Feel Lightheaded FSIL-I Feel Lightheaded Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel lightheaded (dizzy). FACIT-Searchable Item Library Adult Version - I Feel Lightheaded
C184148 FSIL-I Feel Like a Burden to My Family FSIL-I Feel Like a Burden to My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel like a burden to my family. FACIT-Searchable Item Library Adult Version - I Feel Like a Burden to My Family
C183640 FSIL-I Feel Listless FSIL-I Feel Listless Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel listless ("washed out"). FACIT-Searchable Item Library Adult Version - I Feel Listless
C184182 FSIL-I Feel Love for Others FSIL-I Feel Love for Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel love for others. FACIT-Searchable Item Library Adult Version - I Feel Love for Others
C184181 FSIL-I Feel Loved FSIL-I Feel Loved Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel loved. FACIT-Searchable Item Library Adult Version - I Feel Loved
C184010 FSIL-I Feel Motivated to Do Things FSIL-I Feel Motivated to Do Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel motivated to do things. FACIT-Searchable Item Library Adult Version - I Feel Motivated to Do Things
C183965 FSIL-I Feel Nervous FSIL-I Feel Nervous Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel nervous. FACIT-Searchable Item Library Adult Version - I Feel Nervous
C184080 FSIL-I Feel Numbness at My Surgical Site FSIL-I Feel Numbness at My Surgical Site Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel numbness at my surgical site. FACIT-Searchable Item Library Adult Version - I Feel Numbness at My Surgical Site
C184175 FSIL-I Feel Peaceful FSIL-I Feel Peaceful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel peaceful. FACIT-Searchable Item Library Adult Version - I Feel Peaceful
C183962 FSIL-I Feel Sad FSIL-I Feel Sad Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sad. FACIT-Searchable Item Library Adult Version - I Feel Sad
C183663 FSIL-I Feel Sexually Attractive FSIL-I Feel Sexually Attractive Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sexually attractive. FACIT-Searchable Item Library Adult Version - I Feel Sexually Attractive
C184059 FSIL-I Feel Tightness in My Chest FSIL-I Feel Tightness in My Chest Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tightness in my chest. FACIT-Searchable Item Library Adult Version - I Feel Tightness in My Chest
C183648 FSIL-I Feel Tired FSIL-I Feel Tired Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tired. FACIT-Searchable Item Library Adult Version - I Feel Tired
C184100 FSIL-I Feel Trapped by My Condition FSIL-I Feel Trapped by My Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel trapped by my condition. FACIT-Searchable Item Library Adult Version - I Feel Trapped by My Condition
C184152 FSIL-I Feel Useful FSIL-I Feel Useful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useful. FACIT-Searchable Item Library Adult Version - I Feel Useful
C184102 FSIL-I Feel Useless FSIL-I Feel Useless Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useless. FACIT-Searchable Item Library Adult Version - I Feel Useless
C184005 FSIL-I Feel Weak All Over FSIL-I Feel Weak All Over Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel weak all over. FACIT-Searchable Item Library Adult Version - I Feel Weak All Over
C183732 FSIL-I Get Annoyed Easily FSIL-I Get Annoyed Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get annoyed easily. FACIT-Searchable Item Library Adult Version - I Get Annoyed Easily
C183731 FSIL-I Get Depressed Easily FSIL-I Get Depressed Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get depressed easily. FACIT-Searchable Item Library Adult Version - I Get Depressed Easily
C183641 FSIL-I Get Headaches FSIL-I Get Headaches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get headaches. FACIT-Searchable Item Library Adult Version - I Get Headaches
C183987 FSIL-I Get Support From My Friends FSIL-I Get Support From My Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get support from my friends. FACIT-Searchable Item Library Adult Version - I Get Support From My Friends
C183688 FSIL-I Get Tired Easily FSIL-I Get Tired Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get tired easily. FACIT-Searchable Item Library Adult Version - I Get Tired Easily
C183767 FSIL-I Have a Good Appetite FSIL-I Have a Good Appetite Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a good appetite. FACIT-Searchable Item Library Adult Version - I Have a Good Appetite
C183975 FSIL-I Have a Lack of Energy FSIL-I Have a Lack of Energy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a lack of energy. FACIT-Searchable Item Library Adult Version - I Have a Lack of Energy
C183952 FSIL-I Have a Loss of Appetite FSIL-I Have a Loss of Appetite Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a loss of appetite. FACIT-Searchable Item Library Adult Version - I Have a Loss of Appetite
C184186 FSIL-I Have a Reason for Living FSIL-I Have a Reason for Living Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a reason for living. FACIT-Searchable Item Library Adult Version - I Have a Reason for Living
C183971 FSIL-I Have Accepted My Illness FSIL-I Have Accepted My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted my illness. FACIT-Searchable Item Library Adult Version - I Have Accepted My Illness
C184084 FSIL-I Have Aches and Pains in My Bones FSIL-I Have Aches and Pains in My Bones Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains in my bones. FACIT-Searchable Item Library Adult Version - I Have Aches and Pains in My Bones
C184133 FSIL-I Have Aches/Pains That Bother Me FSIL-I Have Aches/Pains That Bother Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains that bother me. FACIT-Searchable Item Library Adult Version - I Have Aches/Pains That Bother Me
C183822 FSIL-I Have Been Able to Concentrate FSIL-I Have Been Able to Concentrate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to concentrate. FACIT-Searchable Item Library Adult Version - I Have Been Able to Concentrate
C184026 FSIL-I Have Been Bothered by Diarrhea FSIL-I Have Been Bothered by Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been bothered by diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - I Have Been Bothered by Diarrhea
C184058 FSIL-I Have Been Coughing FSIL-I Have Been Coughing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been coughing. FACIT-Searchable Item Library Adult Version - I Have Been Coughing
C183639 FSIL-I Have Been Emotionally Distressed FSIL-I Have Been Emotionally Distressed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been emotionally distressed. FACIT-Searchable Item Library Adult Version - I Have Been Emotionally Distressed
C183656 FSIL-I Have Been Short of Breath FSIL-I Have Been Short of Breath Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been short of breath. FACIT-Searchable Item Library Adult Version - I Have Been Short of Breath
C183831 FSIL-I Have Been Upset About Problems FSIL-I Have Been Upset About Problems Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been upset about these problems. FACIT-Searchable Item Library Adult Version - I Have Been Upset About Problems
C184131 FSIL-I Have Been Vomiting FSIL-I Have Been Vomiting Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been vomiting. FACIT-Searchable Item Library Adult Version - I Have Been Vomiting
C184028 FSIL-I Have Been Wheezing FSIL-I Have Been Wheezing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been wheezing (whistling sound when I breathe). FACIT-Searchable Item Library Adult Version - I Have Been Wheezing
C183692 FSIL-I Have Bone Pain FSIL-I Have Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain. FACIT-Searchable Item Library Adult Version - I Have Bone Pain
C183932 FSIL-I Have Cold Sweats FSIL-I Have Cold Sweats Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cold sweats. FACIT-Searchable Item Library Adult Version - I Have Cold Sweats
C183983 FSIL-I Have Confidence in My Doctor(s) FSIL-I Have Confidence in My Doctor(s) Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my doctor(s). FACIT-Searchable Item Library Adult Version - I Have Confidence in My Doctor(s)
C184219 FSIL-I Have Confidence in My Pharmacist FSIL-I Have Confidence in My Pharmacist Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my pharmacist(s). FACIT-Searchable Item Library Adult Version - I Have Confidence in My Pharmacist
C183764 FSIL-I Have Control of My Bowels FSIL-I Have Control of My Bowels Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have control of my bowels. FACIT-Searchable Item Library Adult Version - I Have Control of My Bowels
C183789 FSIL-I Have Cramping in My Pelvic Area FSIL-I Have Cramping in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramping in my pelvic area. FACIT-Searchable Item Library Adult Version - I Have Cramping in My Pelvic Area
C184132 FSIL-I Have Cramps in My Stomach Area FSIL-I Have Cramps in My Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramps in my stomach area. FACIT-Searchable Item Library Adult Version - I Have Cramps in My Stomach Area
C183766 FSIL-I Have Diarrhea FSIL-I Have Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - I Have Diarrhea
C184162 FSIL-I Have Difficultly Raising My Arm FSIL-I Have Difficultly Raising My Arm Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficultly raising my arm. FACIT-Searchable Item Library Adult Version - I Have Difficultly Raising My Arm
C184165 FSIL-I Have Difficulty Breathing FSIL-I Have Difficulty Breathing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing. FACIT-Searchable Item Library Adult Version - I Have Difficulty Breathing
C184087 FSIL-I Have Difficulty Thinking Clearly FSIL-I Have Difficulty Thinking Clearly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty thinking clearly (remembering, concentrating). FACIT-Searchable Item Library Adult Version - I Have Difficulty Thinking Clearly
C184139 FSIL-I Have Difficulty Urinating FSIL-I Have Difficulty Urinating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty urinating. FACIT-Searchable Item Library Adult Version - I Have Difficulty Urinating
C184288 FSIL-I Have Discomfort When I Am Sitting FSIL-I Have Discomfort When I Am Sitting Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I am sitting. FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Am Sitting
C183881 FSIL-I Have Discomfort When I Urinate FSIL-I Have Discomfort When I Urinate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I urinate. FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Urinate
C183733 FSIL-I Have Emotional Ups and Downs FSIL-I Have Emotional Ups and Downs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have emotional ups and downs. FACIT-Searchable Item Library Adult Version - I Have Emotional Ups and Downs
C183651 FSIL-I Have Energy FSIL-I Have Energy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have energy. FACIT-Searchable Item Library Adult Version - I Have Energy
C184032 FSIL-I Have Episodes of Heart Racing FSIL-I Have Episodes of Heart Racing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have episodes of heart racing. FACIT-Searchable Item Library Adult Version - I Have Episodes of Heart Racing
C183676 FSIL-I Have Frequent Colds/Infections FSIL-I Have Frequent Colds/Infections Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have frequent colds/infections. FACIT-Searchable Item Library Adult Version - I Have Frequent Colds/Infections
C183928 FSIL-I Have Gained Weight FSIL-I Have Gained Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have gained weight. FACIT-Searchable Item Library Adult Version - I Have Gained Weight
C184160 FSIL-I Have Had Blood in My Urine FSIL-I Have Had Blood in My Urine Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had blood in my urine. FACIT-Searchable Item Library Adult Version - I Have Had Blood in My Urine
C184000 FSIL-I Have Had Chills FSIL-I Have Had Chills Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had chills. FACIT-Searchable Item Library Adult Version - I Have Had Chills
C183997 FSIL-I Have Had Fevers FSIL-I Have Had Fevers Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had fevers (episodes of high body temperature). FACIT-Searchable Item Library Adult Version - I Have Had Fevers
C183998 FSIL-I Have Had Itching FSIL-I Have Had Itching Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had itching. FACIT-Searchable Item Library Adult Version - I Have Had Itching
C183716 FSIL-I Have Had Seizures FSIL-I Have Had Seizures Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had seizures (convulsions). FACIT-Searchable Item Library Adult Version - I Have Had Seizures
C183808 FSIL-I Have Had Trouble Concentrating FSIL-I Have Had Trouble Concentrating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble concentrating. FACIT-Searchable Item Library Adult Version - I Have Had Trouble Concentrating
C183927 FSIL-I Have Hot Flashes/Hot Flushes FSIL-I Have Hot Flashes/Hot Flushes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hot flashes/hot flushes. FACIT-Searchable Item Library Adult Version - I Have Hot Flashes/Hot Flushes
C183939 FSIL-I Have Lost Interest in Sex FSIL-I Have Lost Interest in Sex Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have lost interest in sex. FACIT-Searchable Item Library Adult Version - I Have Lost Interest in Sex
C183930 FSIL-I Have Mood Swings FSIL-I Have Mood Swings Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mood swings. FACIT-Searchable Item Library Adult Version - I Have Mood Swings
C184109 FSIL-I Have Mouth Sores FSIL-I Have Mouth Sores Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mouth sores. FACIT-Searchable Item Library Adult Version - I Have Mouth Sores
C183976 FSIL-I Have Nausea FSIL-I Have Nausea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have nausea. FACIT-Searchable Item Library Adult Version - I Have Nausea
C183933 FSIL-I Have Night Sweats FSIL-I Have Night Sweats Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have night sweats. FACIT-Searchable Item Library Adult Version - I Have Night Sweats
C184085 FSIL-I Have Noticed Blood in My Stool FSIL-I Have Noticed Blood in My Stool Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed blood in my stool. FACIT-Searchable Item Library Adult Version - I Have Noticed Blood in My Stool
C183800 FSIL-I Have Numbness in My Legs FSIL-I Have Numbness in My Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness in my legs. FACIT-Searchable Item Library Adult Version - I Have Numbness in My Legs
C184168 FSIL-I Have Pain in Arm and/or Shoulder FSIL-I Have Pain in Arm and/or Shoulder Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my arm and/or shoulder. FACIT-Searchable Item Library Adult Version - I Have Pain in Arm and/or Shoulder
C183801 FSIL-I Have Pain in My Back FSIL-I Have Pain in My Back Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my back. FACIT-Searchable Item Library Adult Version - I Have Pain in My Back
C184167 FSIL-I Have Pain in My Breast FSIL-I Have Pain in My Breast Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my breast. FACIT-Searchable Item Library Adult Version - I Have Pain in My Breast
C183642 FSIL-I Have Pain in My Chest FSIL-I Have Pain in My Chest Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest. FACIT-Searchable Item Library Adult Version - I Have Pain in My Chest
C184227 FSIL-I Have Pain in My Fingertips FSIL-I Have Pain in My Fingertips Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my fingertips. FACIT-Searchable Item Library Adult Version - I Have Pain in My Fingertips
C183726 FSIL-I Have Pain in My Joints FSIL-I Have Pain in My Joints Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my joints. FACIT-Searchable Item Library Adult Version - I Have Pain in My Joints
C183785 FSIL-I Have Pain in My Pelvic Area FSIL-I Have Pain in My Pelvic Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my pelvic area. FACIT-Searchable Item Library Adult Version - I Have Pain in My Pelvic Area
C184034 FSIL-I Have Pain in My Sinus Area FSIL-I Have Pain in My Sinus Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my sinus area. FACIT-Searchable Item Library Adult Version - I Have Pain in My Sinus Area
C183630 FSIL-I Have Pain in My Stomach Area FSIL-I Have Pain in My Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my stomach area. FACIT-Searchable Item Library Adult Version - I Have Pain in My Stomach Area
C183978 FSIL-I Have Pain FSIL-I Have Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain. FACIT-Searchable Item Library Adult Version - I Have Pain
C184142 FSIL-I Have Peace of Mind FSIL-I Have Peace of Mind Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have peace of mind. FACIT-Searchable Item Library Adult Version - I Have Peace of Mind
C183798 FSIL-I Have Strength in My Arm(s) FSIL-I Have Strength in My Arm(s) Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my arm(s). FACIT-Searchable Item Library Adult Version - I Have Strength in My Arm(s)
C183799 FSIL-I Have Strength in My Legs FSIL-I Have Strength in My Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my legs. FACIT-Searchable Item Library Adult Version - I Have Strength in My Legs
C184074 FSIL-I Have Swelling at My Melanoma Site FSIL-I Have Swelling at My Melanoma Site Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling at my melanoma site. FACIT-Searchable Item Library Adult Version - I Have Swelling at My Melanoma Site
C184130 FSIL-I Have Swelling in Stomach Area FSIL-I Have Swelling in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in my stomach area. FACIT-Searchable Item Library Adult Version - I Have Swelling in Stomach Area
C183906 FSIL-I Have the Desire to Eat FSIL-I Have the Desire to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have the desire to eat. FACIT-Searchable Item Library Adult Version - I Have the Desire to Eat
C183679 FSIL-I Have Tremors FSIL-I Have Tremors Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have tremors. FACIT-Searchable Item Library Adult Version - I Have Tremors
C184287 FSIL-I Have Trouble Bending FSIL-I Have Trouble Bending Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble bending. FACIT-Searchable Item Library Adult Version - I Have Trouble Bending
C184019 FSIL-I Have Trouble Breathing FSIL-I Have Trouble Breathing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble breathing. FACIT-Searchable Item Library Adult Version - I Have Trouble Breathing
C184128 FSIL-I Have Trouble Buttoning Buttons FSIL-I Have Trouble Buttoning Buttons Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble buttoning buttons. FACIT-Searchable Item Library Adult Version - I Have Trouble Buttoning Buttons
C184012 FSIL-I Have Trouble Concentrating FSIL-I Have Trouble Concentrating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble concentrating. FACIT-Searchable Item Library Adult Version - I Have Trouble Concentrating
C183802 FSIL-I Have Trouble Forming Thoughts FSIL-I Have Trouble Forming Thoughts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble forming thoughts. FACIT-Searchable Item Library Adult Version - I Have Trouble Forming Thoughts
C184126 FSIL-I Have Trouble Hearing FSIL-I Have Trouble Hearing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble hearing. FACIT-Searchable Item Library Adult Version - I Have Trouble Hearing
C184092 FSIL-I Have Trouble Learning New Tasks FSIL-I Have Trouble Learning New Tasks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble learning new tasks or directions. FACIT-Searchable Item Library Adult Version - I Have Trouble Learning New Tasks
C184138 FSIL-I Have Trouble Moving My Bowels FSIL-I Have Trouble Moving My Bowels Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble moving my bowels. FACIT-Searchable Item Library Adult Version - I Have Trouble Moving My Bowels
C184013 FSIL-I Have Trouble Remembering Things FSIL-I Have Trouble Remembering Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble remembering things. FACIT-Searchable Item Library Adult Version - I Have Trouble Remembering Things
C184071 FSIL-I Have Trouble Sleeping at Night FSIL-I Have Trouble Sleeping at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping at night. FACIT-Searchable Item Library Adult Version - I Have Trouble Sleeping at Night
C184116 FSIL-I Have Trouble Smelling FSIL-I Have Trouble Smelling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble smelling. FACIT-Searchable Item Library Adult Version - I Have Trouble Smelling
C183652 FSIL-I Have Trouble Walking FSIL-I Have Trouble Walking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking. FACIT-Searchable Item Library Adult Version - I Have Trouble Walking
C183718 FSIL-I Have Trouble With Coordination FSIL-I Have Trouble With Coordination Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with coordination. FACIT-Searchable Item Library Adult Version - I Have Trouble With Coordination
C183681 FSIL-I Have Trouble With My Bowels FSIL-I Have Trouble With My Bowels Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my bowels. FACIT-Searchable Item Library Adult Version - I Have Trouble With My Bowels
C183722 FSIL-I Have Trouble With My Eyesight FSIL-I Have Trouble With My Eyesight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my eyesight. FACIT-Searchable Item Library Adult Version - I Have Trouble With My Eyesight
C183936 FSIL-I Have Vaginal Bleeding or Spotting FSIL-I Have Vaginal Bleeding or Spotting Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal bleeding or spotting. FACIT-Searchable Item Library Adult Version - I Have Vaginal Bleeding or Spotting
C183934 FSIL-I Have Vaginal Discharge FSIL-I Have Vaginal Discharge Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal discharge. FACIT-Searchable Item Library Adult Version - I Have Vaginal Discharge
C183937 FSIL-I Have Vaginal Dryness FSIL-I Have Vaginal Dryness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal dryness. FACIT-Searchable Item Library Adult Version - I Have Vaginal Dryness
C183935 FSIL-I Have Vaginal Itching/Irritation FSIL-I Have Vaginal Itching/Irritation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal itching/irritation. FACIT-Searchable Item Library Adult Version - I Have Vaginal Itching/Irritation
C184112 FSIL-I Have Weakness in My Legs FSIL-I Have Weakness in My Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my legs. FACIT-Searchable Item Library Adult Version - I Have Weakness in My Legs
C183768 FSIL-I Like the Appearance of My Body FSIL-I Like the Appearance of My Body Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I like the appearance of my body. FACIT-Searchable Item Library Adult Version - I Like the Appearance of My Body
C184141 FSIL-I Maintain Contact With My Friends FSIL-I Maintain Contact With My Friends Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I maintain contact with my friends. FACIT-Searchable Item Library Adult Version - I Maintain Contact With My Friends
C184153 FSIL-I Make Each Day Count FSIL-I Make Each Day Count Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I make each day count. FACIT-Searchable Item Library Adult Version - I Make Each Day Count
C183710 FSIL-I Need Help in Caring for Myself FSIL-I Need Help in Caring for Myself Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help in caring for myself (bathing, dressing, eating, etc.). FACIT-Searchable Item Library Adult Version - I Need Help in Caring for Myself
C184090 FSIL-I Need to Rest During the Day FSIL-I Need to Rest During the Day Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to rest during the day. FACIT-Searchable Item Library Adult Version - I Need to Rest During the Day
C183654 FSIL-I Need to Sleep During the Day FSIL-I Need to Sleep During the Day Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to sleep during the day. FACIT-Searchable Item Library Adult Version - I Need to Sleep During the Day
C183691 FSIL-I Regret Bone Marrow Transplant FSIL-I Regret Bone Marrow Transplant Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret having the bone marrow transplant. FACIT-Searchable Item Library Adult Version - I Regret Bone Marrow Transplant
C184061 FSIL-I Regret My Smoking FSIL-I Regret My Smoking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret my smoking. FACIT-Searchable Item Library Adult Version - I Regret My Smoking
C183629 FSIL-I Seem to Get Full Quickly FSIL-I Seem to Get Full Quickly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: When I eat, I seem to get full quickly. FACIT-Searchable Item Library Adult Version - I Seem to Get Full Quickly
C183670 FSIL-I Urinate More Frequently FSIL-I Urinate More Frequently Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I urinate more frequently than usual. FACIT-Searchable Item Library Adult Version - I Urinate More Frequently
C183966 FSIL-I Worry About Dying FSIL-I Worry About Dying Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about dying. FACIT-Searchable Item Library Adult Version - I Worry About Dying
C184107 FSIL-I Worry About Getting Infections FSIL-I Worry About Getting Infections Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting infections. FACIT-Searchable Item Library Adult Version - I Worry About Getting Infections
C183695 FSIL-I Worry Bone Pain Will Get Worse FSIL-I Worry Bone Pain Will Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my bone pain will get worse. FACIT-Searchable Item Library Adult Version - I Worry Bone Pain Will Get Worse
C183685 FSIL-I Worry Transplant Will Not Work FSIL-I Worry Transplant Will Not Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the transplant will not work. FACIT-Searchable Item Library Adult Version - I Worry Transplant Will Not Work
C183943 FSIL-Illness a Financial Hardship FSIL-Illness a Financial Hardship Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has been a financial hardship to my family and me. FACIT-Searchable Item Library Adult Version - Illness a Financial Hardship
C183994 FSIL-Illness Caused Problems w/ Sex Life FSIL-Illness Caused Problems w/ Sex Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness or treatment has caused problems with my sex life. FACIT-Searchable Item Library Adult Version - Illness Caused Problems w/ Sex Life
C183682 FSIL-Illness Is Hardship for My Family FSIL-Illness Is Hardship for My Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness is a personal hardship for my close family members. FACIT-Searchable Item Library Adult Version - Illness Is Hardship for My Family
C184177 FSIL-Illness Strengthen Faith/Spiritual FSIL-Illness Strengthen Faith/Spiritual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has strengthened my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Illness Strengthen Faith/Spiritual
C183942 FSIL-In control of Financial Situation FSIL-In control of Financial Situation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel in control of my financial situation. FACIT-Searchable Item Library Adult Version - In control of Financial Situation
C184243 FSIL-Inconvenienced Platelet Transfusion FSIL-Inconvenienced Platelet Transfusion Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am inconvenienced by platelet transfusions. FACIT-Searchable Item Library Adult Version - Inconvenienced Platelet Transfusion
C184161 FSIL-Inconvenient to Come for Radiation FSIL-Inconvenient to Come for Radiation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is inconvenient for me to come for my radiation treatments. FACIT-Searchable Item Library Adult Version - Inconvenient to Come for Radiation
C183742 FSIL-Infusion Causes Me Physical Pain FSIL-Infusion Causes Me Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The infusion for my bone treatment causes me physical pain. FACIT-Searchable Item Library Adult Version - Infusion Causes Me Physical Pain
C183635 FSIL-Interest in Food Drops Try to Eat FSIL-Interest in Food Drops Try to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My interest in food drops as soon as I try to eat. FACIT-Searchable Item Library Adult Version - Interest in Food Drops Try to Eat
C183672 FSIL-Interested in Sex FSIL-Interested in Sex Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am interested in sex. FACIT-Searchable Item Library Adult Version - Interested in Sex
C183931 FSIL-Irritable FSIL-Irritable Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am irritable. FACIT-Searchable Item Library Adult Version - Irritable
C184086 FSIL-Isolate From Others B/c Condition FSIL-Isolate From Others B/c Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I isolate myself from others because of my condition. FACIT-Searchable Item Library Adult Version - Isolate From Others B/c Condition
C183671 FSIL-It Burns When I Urinate FSIL-It Burns When I Urinate Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It burns when I urinate. FACIT-Searchable Item Library Adult Version - It Burns When I Urinate
C184031 FSIL-Joint Pain Limits My Usual Activ FSIL-Joint Pain Limits My Usual Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint pain limits my usual activities. FACIT-Searchable Item Library Adult Version - Joint Pain Limits My Usual Activ
C184030 FSIL-Joint Stiffness/Tight Limits Activ FSIL-Joint Stiffness/Tight Limits Activ Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint stiffness or tightness limits my usual activities. FACIT-Searchable Item Library Adult Version - Joint Stiffness/Tight Limits Activ
C183914 FSIL-Left Out When Others Are Eating FSIL-Left Out When Others Are Eating Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel left out when others are eating. FACIT-Searchable Item Library Adult Version - Left Out When Others Are Eating
C183895 FSIL-Lifting 10-20 Lbs FSIL-Lifting 10-20 Lbs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). FACIT-Searchable Item Library Adult Version - Lifting 10-20 Lbs
C183626 FSIL-Limit Activities Because Diarrhea FSIL-Limit Activities Because Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my activities because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Activities Because Diarrhea
C183790 FSIL-Limit My Sexual Activity Infection FSIL-Limit My Sexual Activity Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of the infection. FACIT-Searchable Item Library Adult Version - Limit My Sexual Activity Infection
C184050 FSIL-Limit My Social Activity FSIL-Limit My Social Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of my condition. FACIT-Searchable Item Library Adult Version - Limit My Social Activity
C184051 FSIL-Limit Physical Activ B/c Condition FSIL-Limit Physical Activ B/c Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of my condition. FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Condition
C183883 FSIL-Limit Physical Activ B/c Diarrhea FSIL-Limit Physical Activ B/c Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Diarrhea
C184052 FSIL-Limit Sexual Activ B/c Condition FSIL-Limit Sexual Activ B/c Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of my condition. FACIT-Searchable Item Library Adult Version - Limit Sexual Activ B/c Condition
C183884 FSIL-Limit Sexual Activity B/c Diarrhea FSIL-Limit Sexual Activity B/c Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Sexual Activity B/c Diarrhea
C183882 FSIL-Limit Social Activity B/c Diarrhea FSIL-Limit Social Activity B/c Diarrhea Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of diarrhea (diarrhoea). FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Diarrhea
C183647 FSIL-Limit Social Activity B/c Tired FSIL-Limit Social Activity B/c Tired Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because I am tired. FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Tired
C183964 FSIL-Losing Hope Fight Against Illness FSIL-Losing Hope Fight Against Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing hope in the fight against my illness. FACIT-Searchable Item Library Adult Version - Losing Hope Fight Against Illness
C183763 FSIL-Losing Weight FSIL-Losing Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing weight. FACIT-Searchable Item Library Adult Version - Losing Weight
C183912 FSIL-Lost Food Choices Feeding Tube FSIL-Lost Food Choices Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I have lost control of my food choices because I have a feeding tube. FACIT-Searchable Item Library Adult Version - Lost Food Choices Feeding Tube
C184111 FSIL-Low Blood Counts Interfere Relation FSIL-Low Blood Counts Interfere Relation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My low blood counts interfere with my intimate relationships. FACIT-Searchable Item Library Adult Version - Low Blood Counts Interfere Relation
C183707 FSIL-Make Decisions Take Responsibility FSIL-Make Decisions Take Responsibility Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions and take responsibility. FACIT-Searchable Item Library Adult Version - Make Decisions Take Responsibility
C183894 FSIL-Making a Bed FSIL-Making a Bed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Making a bed. FACIT-Searchable Item Library Adult Version - Making a Bed
C183944 FSIL-Medical Expense More Than I Thought FSIL-Medical Expense More Than I Thought Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My out-of-pocket medical expenses are more than I thought they would be. FACIT-Searchable Item Library Adult Version - Medical Expense More Than I Thought
C183824 FSIL-Memory Is as Good as Always Been FSIL-Memory Is as Good as Always Been Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My memory is as good as it has always been. FACIT-Searchable Item Library Adult Version - Memory Is as Good as Always Been
C183823 FSIL-Mind Is as Sharp as Always Been FSIL-Mind Is as Sharp as Always Been Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mind is as sharp as it has always been. FACIT-Searchable Item Library Adult Version - Mind Is as Sharp as Always Been
C183924 FSIL-Miss Food/Drink Mouth Feeding Tube FSIL-Miss Food/Drink Mouth Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I miss being able to take more food or drink by mouth now that I have a feeding tube. FACIT-Searchable Item Library Adult Version - Miss Food/Drink Mouth Feeding Tube
C183633 FSIL-Most Food Tastes Unpleasant to Me FSIL-Most Food Tastes Unpleasant to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Most food tastes unpleasant to me. FACIT-Searchable Item Library Adult Version - Most Food Tastes Unpleasant to Me
C183644 FSIL-Motivated to Do Activities FSIL-Motivated to Do Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am motivated to do my usual activities. FACIT-Searchable Item Library Adult Version - Motivated to Do Activities
C184045 FSIL-Move Bowels Freq to Avoid Accidents FSIL-Move Bowels Freq to Avoid Accidents Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must move my bowels frequently to avoid accidents. FACIT-Searchable Item Library Adult Version - Move Bowels Freq to Avoid Accidents
C184043 FSIL-Move My Bowels More Than Usual FSIL-Move My Bowels More Than Usual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I move my bowels more frequently than usual. FACIT-Searchable Item Library Adult Version - Move My Bowels More Than Usual
C183657 FSIL-Movement of Arm This Side Painful FSIL-Movement of Arm This Side Painful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my arm on this side is painful. FACIT-Searchable Item Library Adult Version - Movement of Arm This Side Painful
C184077 FSIL-Movement of Swollen Area Is Painful FSIL-Movement of Swollen Area Is Painful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my swollen area is painful. FACIT-Searchable Item Library Adult Version - Movement of Swollen Area Is Painful
C183659 FSIL-My Arm on This Side Feels Numb FSIL-My Arm on This Side Feels Numb Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My arm on this side feels numb. FACIT-Searchable Item Library Adult Version - My Arm on This Side Feels Numb
C184171 FSIL-My Breast Is Sensitive/Tender FSIL-My Breast Is Sensitive/Tender Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breast is sensitive/tender. FACIT-Searchable Item Library Adult Version - My Breast Is Sensitive/Tender
C183773 FSIL-My Breasts Are Painful FSIL-My Breasts Are Painful Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are painful. FACIT-Searchable Item Library Adult Version - My Breasts Are Painful
C183772 FSIL-My Breasts Are Swollen FSIL-My Breasts Are Swollen Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are swollen. FACIT-Searchable Item Library Adult Version - My Breasts Are Swollen
C184169 FSIL-My Chest Area Is Sore FSIL-My Chest Area Is Sore Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chest area (not including the breast itself) is sore. FACIT-Searchable Item Library Adult Version - My Chest Area Is Sore
C184054 FSIL-My Condition Wakes Me Up at Night FSIL-My Condition Wakes Me Up at Night Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes me up at night. FACIT-Searchable Item Library Adult Version - My Condition Wakes Me Up at Night
C184202 FSIL-My Eyes Are Dry FSIL-My Eyes Are Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes are dry. FACIT-Searchable Item Library Adult Version - My Eyes Are Dry
C184033 FSIL-My Eyes Feel Sandy or Gritty FSIL-My Eyes Feel Sandy or Gritty Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes feel sandy or gritty. FACIT-Searchable Item Library Adult Version - My Eyes Feel Sandy or Gritty
C183677 FSIL-My Eyesight Is Blurry FSIL-My Eyesight Is Blurry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyesight is blurry. FACIT-Searchable Item Library Adult Version - My Eyesight Is Blurry
C183988 FSIL-My Family Has Accepted My Illness FSIL-My Family Has Accepted My Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has accepted my illness. FACIT-Searchable Item Library Adult Version - My Family Has Accepted My Illness
C183637 FSIL-My Family Pressuring Me to Eat FSIL-My Family Pressuring Me to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family or friends are pressuring me to eat. FACIT-Searchable Item Library Adult Version - My Family Pressuring Me to Eat
C183631 FSIL-My General Health Is Improving FSIL-My General Health Is Improving Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My general health is improving. FACIT-Searchable Item Library Adult Version - My General Health Is Improving
C184225 FSIL-My Hands Are Swollen FSIL-My Hands Are Swollen Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My hands are swollen. FACIT-Searchable Item Library Adult Version - My Hands Are Swollen
C184226 FSIL-My Legs or Feet Are Swollen FSIL-My Legs or Feet Are Swollen Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My legs or feet are swollen. FACIT-Searchable Item Library Adult Version - My Legs or Feet Are Swollen
C184191 FSIL-My Life Has Been Productive FSIL-My Life Has Been Productive Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life has been productive. FACIT-Searchable Item Library Adult Version - My Life Has Been Productive
C184196 FSIL-My Life Lacks Meaning and Purpose FSIL-My Life Lacks Meaning and Purpose Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life lacks meaning and purpose. FACIT-Searchable Item Library Adult Version - My Life Lacks Meaning and Purpose
C184151 FSIL-My Mouth and Throat Are Dry FSIL-My Mouth and Throat Are Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth and throat are dry. FACIT-Searchable Item Library Adult Version - My Mouth and Throat Are Dry
C184018 FSIL-My Mouth Is Dry FSIL-My Mouth Is Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth is dry. FACIT-Searchable Item Library Adult Version - My Mouth Is Dry
C184215 FSIL-My Skin Bleeds Easily FSIL-My Skin Bleeds Easily Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin bleeds easily. FACIT-Searchable Item Library Adult Version - My Skin Bleeds Easily
C184204 FSIL-My Skin Condition Affects My Mood FSIL-My Skin Condition Affects My Mood Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition affects my mood. FACIT-Searchable Item Library Adult Version - My Skin Condition Affects My Mood
C183870 FSIL-My Skin Feels Irritated FSIL-My Skin Feels Irritated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels irritated. FACIT-Searchable Item Library Adult Version - My Skin Feels Irritated
C183858 FSIL-My Skin Itches FSIL-My Skin Itches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin itches. FACIT-Searchable Item Library Adult Version - My Skin Itches
C184212 FSIL-My Skin or Scalp Feels Irritated FSIL-My Skin or Scalp Feels Irritated Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp feels irritated. FACIT-Searchable Item Library Adult Version - My Skin or Scalp Feels Irritated
C184213 FSIL-My Skin or Scalp Is Dry or Flaky FSIL-My Skin or Scalp Is Dry or Flaky Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp is dry or "flaky". FACIT-Searchable Item Library Adult Version - My Skin or Scalp Is Dry or Flaky
C184214 FSIL-My Skin or Scalp Itches FSIL-My Skin or Scalp Itches Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp itches. FACIT-Searchable Item Library Adult Version - My Skin or Scalp Itches
C183803 FSIL-My Thinking Has Been Slow FSIL-My Thinking Has Been Slow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slow. FACIT-Searchable Item Library Adult Version - My Thinking Has Been Slow
C184057 FSIL-My Thinking Is Clear FSIL-My Thinking Is Clear Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is clear. FACIT-Searchable Item Library Adult Version - My Thinking Is Clear
C184091 FSIL-My Thinking Is Slower Than Before FSIL-My Thinking Is Slower Than Before Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is slower than before. FACIT-Searchable Item Library Adult Version - My Thinking Is Slower Than Before
C183805 FSIL-My Thinking Slower Than Usual FSIL-My Thinking Slower Than Usual Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slower than usual. FACIT-Searchable Item Library Adult Version - My Thinking Slower Than Usual
C184172 FSIL-My Underarm Area Sensitive/Tender FSIL-My Underarm Area Sensitive/Tender Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My underarm area is sensitive/tender. FACIT-Searchable Item Library Adult Version - My Underarm Area Sensitive/Tender
C183969 FSIL-My Work Is Fulfilling FSIL-My Work Is Fulfilling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My work (include work at home) is fulfilling. FACIT-Searchable Item Library Adult Version - My Work Is Fulfilling
C183699 FSIL-Need Help Doing Activ B/c Bone Pain FSIL-Need Help Doing Activ B/c Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities because of bone pain. FACIT-Searchable Item Library Adult Version - Need Help Doing Activ B/c Bone Pain
C183645 FSIL-Need Help Doing Usual Activities FSIL-Need Help Doing Usual Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities. FACIT-Searchable Item Library Adult Version - Need Help Doing Usual Activities
C184072 FSIL-Nervous Making Decisions Treatment FSIL-Nervous Making Decisions Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get nervous about making decisions regarding treatment. FACIT-Searchable Item Library Adult Version - Nervous Making Decisions Treatment
C183946 FSIL-No Choice Money Spend on Care FSIL-No Choice Money Spend on Care Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel I have no choice about the amount of money I spend on care. FACIT-Searchable Item Library Adult Version - No Choice Money Spend on Care
C184082 FSIL-Noticed New Changes in My Skin FSIL-Noticed New Changes in My Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed new changes in my skin (lumps, bumps, color (colour)). FACIT-Searchable Item Library Adult Version - Noticed New Changes in My Skin
C184122 FSIL-Numbness or Tingling in My Feet FSIL-Numbness or Tingling in My Feet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my feet. FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Feet
C184119 FSIL-Numbness or Tingling in My Hands FSIL-Numbness or Tingling in My Hands Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my hands. FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Hands
C184164 FSIL-Numbness/Tingling in Arm/Shoulder FSIL-Numbness/Tingling in Arm/Shoulder Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my arm, shoulder, or breast. FACIT-Searchable Item Library Adult Version - Numbness/Tingling in Arm/Shoulder
C184265 FSIL-Nurse Explanations You Understand FSIL-Nurse Explanations You Understand Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) give explanations that you could understand? FACIT-Searchable Item Library Adult Version - Nurse Explanations You Understand
C184267 FSIL-Nurse Seem to Understand Your Needs FSIL-Nurse Seem to Understand Your Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) seem to understand your needs? FACIT-Searchable Item Library Adult Version - Nurse Seem to Understand Your Needs
C184266 FSIL-Nurse Show Genuine Concern for You FSIL-Nurse Show Genuine Concern for You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) show genuine concern for you? FACIT-Searchable Item Library Adult Version - Nurse Show Genuine Concern for You
C183662 FSIL-One/Both Arms Are Swollen/Tender FSIL-One/Both Arms Are Swollen/Tender Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: One or both of my arms are swollen or tender. FACIT-Searchable Item Library Adult Version - One/Both Arms Are Swollen/Tender
C184073 FSIL-Pain at My Melanoma/Surgical Site FSIL-Pain at My Melanoma/Surgical Site Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain at my melanoma site or surgical site. FACIT-Searchable Item Library Adult Version - Pain at My Melanoma/Surgical Site
C184120 FSIL-Pain in Hands/Feet Exposed to Cold FSIL-Pain in Hands/Feet Exposed to Cold Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my hands or feet when I am exposed to cold temperatures. FACIT-Searchable Item Library Adult Version - Pain in Hands/Feet Exposed to Cold
C183901 FSIL-Pain in My Chest When I Swallow FSIL-Pain in My Chest When I Swallow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest when I swallow. FACIT-Searchable Item Library Adult Version - Pain in My Chest When I Swallow
C184017 FSIL-Pain in My Mouth, Throat or Neck FSIL-Pain in My Mouth, Throat or Neck Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my mouth, throat or neck. FACIT-Searchable Item Library Adult Version - Pain in My Mouth, Throat or Neck
C184135 FSIL-Pain Keeps Me From Doing Things FSIL-Pain Keeps Me From Doing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pain keeps me from doing things I want to do. FACIT-Searchable Item Library Adult Version - Pain Keeps Me From Doing Things
C183625 FSIL-Pain on My Feet Interferes Walking FSIL-Pain on My Feet Interferes Walking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Pain on the bottom of my feet interferes with my walking. FACIT-Searchable Item Library Adult Version - Pain on My Feet Interferes Walking
C184037 FSIL-Pain/Soreness/Aches in Some Muscles FSIL-Pain/Soreness/Aches in Some Muscles Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel pain, soreness or aches in some of my muscles. FACIT-Searchable Item Library Adult Version - Pain/Soreness/Aches in Some Muscles
C183869 FSIL-Painful Cracks Skin on Hands/Feet FSIL-Painful Cracks Skin on Hands/Feet Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful cracks in the skin on my hands or feet. FACIT-Searchable Item Library Adult Version - Painful Cracks Skin on Hands/Feet
C183866 FSIL-Painful Lesions/Tumors on My Skin FSIL-Painful Lesions/Tumors on My Skin Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful lesions or tumors on my skin. FACIT-Searchable Item Library Adult Version - Painful Lesions/Tumors on My Skin
C184261 FSIL-Participate Decisions Health Care FSIL-Participate Decisions Health Care Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you encouraged to participate in decisions about your health care? FACIT-Searchable Item Library Adult Version - Participate Decisions Health Care
C184110 FSIL-Partner Worries My Blood Counts Low FSIL-Partner Worries My Blood Counts Low Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My partner worries about me when my blood counts are low. FACIT-Searchable Item Library Adult Version - Partner Worries My Blood Counts Low
C183821 FSIL-People Told Me I Seemed Confused FSIL-People Told Me I Seemed Confused Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed confused. FACIT-Searchable Item Library Adult Version - People Told Me I Seemed Confused
C184218 FSIL-Pharmacist Advises Adverse Effects FSIL-Pharmacist Advises Adverse Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the adverse (side) effects of my medicines. FACIT-Searchable Item Library Adult Version - Pharmacist Advises Adverse Effects
C184217 FSIL-Pharmacist Advises Use of Medicines FSIL-Pharmacist Advises Use of Medicines Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the proper use of my medicines. FACIT-Searchable Item Library Adult Version - Pharmacist Advises Use of Medicines
C184220 FSIL-Pharmacist Available Questions FSIL-Pharmacist Available Questions Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is available to answer my questions. FACIT-Searchable Item Library Adult Version - Pharmacist Available Questions
C184222 FSIL-Pharmacist Aware Treatment Needs FSIL-Pharmacist Aware Treatment Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is aware of my treatment-related needs. FACIT-Searchable Item Library Adult Version - Pharmacist Aware Treatment Needs
C184223 FSIL-Pharmacist Responds Treatment Needs FSIL-Pharmacist Responds Treatment Needs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist responds to my treatment-related needs. FACIT-Searchable Item Library Adult Version - Pharmacist Responds Treatment Needs
C183905 FSIL-Pleasant Feel Fullness Tube Feeding FSIL-Pleasant Feel Fullness Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience a pleasant feeling of fullness during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Pleasant Feel Fullness Tube Feeding
C183658 FSIL-Poor Range Arm Movements This Side FSIL-Poor Range Arm Movements This Side Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a poor range of arm movements on this side. FACIT-Searchable Item Library Adult Version - Poor Range Arm Movements This Side
C183891 FSIL-Preparing Meals FSIL-Preparing Meals Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Preparing meals. FACIT-Searchable Item Library Adult Version - Preparing Meals
C184140 FSIL-Problem Urinating Limits Activity FSIL-Problem Urinating Limits Activity Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problems with urinating limit my activities. FACIT-Searchable Item Library Adult Version - Problem Urinating Limits Activity
C183833 FSIL-Problems Interfered Ability Enjoy FSIL-Problems Interfered Ability Enjoy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to do things I enjoy. FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Enjoy
C183832 FSIL-Problems Interfered Ability Work FSIL-Problems Interfered Ability Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to work. FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Work
C183834 FSIL-Problems Interfered Quality Life FSIL-Problems Interfered Quality Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with the quality of my life. FACIT-Searchable Item Library Adult Version - Problems Interfered Quality Life
C184275 FSIL-Rate the Care You Received FSIL-Rate the Care You Received Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate the care you received? FACIT-Searchable Item Library Adult Version - Rate the Care You Received
C183843 FSIL-Rate This Chemo FSIL-Rate This Chemo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How would you rate this chemotherapy? FACIT-Searchable Item Library Adult Version - Rate This Chemo
C184279 FSIL-Rate This Treatment Overall FSIL-Rate This Treatment Overall Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate this treatment overall? FACIT-Searchable Item Library Adult Version - Rate This Treatment Overall
C184194 FSIL-Reach Into Myself for Comfort FSIL-Reach Into Myself for Comfort Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to reach down deep into myself for comfort. FACIT-Searchable Item Library Adult Version - Reach Into Myself for Comfort
C183812 FSIL-Reaction Everyday Situations Slow FSIL-Reaction Everyday Situations Slow Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My reactions in everyday situations have been slow. FACIT-Searchable Item Library Adult Version - Reaction Everyday Situations Slow
C184274 FSIL-Received Treatment Right for You FSIL-Received Treatment Right for You Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you feel you received the treatment that was right for you? FACIT-Searchable Item Library Adult Version - Received Treatment Right for You
C183792 FSIL-Received Treatment That Was Right FSIL-Received Treatment That Was Right Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I received the treatment that was right for me. FACIT-Searchable Item Library Adult Version - Received Treatment That Was Right
C183847 FSIL-Receiving Chemo Inconvenient FSIL-Receiving Chemo Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving chemotherapy is inconvenient. FACIT-Searchable Item Library Adult Version - Receiving Chemo Inconvenient
C183744 FSIL-Receiving Treatment Is Inconvenient FSIL-Receiving Treatment Is Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving treatment for bone disease is inconvenient. FACIT-Searchable Item Library Adult Version - Receiving Treatment Is Inconvenient
C183841 FSIL-Recommend Chemo to Others FSIL-Recommend Chemo to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this chemotherapy to others with your illness? FACIT-Searchable Item Library Adult Version - Recommend Chemo to Others
C184272 FSIL-Recommend Clinic/Office to Others FSIL-Recommend Clinic/Office to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this clinic or office to others? FACIT-Searchable Item Library Adult Version - Recommend Clinic/Office to Others
C184277 FSIL-Recommend This Treatment to Others FSIL-Recommend This Treatment to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment to others with your illness? FACIT-Searchable Item Library Adult Version - Recommend This Treatment to Others
C183941 FSIL-Reduced Satisfaction Financial FSIL-Reduced Satisfaction Financial Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My cancer or treatment has reduced my satisfaction with my present financial situation. FACIT-Searchable Item Library Adult Version - Reduced Satisfaction Financial
C183700 FSIL-Rest During Day B/c of Bone Pain FSIL-Rest During Day B/c of Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to rest during the day because of bone pain. FACIT-Searchable Item Library Adult Version - Rest During Day B/c of Bone Pain
C183989 FSIL-Satisfied Communication Illness FSIL-Satisfied Communication Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with family communication about my illness. FACIT-Searchable Item Library Adult Version - Satisfied Communication Illness
C184136 FSIL-Satisfied With Comfort Level FSIL-Satisfied With Comfort Level Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my present comfort level. FACIT-Searchable Item Library Adult Version - Satisfied With Comfort Level
C184276 FSIL-Satisfied With Effects of Treatment FSIL-Satisfied With Effects of Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the effects of this treatment so far? FACIT-Searchable Item Library Adult Version - Satisfied With Effects of Treatment
C183948 FSIL-Satisfied With Financial Situation FSIL-Satisfied With Financial Situation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my current financial situation. FACIT-Searchable Item Library Adult Version - Satisfied With Financial Situation
C183963 FSIL-Satisfied With How I Am Coping FSIL-Satisfied With How I Am Coping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with how I am coping with my illness. FACIT-Searchable Item Library Adult Version - Satisfied With How I Am Coping
C183991 FSIL-Satisfied With My Sex Life FSIL-Satisfied With My Sex Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my sex life. FACIT-Searchable Item Library Adult Version - Satisfied With My Sex Life
C183840 FSIL-Satisfied With Results Chemo FSIL-Satisfied With Results Chemo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the current results of your chemotherapy? FACIT-Searchable Item Library Adult Version - Satisfied With Results Chemo
C183736 FSIL-Satisfied With Results of Treatment FSIL-Satisfied With Results of Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the results of the treatment for your bone disease so far? FACIT-Searchable Item Library Adult Version - Satisfied With Results of Treatment
C184290 FSIL-Satisfied With Urinary Condition FSIL-Satisfied With Urinary Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my urinary condition. FACIT-Searchable Item Library Adult Version - Satisfied With Urinary Condition
C183661 FSIL-Self-conscious About Way I Dress FSIL-Self-conscious About Way I Dress Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am self-conscious about the way I dress. FACIT-Searchable Item Library Adult Version - Self-conscious About Way I Dress
C184207 FSIL-Sensitivity Fingernails Diff Tasks FSIL-Sensitivity Fingernails Diff Tasks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sensitivity around my fingernails makes it difficult to perform household tasks. FACIT-Searchable Item Library Adult Version - Sensitivity Fingernails Diff Tasks
C184254 FSIL-Side Effects of Treatment So Far FSIL-Side Effects of Treatment So Far Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the side effects of treatment so far? FACIT-Searchable Item Library Adult Version - Side Effects of Treatment So Far
C183686 FSIL-Side Effects of Treatment Worse FSIL-Side Effects of Treatment Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The side effects of treatment are worse than I had imagined. FACIT-Searchable Item Library Adult Version - Side Effects of Treatment Worse
C184203 FSIL-Skin Cond Interferes w/ Social Life FSIL-Skin Cond Interferes w/ Social Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my social life. FACIT-Searchable Item Library Adult Version - Skin Cond Interferes w/ Social Life
C184208 FSIL-Skin Condition Interferes w/ Sleep FSIL-Skin Condition Interferes w/ Sleep Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my ability to sleep. FACIT-Searchable Item Library Adult Version - Skin Condition Interferes w/ Sleep
C184209 FSIL-Skin Condition Make Life Difficult FSIL-Skin Condition Make Life Difficult Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Changes in my skin condition make daily life difficult. FACIT-Searchable Item Library Adult Version - Skin Condition Make Life Difficult
C183868 FSIL-Skin Feels Sensitive or Raw FSIL-Skin Feels Sensitive or Raw Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels sensitive or "raw". FACIT-Searchable Item Library Adult Version - Skin Feels Sensitive or Raw
C184173 FSIL-Skin in Breast Area Itchy/Flaky/Dry FSIL-Skin in Breast Area Itchy/Flaky/Dry Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin in my breast area is itchy, flaky or dry. FACIT-Searchable Item Library Adult Version - Skin in Breast Area Itchy/Flaky/Dry
C183874 FSIL-Skin Is Dry or Flaky FSIL-Skin Is Dry or Flaky Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin is dry or "flaky". FACIT-Searchable Item Library Adult Version - Skin Is Dry or Flaky
C184211 FSIL-Skin Side Effects Interfered Tasks FSIL-Skin Side Effects Interfered Tasks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin side effects from treatment have interfered with household tasks. FACIT-Searchable Item Library Adult Version - Skin Side Effects Interfered Tasks
C183972 FSIL-Sleeping Well FSIL-Sleeping Well Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am sleeping well. FACIT-Searchable Item Library Adult Version - Sleeping Well
C184024 FSIL-Smoke Cigarettes/Other Tobacco FSIL-Smoke Cigarettes/Other Tobacco Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I smoke cigarettes or other tobacco products. FACIT-Searchable Item Library Adult Version - Smoke Cigarettes/Other Tobacco
C184029 FSIL-Stiffness/Tightness in My Joints FSIL-Stiffness/Tightness in My Joints Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness or tightness in my joints. FACIT-Searchable Item Library Adult Version - Stiffness/Tightness in My Joints
C183638 FSIL-Stomach Pain Interferes Functioning FSIL-Stomach Pain Interferes Functioning Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Stomach pain interferes with my daily functioning. FACIT-Searchable Item Library Adult Version - Stomach Pain Interferes Functioning
C183960 FSIL-Stomach Problems That Worry Me FSIL-Stomach Problems That Worry Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stomach problems that worry me. FACIT-Searchable Item Library Adult Version - Stomach Problems That Worry Me
C184176 FSIL-Strength in Faith/Spiritual Beliefs FSIL-Strength in Faith/Spiritual Beliefs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find strength in my faith or spiritual beliefs. FACIT-Searchable Item Library Adult Version - Strength in Faith/Spiritual Beliefs
C183893 FSIL-Sweeping/Mopping FSIL-Sweeping/Mopping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sweeping or mopping. FACIT-Searchable Item Library Adult Version - Sweeping/Mopping
C184075 FSIL-Swelling as a Result of Surgery FSIL-Swelling as a Result of Surgery Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling as a result of surgery. FACIT-Searchable Item Library Adult Version - Swelling as a Result of Surgery
C184078 FSIL-Swelling Keeps Me From Doing Things FSIL-Swelling Keeps Me From Doing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from doing the things I want to do. FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Doing Things
C184079 FSIL-Swelling Keeps Me From Wearing FSIL-Swelling Keeps Me From Wearing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from wearing clothes or shoes I want to wear. FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Wearing
C183762 FSIL-Swelling/Cramps in Stomach Area FSIL-Swelling/Cramps in Stomach Area Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling or cramps in my stomach area. FACIT-Searchable Item Library Adult Version - Swelling/Cramps in Stomach Area
C184097 FSIL-Take My Condition Into Account FSIL-Take My Condition Into Account Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to take my condition into account when making plans. FACIT-Searchable Item Library Adult Version - Take My Condition Into Account
C183741 FSIL-Taking Drug Infusion Inconvenient FSIL-Taking Drug Infusion Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Taking the drug by infusion is inconvenient. FACIT-Searchable Item Library Adult Version - Taking Drug Infusion Inconvenient
C184187 FSIL-Thankfulness Others Bring to Life FSIL-Thankfulness Others Bring to Life Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for what others bring to my life. FACIT-Searchable Item Library Adult Version - Thankfulness Others Bring to Life
C183624 FSIL-The Skin on My Feet Hurts FSIL-The Skin on My Feet Hurts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my feet hurts. FACIT-Searchable Item Library Adult Version - The Skin on My Feet Hurts
C183622 FSIL-The Skin on My Hands Hurts FSIL-The Skin on My Hands Hurts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my hands hurts. FACIT-Searchable Item Library Adult Version - The Skin on My Hands Hurts
C183865 FSIL-Tired Dealing With Skin Condition FSIL-Tired Dealing With Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am tired of dealing with my skin condition. FACIT-Searchable Item Library Adult Version - Tired Dealing With Skin Condition
C184154 FSIL-Told Family Members About Infection FSIL-Told Family Members About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told family members about my infection. FACIT-Searchable Item Library Adult Version - Told Family Members About Infection
C183818 FSIL-Told Me Trouble Remembering Info FSIL-Told Me Trouble Remembering Info Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble remembering information. FACIT-Searchable Item Library Adult Version - Told Me Trouble Remembering Info
C183819 FSIL-Told Me Trouble Speaking Clearly FSIL-Told Me Trouble Speaking Clearly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble speaking clearly. FACIT-Searchable Item Library Adult Version - Told Me Trouble Speaking Clearly
C183820 FSIL-Told Me Trouble Thinking Clearly FSIL-Told Me Trouble Thinking Clearly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble thinking clearly. FACIT-Searchable Item Library Adult Version - Told Me Trouble Thinking Clearly
C184159 FSIL-Told Partner/Spouse About Infection FSIL-Told Partner/Spouse About Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told my partner/spouse about my infection. FACIT-Searchable Item Library Adult Version - Told Partner/Spouse About Infection
C183643 FSIL-Too Tired to Eat FSIL-Too Tired to Eat Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am too tired to eat. FACIT-Searchable Item Library Adult Version - Too Tired to Eat
C183734 FSIL-Treatment Bone Disease Takes Time FSIL-Treatment Bone Disease Takes Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease takes up my time. FACIT-Searchable Item Library Adult Version - Treatment Bone Disease Takes Time
C183737 FSIL-Treatment Bone Disease to Others FSIL-Treatment Bone Disease to Others Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment for bone disease to others with your illness? FACIT-Searchable Item Library Adult Version - Treatment Bone Disease to Others
C183743 FSIL-Treatment Causes Me Physical Pain FSIL-Treatment Causes Me Physical Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease causes me physical pain. FACIT-Searchable Item Library Adult Version - Treatment Causes Me Physical Pain
C183750 FSIL-Treatment Schedule Stressful Family FSIL-Treatment Schedule Stressful Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to my family. FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful Family
C183749 FSIL-Treatment Schedule Stressful to Me FSIL-Treatment Schedule Stressful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to me. FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful to Me
C183748 FSIL-Treatment Seems Harmful to Me FSIL-Treatment Seems Harmful to Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease seems harmful to me. FACIT-Searchable Item Library Adult Version - Treatment Seems Harmful to Me
C184268 FSIL-Treatment Staff Answered Honestly FSIL-Treatment Staff Answered Honestly Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel that the treatment staff answered your questions honestly? FACIT-Searchable Item Library Adult Version - Treatment Staff Answered Honestly
C184255 FSIL-Treatment Staff Discuss Activities FSIL-Treatment Staff Discuss Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal daily activities? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Activities
C184257 FSIL-Treatment Staff Discuss Emotionally FSIL-Treatment Staff Discuss Emotionally Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect you emotionally? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Emotionally
C184256 FSIL-Treatment Staff Discuss Relation FSIL-Treatment Staff Discuss Relation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your personal relationships? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Relation
C184253 FSIL-Treatment Staff Discuss Work FSIL-Treatment Staff Discuss Work Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)? FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Work
C184269 FSIL-Treatment Staff Respect Privacy FSIL-Treatment Staff Respect Privacy Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff respect your privacy? FACIT-Searchable Item Library Adult Version - Treatment Staff Respect Privacy
C184260 FSIL-Treatment Staff Thorough Examining FSIL-Treatment Staff Thorough Examining Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Was the treatment staff thorough in examining and treating you? FACIT-Searchable Item Library Adult Version - Treatment Staff Thorough Examining
C183739 FSIL-Treatment Takes Up My Family's Time FSIL-Treatment Takes Up My Family's Time Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease takes up my family's time. FACIT-Searchable Item Library Adult Version - Treatment Takes Up My Family's Time
C183925 FSIL-Trouble Digesting Food FSIL-Trouble Digesting Food Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble digesting food. FACIT-Searchable Item Library Adult Version - Trouble Digesting Food
C183715 FSIL-Trouble Feeling Arm/Hands/Legs FSIL-Trouble Feeling Arm/Hands/Legs Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling sensations in my arm, hands or legs. FACIT-Searchable Item Library Adult Version - Trouble Feeling Arm/Hands/Legs
C184129 FSIL-Trouble Feeling Shape of Objects FSIL-Trouble Feeling Shape of Objects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling the shape of small objects when they are in my hand. FACIT-Searchable Item Library Adult Version - Trouble Feeling Shape of Objects
C183815 FSIL-Trouble Finding Familiar Place FSIL-Trouble Finding Familiar Place Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding my way to a familiar place. FACIT-Searchable Item Library Adult Version - Trouble Finding Familiar Place
C183836 FSIL-Trouble Finding Right Words FSIL-Trouble Finding Right Words Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding the right word(s) to express myself. FACIT-Searchable Item Library Adult Version - Trouble Finding Right Words
C183650 FSIL-Trouble Finishing Things FSIL-Trouble Finishing Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble finishing things because I am tired. FACIT-Searchable Item Library Adult Version - Trouble Finishing Things
C184089 FSIL-Trouble Getting Around in Public FSIL-Trouble Getting Around in Public Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble getting around in public places. FACIT-Searchable Item Library Adult Version - Trouble Getting Around in Public
C183816 FSIL-Trouble Keeping Track Interrupted FSIL-Trouble Keeping Track Interrupted Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble keeping track of what I am doing if I am interrupted. FACIT-Searchable Item Library Adult Version - Trouble Keeping Track Interrupted
C183977 FSIL-Trouble Meeting Needs of Family FSIL-Trouble Meeting Needs of Family Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my physical condition, I have trouble meeting the needs of my family. FACIT-Searchable Item Library Adult Version - Trouble Meeting Needs of Family
C183835 FSIL-Trouble Recalling Name of Object FSIL-Trouble Recalling Name of Object Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble recalling the name of an object while talking to someone. FACIT-Searchable Item Library Adult Version - Trouble Recalling Name of Object
C183813 FSIL-Trouble Remember Where Put Things FSIL-Trouble Remember Where Put Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering where I put things, like my keys or my wallet. FACIT-Searchable Item Library Adult Version - Trouble Remember Where Put Things
C183814 FSIL-Trouble Remembering New Info FSIL-Trouble Remembering New Info Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering new information, like phone numbers or simple instructions. FACIT-Searchable Item Library Adult Version - Trouble Remembering New Info
C183838 FSIL-Trouble Saying What I Mean FSIL-Trouble Saying What I Mean Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble saying what I mean in conversations with others. FACIT-Searchable Item Library Adult Version - Trouble Saying What I Mean
C183817 FSIL-Trouble Shifting Back and Forth FSIL-Trouble Shifting Back and Forth Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble shifting back and forth between different activities that require thinking. FACIT-Searchable Item Library Adult Version - Trouble Shifting Back and Forth
C183859 FSIL-Trouble Sleeping B/c Skin Condition FSIL-Trouble Sleeping B/c Skin Condition Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping because of my skin condition. FACIT-Searchable Item Library Adult Version - Trouble Sleeping B/c Skin Condition
C183649 FSIL-Trouble Starting Things FSIL-Trouble Starting Things Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble starting things because I am tired. FACIT-Searchable Item Library Adult Version - Trouble Starting Things
C183701 FSIL-Trouble Walking Because Bone Pain FSIL-Trouble Walking Because Bone Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of bone pain. FACIT-Searchable Item Library Adult Version - Trouble Walking Because Bone Pain
C184088 FSIL-Trouble Walking Because of Pain FSIL-Trouble Walking Because of Pain Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of pain. FACIT-Searchable Item Library Adult Version - Trouble Walking Because of Pain
C184040 FSIL-Troubled Not Knowing Side Effects FSIL-Troubled Not Knowing Side Effects Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am troubled by not knowing when exactly my side effects will happen, how long they will last and how bad they will be. FACIT-Searchable Item Library Adult Version - Troubled Not Knowing Side Effects
C184271 FSIL-Trust Doctor Suggestions Treatment FSIL-Trust Doctor Suggestions Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you trust your doctor(s)' suggestions for treatment? FACIT-Searchable Item Library Adult Version - Trust Doctor Suggestions Treatment
C183920 FSIL-Tube Feed Limits Do Inside House FSIL-Tube Feed Limits Do Inside House Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do inside the house (for example housework, watching TV or reading). FACIT-Searchable Item Library Adult Version - Tube Feed Limits Do Inside House
C183922 FSIL-Tube Feeding Limits Activities FSIL-Tube Feeding Limits Activities Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits my activities with my friends. FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Activities
C183921 FSIL-Tube Feeding Limits Do Outside FSIL-Tube Feeding Limits Do Outside Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do outside of the house (for example shopping, driving or yard work). FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Do Outside
C184206 FSIL-Unattractive B/c How My Skin Looks FSIL-Unattractive B/c How My Skin Looks Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel unattractive because of how my skin looks. FACIT-Searchable Item Library Adult Version - Unattractive B/c How My Skin Looks
C184066 FSIL-Uncertain About My Future Health FSIL-Uncertain About My Future Health Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncertain about my future health. FACIT-Searchable Item Library Adult Version - Uncertain About My Future Health
C183916 FSIL-Uncomfortably Full Tube Feeding FSIL-Uncomfortably Full Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncomfortably full during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Uncomfortably Full Tube Feeding
C183995 FSIL-Unhappy About Change in My Appear FSIL-Unhappy About Change in My Appear Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy about a change in my appearance. FACIT-Searchable Item Library Adult Version - Unhappy About Change in My Appear
C184022 FSIL-Unhappy With How Face & Neck Look FSIL-Unhappy With How Face & Neck Look Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with how my face and neck look. FACIT-Searchable Item Library Adult Version - Unhappy With How Face & Neck Look
C184002 FSIL-Unhappy With My Appearance FSIL-Unhappy With My Appearance Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with my appearance. FACIT-Searchable Item Library Adult Version - Unhappy With My Appearance
C184055 FSIL-Urinate Frequently to Avoid Leaking FSIL-Urinate Frequently to Avoid Leaking Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must urinate frequently to avoid leaking. FACIT-Searchable Item Library Adult Version - Urinate Frequently to Avoid Leaking
C183807 FSIL-Use Written Lists More Often FSIL-Use Written Lists More Often Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to use written lists more often than usual so I would not forget things. FACIT-Searchable Item Library Adult Version - Use Written Lists More Often
C183837 FSIL-Used Wrong Word When Refer Object FSIL-Used Wrong Word When Refer Object Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have used the wrong word when I referred to an object. FACIT-Searchable Item Library Adult Version - Used Wrong Word When Refer Object
C183878 FSIL-Vagina Feels Too Narrow/Short FSIL-Vagina Feels Too Narrow/Short Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My vagina feels too narrow or short. FACIT-Searchable Item Library Adult Version - Vagina Feels Too Narrow/Short
C184020 FSIL-Voice Has Usual Quality & Strength FSIL-Voice Has Usual Quality & Strength Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My voice has its usual quality and strength. FACIT-Searchable Item Library Adult Version - Voice Has Usual Quality & Strength
C183919 FSIL-Vomiting Dur/After Tube Feeding FSIL-Vomiting Dur/After Tube Feeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience vomiting during or after my tube feeding. FACIT-Searchable Item Library Adult Version - Vomiting Dur/After Tube Feeding
C183745 FSIL-Waiting Breakfast Is Inconvenient FSIL-Waiting Breakfast Is Inconvenient Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Waiting up to 60 minutes before eating breakfast in the morning is inconvenient. FACIT-Searchable Item Library Adult Version - Waiting Breakfast Is Inconvenient
C183904 FSIL-Wake at Night Because of Coughing FSIL-Wake at Night Because of Coughing Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wake at night because of coughing. FACIT-Searchable Item Library Adult Version - Wake at Night Because of Coughing
C183809 FSIL-Walked Into a Room and Forgotten FSIL-Walked Into a Room and Forgotten Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have walked into a room and forgotten what I meant to get or do there. FACIT-Searchable Item Library Adult Version - Walked Into a Room and Forgotten
C183889 FSIL-Walking 50 Steps Flat Normal Speed FSIL-Walking 50 Steps Flat Normal Speed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking 50 steps/paces on flat ground at a normal speed without stopping. FACIT-Searchable Item Library Adult Version - Walking 50 Steps Flat Normal Speed
C183897 FSIL-Walking for 1/2 Mile w/o Stopping FSIL-Walking for 1/2 Mile w/o Stopping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. FACIT-Searchable Item Library Adult Version - Walking for 1/2 Mile w/o Stopping
C183890 FSIL-Walking Up 20 Stairs w/o Stopping FSIL-Walking Up 20 Stairs w/o Stopping Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking up 20 stairs (2 flights) without stopping. FACIT-Searchable Item Library Adult Version - Walking Up 20 Stairs w/o Stopping
C183892 FSIL-Washing Dishes FSIL-Washing Dishes Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Washing dishes. FACIT-Searchable Item Library Adult Version - Washing Dishes
C184047 FSIL-Wear Pads/Protect Prevent Soiling FSIL-Wear Pads/Protect Prevent Soiling Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear pads or protection to prevent soiling my underwear. FACIT-Searchable Item Library Adult Version - Wear Pads/Protect Prevent Soiling
C184056 FSIL-Wear Protection Leakage of Urine FSIL-Wear Protection Leakage of Urine Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear protection for leakage of urine. FACIT-Searchable Item Library Adult Version - Wear Protection Leakage of Urine
C184178 FSIL-Whatever Happens Illness Will Be OK FSIL-Whatever Happens Illness Will Be OK Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that whatever happens with my illness, things will be okay. FACIT-Searchable Item Library Adult Version - Whatever Happens Illness Will Be OK
C184157 FSIL-Which Side Was Breast Operation FSIL-Which Side Was Breast Operation Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: On which side was your breast operation? FACIT-Searchable Item Library Adult Version - Which Side Was Breast Operation
C184235 FSIL-Women: Bothered by Vaginal Bleeding FSIL-Women: Bothered by Vaginal Bleeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: For women only: I am bothered by vaginal bleeding. FACIT-Searchable Item Library Adult Version - Women: Bothered by Vaginal Bleeding
C183810 FSIL-Work Hard to Pay Attention FSIL-Work Hard to Pay Attention Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work really hard to pay attention or I would make a mistake. FACIT-Searchable Item Library Adult Version - Work Hard to Pay Attention
C183806 FSIL-Work Harder Than Usual to Express FSIL-Work Harder Than Usual to Express Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to express myself clearly. FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Express
C183804 FSIL-Work Harder Than Usual to Track FSIL-Work Harder Than Usual to Track Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to keep track of what I was doing. FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Track
C183632 FSIL-Worried About My Weight FSIL-Worried About My Weight Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am worried about my weight. FACIT-Searchable Item Library Adult Version - Worried About My Weight
C183779 FSIL-Worry About Attitudes Towards Me FSIL-Worry About Attitudes Towards Me Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about other people's attitudes towards me. FACIT-Searchable Item Library Adult Version - Worry About Attitudes Towards Me
C184238 FSIL-Worry About Serious Bleeding FSIL-Worry About Serious Bleeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the possibility of serious bleeding. FACIT-Searchable Item Library Adult Version - Worry About Serious Bleeding
C183740 FSIL-Worry About Side Effects Treatment FSIL-Worry About Side Effects Treatment Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from treatment for bone disease. FACIT-Searchable Item Library Adult Version - Worry About Side Effects Treatment
C184008 FSIL-Worry About Spreading My Infection FSIL-Worry About Spreading My Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading my infection. FACIT-Searchable Item Library Adult Version - Worry About Spreading My Infection
C183791 FSIL-Worry About Spreading the Infection FSIL-Worry About Spreading the Infection Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading the infection. FACIT-Searchable Item Library Adult Version - Worry About Spreading the Infection
C183666 FSIL-Worry About the Effect of Stress FSIL-Worry About the Effect of Stress Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the effect of stress on my illness. FACIT-Searchable Item Library Adult Version - Worry About the Effect of Stress
C184083 FSIL-Worry Appearance of Surgical Scars FSIL-Worry Appearance of Surgical Scars Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the appearance of surgical scars. FACIT-Searchable Item Library Adult Version - Worry Appearance of Surgical Scars
C183848 FSIL-Worry Chemo Not Effective FSIL-Worry Chemo Not Effective Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my chemotherapy will not be effective. FACIT-Searchable Item Library Adult Version - Worry Chemo Not Effective
C183665 FSIL-Worry Family Will Get Illness FSIL-Worry Family Will Get Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that other members of my family might someday get the same illness I have. FACIT-Searchable Item Library Adult Version - Worry Family Will Get Illness
C183907 FSIL-Worry Feeding Tube Health Is Worse FSIL-Worry Feeding Tube Health Is Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that having a feeding tube means my health is worse. FACIT-Searchable Item Library Adult Version - Worry Feeding Tube Health Is Worse
C183945 FSIL-Worry Financial Problems in Future FSIL-Worry Financial Problems in Future Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the financial problems I will have in the future as a result of my illness or treatment. FACIT-Searchable Item Library Adult Version - Worry Financial Problems in Future
C184105 FSIL-Worry Getting Sick Low Blood Counts FSIL-Worry Getting Sick Low Blood Counts Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting sick due to low blood counts. FACIT-Searchable Item Library Adult Version - Worry Getting Sick Low Blood Counts
C184067 FSIL-Worry I Might Get New Symptoms FSIL-Worry I Might Get New Symptoms Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that I might get new symptoms of my illness. FACIT-Searchable Item Library Adult Version - Worry I Might Get New Symptoms
C183910 FSIL-Worry Infection From Feeding Tube FSIL-Worry Infection From Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting an infection from the feeding tube. FACIT-Searchable Item Library Adult Version - Worry Infection From Feeding Tube
C183776 FSIL-Worry Infection Will Get Worse FSIL-Worry Infection Will Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the infection will get worse. FACIT-Searchable Item Library Adult Version - Worry Infection Will Get Worse
C183911 FSIL-Worry Losing Weight Feeding Tube FSIL-Worry Losing Weight Feeding Tube Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about losing weight because I have a feeding tube. FACIT-Searchable Item Library Adult Version - Worry Losing Weight Feeding Tube
C183967 FSIL-Worry My Condition Will Get Worse FSIL-Worry My Condition Will Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my condition will get worse. FACIT-Searchable Item Library Adult Version - Worry My Condition Will Get Worse
C184038 FSIL-Worry Neg Impacts Long-term Health FSIL-Worry Neg Impacts Long-term Health Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about negative impacts that my treatment may have upon my long-term health. FACIT-Searchable Item Library Adult Version - Worry Neg Impacts Long-term Health
C184108 FSIL-Worry Not improve Treatment Delayed FSIL-Worry Not improve Treatment Delayed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry my condition will not improve if my treatment is delayed. FACIT-Searchable Item Library Adult Version - Worry Not improve Treatment Delayed
C184237 FSIL-Worry Problems Bruising/Bleeding FSIL-Worry Problems Bruising/Bleeding Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about problems with bruising or bleeding. FACIT-Searchable Item Library Adult Version - Worry Problems Bruising/Bleeding
C183845 FSIL-Worry Side Effects From Chemo FSIL-Worry Side Effects From Chemo Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from chemotherapy treatment. FACIT-Searchable Item Library Adult Version - Worry Side Effects From Chemo
C183871 FSIL-Worry Skin condition Get Worse FSIL-Worry Skin condition Get Worse Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my skin condition may get worse. FACIT-Searchable Item Library Adult Version - Worry Skin condition Get Worse
C184069 FSIL-Worry Support Myself/Family Illness FSIL-Worry Support Myself/Family Illness Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about being able to support myself or my family due to my illness. FACIT-Searchable Item Library Adult Version - Worry Support Myself/Family Illness
C184234 FSIL-Worry Treatment Dose Will Reduced FSIL-Worry Treatment Dose Will Reduced Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment dose will be reduced (because of low blood counts). FACIT-Searchable Item Library Adult Version - Worry Treatment Dose Will Reduced
C183747 FSIL-Worry Treatment Not Effective FSIL-Worry Treatment Not Effective Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment for bone disease will not be effective. FACIT-Searchable Item Library Adult Version - Worry Treatment Not Effective
C184233 FSIL-Worry Treatment Will Be Delayed FSIL-Worry Treatment Will Be Delayed Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment will be delayed (because of low blood counts). FACIT-Searchable Item Library Adult Version - Worry Treatment Will Be Delayed
C183908 FSIL-Worry Tube Coming Out by Accident FSIL-Worry Tube Coming Out by Accident Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube coming out by accident. FACIT-Searchable Item Library Adult Version - Worry Tube Coming Out by Accident
C183909 FSIL-Worry Tube Getting Plugged/Blocked FSIL-Worry Tube Getting Plugged/Blocked Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube getting plugged or blocked. FACIT-Searchable Item Library Adult Version - Worry Tube Getting Plugged/Blocked

FSS01TC (Fatigue Severity Scale Questionnaire Test Code)

NCI Code: C113850, Codelist extensible: No
C113850 FSS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113944 FSS0101 FSS01-Motivation Is Lower When Fatigued Fatigue Severity Scale - My motivation is lower when I am fatigued. FSS - Motivation is Lower When Fatigued
C113945 FSS0102 FSS01-Exercise Brings on My Fatigue Fatigue Severity Scale - Exercise brings on my fatigue. FSS - Exercise Brings on My Fatigue
C113946 FSS0103 FSS01-I Am Easily Fatigued Fatigue Severity Scale - I am easily fatigued. FSS - I Am Easily Fatigued
C113947 FSS0104 FSS01-Interferes With Phys Function Fatigue Severity Scale - Fatigue interferes with my physical functioning. FSS - Fatigue Interferes With Physical Functioning
C113948 FSS0105 FSS01-Fatigue Causes Frequent Problems Fatigue Severity Scale - Fatigue causes frequent problems for me. FSS - Fatigue Causes Frequent Problems
C113949 FSS0106 FSS01-Prevents Sustained Phys Function Fatigue Severity Scale - My fatigue prevents sustained physical functioning. FSS - Fatigue Prevents Sustained Physical Functioning
C113950 FSS0107 FSS01-Fatigue Interferes With Duties Fatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities. FSS - Fatigue Interferes With Carrying Out Duties
C113951 FSS0108 FSS01-Among My 3 Most Disabling Symptoms Fatigue Severity Scale - Fatigue is among my three most disabling symptoms. FSS - Fatigue is Among Most Disabling Symptoms
C113952 FSS0109 FSS01-Fatigue Interferes With My Life Fatigue Severity Scale - Fatigue interferes with my work, family, or social life. FSS - Fatigue Interferes With Work

FSS01TN (Fatigue Severity Scale Questionnaire Test Name)

NCI Code: C113849, Codelist extensible: No
C113849 FSS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113951 FSS01-Among My 3 Most Disabling Symptoms FSS01-Among My 3 Most Disabling Symptoms Fatigue Severity Scale - Fatigue is among my three most disabling symptoms. FSS - Fatigue is Among Most Disabling Symptoms
C113945 FSS01-Exercise Brings on My Fatigue FSS01-Exercise Brings on My Fatigue Fatigue Severity Scale - Exercise brings on my fatigue. FSS - Exercise Brings on My Fatigue
C113948 FSS01-Fatigue Causes Frequent Problems FSS01-Fatigue Causes Frequent Problems Fatigue Severity Scale - Fatigue causes frequent problems for me. FSS - Fatigue Causes Frequent Problems
C113950 FSS01-Fatigue Interferes With Duties FSS01-Fatigue Interferes With Duties Fatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities. FSS - Fatigue Interferes With Carrying Out Duties
C113952 FSS01-Fatigue Interferes With My Life FSS01-Fatigue Interferes With My Life Fatigue Severity Scale - Fatigue interferes with my work, family, or social life. FSS - Fatigue Interferes With Work
C113946 FSS01-I Am Easily Fatigued FSS01-I Am Easily Fatigued Fatigue Severity Scale - I am easily fatigued. FSS - I Am Easily Fatigued
C113947 FSS01-Interferes With Phys Function FSS01-Interferes With Phys Function Fatigue Severity Scale - Fatigue interferes with my physical functioning. FSS - Fatigue Interferes With Physical Functioning
C113944 FSS01-Motivation Is Lower When Fatigued FSS01-Motivation Is Lower When Fatigued Fatigue Severity Scale - My motivation is lower when I am fatigued. FSS - Motivation is Lower When Fatigued
C113949 FSS01-Prevents Sustained Phys Function FSS01-Prevents Sustained Phys Function Fatigue Severity Scale - My fatigue prevents sustained physical functioning. FSS - Fatigue Prevents Sustained Physical Functioning

FTCAT (Category of Functional Test)

NCI Code: C115304, Codelist extensible: Yes
C115304 FTCAT
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141686 10-METER WALK/RUN TENMW1;Ten Meter Walk/Run 10-Meter Walk/Run (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. 10-Meter Walk/Run Test Functional Test
C141689 4-STAIR ASCEND A4STR1 4 Stair Ascend (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Four Stair Ascend Test Functional Test
C141688 4-STAIR DESCEND D4STR1 4-Stair Descend (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Four Stair Descend Test Functional Test
C102112 AVLT AVL01 The Alzheimer's Disease Neuroimaging Initiative's (ADNI) version of the Auditory Verbal Learning Test (AVLT Version A) modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964. Alzheimer's Disease Neuroimaging Initiative Auditory Verbal Learning Test Functional Test
C123668 AVLT-REY AVL02 Auditory Verbal Learning Test (AVLT-Rey) (Modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964. Test-Retest Reliability of a New Form of Auditory Verbal Learning Test (AVLT); Archives of Clinical Neuropsycology, Vol. 9, No. 4, pp. 303-316, 1994. Performance of Healthy Subjects and Patients with Resection from the Anterior Temporal Lobe on Matched Tests of Verbal and Visuoperceptual Learning; Journal of Clinical and Experimental Neuropsychology 1996, Vol. 18, No. 3, pp. 416-430). Rey Auditory Verbal Learning Functional Test
C121004 BACS BACS1 Brief Assessment of Cognition in Schizophrenia (BACS) (Richard Keefe, PhD, Copyright 1999 Duke University Medical Center, Licenses available through Neurocog Trials, Inc.). Brief Assessment of Cognition in Schizophrenia Functional Test
C114144 COWAT COWAT1 Controlled Oral Word Association Test (COWAT) (Benton, A.L., Hamsher, K., & Sivan, A.B. (1994). Multilingual Aphasia Examination (3rd ed.). Iowa City, IA: AJA Associates). Controlled Oral Word Association Test
C150909 EMOTION RECOGNITION EMO1 Emotion Recognition (Ekman P, Friesen WV. Measuring facial movement. Environmental Psychology and Nonverbal Behavior. 1976;1(1):56-75). Emotion Recognition Test Functional Test
C115790 HAUSER AMBULATION INDEX HAI01 Hauser Ambulation Index (AI) (Hauser SL, Dawson DM, Lehrich JR, Beal MF, Kevy SV, Propper RD, Mills JA, Weiner HL. Intensive immunosuppression in progressive multiple sclerosis. A randomized, three-arm study of high-dose intravenous cyclophosphamide, plasma exchange, and ACTH. N Engl J Med. 1983 Jan 27;308(4):173-80). Hauser Ambulation Index Functional Test
C166278 HD-CAB HDCAB1 Huntington's Disease Cognitive Assessment Battery (HD-CAB) (Copyright 2014 Monash University. All Rights Reserved. Stout, J.C. et al. HD-CAB: A cognitive assessment battery for clinical trials in Huntington's disease. Movement Disorders. 2014;29(10):1281-1288). Huntington's Disease Cognitive Assessment Battery Functional Test
C74982 MMSE MMS1 Mini-Mental State Examination (MMSE) (MMSE Copyright 1975, 1998, 2001 by MiniMental, LLC All rights reserved. Published 2001 by Psychological Assessment Resources, Inc. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.). Mini-Mental Status Exam
C150910 MMSE-2 STANDARD VERSION MMS2 Mini-Mental State Examination 2 Standard Version (MMSE-2 STANDARD VERSION) (MMSE-2 Copyright 2010 by Mini Mental, LLC. All rights reserved. Published 2010 by Psychological Assessment Resources, Inc (PAR). May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.). Mini-Mental State Examination 2 Standard Version Functional Test
C123667 MOCA MOCA01 Montreal Cognitive Assessment (MoCA) (Copyright Z. Nasreddine MD. Ziad S. Nasreddine, Natalie A. Phillips, Valerie Bedirian, Simon Charbonneau, Victor Whitehead, Isabelle Collin, Jeffrey L. Cummings and Howard Chertkow. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9). Montreal Cognitive Assessment Functional Test
C115791 NHPT NHPT01 Nine-Hole Peg Test (NHPT) (Copyright 2001, National Multiple Sclerosis Society). Nine-Hole Peg Functional Test
C150911 PACED TAPPING PTAP1 Paced Tapping (Rowe KC, Paulsen JS, Langbehn DR, et al. Self-paced timing detects and tracks change in prodromal Huntington disease. Neuropsychology. 2010;24(4):435-442). Paced Tapping Test Functional Test
C115792 PASAT PASAT1 Paced Auditory Serial Addition Test (PASAT) (Copyright 2001, National Multiple Sclerosis Society). Paced Auditory Serial Addition Functional Test
C138334 PUL V1.2 PUL01 Performance of the Upper Limb Module for DMD Version 1.2 (PUL V1.2) (Mayhew A, Mazzone ES, Eagle M, et al. (2013). Development of the Performance of the Upper Limb module for Duchenne muscular dystrophy. Dev Med Child Neurol; 55:1038-45). Performance of the Upper Limb Module for DMD 1.2 Functional Test
C138335 PUL V2.0 PUL02 Performance of the Upper Limb Module for DMD Version 2.0 (PUL V2.0) (Mayhew A, Mazzone ES, Eagle M, et al. (2013). Development of the Performance of the Upper Limb module for Duchenne muscular dystrophy. Dev Med Child Neurol; 55:1038-45). Performance of the Upper Limb Module for DMD 2.0 Functional Test
C141687 RISING FROM FLOOR RISEF1;Stand From Supine Rising From Floor (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. Rising From Floor Test Functional Test
C166279 ROCKPORT ONE MILE WALK TEST V1.0 ROCK01 Rockport One Mile Walk Test Version 1.0 (ROCKPORT ONE MILE WALK TEST V1.0) (Kline GM, Porcari JP, Hintermeister R, et. al. 1987. Estimation of VO2 Max from a one mile track walk, gender, age, and body weight. Medicine and Science in sports and Exercise. 19:253-59). Rockport One Mile Walk Test Version 1.0 Functional Test
C115793 SDMT SDMT01 Symbol Digit Modalities Test (SDMT) (Copyright 1973 by Western Psychological Services). Symbol Digit Modalities Functional Test
C115789 SIX MINUTE WALK SIXMW1 6 Minute Walk Test (6MWT) (Goldman MD, Marrie RA, Cohen JA. Evaluation of the six-minute walk in multiple sclerosis subjects and healthy controls. Multiple Sclerosis 2008; 14: 383-390). 6 Minute Walk Functional Test
C170646 SPPB V1.2 SPPB1 Short Physical Performance Battery V1.2 (SPPB V1.2) (Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV, Studenski S, Berkman LF, Wallace RB. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci 2000 April;55(4):M221-M231). Short Physical Performance Battery Version 1.2 Functional Test
C115794 T25FW T25FW1 Timed 25-Foot Walk (T25FW) (Copyright 2001, National Multiple Sclerosis Society). Timed 25-Foot Walk Functional Test
C92205 TMT TMT01 Trail Making Test (TMT) [(Copyright Owner: Dr. Jim Hom, The Neuropsychology Center, 500 N. Central Expressway, Suite 272, Plano TX 75074-6877. Ph: 469-429-8890, www.neuropsych.com.)(Manual: Army Individual Test. War Department, The Adjutant General's Office, 1944.)(Reitan RM. The Relation of the Trail Making Test to Organic Brain Damage; Journal of Consulting Psychology 1955 Oct 19(5):393-4.)(Reitan R.M. (1958). The validity of the Trail Making Test as an indicator of organic brain damage; Perceptual and Motor Skills, 8, 271-276.)]. Trail Making Test
C115795 TUG TUG01 Timed Up and Go (TUG) (Podsiadlo D, Richardson S. The Timed 'Up & Go': a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39:142-148). Timed Up and Go Functional Test

GAD01TC (Generalized Anxiety Disorder - 7 Questionnaire Test Code)

NCI Code: C103467, Codelist extensible: No
C103467 GAD01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103565 GAD0101 GAD01-Feeling Nervous Anxious or On Edge Generalized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge. GAD-7 - Feeling Nervous Anxious or On Edge
C103566 GAD0102 GAD01-Not Able to Stop/Control Worrying Generalized Anxiety Disorder - 7 - Not being able to stop or control worrying. GAD-7 - Not Being Able to Stop or Control Worrying
C103567 GAD0103 GAD01-Worrying Too Much About Things Generalized Anxiety Disorder - 7 - Worrying too much about different things. GAD-7 - Worrying Too Much About Different Things
C103568 GAD0104 GAD01-Trouble Relaxing Generalized Anxiety Disorder - 7 - Trouble relaxing. GAD-7 - Trouble Relaxing
C103569 GAD0105 GAD01-Being Restless Hard to Sit Still Generalized Anxiety Disorder - 7 - Being so restless that it is hard to sit still. GAD-7 - Being so Restless That it is Hard to Sit Still
C103570 GAD0106 GAD01-Becoming Easily Annoyed/Irritable Generalized Anxiety Disorder - 7 - Becoming easily annoyed or irritable. GAD-7 - Becoming Easily Annoyed or Irritable
C103571 GAD0107 GAD01-Feel Afraid/Something Awful Happen Generalized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen. GAD-7 - Feel Afraid as if Something Awful Might Happen
C103572 GAD0108 GAD01-Difficult to Work/Take Care Things Generalized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
C113886 GAD0109 GAD01-Total Score Generalized Anxiety Disorder - 7 - Total score. GAD-7 - Total Score

GAD01TN (Generalized Anxiety Disorder - 7 Questionnaire Test Name)

NCI Code: C103466, Codelist extensible: No
C103466 GAD01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103570 GAD01-Becoming Easily Annoyed/Irritable GAD01-Becoming Easily Annoyed/Irritable Generalized Anxiety Disorder - 7 - Becoming easily annoyed or irritable. GAD-7 - Becoming Easily Annoyed or Irritable
C103569 GAD01-Being Restless Hard to Sit Still GAD01-Being Restless Hard to Sit Still Generalized Anxiety Disorder - 7 - Being so restless that it is hard to sit still. GAD-7 - Being so Restless That it is Hard to Sit Still
C103572 GAD01-Difficult to Work/Take Care Things GAD01-Difficult to Work/Take Care Things Generalized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
C103571 GAD01-Feel Afraid/Something Awful Happen GAD01-Feel Afraid/Something Awful Happen Generalized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen. GAD-7 - Feel Afraid as if Something Awful Might Happen
C103565 GAD01-Feeling Nervous Anxious or On Edge GAD01-Feeling Nervous Anxious or On Edge Generalized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge. GAD-7 - Feeling Nervous Anxious or On Edge
C103566 GAD01-Not Able to Stop/Control Worrying GAD01-Not Able to Stop/Control Worrying Generalized Anxiety Disorder - 7 - Not being able to stop or control worrying. GAD-7 - Not Being Able to Stop or Control Worrying
C113886 GAD01-Total Score GAD01-Total Score Generalized Anxiety Disorder - 7 - Total score. GAD-7 - Total Score
C103568 GAD01-Trouble Relaxing GAD01-Trouble Relaxing Generalized Anxiety Disorder - 7 - Trouble relaxing. GAD-7 - Trouble Relaxing
C103567 GAD01-Worrying Too Much About Things GAD01-Worrying Too Much About Things Generalized Anxiety Disorder - 7 - Worrying too much about different things. GAD-7 - Worrying Too Much About Different Things

GAD02TC (Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test Code)

NCI Code: C163389, Codelist extensible: No
C163389 GAD02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163832 GAD0201 GAD02-Feeling Nervous Anxious or On Edge Generalized Anxiety Disorder - 7 Version 2 - Feeling nervous, anxious or on edge. GAD-7 Version 2 - Feeling Nervous Anxious or On Edge
C163833 GAD0202 GAD02-Not Able to Stop/Control Worrying Generalized Anxiety Disorder - 7 Version 2 - Not being able to stop or control worrying. GAD-7 Version 2 - Not Able to Stop or Control Worrying
C163834 GAD0203 GAD02-Worrying Too Much About Things Generalized Anxiety Disorder - 7 Version 2 - Worrying too much about different things. GAD-7 Version 2 - Worrying Too Much About Things
C163835 GAD0204 GAD02-Trouble Relaxing Generalized Anxiety Disorder - 7 Version 2 - Trouble relaxing. GAD-7 Version 2 - Trouble Relaxing
C163836 GAD0205 GAD02-Being Restless Hard to Sit Still Generalized Anxiety Disorder - 7 Version 2 - Being so restless that it is hard to sit still. GAD-7 Version 2 - Being Restless Hard to Sit Still
C163837 GAD0206 GAD02-Becoming Easily Annoyed/Irritable Generalized Anxiety Disorder - 7 Version 2 - Becoming easily annoyed or irritable. GAD-7 Version 2 - Becoming Easily Annoyed or Irritable
C163838 GAD0207 GAD02-Feel Afraid/Something Awful Happen Generalized Anxiety Disorder - 7 Version 2 - Feeling afraid as if something awful might happen. GAD-7 Version 2 - Feel Afraid If Something Awful Happen
C163839 GAD0208 GAD02-Total Score Generalized Anxiety Disorder - 7 Version 2 - Total score. GAD-7 Version 2 - Total Score

GAD02TN (Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test Name)

NCI Code: C163388, Codelist extensible: No
C163388 GAD02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163837 GAD02-Becoming Easily Annoyed/Irritable GAD02-Becoming Easily Annoyed/Irritable Generalized Anxiety Disorder - 7 Version 2 - Becoming easily annoyed or irritable. GAD-7 Version 2 - Becoming Easily Annoyed or Irritable
C163836 GAD02-Being Restless Hard to Sit Still GAD02-Being Restless Hard to Sit Still Generalized Anxiety Disorder - 7 Version 2 - Being so restless that it is hard to sit still. GAD-7 Version 2 - Being Restless Hard to Sit Still
C163838 GAD02-Feel Afraid/Something Awful Happen GAD02-Feel Afraid/Something Awful Happen Generalized Anxiety Disorder - 7 Version 2 - Feeling afraid as if something awful might happen. GAD-7 Version 2 - Feel Afraid If Something Awful Happen
C163832 GAD02-Feeling Nervous Anxious or On Edge GAD02-Feeling Nervous Anxious or On Edge Generalized Anxiety Disorder - 7 Version 2 - Feeling nervous, anxious or on edge. GAD-7 Version 2 - Feeling Nervous Anxious or On Edge
C163833 GAD02-Not Able to Stop/Control Worrying GAD02-Not Able to Stop/Control Worrying Generalized Anxiety Disorder - 7 Version 2 - Not being able to stop or control worrying. GAD-7 Version 2 - Not Able to Stop or Control Worrying
C163839 GAD02-Total Score GAD02-Total Score Generalized Anxiety Disorder - 7 Version 2 - Total score. GAD-7 Version 2 - Total Score
C163835 GAD02-Trouble Relaxing GAD02-Trouble Relaxing Generalized Anxiety Disorder - 7 Version 2 - Trouble relaxing. GAD-7 Version 2 - Trouble Relaxing
C163834 GAD02-Worrying Too Much About Things GAD02-Worrying Too Much About Things Generalized Anxiety Disorder - 7 Version 2 - Worrying too much about different things. GAD-7 Version 2 - Worrying Too Much About Things

GCGI01TC (General Clinical Global Impressions Questionnaire Test Code)

NCI Code: C105138, Codelist extensible: No
C105138 GCGI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105278 GCGI0101 GCGI01-Global Severity of Pain General Clinical Global Impressions - Global severity of pain. GCGI - Global Severity of Pain
C105279 GCGI0102 GCGI01-Global Improvement of Pain General Clinical Global Impressions - Global improvement of pain. GCGI - Global Improvement of Pain
C105280 GCGI0103 GCGI01-Global Disease Status of Pain General Clinical Global Impressions - Global disease status of pain. GCGI - Global Disease Status of Pain
C105281 GCGI0104 GCGI01-Pain Treatment Preference General Clinical Global Impressions - Pain treatment preference. GCGI - Pain Treatment Preference
C105282 GCGI0105 GCGI01-Global Rating of Pain Medication General Clinical Global Impressions - Global rating of pain medication. GCGI - Global Rating of Pain Medication

GCGI01TN (General Clinical Global Impressions Questionnaire Test Name)

NCI Code: C105137, Codelist extensible: No
C105137 GCGI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105280 GCGI01-Global Disease Status of Pain GCGI01-Global Disease Status of Pain General Clinical Global Impressions - Global disease status of pain. GCGI - Global Disease Status of Pain
C105279 GCGI01-Global Improvement of Pain GCGI01-Global Improvement of Pain General Clinical Global Impressions - Global improvement of pain. GCGI - Global Improvement of Pain
C105282 GCGI01-Global Rating of Pain Medication GCGI01-Global Rating of Pain Medication General Clinical Global Impressions - Global rating of pain medication. GCGI - Global Rating of Pain Medication
C105278 GCGI01-Global Severity of Pain GCGI01-Global Severity of Pain General Clinical Global Impressions - Global severity of pain. GCGI - Global Severity of Pain
C105281 GCGI01-Pain Treatment Preference GCGI01-Pain Treatment Preference General Clinical Global Impressions - Pain treatment preference. GCGI - Pain Treatment Preference

GCS01TC (Glasgow Coma Scale NINDS Version Clinical Classification Test Code)

NCI Code: C124682, Codelist extensible: No
C124682 GCS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124724 GCS0101 GCS01-Best Eye Response Glasgow Coma Scale - Best eye response. GCS NINDS Version - Best Eye Response
C124725 GCS0102 GCS01-Motor Response Glasgow Coma Scale - Motor response. GCS NINDS Version - Motor Response
C124726 GCS0103 GCS01-Verbal Response Glasgow Coma Scale - Verbal response. GCS NINDS Version - Verbal Response
C124727 GCS0104 GCS01-Total Score Glasgow Coma Scale - Total score. GCS NINDS Version - Total Score
C124728 GCS0105A GCS01-Confounder: GCS Accurate Glasgow Coma Scale - GCS Confounder Type: GCS accurate. GCS NINDS Version - Confounder: GCS Accurate
C124729 GCS0105B GCS01-Confounder: Paralytic Glasgow Coma Scale - GCS Confounder Type: paralytic. GCS NINDS Version - Confounder: Paralytic
C124730 GCS0105C GCS01-Confounder: Alcohol/Drug of Abuse Glasgow Coma Scale - GCS Confounder Type: alcohol/drugs of abuse. GCS NINDS Version - Confounder: Alcohol or Drug of Abuse
C124731 GCS0105D GCS01-Confounder: C-Spine Injury Glasgow Coma Scale - GCS Confounder Type: C-spine injury. GCS NINDS Version - Confounder: C-Spine Injury
C124732 GCS0105E GCS01-Confounder: Hypoxia/Hypotension Glasgow Coma Scale - GCS Confounder Type: hypoxia/hypotension. GCS NINDS Version - Confounder: Hypoxia or Hypotension
C124733 GCS0105F GCS01-Confounder: Hypothermia Glasgow Coma Scale - GCS Confounder Type: hypothermia. GCS NINDS Version - Confounder: Hypothermia
C124734 GCS0105G GCS01-Confounder: Sedation Glasgow Coma Scale - GCS Confounder Type: sedation. GCS NINDS Version - Confounder: Sedation
C124735 GCS0105H GCS01-Confounder: Unknown Glasgow Coma Scale - GCS Confounder Type: unknown. GCS NINDS Version - Confounder: Unknown

GCS01TN (Glasgow Coma Scale NINDS Version Clinical Classification Test Name)

NCI Code: C124681, Codelist extensible: No
C124681 GCS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124724 GCS01-Best Eye Response GCS01-Best Eye Response Glasgow Coma Scale - Best eye response. GCS NINDS Version - Best Eye Response
C124730 GCS01-Confounder: Alcohol/Drug of Abuse GCS01-Confounder: Alcohol/Drug of Abuse Glasgow Coma Scale - GCS Confounder Type: alcohol/drugs of abuse. GCS NINDS Version - Confounder: Alcohol or Drug of Abuse
C124731 GCS01-Confounder: C-Spine Injury GCS01-Confounder: C-Spine Injury Glasgow Coma Scale - GCS Confounder Type: C-spine injury. GCS NINDS Version - Confounder: C-Spine Injury
C124728 GCS01-Confounder: GCS Accurate GCS01-Confounder: GCS Accurate Glasgow Coma Scale - GCS Confounder Type: GCS accurate. GCS NINDS Version - Confounder: GCS Accurate
C124733 GCS01-Confounder: Hypothermia GCS01-Confounder: Hypothermia Glasgow Coma Scale - GCS Confounder Type: hypothermia. GCS NINDS Version - Confounder: Hypothermia
C124732 GCS01-Confounder: Hypoxia/Hypotension GCS01-Confounder: Hypoxia/Hypotension Glasgow Coma Scale - GCS Confounder Type: hypoxia/hypotension. GCS NINDS Version - Confounder: Hypoxia or Hypotension
C124729 GCS01-Confounder: Paralytic GCS01-Confounder: Paralytic Glasgow Coma Scale - GCS Confounder Type: paralytic. GCS NINDS Version - Confounder: Paralytic
C124734 GCS01-Confounder: Sedation GCS01-Confounder: Sedation Glasgow Coma Scale - GCS Confounder Type: sedation. GCS NINDS Version - Confounder: Sedation
C124735 GCS01-Confounder: Unknown GCS01-Confounder: Unknown Glasgow Coma Scale - GCS Confounder Type: unknown. GCS NINDS Version - Confounder: Unknown
C124725 GCS01-Motor Response GCS01-Motor Response Glasgow Coma Scale - Motor response. GCS NINDS Version - Motor Response
C124727 GCS01-Total Score GCS01-Total Score Glasgow Coma Scale - Total score. GCS NINDS Version - Total Score
C124726 GCS01-Verbal Response GCS01-Verbal Response Glasgow Coma Scale - Verbal response. GCS NINDS Version - Verbal Response

GDS01TC (Geriatric Depression Scale Questionnaire Test Code)

NCI Code: C106663, Codelist extensible: No
C106663 GDS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106764 GDS0101 GDS01-Satisfied With Life Geriatric Depression Scale - Are you basically satisfied with your life? GDS - Basically Satisfied With Life
C106765 GDS0102 GDS01-Dropped Activities and Interests Geriatric Depression Scale - Have you dropped many of your activities and interests? GDS - Dropped Activities and Interests
C106766 GDS0103 GDS01-Life Is Empty Geriatric Depression Scale - Do you feel that your life is empty? GDS - Feel Life Is Empty
C106767 GDS0104 GDS01-Bored Often Geriatric Depression Scale - Do you often get bored? GDS - Often Get Bored
C106768 GDS0105 GDS01-Hopeful About Future Geriatric Depression Scale - Are you hopeful about the future? GDS - Hopeful About Future
C106769 GDS0106 GDS01-Bothered by Thoughts Geriatric Depression Scale - Are you bothered by thoughts you can't get out of your head? GDS - Bothered by Thoughts
C106770 GDS0107 GDS01-Good Spirits Most of Time Geriatric Depression Scale - Are you in good spirits most of the time? GDS - Good Spirits Most of Time
C106771 GDS0108 GDS01-Afraid of Something Bad Happening Geriatric Depression Scale - Are you afraid that something bad is going to happen to you? GDS - Afraid of Something Bad Happening
C106772 GDS0109 GDS01-Feel Happy Most of Time Geriatric Depression Scale - Do you feel happy most of the time? GDS - Feel Happy Most of Time
C106773 GDS0110 GDS01-Often Feel Helpless Geriatric Depression Scale - Do you often feel helpless? GDS - Often Feel Helpless
C106774 GDS0111 GDS01-Get Restless and Fidgety Geriatric Depression Scale - Do you often get restless and fidgety? GDS - Get Restless and Fidgety
C106775 GDS0112 GDS01-Prefer to Stay Home Geriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things? GDS - Prefer to Stay Home
C106776 GDS0113 GDS01-Worry About Future Geriatric Depression Scale - Do you frequently worry about the future? GDS - Frequently Worry About Future
C106777 GDS0114 GDS01-Memory Problems Geriatric Depression Scale - Do you feel you have more problems with memory than most? GDS - More Memory Problems Than Most
C106778 GDS0115 GDS01-Wonderful to Be Alive Geriatric Depression Scale - Do you think it is wonderful to be alive now? GDS - Think Wonderful to Be Alive
C106779 GDS0116 GDS01-Feel Downhearted and Blue Geriatric Depression Scale - Do you often feel downhearted and blue? GDS - Feel Downhearted and Blue
C106780 GDS0117 GDS01-Feel Worthless Geriatric Depression Scale - Do you feel pretty worthless the way you are now? GDS - Feel Worthless
C106781 GDS0118 GDS01-Worry About the Past Geriatric Depression Scale - Do you worry a lot about the past? GDS - Worry About the Past
C106782 GDS0119 GDS01-Find Life Exciting Geriatric Depression Scale - Do you find life very exciting? GDS - Find Life Exciting
C106783 GDS0120 GDS01-Hard to Start New Projects Geriatric Depression Scale - Is it hard for you to get started on new projects? GDS - Hard to Start New Projects
C106784 GDS0121 GDS01-Feel Full of Energy Geriatric Depression Scale - Do you feel full of energy? GDS - Feel Full of Energy
C106785 GDS0122 GDS01-Feel Hopeless Geriatric Depression Scale - Do you feel that your situation is hopeless? GDS - Feel Situation Is Hopeless
C106786 GDS0123 GDS01-Most People Better Off Than You Geriatric Depression Scale - Do you think that most people are better off than you are? GDS - Think Most People Better Off Than You
C106787 GDS0124 GDS01-Often Upset Over Little Things Geriatric Depression Scale -Do you frequently get upset over little things? GDS - Often Upset Over Little Things
C106788 GDS0125 GDS01-Frequently Feel Like Crying Geriatric Depression Scale - Do you frequently feel like crying? GDS - Frequently Feel Like Crying
C106789 GDS0126 GDS01-Trouble Concentrating Geriatric Depression Scale - Do you have trouble concentrating? GDS - Have Trouble Concentrating
C106790 GDS0127 GDS01-Enjoy Getting Up in the Morning Geriatric Depression Scale - Do you enjoy getting up in the morning? GDS - Enjoy Getting Up in the Morning
C106791 GDS0128 GDS01-Avoid Social Gatherings Geriatric Depression Scale - Do you prefer to avoid social gatherings? GDS - Prefer to Avoid Social Gatherings
C106792 GDS0129 GDS01-Easy to Make Decisions Geriatric Depression Scale - Is it easy for you to make decisions? GDS - Easy to Make Decisions
C106793 GDS0130 GDS01-Mind as Clear as It Used to Be Geriatric Depression Scale - Is your mind as clear as it used to be? GDS - Mind as Clear as It Used to Be
C163949 GDS0131 GDS01-Total Score Geriatric Depression Scale - Total score. GDS - Total Score

GDS01TN (Geriatric Depression Scale Questionnaire Test Name)

NCI Code: C106662, Codelist extensible: No
C106662 GDS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106771 GDS01-Afraid of Something Bad Happening GDS01-Afraid of Something Bad Happening Geriatric Depression Scale - Are you afraid that something bad is going to happen to you? GDS - Afraid of Something Bad Happening
C106791 GDS01-Avoid Social Gatherings GDS01-Avoid Social Gatherings Geriatric Depression Scale - Do you prefer to avoid social gatherings? GDS - Prefer to Avoid Social Gatherings
C106767 GDS01-Bored Often GDS01-Bored Often Geriatric Depression Scale - Do you often get bored? GDS - Often Get Bored
C106769 GDS01-Bothered by Thoughts GDS01-Bothered by Thoughts Geriatric Depression Scale - Are you bothered by thoughts you can't get out of your head? GDS - Bothered by Thoughts
C106765 GDS01-Dropped Activities and Interests GDS01-Dropped Activities and Interests Geriatric Depression Scale - Have you dropped many of your activities and interests? GDS - Dropped Activities and Interests
C106792 GDS01-Easy to Make Decisions GDS01-Easy to Make Decisions Geriatric Depression Scale - Is it easy for you to make decisions? GDS - Easy to Make Decisions
C106790 GDS01-Enjoy Getting Up in the Morning GDS01-Enjoy Getting Up in the Morning Geriatric Depression Scale - Do you enjoy getting up in the morning? GDS - Enjoy Getting Up in the Morning
C106779 GDS01-Feel Downhearted and Blue GDS01-Feel Downhearted and Blue Geriatric Depression Scale - Do you often feel downhearted and blue? GDS - Feel Downhearted and Blue
C106784 GDS01-Feel Full of Energy GDS01-Feel Full of Energy Geriatric Depression Scale - Do you feel full of energy? GDS - Feel Full of Energy
C106772 GDS01-Feel Happy Most of Time GDS01-Feel Happy Most of Time Geriatric Depression Scale - Do you feel happy most of the time? GDS - Feel Happy Most of Time
C106785 GDS01-Feel Hopeless GDS01-Feel Hopeless Geriatric Depression Scale - Do you feel that your situation is hopeless? GDS - Feel Situation Is Hopeless
C106780 GDS01-Feel Worthless GDS01-Feel Worthless Geriatric Depression Scale - Do you feel pretty worthless the way you are now? GDS - Feel Worthless
C106782 GDS01-Find Life Exciting GDS01-Find Life Exciting Geriatric Depression Scale - Do you find life very exciting? GDS - Find Life Exciting
C106788 GDS01-Frequently Feel Like Crying GDS01-Frequently Feel Like Crying Geriatric Depression Scale - Do you frequently feel like crying? GDS - Frequently Feel Like Crying
C106774 GDS01-Get Restless and Fidgety GDS01-Get Restless and Fidgety Geriatric Depression Scale - Do you often get restless and fidgety? GDS - Get Restless and Fidgety
C106770 GDS01-Good Spirits Most of Time GDS01-Good Spirits Most of Time Geriatric Depression Scale - Are you in good spirits most of the time? GDS - Good Spirits Most of Time
C106783 GDS01-Hard to Start New Projects GDS01-Hard to Start New Projects Geriatric Depression Scale - Is it hard for you to get started on new projects? GDS - Hard to Start New Projects
C106768 GDS01-Hopeful About Future GDS01-Hopeful About Future Geriatric Depression Scale - Are you hopeful about the future? GDS - Hopeful About Future
C106766 GDS01-Life Is Empty GDS01-Life Is Empty Geriatric Depression Scale - Do you feel that your life is empty? GDS - Feel Life Is Empty
C106777 GDS01-Memory Problems GDS01-Memory Problems Geriatric Depression Scale - Do you feel you have more problems with memory than most? GDS - More Memory Problems Than Most
C106793 GDS01-Mind as Clear as It Used to Be GDS01-Mind as Clear as It Used to Be Geriatric Depression Scale - Is your mind as clear as it used to be? GDS - Mind as Clear as It Used to Be
C106786 GDS01-Most People Better Off Than You GDS01-Most People Better Off Than You Geriatric Depression Scale - Do you think that most people are better off than you are? GDS - Think Most People Better Off Than You
C106773 GDS01-Often Feel Helpless GDS01-Often Feel Helpless Geriatric Depression Scale - Do you often feel helpless? GDS - Often Feel Helpless
C106787 GDS01-Often Upset Over Little Things GDS01-Often Upset Over Little Things Geriatric Depression Scale -Do you frequently get upset over little things? GDS - Often Upset Over Little Things
C106775 GDS01-Prefer to Stay Home GDS01-Prefer to Stay Home Geriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things? GDS - Prefer to Stay Home
C106764 GDS01-Satisfied With Life GDS01-Satisfied With Life Geriatric Depression Scale - Are you basically satisfied with your life? GDS - Basically Satisfied With Life
C163949 GDS01-Total Score GDS01-Total Score Geriatric Depression Scale - Total score. GDS - Total Score
C106789 GDS01-Trouble Concentrating GDS01-Trouble Concentrating Geriatric Depression Scale - Do you have trouble concentrating? GDS - Have Trouble Concentrating
C106778 GDS01-Wonderful to Be Alive GDS01-Wonderful to Be Alive Geriatric Depression Scale - Do you think it is wonderful to be alive now? GDS - Think Wonderful to Be Alive
C106776 GDS01-Worry About Future GDS01-Worry About Future Geriatric Depression Scale - Do you frequently worry about the future? GDS - Frequently Worry About Future
C106781 GDS01-Worry About the Past GDS01-Worry About the Past Geriatric Depression Scale - Do you worry a lot about the past? GDS - Worry About the Past

GDS02TC (Geriatric Depression Scale Short Form Questionnaire Test Code)

NCI Code: C106665, Codelist extensible: No
C106665 GDS02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106794 GDS0201 GDS02-Satisfied With Life Geriatric Depression Scale Short Form - Are you basically satisfied with your life? GDS-SF - Basically Satisfied With Life
C106795 GDS0202 GDS02-Dropped Activities and Interests Geriatric Depression Scale Short Form - Have you dropped many of your activities and interests? GDS-SF - Dropped Activities and Interests
C106796 GDS0203 GDS02-Life Is Empty Geriatric Depression Scale Short Form - Do you feel that your life is empty? GDS-SF - Feel Life Is Empty
C106797 GDS0204 GDS02-Bored Often Geriatric Depression Scale Short Form - Do you often get bored? GDS-SF - Often Get Bored
C106798 GDS0205 GDS02-Good Spirits Most of Time Geriatric Depression Scale Short Form - Are you in good spirits most of the time? GDS-SF - Good Spirits Most of Time
C106799 GDS0206 GDS02-Afraid of Something Bad Happening Geriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you? GDS-SF - Afraid of Something Bad Happening
C106800 GDS0207 GDS02-Feel Happy Most of Time Geriatric Depression Scale Short Form - Do you feel happy most of the time? GDS-SF - Feel Happy Most of Time
C106801 GDS0208 GDS02-Often Feel Helpless Geriatric Depression Scale Short Form - Do you often feel helpless? GDS-SF - Often Feel Helpless
C106802 GDS0209 GDS02-Prefer to Stay Home Geriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things? GDS-SF - Prefer to Stay Home
C106803 GDS0210 GDS02-Memory Problems Geriatric Depression Scale Short Form - Do you feel you have more problems with memory than most? GDS-SF - More Memory Problems Than Most
C106804 GDS0211 GDS02-Wonderful to Be Alive Geriatric Depression Scale Short Form - Do you think it is wonderful to be alive now? GDS-SF - Think Wonderful to Be Alive
C106805 GDS0212 GDS02-Feel Worthless Geriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now? GDS-SF - Feel Worthless
C106806 GDS0213 GDS02-Feel Full of Energy Geriatric Depression Scale Short Form - Do you feel full of energy? GDS-SF - Feel Full of Energy
C106807 GDS0214 GDS02-Feel Hopeless Geriatric Depression Scale Short Form - Do you feel that your situation is hopeless? GDS-SF - Feel Situation is Hopeless
C106808 GDS0215 GDS02-Most People Better Off Than You Geriatric Depression Scale Short Form - Do you think that most people are better off than you are? GDS-SF - Think Most People Better Off Than You
C163948 GDS0216 GDS02-Total Score Geriatric Depression Scale Short Form - Total score. GDS-SF - Total Score

GDS02TN (Geriatric Depression Scale Short Form Questionnaire Test Name)

NCI Code: C106664, Codelist extensible: No
C106664 GDS02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106799 GDS02-Afraid of Something Bad Happening GDS02-Afraid of Something Bad Happening Geriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you? GDS-SF - Afraid of Something Bad Happening
C106797 GDS02-Bored Often GDS02-Bored Often Geriatric Depression Scale Short Form - Do you often get bored? GDS-SF - Often Get Bored
C106795 GDS02-Dropped Activities and Interests GDS02-Dropped Activities and Interests Geriatric Depression Scale Short Form - Have you dropped many of your activities and interests? GDS-SF - Dropped Activities and Interests
C106806 GDS02-Feel Full of Energy GDS02-Feel Full of Energy Geriatric Depression Scale Short Form - Do you feel full of energy? GDS-SF - Feel Full of Energy
C106800 GDS02-Feel Happy Most of Time GDS02-Feel Happy Most of Time Geriatric Depression Scale Short Form - Do you feel happy most of the time? GDS-SF - Feel Happy Most of Time
C106807 GDS02-Feel Hopeless GDS02-Feel Hopeless Geriatric Depression Scale Short Form - Do you feel that your situation is hopeless? GDS-SF - Feel Situation is Hopeless
C106805 GDS02-Feel Worthless GDS02-Feel Worthless Geriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now? GDS-SF - Feel Worthless
C106798 GDS02-Good Spirits Most of Time GDS02-Good Spirits Most of Time Geriatric Depression Scale Short Form - Are you in good spirits most of the time? GDS-SF - Good Spirits Most of Time
C106796 GDS02-Life Is Empty GDS02-Life Is Empty Geriatric Depression Scale Short Form - Do you feel that your life is empty? GDS-SF - Feel Life Is Empty
C106803 GDS02-Memory Problems GDS02-Memory Problems Geriatric Depression Scale Short Form - Do you feel you have more problems with memory than most? GDS-SF - More Memory Problems Than Most
C106808 GDS02-Most People Better Off Than You GDS02-Most People Better Off Than You Geriatric Depression Scale Short Form - Do you think that most people are better off than you are? GDS-SF - Think Most People Better Off Than You
C106801 GDS02-Often Feel Helpless GDS02-Often Feel Helpless Geriatric Depression Scale Short Form - Do you often feel helpless? GDS-SF - Often Feel Helpless
C106802 GDS02-Prefer to Stay Home GDS02-Prefer to Stay Home Geriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things? GDS-SF - Prefer to Stay Home
C106794 GDS02-Satisfied With Life GDS02-Satisfied With Life Geriatric Depression Scale Short Form - Are you basically satisfied with your life? GDS-SF - Basically Satisfied With Life
C163948 GDS02-Total Score GDS02-Total Score Geriatric Depression Scale Short Form - Total score. GDS-SF - Total Score
C106804 GDS02-Wonderful to Be Alive GDS02-Wonderful to Be Alive Geriatric Depression Scale Short Form - Do you think it is wonderful to be alive now? GDS-SF - Think Wonderful to Be Alive

GMSS01TC (The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Code)

NCI Code: C163391, Codelist extensible: No
C163391 GMSS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163840 GMSS0101 GMSS01-More Satisfied With My Diabetes The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel more satisfied with how things are going with my diabetes. GMSS Version Type 1 Diabetes - More Satisfied With My Diabetes
C163841 GMSS0102 GMSS01-Think About Diabetes More The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me think about diabetes more than I want to. GMSS Version Type 1 Diabetes - Think About Diabetes More
C163842 GMSS0103 GMSS01-Takes Too Much Time to Use The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Takes too much time to use. GMSS Version Type 1 Diabetes - Takes Too Much Time to Use
C163843 GMSS0104 GMSS01-Doesn't Seem as Accurate The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Doesn't seem to be as accurate as I would like it to be. GMSS Version Type 1 Diabetes - Doesn't Seem as Accurate
C163844 GMSS0105 GMSS01-Makes Me Worry a Lot The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me worry a lot. GMSS Version Type 1 Diabetes - Makes Me Worry a Lot
C163845 GMSS0106 GMSS01-Is Too Much of a Hassle to Use The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too much of a hassle to use. GMSS Version Type 1 Diabetes - Is Too Much of a Hassle to Use
C163846 GMSS0107 GMSS01-Gives Me Numbers I Don't Trust The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Gives me numbers that I don't entirely trust. GMSS Version Type 1 Diabetes - Gives Me Numbers I Don't Trust
C163847 GMSS0108 GMSS01-Feel Less Restricted by Diabetes The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel less restricted by diabetes. GMSS Version Type 1 Diabetes - Feel Less Restricted by Diabetes
C163848 GMSS0109 GMSS01-More Frustrated With My Diabetes The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more frustrated with my diabetes. GMSS Version Type 1 Diabetes - More Frustrated With My Diabetes
C163849 GMSS0110 GMSS01-Be More Spontaneous in My Life The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more spontaneous in my life. GMSS Version Type 1 Diabetes - Be More Spontaneous in My Life
C163850 GMSS0111 GMSS01-Too Many Skin Irritations/Bruises The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Causes too many skin irritations or bruises. GMSS Version Type 1 Diabetes - Too Many Skin Irritations/Bruises
C163851 GMSS0112 GMSS01-Gives Me Results Don't Make Sense The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Often gives me results that don't make sense. GMSS Version Type 1 Diabetes - Gives Me Results Don't Make Sense
C163852 GMSS0113 GMSS01-Feel More Down and Depressed The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more down and depressed. GMSS Version Type 1 Diabetes - Feel More Down and Depressed
C163853 GMSS0114 GMSS01-More Open to New Experiences The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more open to new experiences in life. GMSS Version Type 1 Diabetes - More Open to New Experiences
C163854 GMSS0115 GMSS01-Is Too Painful to Use The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too painful to use. GMSS Version Type 1 Diabetes - Is Too Painful to Use
C163855 GMSS0116 GMSS01-Subscale: Openness The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Openness. GMSS Version Type 1 Diabetes - Subscale: Openness
C163856 GMSS0117 GMSS01-Subscale: Emotional Burden The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Emotional burden. GMSS Version Type 1 Diabetes - Subscale: Emotional Burden
C163857 GMSS0118 GMSS01-Subscale: Behavioral Burden The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Behavioral burden. GMSS Version Type 1 Diabetes - Subscale: Behavioral Burden
C163858 GMSS0119 GMSS01-Subscale: Trust The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Trust. GMSS Version Type 1 Diabetes - Subscale: Trust
C163859 GMSS0120 GMSS01-Total Scale The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Total scale. GMSS Version Type 1 Diabetes - Total Scale

GMSS01TN (The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Name)

NCI Code: C163390, Codelist extensible: No
C163390 GMSS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163849 GMSS01-Be More Spontaneous in My Life GMSS01-Be More Spontaneous in My Life The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more spontaneous in my life. GMSS Version Type 1 Diabetes - Be More Spontaneous in My Life
C163843 GMSS01-Doesn't Seem as Accurate GMSS01-Doesn't Seem as Accurate The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Doesn't seem to be as accurate as I would like it to be. GMSS Version Type 1 Diabetes - Doesn't Seem as Accurate
C163847 GMSS01-Feel Less Restricted by Diabetes GMSS01-Feel Less Restricted by Diabetes The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel less restricted by diabetes. GMSS Version Type 1 Diabetes - Feel Less Restricted by Diabetes
C163852 GMSS01-Feel More Down and Depressed GMSS01-Feel More Down and Depressed The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more down and depressed. GMSS Version Type 1 Diabetes - Feel More Down and Depressed
C163846 GMSS01-Gives Me Numbers I Don't Trust GMSS01-Gives Me Numbers I Don't Trust The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Gives me numbers that I don't entirely trust. GMSS Version Type 1 Diabetes - Gives Me Numbers I Don't Trust
C163851 GMSS01-Gives Me Results Don't Make Sense GMSS01-Gives Me Results Don't Make Sense The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Often gives me results that don't make sense. GMSS Version Type 1 Diabetes - Gives Me Results Don't Make Sense
C163845 GMSS01-Is Too Much of a Hassle to Use GMSS01-Is Too Much of a Hassle to Use The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too much of a hassle to use. GMSS Version Type 1 Diabetes - Is Too Much of a Hassle to Use
C163854 GMSS01-Is Too Painful to Use GMSS01-Is Too Painful to Use The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too painful to use. GMSS Version Type 1 Diabetes - Is Too Painful to Use
C163844 GMSS01-Makes Me Worry a Lot GMSS01-Makes Me Worry a Lot The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me worry a lot. GMSS Version Type 1 Diabetes - Makes Me Worry a Lot
C163848 GMSS01-More Frustrated With My Diabetes GMSS01-More Frustrated With My Diabetes The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more frustrated with my diabetes. GMSS Version Type 1 Diabetes - More Frustrated With My Diabetes
C163853 GMSS01-More Open to New Experiences GMSS01-More Open to New Experiences The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more open to new experiences in life. GMSS Version Type 1 Diabetes - More Open to New Experiences
C163840 GMSS01-More Satisfied With My Diabetes GMSS01-More Satisfied With My Diabetes The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel more satisfied with how things are going with my diabetes. GMSS Version Type 1 Diabetes - More Satisfied With My Diabetes
C163857 GMSS01-Subscale: Behavioral Burden GMSS01-Subscale: Behavioral Burden The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Behavioral burden. GMSS Version Type 1 Diabetes - Subscale: Behavioral Burden
C163856 GMSS01-Subscale: Emotional Burden GMSS01-Subscale: Emotional Burden The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Emotional burden. GMSS Version Type 1 Diabetes - Subscale: Emotional Burden
C163855 GMSS01-Subscale: Openness GMSS01-Subscale: Openness The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Openness. GMSS Version Type 1 Diabetes - Subscale: Openness
C163858 GMSS01-Subscale: Trust GMSS01-Subscale: Trust The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Trust. GMSS Version Type 1 Diabetes - Subscale: Trust
C163842 GMSS01-Takes Too Much Time to Use GMSS01-Takes Too Much Time to Use The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Takes too much time to use. GMSS Version Type 1 Diabetes - Takes Too Much Time to Use
C163841 GMSS01-Think About Diabetes More GMSS01-Think About Diabetes More The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me think about diabetes more than I want to. GMSS Version Type 1 Diabetes - Think About Diabetes More
C163850 GMSS01-Too Many Skin Irritations/Bruises GMSS01-Too Many Skin Irritations/Bruises The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Causes too many skin irritations or bruises. GMSS Version Type 1 Diabetes - Too Many Skin Irritations/Bruises
C163859 GMSS01-Total Scale GMSS01-Total Scale The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Total scale. GMSS Version Type 1 Diabetes - Total Scale

GOSE1TC (Extended Glasgow Outcome Scale Questionnaire Test Code)

NCI Code: C115404, Codelist extensible: No
C115404 GOSE1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115828 GOSE101 GOSE1-Obey Simple Commands or Say Words Extended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words? GOSE - Consciousness: Obey Simple Commands
C115829 GOSE102A GOSE1-Daily Assistance at Home Essential Extended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living? GOSE - Independence in the Home: Assistance Essential for Daily Living
C115830 GOSE102B GOSE1-Need Frequent Help at Home Extended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time? GOSE - Independence in the Home: Need Frequent Help at Home
C115831 GOSE102C GOSE1-Assistance at Home Before Injury Extended Glasgow Outcome Scale - Was assistance at home essential before the injury? GOSE - Independence in the Home: Assistance at Home Before Injury
C115832 GOSE103A GOSE1-Shop Without Assistance Extended Glasgow Outcome Scale - Are they able to shop without assistance? GOSE - Independence Outside the Home: Able to Shop Without Assistance
C115833 GOSE103B GOSE1-Shop Without Assist Before Injury Extended Glasgow Outcome Scale - Were they able to shop without assistance before the injury? GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury
C115834 GOSE104A GOSE1-Travel Locally Without Assistance Extended Glasgow Outcome Scale - Are they able to travel locally without assistance? GOSE - Independence Outside the Home: Travel Locally Without Assistance
C115835 GOSE104B GOSE1-Travel Without Assist Before Inj Extended Glasgow Outcome Scale - Were they able to travel without assistance before the injury? GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
C115836 GOSE105A GOSE1-Able to Work to Previous Capacity Extended Glasgow Outcome Scale - Are they currently able to work to their previous capacity? GOSE - Work: Able to Work to Previous Capacity
C115837 GOSE105B GOSE1-How Restricted Are They Extended Glasgow Outcome Scale - How restricted are they? GOSE - Work: How Restricted Are They
C115838 GOSE105C GOSE1-Working Before Injury Extended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')? GOSE - Work: Working or Seeking Employment Before the Injury
C115839 GOSE106A GOSE1-Resume Social/Leisure Outside Home Extended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home? GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities
C115840 GOSE106B GOSE1-Extent Social/Leisure Restriction Extended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities? GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities
C115841 GOSE106C GOSE1-Engage Social/Leisure Before Inj Extended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury? GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury
C115842 GOSE107A GOSE1-Disruptive Psychological Problems Extended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships? GOSE - Family and Friendships: Disruptive Psychological Problems
C115843 GOSE107B GOSE1-Extent of Disruption Extended Glasgow Outcome Scale - What has been the extent of disruption or strain? GOSE - Family and Friendships: Extent of Disruption or Strain
C115844 GOSE107C GOSE1-Family/Friends Probs Before Injury Extended Glasgow Outcome Scale - Were there problems with family or friends before the injury? GOSE - Family and Friendships: Problems with Family or Friends Before Injury
C115845 GOSE108A GOSE1-Other Problems Related to Injury Extended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life? GOSE - Return to Normal Life: Other Current Problems Relating to Injury
C115846 GOSE108B GOSE1-Similar Problems Before Injury Extended Glasgow Outcome Scale - Were similar problems present before the injury? GOSE - Return to Normal Life: Similar Problems Before Injury
C115847 GOSE109 GOSE1-Since Injury Any Epileptic Fits Extended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits? GOSE - Epilepsy: Since Injury Any Epileptic Fits
C115848 GOSE110 GOSE1-At Risk of Developing Epilepsy Extended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy? GOSE - Epilepsy: At Risk of Developing Epilepsy
C115849 GOSE111 GOSE1-Most Important Factor in Outcome Extended Glasgow Outcome Scale - What is the most important factor in outcome? GOSE - Epilepsy: Most Important Factor in Outcome
C115850 GOSE112 GOSE1-GOSE Overall Score Extended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale. GOSE - GOSE Overall Score

GOSE1TN (Extended Glasgow Outcome Scale Questionnaire Test Name)

NCI Code: C115403, Codelist extensible: No
C115403 GOSE1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115836 GOSE1-Able to Work to Previous Capacity GOSE1-Able to Work to Previous Capacity Extended Glasgow Outcome Scale - Are they currently able to work to their previous capacity? GOSE - Work: Able to Work to Previous Capacity
C115831 GOSE1-Assistance at Home Before Injury GOSE1-Assistance at Home Before Injury Extended Glasgow Outcome Scale - Was assistance at home essential before the injury? GOSE - Independence in the Home: Assistance at Home Before Injury
C115848 GOSE1-At Risk of Developing Epilepsy GOSE1-At Risk of Developing Epilepsy Extended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy? GOSE - Epilepsy: At Risk of Developing Epilepsy
C115829 GOSE1-Daily Assistance at Home Essential GOSE1-Daily Assistance at Home Essential Extended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living? GOSE - Independence in the Home: Assistance Essential for Daily Living
C115842 GOSE1-Disruptive Psychological Problems GOSE1-Disruptive Psychological Problems Extended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships? GOSE - Family and Friendships: Disruptive Psychological Problems
C115841 GOSE1-Engage Social/Leisure Before Inj GOSE1-Engage Social/Leisure Before Inj Extended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury? GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury
C115843 GOSE1-Extent of Disruption GOSE1-Extent of Disruption Extended Glasgow Outcome Scale - What has been the extent of disruption or strain? GOSE - Family and Friendships: Extent of Disruption or Strain
C115840 GOSE1-Extent Social/Leisure Restriction GOSE1-Extent Social/Leisure Restriction Extended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities? GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities
C115844 GOSE1-Family/Friends Probs Before Injury GOSE1-Family/Friends Probs Before Injury Extended Glasgow Outcome Scale - Were there problems with family or friends before the injury? GOSE - Family and Friendships: Problems with Family or Friends Before Injury
C115850 GOSE1-GOSE Overall Score GOSE1-GOSE Overall Score Extended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale. GOSE - GOSE Overall Score
C115837 GOSE1-How Restricted Are They GOSE1-How Restricted Are They Extended Glasgow Outcome Scale - How restricted are they? GOSE - Work: How Restricted Are They
C115849 GOSE1-Most Important Factor in Outcome GOSE1-Most Important Factor in Outcome Extended Glasgow Outcome Scale - What is the most important factor in outcome? GOSE - Epilepsy: Most Important Factor in Outcome
C115830 GOSE1-Need Frequent Help at Home GOSE1-Need Frequent Help at Home Extended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time? GOSE - Independence in the Home: Need Frequent Help at Home
C115828 GOSE1-Obey Simple Commands or Say Words GOSE1-Obey Simple Commands or Say Words Extended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words? GOSE - Consciousness: Obey Simple Commands
C115845 GOSE1-Other Problems Related to Injury GOSE1-Other Problems Related to Injury Extended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life? GOSE - Return to Normal Life: Other Current Problems Relating to Injury
C115839 GOSE1-Resume Social/Leisure Outside Home GOSE1-Resume Social/Leisure Outside Home Extended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home? GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities
C115833 GOSE1-Shop Without Assist Before Injury GOSE1-Shop Without Assist Before Injury Extended Glasgow Outcome Scale - Were they able to shop without assistance before the injury? GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury
C115832 GOSE1-Shop Without Assistance GOSE1-Shop Without Assistance Extended Glasgow Outcome Scale - Are they able to shop without assistance? GOSE - Independence Outside the Home: Able to Shop Without Assistance
C115846 GOSE1-Similar Problems Before Injury GOSE1-Similar Problems Before Injury Extended Glasgow Outcome Scale - Were similar problems present before the injury? GOSE - Return to Normal Life: Similar Problems Before Injury
C115847 GOSE1-Since Injury Any Epileptic Fits GOSE1-Since Injury Any Epileptic Fits Extended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits? GOSE - Epilepsy: Since Injury Any Epileptic Fits
C115834 GOSE1-Travel Locally Without Assistance GOSE1-Travel Locally Without Assistance Extended Glasgow Outcome Scale - Are they able to travel locally without assistance? GOSE - Independence Outside the Home: Travel Locally Without Assistance
C115835 GOSE1-Travel Without Assist Before Inj GOSE1-Travel Without Assist Before Inj Extended Glasgow Outcome Scale - Were they able to travel without assistance before the injury? GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
C115838 GOSE1-Working Before Injury GOSE1-Working Before Injury Extended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')? GOSE - Work: Working or Seeking Employment Before the Injury

HADS01TC (Hospital Anxiety and Depression Scale Questionnaire Test Code)

NCI Code: C103469, Codelist extensible: No
C103469 HADS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103573 HADS0101 HADS01-I Feel Tense or Wound Up Hospital Anxiety and Depression Scale - I feel tense or 'wound up.' HADS - I Feel Tense or Wound Up
C103574 HADS0102 HADS01-Enjoy the Things I Used to Enjoy Hospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy. HADS - I Still Enjoy the Things I Used to Enjoy
C103575 HADS0103 HADS01-Something Awful About to Happen Hospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen. HADS - I Get a Frightened Feeling Something Awful is About to Happen
C103576 HADS0104 HADS01-I Can Laugh and See Funny Side Hospital Anxiety and Depression Scale - I can laugh and see the funny side of things. HADS - I Can Laugh and See Funny Side of Things
C103577 HADS0105 HADS01-Worrying Thoughts Go Through Mind Hospital Anxiety and Depression Scale - Worrying thoughts go through my mind. HADS - Worrying Thoughts Go Through My Mind
C103578 HADS0106 HADS01-I Feel Cheerful Hospital Anxiety and Depression Scale - I feel cheerful. HADS - I Feel Cheerful
C103579 HADS0107 HADS01-Sit at Ease and Feel Relaxed Hospital Anxiety and Depression Scale - I can sit at ease and feel relaxed. HADS - I Can Sit at Ease and Feel Relaxed
C103580 HADS0108 HADS01-I Feel as if I am Slowed Down Hospital Anxiety and Depression Scale - I feel as if I am slowed down. HADS - I Feel as if I am Slowed Down
C103581 HADS0109 HADS01-Butterflies in the Stomach Hospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach. HADS - I Get Frightened Feeling Like Butterflies in the Stomach
C103582 HADS0110 HADS01-Lost Interest in My Appearance Hospital Anxiety and Depression Scale - I have lost interest in my appearance. HADS - I Have Lost Interest in My Appearance
C103583 HADS0111 HADS01-Feel Restless be on the Move Hospital Anxiety and Depression Scale - I feel restless as if I have to be on the move. HADS - I Feel Restless as if I Have to be on the Move
C103584 HADS0112 HADS01-Look Forward with Enjoyment Hospital Anxiety and Depression Scale - I look forward with enjoyment to things. HADS - I Look Forward with Enjoyment to Things
C103585 HADS0113 HADS01-I Get Sudden Feelings of Panic Hospital Anxiety and Depression Scale - I get sudden feelings of panic. HADS - I Get Sudden Feelings of Panic
C103586 HADS0114 HADS01-Enjoy Good Book/Radio/Television Hospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme. HADS - I Can Enjoy a Good Book or Radio or Television Programme
C118111 HADS0115 HADS01-Total Score Anxiety Hospital Anxiety and Depression Scale - Total score anxiety. HADS - Total Score Anxiety
C118112 HADS0116 HADS01-Total Score Depression Hospital Anxiety and Depression Scale - Total score depression. HADS - Total Score Depression

HADS01TN (Hospital Anxiety and Depression Scale Questionnaire Test Name)

NCI Code: C103468, Codelist extensible: No
C103468 HADS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103581 HADS01-Butterflies in the Stomach HADS01-Butterflies in the Stomach Hospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach. HADS - I Get Frightened Feeling Like Butterflies in the Stomach
C103586 HADS01-Enjoy Good Book/Radio/Television HADS01-Enjoy Good Book/Radio/Television Hospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme. HADS - I Can Enjoy a Good Book or Radio or Television Programme
C103574 HADS01-Enjoy the Things I Used to Enjoy HADS01-Enjoy the Things I Used to Enjoy Hospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy. HADS - I Still Enjoy the Things I Used to Enjoy
C103583 HADS01-Feel Restless be on the Move HADS01-Feel Restless be on the Move Hospital Anxiety and Depression Scale - I feel restless as if I have to be on the move. HADS - I Feel Restless as if I Have to be on the Move
C103576 HADS01-I Can Laugh and See Funny Side HADS01-I Can Laugh and See Funny Side Hospital Anxiety and Depression Scale - I can laugh and see the funny side of things. HADS - I Can Laugh and See Funny Side of Things
C103580 HADS01-I Feel as if I am Slowed Down HADS01-I Feel as if I am Slowed Down Hospital Anxiety and Depression Scale - I feel as if I am slowed down. HADS - I Feel as if I am Slowed Down
C103578 HADS01-I Feel Cheerful HADS01-I Feel Cheerful Hospital Anxiety and Depression Scale - I feel cheerful. HADS - I Feel Cheerful
C103573 HADS01-I Feel Tense or Wound Up HADS01-I Feel Tense or Wound Up Hospital Anxiety and Depression Scale - I feel tense or 'wound up.' HADS - I Feel Tense or Wound Up
C103585 HADS01-I Get Sudden Feelings of Panic HADS01-I Get Sudden Feelings of Panic Hospital Anxiety and Depression Scale - I get sudden feelings of panic. HADS - I Get Sudden Feelings of Panic
C103584 HADS01-Look Forward with Enjoyment HADS01-Look Forward with Enjoyment Hospital Anxiety and Depression Scale - I look forward with enjoyment to things. HADS - I Look Forward with Enjoyment to Things
C103582 HADS01-Lost Interest in My Appearance HADS01-Lost Interest in My Appearance Hospital Anxiety and Depression Scale - I have lost interest in my appearance. HADS - I Have Lost Interest in My Appearance
C103579 HADS01-Sit at Ease and Feel Relaxed HADS01-Sit at Ease and Feel Relaxed Hospital Anxiety and Depression Scale - I can sit at ease and feel relaxed. HADS - I Can Sit at Ease and Feel Relaxed
C103575 HADS01-Something Awful About to Happen HADS01-Something Awful About to Happen Hospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen. HADS - I Get a Frightened Feeling Something Awful is About to Happen
C118111 HADS01-Total Score Anxiety HADS01-Total Score Anxiety Hospital Anxiety and Depression Scale - Total score anxiety. HADS - Total Score Anxiety
C118112 HADS01-Total Score Depression HADS01-Total Score Depression Hospital Anxiety and Depression Scale - Total score depression. HADS - Total Score Depression
C103577 HADS01-Worrying Thoughts Go Through Mind HADS01-Worrying Thoughts Go Through Mind Hospital Anxiety and Depression Scale - Worrying thoughts go through my mind. HADS - Worrying Thoughts Go Through My Mind

HAI01TC (Hauser Ambulation Index Functional Test Test Code)

NCI Code: C115390, Codelist extensible: No
C115390 HAI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115806 HAI0101 HAI01-Ambulation Index Hauser Ambulation Index - Ambulation index. HAI - Ambulation Index

HAI01TN (Hauser Ambulation Index Functional Test Test Name)

NCI Code: C115389, Codelist extensible: No
C115389 HAI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115806 HAI01-Ambulation Index HAI01-Ambulation Index Hauser Ambulation Index - Ambulation index. HAI - Ambulation Index

HAMA101T14OR (Hamilton Anxiety Rating Scale Clinical Classification ORRES for HAMA101 Through HAMA114 TN/TC)

NCI Code: C182468, Codelist extensible: No
C182468 HAMA101T14OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182707 Mild HAMA101 through HAMA114-Mild Hamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Mild. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Mild
C182708 Moderate HAMA101 through HAMA114-Moderate Hamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Moderate. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Moderate
C182706 Not present HAMA101 through HAMA114-Not present Hamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Not present. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Not present
C182709 Severe HAMA101 through HAMA114-Severe Hamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Severe. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Severe
C182710 Very severe HAMA101 through HAMA114-Very severe Hamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Very severe. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Very severe

HAMA101T14STR (Hamilton Anxiety Rating Scale Clinical Classification STRESC for HAMA101 Through HAMA114 TN/TC)

NCI Code: C182506, Codelist extensible: No
C182506 HAMA101T14STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182711 0 HAMA101 through HAMA114-0 Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Not present. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 0
C182712 1 HAMA101 through HAMA114-1 Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Mild. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 1
C182713 2 HAMA101 through HAMA114-2 Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Moderate. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 2
C182714 3 HAMA101 through HAMA114-3 Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Severe. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 3
C182715 4 HAMA101 through HAMA114-4 Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Very severe. Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 4

HAMA1TC (Hamilton Anxiety Rating Scale Clinical Classification Test Code)

NCI Code: C101819, Codelist extensible: No
C101819 HAMA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102073 HAMA101 HAMA1-Anxious Mood Hamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability. HAMA - Anxious Mood
C102074 HAMA102 HAMA1-Tension Hamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax. HAMA - Tension
C102075 HAMA103 HAMA1-Fears Hamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds. HAMA - Fears
C102076 HAMA104 HAMA1-Insomnia Hamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors. HAMA - Insomnia
C102077 HAMA105 HAMA1-Intellectual Hamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory. HAMA - Intellectual
C102078 HAMA106 HAMA1-Depressed Mood Hamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing. HAMA - Depressed Mood
C102079 HAMA107 HAMA1-Somatic (Muscular) Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone. HAMA - Somatic (Muscular)
C102080 HAMA108 HAMA1-Somatic (Sensory) Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation. HAMA - Somatic (Sensory)
C102081 HAMA109 HAMA1-Cardiovascular Symptoms Hamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat. HAMA - Cardiovascular Symptoms
C102082 HAMA110 HAMA1-Respiratory Symptoms Hamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea. HAMA - Respiratory Symptoms
C102083 HAMA111 HAMA1-Gastrointestinal Symptoms Hamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation. HAMA - Gastrointestinal Symptoms
C102084 HAMA112 HAMA1-Genitourinary Symptoms Hamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence. HAMA - Genitourinary Symptoms
C102085 HAMA113 HAMA1-Autonomic Symptoms Hamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair. HAMA - Autonomic Symptoms
C102086 HAMA114 HAMA1-Behavior at Interview Hamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc. HAMA - Behavior at Interview
C155646 HAMA115 HAMA1-Total Score Hamilton Anxiety Rating Scale - Total score. HAMA - Total Score

HAMA1TN (Hamilton Anxiety Rating Scale Clinical Classification Test Name)

NCI Code: C101820, Codelist extensible: No
C101820 HAMA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102073 HAMA1-Anxious Mood HAMA1-Anxious Mood Hamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability. HAMA - Anxious Mood
C102085 HAMA1-Autonomic Symptoms HAMA1-Autonomic Symptoms Hamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair. HAMA - Autonomic Symptoms
C102086 HAMA1-Behavior at Interview HAMA1-Behavior at Interview Hamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc. HAMA - Behavior at Interview
C102081 HAMA1-Cardiovascular Symptoms HAMA1-Cardiovascular Symptoms Hamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat. HAMA - Cardiovascular Symptoms
C102078 HAMA1-Depressed Mood HAMA1-Depressed Mood Hamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing. HAMA - Depressed Mood
C102075 HAMA1-Fears HAMA1-Fears Hamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds. HAMA - Fears
C102083 HAMA1-Gastrointestinal Symptoms HAMA1-Gastrointestinal Symptoms Hamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation. HAMA - Gastrointestinal Symptoms
C102084 HAMA1-Genitourinary Symptoms HAMA1-Genitourinary Symptoms Hamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence. HAMA - Genitourinary Symptoms
C102076 HAMA1-Insomnia HAMA1-Insomnia Hamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors. HAMA - Insomnia
C102077 HAMA1-Intellectual HAMA1-Intellectual Hamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory. HAMA - Intellectual
C102082 HAMA1-Respiratory Symptoms HAMA1-Respiratory Symptoms Hamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea. HAMA - Respiratory Symptoms
C102079 HAMA1-Somatic (Muscular) HAMA1-Somatic (Muscular) Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone. HAMA - Somatic (Muscular)
C102080 HAMA1-Somatic (Sensory) HAMA1-Somatic (Sensory) Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation. HAMA - Somatic (Sensory)
C102074 HAMA1-Tension HAMA1-Tension Hamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax. HAMA - Tension
C155646 HAMA1-Total Score HAMA1-Total Score Hamilton Anxiety Rating Scale - Total score. HAMA - Total Score

HAMD1TC (Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Code)

NCI Code: C100138, Codelist extensible: No
C100138 HAMD1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100398 HAMD101 HAMD1-Depressed Mood Hamilton Depression Rating Scale 17 Item - Depressed mood. HAMD-17 - Depressed Mood
C100399 HAMD102 HAMD1-Feelings of Guilt Hamilton Depression Rating Scale 17 Item - Feelings of guilt. HAMD-17 - Feelings of Guilt
C100400 HAMD103 HAMD1-Suicide Hamilton Depression Rating Scale 17 Item - Suicide. HAMD-17 - Suicide
C100401 HAMD104 HAMD1-Insomnia Early - Early Night Hamilton Depression Rating Scale 17 Item - Insomnia: early in the night. HAMD-17 - Insomnia - Early Night
C100402 HAMD105 HAMD1-Insomnia Middle - Middle Night Hamilton Depression Rating Scale 17 Item - Insomnia: middle of the night. HAMD-17 - Insomnia - Middle Night
C100403 HAMD106 HAMD1-Insomnia Early Hours - Morning Hamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning. HAMD-17 - Insomnia - Early Morning
C100404 HAMD107 HAMD1-Work and Activities Hamilton Depression Rating Scale 17 Item - Work and activities. HAMD-17 - Work and Activities
C100405 HAMD108 HAMD1-Retardation Hamilton Depression Rating Scale 17 Item - Retardation. HAMD-17 - Retardation
C100406 HAMD109 HAMD1-Agitation Hamilton Depression Rating Scale 17 Item - Agitation. HAMD-17 - Agitation
C100407 HAMD110 HAMD1-Anxiety Psychic Hamilton Depression Rating Scale 17 Item - Anxiety psychic. HAMD-17 - Psychic Anxiety
C100408 HAMD111 HAMD1-Anxiety Somatic Hamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety. HAMD-17 - Somatic Anxiety
C100409 HAMD112 HAMD1-Somatic Symptoms Gastrointestinal Hamilton Depression Rating Scale 17 Item - Somatic symptoms gastrointestinal. HAMD-17 - Somatic Symptoms Gastrointestinal
C100410 HAMD113 HAMD1-General Somatic Symptoms Hamilton Depression Rating Scale 17 Item - General somatic symptoms. HAMD-17 - General Somatic Symptoms
C100411 HAMD114 HAMD1-Genital Symptoms Hamilton Depression Rating Scale 17 Item - Genital symptoms. HAMD-17 - Genital Symptoms
C100412 HAMD115 HAMD1-Hypochondriasis Hamilton Depression Rating Scale 17 Item - Hypochondriasis. HAMD-17 - Hypochondriasis
C100413 HAMD116A HAMD1-Loss of WT According to Patient Hamilton Depression Rating Scale 17 Item - Loss of weight according to the patient. HAMD-17 - Loss of Weight According to Patient
C100414 HAMD116B HAMD1-Loss of WT According to WK Meas Hamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements. HAMD-17 - Loss of Weight According to Weekly Measurements
C100415 HAMD117 HAMD1-Insight Hamilton Depression Rating Scale 17 Item - Insight. HAMD-17 - Insight
C100416 HAMD118 HAMD1-Total Score Hamilton Depression Rating Scale 17 Item - Total Score. HAMD-17 - Total Score

HAMD1TN (Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Name)

NCI Code: C100137, Codelist extensible: No
C100137 HAMD1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100406 HAMD1-Agitation HAMD1-Agitation Hamilton Depression Rating Scale 17 Item - Agitation. HAMD-17 - Agitation
C100407 HAMD1-Anxiety Psychic HAMD1-Anxiety Psychic Hamilton Depression Rating Scale 17 Item - Anxiety psychic. HAMD-17 - Psychic Anxiety
C100408 HAMD1-Anxiety Somatic HAMD1-Anxiety Somatic Hamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety. HAMD-17 - Somatic Anxiety
C100398 HAMD1-Depressed Mood HAMD1-Depressed Mood Hamilton Depression Rating Scale 17 Item - Depressed mood. HAMD-17 - Depressed Mood
C100399 HAMD1-Feelings of Guilt HAMD1-Feelings of Guilt Hamilton Depression Rating Scale 17 Item - Feelings of guilt. HAMD-17 - Feelings of Guilt
C100410 HAMD1-General Somatic Symptoms HAMD1-General Somatic Symptoms Hamilton Depression Rating Scale 17 Item - General somatic symptoms. HAMD-17 - General Somatic Symptoms
C100411 HAMD1-Genital Symptoms HAMD1-Genital Symptoms Hamilton Depression Rating Scale 17 Item - Genital symptoms. HAMD-17 - Genital Symptoms
C100412 HAMD1-Hypochondriasis HAMD1-Hypochondriasis Hamilton Depression Rating Scale 17 Item - Hypochondriasis. HAMD-17 - Hypochondriasis
C100415 HAMD1-Insight HAMD1-Insight Hamilton Depression Rating Scale 17 Item - Insight. HAMD-17 - Insight
C100401 HAMD1-Insomnia Early - Early Night HAMD1-Insomnia Early - Early Night Hamilton Depression Rating Scale 17 Item - Insomnia: early in the night. HAMD-17 - Insomnia - Early Night
C100403 HAMD1-Insomnia Early Hours - Morning HAMD1-Insomnia Early Hours - Morning Hamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning. HAMD-17 - Insomnia - Early Morning
C100402 HAMD1-Insomnia Middle - Middle Night HAMD1-Insomnia Middle - Middle Night Hamilton Depression Rating Scale 17 Item - Insomnia: middle of the night. HAMD-17 - Insomnia - Middle Night
C100413 HAMD1-Loss of WT According to Patient HAMD1-Loss of WT According to Patient Hamilton Depression Rating Scale 17 Item - Loss of weight according to the patient. HAMD-17 - Loss of Weight According to Patient
C100414 HAMD1-Loss of WT According to WK Meas HAMD1-Loss of WT According to WK Meas Hamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements. HAMD-17 - Loss of Weight According to Weekly Measurements
C100405 HAMD1-Retardation HAMD1-Retardation Hamilton Depression Rating Scale 17 Item - Retardation. HAMD-17 - Retardation
C100409 HAMD1-Somatic Symptoms Gastrointestinal HAMD1-Somatic Symptoms Gastrointestinal Hamilton Depression Rating Scale 17 Item - Somatic symptoms gastrointestinal. HAMD-17 - Somatic Symptoms Gastrointestinal
C100400 HAMD1-Suicide HAMD1-Suicide Hamilton Depression Rating Scale 17 Item - Suicide. HAMD-17 - Suicide
C100416 HAMD1-Total Score HAMD1-Total Score Hamilton Depression Rating Scale 17 Item - Total Score. HAMD-17 - Total Score
C100404 HAMD1-Work and Activities HAMD1-Work and Activities Hamilton Depression Rating Scale 17 Item - Work and activities. HAMD-17 - Work and Activities

HAMD2TC (Hamilton Depression Rating Scale 21-Item Clinical Classification Test Code)

NCI Code: C101821, Codelist extensible: No
C101821 HAMD2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102087 HAMD201 HAMD2-Depressed Mood Hamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless. HAMD-21 - Depressed Mood
C102088 HAMD202 HAMD2-Feelings of Guilt Hamilton Depression Rating Scale 21 Item - Feelings of guilt. HAMD-21 - Feelings of Guilt
C102089 HAMD203 HAMD2-Suicide Hamilton Depression Rating Scale 21 Item - Suicide. HAMD-21 - Suicide
C102090 HAMD204 HAMD2-Insomnia Early Hamilton Depression Rating Scale 21 Item - Insomnia early. HAMD-21 - Insomnia Early
C102091 HAMD205 HAMD2-Insomnia Middle Hamilton Depression Rating Scale 21 Item - Insomnia middle. HAMD-21 - Insomnia Middle
C102092 HAMD206 HAMD2-Insomnia Late Hamilton Depression Rating Scale 21 Item - Insomnia late. HAMD-21 - Insomnia Late
C102093 HAMD207 HAMD2-Work and Activities Hamilton Depression Rating Scale 21 Item - Work and activities. HAMD-21 - Work and Activities
C102094 HAMD208 HAMD2-Retardation Hamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity). HAMD-21 - Retardation
C102095 HAMD209 HAMD2-Agitation Hamilton Depression Rating Scale 21 Item - Agitation. HAMD-21 - Agitation
C102096 HAMD210 HAMD2-Anxiety Psychological Hamilton Depression Rating Scale 21 Item - Anxiety Psychological. HAMD-21 - Anxiety Psychological
C102097 HAMD211 HAMD2-Anxiety Somatic Hamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency). HAMD-21 - Anxiety Somatic
C102098 HAMD212 HAMD2-Somatic Symptoms Gastro-intestinal Hamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal. HAMD-21 - Somatic Symptoms Gastro-intestinal
C102099 HAMD213 HAMD2-Somatic Symptoms General Hamilton Depression Rating Scale 21 Item - Somatic symptoms general. HAMD-21 - Somatic Symptoms General
C102100 HAMD214 HAMD2-Genital Symptoms Hamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances. HAMD-21 - Genital Symptoms
C102101 HAMD215 HAMD2-Hypochondriasis Hamilton Depression Rating Scale 21 Item - Hypochondriasis. HAMD-21 - Hypochondriasis
C102102 HAMD216A HAMD2-Loss of Weight by History Hamilton Depression Rating Scale 21 Item - Loss of weight when rating by history. HAMD-21 - Loss of Weight by History
C102103 HAMD216B HAMD2-Loss of Weight Measured Hamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured. HAMD-21 - Loss of Weight Measured
C102104 HAMD217 HAMD2-Insight Hamilton Depression Rating Scale 21 Item - Insight. HAMD-21 - Insight
C102105 HAMD218A HAMD2-Diurnal Variation Hamilton Depression Rating Scale 21 Item - Diurnal variation. HAMD-21 - Diurnal Variation
C102106 HAMD218B HAMD2-Diurnal Variation Severity Hamilton Depression Rating Scale 21 Item - Diurnal variation severity. HAMD-21 - Diurnal Variation Severity
C102107 HAMD219 HAMD2-Depersonalization/Derealization Hamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas. HAMD-21 - Depersonalization and Derealization
C102108 HAMD220 HAMD2-Paranoid Symptoms Hamilton Depression Rating Scale 21 Item - Paranoid symptoms. HAMD-21 - Paranoid Symptoms
C102109 HAMD221 HAMD2-Obsessional/Compulsive Symptoms Hamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms. HAMD-21 - Obsessional and Compulsive Symptoms
C102110 HAMD222 HAMD2-Total Score Hamilton Depression Rating Scale 21 Item - Total score. HAMD-21 - Total Score

HAMD2TN (Hamilton Depression Rating Scale 21-Item Clinical Classification Test Name)

NCI Code: C101822, Codelist extensible: No
C101822 HAMD2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102095 HAMD2-Agitation HAMD2-Agitation Hamilton Depression Rating Scale 21 Item - Agitation. HAMD-21 - Agitation
C102096 HAMD2-Anxiety Psychological HAMD2-Anxiety Psychological Hamilton Depression Rating Scale 21 Item - Anxiety Psychological. HAMD-21 - Anxiety Psychological
C102097 HAMD2-Anxiety Somatic HAMD2-Anxiety Somatic Hamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency). HAMD-21 - Anxiety Somatic
C102107 HAMD2-Depersonalization/Derealization HAMD2-Depersonalization/Derealization Hamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas. HAMD-21 - Depersonalization and Derealization
C102087 HAMD2-Depressed Mood HAMD2-Depressed Mood Hamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless. HAMD-21 - Depressed Mood
C102106 HAMD2-Diurnal Variation Severity HAMD2-Diurnal Variation Severity Hamilton Depression Rating Scale 21 Item - Diurnal variation severity. HAMD-21 - Diurnal Variation Severity
C102105 HAMD2-Diurnal Variation HAMD2-Diurnal Variation Hamilton Depression Rating Scale 21 Item - Diurnal variation. HAMD-21 - Diurnal Variation
C102088 HAMD2-Feelings of Guilt HAMD2-Feelings of Guilt Hamilton Depression Rating Scale 21 Item - Feelings of guilt. HAMD-21 - Feelings of Guilt
C102100 HAMD2-Genital Symptoms HAMD2-Genital Symptoms Hamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances. HAMD-21 - Genital Symptoms
C102101 HAMD2-Hypochondriasis HAMD2-Hypochondriasis Hamilton Depression Rating Scale 21 Item - Hypochondriasis. HAMD-21 - Hypochondriasis
C102104 HAMD2-Insight HAMD2-Insight Hamilton Depression Rating Scale 21 Item - Insight. HAMD-21 - Insight
C102090 HAMD2-Insomnia Early HAMD2-Insomnia Early Hamilton Depression Rating Scale 21 Item - Insomnia early. HAMD-21 - Insomnia Early
C102092 HAMD2-Insomnia Late HAMD2-Insomnia Late Hamilton Depression Rating Scale 21 Item - Insomnia late. HAMD-21 - Insomnia Late
C102091 HAMD2-Insomnia Middle HAMD2-Insomnia Middle Hamilton Depression Rating Scale 21 Item - Insomnia middle. HAMD-21 - Insomnia Middle
C102102 HAMD2-Loss of Weight by History HAMD2-Loss of Weight by History Hamilton Depression Rating Scale 21 Item - Loss of weight when rating by history. HAMD-21 - Loss of Weight by History
C102103 HAMD2-Loss of Weight Measured HAMD2-Loss of Weight Measured Hamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured. HAMD-21 - Loss of Weight Measured
C102109 HAMD2-Obsessional/Compulsive Symptoms HAMD2-Obsessional/Compulsive Symptoms Hamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms. HAMD-21 - Obsessional and Compulsive Symptoms
C102108 HAMD2-Paranoid Symptoms HAMD2-Paranoid Symptoms Hamilton Depression Rating Scale 21 Item - Paranoid symptoms. HAMD-21 - Paranoid Symptoms
C102094 HAMD2-Retardation HAMD2-Retardation Hamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity). HAMD-21 - Retardation
C102098 HAMD2-Somatic Symptoms Gastro-intestinal HAMD2-Somatic Symptoms Gastro-intestinal Hamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal. HAMD-21 - Somatic Symptoms Gastro-intestinal
C102099 HAMD2-Somatic Symptoms General HAMD2-Somatic Symptoms General Hamilton Depression Rating Scale 21 Item - Somatic symptoms general. HAMD-21 - Somatic Symptoms General
C102089 HAMD2-Suicide HAMD2-Suicide Hamilton Depression Rating Scale 21 Item - Suicide. HAMD-21 - Suicide
C102110 HAMD2-Total Score HAMD2-Total Score Hamilton Depression Rating Scale 21 Item - Total score. HAMD-21 - Total Score
C102093 HAMD2-Work and Activities HAMD2-Work and Activities Hamilton Depression Rating Scale 21 Item - Work and activities. HAMD-21 - Work and Activities

HAMD3TC (Hamilton Depression Rating Scale - 24 Item Clinical Classification Test Code)

NCI Code: C130245, Codelist extensible: No
C130245 HAMD3TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130335 HAMD301 HAMD3-Depressed Mood Hamilton Depression Rating Scale 24 Item - Depressed mood. HAMD 24 - Depressed Mood
C130336 HAMD302 HAMD3-Low Self-Esteem, Guilt Hamilton Depression Rating Scale 24 Item - Low self-esteem, guilt. HAMD 24 - Low Self-esteem, Guilt
C130337 HAMD303 HAMD3-Suicidal Thoughts Hamilton Depression Rating Scale 24 Item - Suicidal thoughts. HAMD 24 - Suicidal Thoughts
C130338 HAMD304 HAMD3-Insomnia - Initial Hamilton Depression Rating Scale 24 Item - Insomnia - initial. HAMD 24 - Insomnia - Initial
C130339 HAMD305 HAMD3-Insomnia - Middle Hamilton Depression Rating Scale 24 Item - Insomnia - middle. HAMD 24 - Insomnia - Middle
C130340 HAMD306 HAMD3-Insomnia - Late Hamilton Depression Rating Scale 24 Item - Insomnia - late. HAMD 24 - Insomnia - Late
C130341 HAMD307 HAMD3-Work and Interests Hamilton Depression Rating Scale 24 Item - Work and interests. HAMD 24 - Work and Interests
C130342 HAMD308 HAMD3-Psychomotor Retardation Hamilton Depression Rating Scale 24 Item - Psychomotor retardation. HAMD 24 - Psychomotor Retardation
C130343 HAMD309 HAMD3-Psychomotor Agitation Hamilton Depression Rating Scale 24 Item - Psychomotor agitation. HAMD 24 - Psychomotor Agitation
C130344 HAMD310 HAMD3-Anxiety - Psychic Hamilton Depression Rating Scale 24 Item - Anxiety - psychic. HAMD 24 - Anxiety, Psychic
C130345 HAMD311 HAMD3-Anxiety - Somatic Hamilton Depression Rating Scale 24 Item - Anxiety - somatic. HAMD 24 - Anxiety, Somatic
C130346 HAMD312 HAMD3-GI Symptoms (Appetite) Hamilton Depression Rating Scale 24 Item - Gastrointestinal symptoms (appetite). HAMD 24 - Gastrointestinal Symptoms (Appetite)
C130347 HAMD313 HAMD3-Somatic Symptoms - General Hamilton Depression Rating Scale 24 Item - Somatic symptoms - general. HAMD 24 - Somatic Symptoms, General
C130348 HAMD314 HAMD3-Sexual Disturbances Hamilton Depression Rating Scale 24 Item - Sexual disturbances. HAMD 24 - Sexual Disturbances
C130349 HAMD315 HAMD3-Hypochondriasis (Somatisation) Hamilton Depression Rating Scale 24 Item - Hypochondriasis (somatisation). HAMD 24 - Hypochondriasis (Somatisation)
C130350 HAMD316 HAMD3-Insight Hamilton Depression Rating Scale 24 Item - Insight. HAMD 24 - Insight
C130351 HAMD317 HAMD3-Weight Loss Hamilton Depression Rating Scale 24 Item - Weight loss. HAMD 24 - Weight Loss
C130352 HAMD318 HAMD3-Diurnal Variation Hamilton Depression Rating Scale 24 Item - Diurnal variation. HAMD 24 - Diurnal Variation
C130353 HAMD319 HAMD3-Depersonalization/Derealization Hamilton Depression Rating Scale 24 Item - Depersonalization/derealization. HAMD 24 - Depersonalization and Derealisation
C130354 HAMD320 HAMD3-Paranoid Symptoms Hamilton Depression Rating Scale 24 Item - Paranoid symptoms. HAMD 24 - Paranoid Symptoms
C130355 HAMD321 HAMD3-Observational/Compulsive Symptoms Hamilton Depression Rating Scale 24 Item - Observational/compulsive symptoms. HAMD 24 - Obsessional and Compulsive Symptoms
C130356 HAMD322 HAMD3-Helplessness Hamilton Depression Rating Scale 24 Item - Helplessness. HAMD 24 - Helplessness
C130357 HAMD323 HAMD3-Hopelessness Hamilton Depression Rating Scale 24 Item - Hopelessness. HAMD 24 - Hopelessness
C130358 HAMD324 HAMD3-Worthlessness Hamilton Depression Rating Scale 24 Item - Worthlessness. HAMD 24 - Worthlessness
C130359 HAMD325 HAMD3-Total Score Hamilton Depression Rating Scale 24 Item - Total score. HAMD 24 - Total Score

HAMD3TN (Hamilton Depression Rating Scale - 24 Item Clinical Classification Test Name)

NCI Code: C130244, Codelist extensible: No
C130244 HAMD3TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130344 HAMD3-Anxiety - Psychic HAMD3-Anxiety - Psychic Hamilton Depression Rating Scale 24 Item - Anxiety - psychic. HAMD 24 - Anxiety, Psychic
C130345 HAMD3-Anxiety - Somatic HAMD3-Anxiety - Somatic Hamilton Depression Rating Scale 24 Item - Anxiety - somatic. HAMD 24 - Anxiety, Somatic
C130353 HAMD3-Depersonalization/Derealization HAMD3-Depersonalization/Derealization Hamilton Depression Rating Scale 24 Item - Depersonalization/derealization. HAMD 24 - Depersonalization and Derealisation
C130335 HAMD3-Depressed Mood HAMD3-Depressed Mood Hamilton Depression Rating Scale 24 Item - Depressed mood. HAMD 24 - Depressed Mood
C130352 HAMD3-Diurnal Variation HAMD3-Diurnal Variation Hamilton Depression Rating Scale 24 Item - Diurnal variation. HAMD 24 - Diurnal Variation
C130346 HAMD3-GI Symptoms (Appetite) HAMD3-GI Symptoms (Appetite) Hamilton Depression Rating Scale 24 Item - Gastrointestinal symptoms (appetite). HAMD 24 - Gastrointestinal Symptoms (Appetite)
C130356 HAMD3-Helplessness HAMD3-Helplessness Hamilton Depression Rating Scale 24 Item - Helplessness. HAMD 24 - Helplessness
C130357 HAMD3-Hopelessness HAMD3-Hopelessness Hamilton Depression Rating Scale 24 Item - Hopelessness. HAMD 24 - Hopelessness
C130349 HAMD3-Hypochondriasis (Somatisation) HAMD3-Hypochondriasis (Somatisation) Hamilton Depression Rating Scale 24 Item - Hypochondriasis (somatisation). HAMD 24 - Hypochondriasis (Somatisation)
C130350 HAMD3-Insight HAMD3-Insight Hamilton Depression Rating Scale 24 Item - Insight. HAMD 24 - Insight
C130338 HAMD3-Insomnia - Initial HAMD3-Insomnia - Initial Hamilton Depression Rating Scale 24 Item - Insomnia - initial. HAMD 24 - Insomnia - Initial
C130340 HAMD3-Insomnia - Late HAMD3-Insomnia - Late Hamilton Depression Rating Scale 24 Item - Insomnia - late. HAMD 24 - Insomnia - Late
C130339 HAMD3-Insomnia - Middle HAMD3-Insomnia - Middle Hamilton Depression Rating Scale 24 Item - Insomnia - middle. HAMD 24 - Insomnia - Middle
C130336 HAMD3-Low Self-Esteem, Guilt HAMD3-Low Self-Esteem, Guilt Hamilton Depression Rating Scale 24 Item - Low self-esteem, guilt. HAMD 24 - Low Self-esteem, Guilt
C130355 HAMD3-Observational/Compulsive Symptoms HAMD3-Observational/Compulsive Symptoms Hamilton Depression Rating Scale 24 Item - Observational/compulsive symptoms. HAMD 24 - Obsessional and Compulsive Symptoms
C130354 HAMD3-Paranoid Symptoms HAMD3-Paranoid Symptoms Hamilton Depression Rating Scale 24 Item - Paranoid symptoms. HAMD 24 - Paranoid Symptoms
C130343 HAMD3-Psychomotor Agitation HAMD3-Psychomotor Agitation Hamilton Depression Rating Scale 24 Item - Psychomotor agitation. HAMD 24 - Psychomotor Agitation
C130342 HAMD3-Psychomotor Retardation HAMD3-Psychomotor Retardation Hamilton Depression Rating Scale 24 Item - Psychomotor retardation. HAMD 24 - Psychomotor Retardation
C130348 HAMD3-Sexual Disturbances HAMD3-Sexual Disturbances Hamilton Depression Rating Scale 24 Item - Sexual disturbances. HAMD 24 - Sexual Disturbances
C130347 HAMD3-Somatic Symptoms - General HAMD3-Somatic Symptoms - General Hamilton Depression Rating Scale 24 Item - Somatic symptoms - general. HAMD 24 - Somatic Symptoms, General
C130337 HAMD3-Suicidal Thoughts HAMD3-Suicidal Thoughts Hamilton Depression Rating Scale 24 Item - Suicidal thoughts. HAMD 24 - Suicidal Thoughts
C130359 HAMD3-Total Score HAMD3-Total Score Hamilton Depression Rating Scale 24 Item - Total score. HAMD 24 - Total Score
C130351 HAMD3-Weight Loss HAMD3-Weight Loss Hamilton Depression Rating Scale 24 Item - Weight loss. HAMD 24 - Weight Loss
C130341 HAMD3-Work and Interests HAMD3-Work and Interests Hamilton Depression Rating Scale 24 Item - Work and interests. HAMD 24 - Work and Interests
C130358 HAMD3-Worthlessness HAMD3-Worthlessness Hamilton Depression Rating Scale 24 Item - Worthlessness. HAMD 24 - Worthlessness

HAMD4TC (Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Code)

NCI Code: C130243, Codelist extensible: No
C130243 HAMD4TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130328 HAMD401 HAMD4-Depressed Mood The Hamilton Depression Rating Scale 6 - Clinician Version - Depressed mood. HAM-D6 - Clinician Version - Depressed Mood
C130329 HAMD402 HAMD4-Low Self-esteem and Guilt The Hamilton Depression Rating Scale 6 - Clinician Version - Low self-esteem and guilt. HAM-D6 - Clinician Version - Low Self-esteem and Guilt
C130330 HAMD403 HAMD4-Social Life Activities/Interests The Hamilton Depression Rating Scale 6 - Clinician Version - Social life activities and interests. HAM-D6 - Clinician Version - Social Life Activities or Interests
C130331 HAMD404 HAMD4-Psychomotor Retardation, General The Hamilton Depression Rating Scale 6 - Clinician Version - Psychomotor retardation, general. HAM-D6 - Clinician Version - Psychomotor Retardation, General
C130332 HAMD405 HAMD4-Psychic Anxiety The Hamilton Depression Rating Scale 6 - Clinician Version - Psychic anxiety. HAM-D6 - Clinician Version - Psychic Anxiety
C130333 HAMD406 HAMD4-Tiredness and Pains The Hamilton Depression Rating Scale 6 - Clinician Version - Tiredness and pains. HAM-D6 - Clinician Version - Tiredness and Pains
C130334 HAMD407 HAMD4-Total Score The Hamilton Depression Rating Scale 6 - Clinician Version - Total score. HAM-D6 - Clinician Version - Total Score

HAMD4TN (Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Name)

NCI Code: C130242, Codelist extensible: No
C130242 HAMD4TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130328 HAMD4-Depressed Mood HAMD4-Depressed Mood The Hamilton Depression Rating Scale 6 - Clinician Version - Depressed mood. HAM-D6 - Clinician Version - Depressed Mood
C130329 HAMD4-Low Self-esteem and Guilt HAMD4-Low Self-esteem and Guilt The Hamilton Depression Rating Scale 6 - Clinician Version - Low self-esteem and guilt. HAM-D6 - Clinician Version - Low Self-esteem and Guilt
C130332 HAMD4-Psychic Anxiety HAMD4-Psychic Anxiety The Hamilton Depression Rating Scale 6 - Clinician Version - Psychic anxiety. HAM-D6 - Clinician Version - Psychic Anxiety
C130331 HAMD4-Psychomotor Retardation, General HAMD4-Psychomotor Retardation, General The Hamilton Depression Rating Scale 6 - Clinician Version - Psychomotor retardation, general. HAM-D6 - Clinician Version - Psychomotor Retardation, General
C130330 HAMD4-Social Life Activities/Interests HAMD4-Social Life Activities/Interests The Hamilton Depression Rating Scale 6 - Clinician Version - Social life activities and interests. HAM-D6 - Clinician Version - Social Life Activities or Interests
C130333 HAMD4-Tiredness and Pains HAMD4-Tiredness and Pains The Hamilton Depression Rating Scale 6 - Clinician Version - Tiredness and pains. HAM-D6 - Clinician Version - Tiredness and Pains
C130334 HAMD4-Total Score HAMD4-Total Score The Hamilton Depression Rating Scale 6 - Clinician Version - Total score. HAM-D6 - Clinician Version - Total Score

HAMDS1TC (Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Code)

NCI Code: C130259, Codelist extensible: No
C130259 HAMDS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130545 HAMDS101 HAMDS1-Depressed Mood Hamilton Depression Rating Scale 6 - Self-Report Version - (1)=Depressed mood per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Depressed Mood
C130546 HAMDS102 HAMDS1-Low Self-esteem and Guilt Hamilton Depression Rating Scale 6 - Self-Report Version - (2)=Low self-esteem and guilt per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Low Self-esteem and Guilt
C130547 HAMDS103 HAMDS1-Social Life Activities/Interests Hamilton Depression Rating Scale 6 - Self-Report Version - (3)=Social life activities and interests per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Social Life Activities or Interests
C130548 HAMDS104 HAMDS1-Psychomotor Retardation, General Hamilton Depression Rating Scale 6 - Self-Report Version - (4)=Psychomotor retardation, general per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Psychomotor Retardation
C130549 HAMDS105 HAMDS1-Psychic Anxiety Hamilton Depression Rating Scale 6 - Self-Report Version - (5)=Psychic anxiety per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Psychic Anxiety
C130550 HAMDS106 HAMDS1-Tiredness and Pains Hamilton Depression Rating Scale 6 - Self-Report Version - (6)=Tiredness and pains per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Tiredness and Pains

HAMDS1TN (Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Name)

NCI Code: C130258, Codelist extensible: No
C130258 HAMDS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130545 HAMDS1-Depressed Mood HAMDS1-Depressed Mood Hamilton Depression Rating Scale 6 - Self-Report Version - (1)=Depressed mood per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Depressed Mood
C130546 HAMDS1-Low Self-esteem and Guilt HAMDS1-Low Self-esteem and Guilt Hamilton Depression Rating Scale 6 - Self-Report Version - (2)=Low self-esteem and guilt per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Low Self-esteem and Guilt
C130549 HAMDS1-Psychic Anxiety HAMDS1-Psychic Anxiety Hamilton Depression Rating Scale 6 - Self-Report Version - (5)=Psychic anxiety per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Psychic Anxiety
C130548 HAMDS1-Psychomotor Retardation, General HAMDS1-Psychomotor Retardation, General Hamilton Depression Rating Scale 6 - Self-Report Version - (4)=Psychomotor retardation, general per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Psychomotor Retardation
C130547 HAMDS1-Social Life Activities/Interests HAMDS1-Social Life Activities/Interests Hamilton Depression Rating Scale 6 - Self-Report Version - (3)=Social life activities and interests per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Social Life Activities or Interests
C130550 HAMDS1-Tiredness and Pains HAMDS1-Tiredness and Pains Hamilton Depression Rating Scale 6 - Self-Report Version - (6)=Tiredness and pains per clinician version: How you have been feeling over the past three days, including today. HAM-D6 Self-Report Version - Tiredness and Pains

HAQ01TC (Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Code)

NCI Code: C106667, Codelist extensible: No
C106667 HAQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106809 HAQ0101 HAQ01-Dress Yourself Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons? HAQ-DI With VAS - Able to Dress Yourself
C106810 HAQ0102 HAQ01-Shampoo Your Hair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair? HAQ-DI With VAS - Able to Shampoo Hair
C106811 HAQ0103 HAQ01-Stand Up From a Straight Chair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair? HAQ-DI With VAS - Able to Stand Up From Chair
C106812 HAQ0104 HAQ01-Get In and Out of Bed Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to get in and out of bed? HAQ-DI With VAS - Able to Get In and Out of Bed
C106813 HAQ0105 HAQ01-Cut Your Meat Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to cut your meat? HAQ-DI With VAS - Able to Cut Meat
C106814 HAQ0106 HAQ01-Lift a Full Cup or Glass to Mouth Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth? HAQ-DI With VAS - Able to Lift Cup or Glass to Mouth
C106815 HAQ0107 HAQ01-Open a New Milk Carton Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to open a new milk carton? HAQ-DI With VAS - Able to Open Milk Carton
C106816 HAQ0108 HAQ01-Walk Outdoors on Flat Ground Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground? HAQ-DI With VAS - Able to Walk Outdoors On Flat Ground
C106817 HAQ0109 HAQ01-Climb Up Five Steps Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to climb up five steps? HAQ-DI With VAS - Able to Climb Up Steps
C106818 HAQ0110 HAQ01-Aid: Cane Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane. HAQ-DI With VAS - Aids or Devices - Cane
C106819 HAQ0111 HAQ01-Aid: Walker Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker. HAQ-DI With VAS - Aids or Devices - Walker
C106820 HAQ0112 HAQ01-Aid: Crutches Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches. HAQ-DI With VAS - Aids or Devices - Crutches
C106821 HAQ0113 HAQ01-Aid: Wheelchair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair. HAQ-DI With VAS - Aids or Devices - Wheelchair
C106822 HAQ0114 HAQ01-Aid: Devices Used for Dressing Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for dressing (button hook, zipper pull, long-handled shoe horn, etc.). HAQ-DI With VAS - Aids or Devices - Used For Dressing
C106823 HAQ0115 HAQ01-Aid: Built Up or Special Utensils Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils. HAQ-DI With VAS - Aids or Devices - Built Up or Special Utensils
C106824 HAQ0116 HAQ01-Aid: Special or Built Up Chair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair. HAQ-DI With VAS - Aids or Devices - Special or Built Up Chair
C106825 HAQ0117 HAQ01-Othr Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Other
C106826 HAQ0118 HAQ01-Spec Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Specify
C106827 HAQ0119 HAQ01-Help: Dressing and Grooming Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming. HAQ-DI With VAS - Help From Another Person - Dressing and Grooming
C106828 HAQ0120 HAQ01-Help: Arising Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Arising. HAQ-DI With VAS - Help From Another Person - Arising
C106829 HAQ0121 HAQ01-Help: Eating Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Eating. HAQ-DI With VAS - Help From Another Person - Eating
C106830 HAQ0122 HAQ01-Help: Walking Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Walking. HAQ-DI With VAS - Help From Another Person - Walking
C106831 HAQ0123 HAQ01-Wash and Dry Your Body Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body? HAQ-DI With VAS - Able to Wash and Dry Body
C106832 HAQ0124 HAQ01-Take a Tub Bath Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath? HAQ-DI With VAS - Able to Take Tub Bath
C106833 HAQ0125 HAQ01-Get On and Off The Toilet Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet? HAQ-DI With VAS - Able to Get On and Off Toilet
C106834 HAQ0126 HAQ01-Reach-Get Down 5 Lb Obj Above Head Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head? HAQ-DI With VAS - Able to Reach and Get Down Object From Above Head
C106835 HAQ0127 HAQ01-Bend Down Pick Up Clothing - Floor Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor? HAQ-DI With VAS - Able to Bend Down and Pick Up Clothing From Floor
C106836 HAQ0128 HAQ01-Open Car Doors Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open car doors? HAQ-DI With VAS - Able to Open Car Doors
C106837 HAQ0129 HAQ01-Open Jars Previously Opened Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened? HAQ-DI With VAS - Able to Open Previously Opened Jars
C106838 HAQ0130 HAQ01-Turn Faucets On And Off Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off? HAQ-DI With VAS - Able to Turn Faucets On and Off
C106839 HAQ0131 HAQ01-Run Errands and Shop Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to run errands and shop? HAQ-DI With VAS - Able to Run Errands and Shop
C106840 HAQ0132 HAQ01-Get In and Out of a Car Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to get in and out of a car? HAQ-DI With VAS - Able to Get In and Out of Car
C106841 HAQ0133 HAQ01-Able to Do Chores Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork? HAQ-DI With VAS - Able to Do Chores - Vacuuming or Yardwork
C106842 HAQ0134 HAQ01-Aid: Raised Toilet Seat Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat. HAQ-DI With VAS - Aids or Devices - Raised Toilet Seat
C106843 HAQ0135 HAQ01-Aid: Bathtub Seat Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat. HAQ-DI With VAS - Aids or Devices - Bathtub Seat
C107020 HAQ0136 HAQ01-Aid: Jar Opener (Previously Open) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened). HAQ-DI With VAS - Aids or Devices - Jar Opener (Jars Previously Opened)
C106844 HAQ0137 HAQ01-Aid: Bathtub Bar Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar. HAQ-DI With VAS - Aids or Devices - Bathtub Bar
C106845 HAQ0138 HAQ01-Aid: Long-Handled Appl Reach Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach. HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances for Reach
C106846 HAQ0139 HAQ01-Aid: Long-Handled Appl Bathroom Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom. HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances in Bathroom
C107093 HAQ0140 HAQ01-Othr Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Other
C107094 HAQ0141 HAQ01-Spec Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Specify
C106847 HAQ0142 HAQ01-Help: Hygiene Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Hygiene. HAQ-DI With VAS - Help From Another Person - Hygiene
C106848 HAQ0143 HAQ01-Help: Reach Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Reach. HAQ-DI With VAS - Help From Another Person - Reach
C106849 HAQ0144 HAQ01-Help: Gripping and Opening Things Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things. HAQ-DI With VAS - Help From Another Person - Gripping and Opening Things
C106850 HAQ0145 HAQ01-Help: Errands and Chores Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Errands and chores. HAQ-DI With VAS - Help From Another Person - Errands and Chores
C106851 HAQ0146 HAQ01-Severity of Pain Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - How much pain have you had because of your illness in the past week? HAQ-DI With VAS - Severity of Pain in the Past Week

HAQ01TN (Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Name)

NCI Code: C106666, Codelist extensible: No
C106666 HAQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106841 HAQ01-Able to Do Chores HAQ01-Able to Do Chores Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork? HAQ-DI With VAS - Able to Do Chores - Vacuuming or Yardwork
C106844 HAQ01-Aid: Bathtub Bar HAQ01-Aid: Bathtub Bar Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar. HAQ-DI With VAS - Aids or Devices - Bathtub Bar
C106843 HAQ01-Aid: Bathtub Seat HAQ01-Aid: Bathtub Seat Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat. HAQ-DI With VAS - Aids or Devices - Bathtub Seat
C106823 HAQ01-Aid: Built Up or Special Utensils HAQ01-Aid: Built Up or Special Utensils Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils. HAQ-DI With VAS - Aids or Devices - Built Up or Special Utensils
C106818 HAQ01-Aid: Cane HAQ01-Aid: Cane Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane. HAQ-DI With VAS - Aids or Devices - Cane
C106820 HAQ01-Aid: Crutches HAQ01-Aid: Crutches Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches. HAQ-DI With VAS - Aids or Devices - Crutches
C106822 HAQ01-Aid: Devices Used for Dressing HAQ01-Aid: Devices Used for Dressing Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for dressing (button hook, zipper pull, long-handled shoe horn, etc.). HAQ-DI With VAS - Aids or Devices - Used For Dressing
C107020 HAQ01-Aid: Jar Opener (Previously Open) HAQ01-Aid: Jar Opener (Previously Open) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened). HAQ-DI With VAS - Aids or Devices - Jar Opener (Jars Previously Opened)
C106846 HAQ01-Aid: Long-Handled Appl Bathroom HAQ01-Aid: Long-Handled Appl Bathroom Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom. HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances in Bathroom
C106845 HAQ01-Aid: Long-Handled Appl Reach HAQ01-Aid: Long-Handled Appl Reach Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach. HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances for Reach
C106842 HAQ01-Aid: Raised Toilet Seat HAQ01-Aid: Raised Toilet Seat Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat. HAQ-DI With VAS - Aids or Devices - Raised Toilet Seat
C106824 HAQ01-Aid: Special or Built Up Chair HAQ01-Aid: Special or Built Up Chair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair. HAQ-DI With VAS - Aids or Devices - Special or Built Up Chair
C106819 HAQ01-Aid: Walker HAQ01-Aid: Walker Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker. HAQ-DI With VAS - Aids or Devices - Walker
C106821 HAQ01-Aid: Wheelchair HAQ01-Aid: Wheelchair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair. HAQ-DI With VAS - Aids or Devices - Wheelchair
C106835 HAQ01-Bend Down Pick Up Clothing - Floor HAQ01-Bend Down Pick Up Clothing - Floor Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor? HAQ-DI With VAS - Able to Bend Down and Pick Up Clothing From Floor
C106817 HAQ01-Climb Up Five Steps HAQ01-Climb Up Five Steps Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to climb up five steps? HAQ-DI With VAS - Able to Climb Up Steps
C106813 HAQ01-Cut Your Meat HAQ01-Cut Your Meat Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to cut your meat? HAQ-DI With VAS - Able to Cut Meat
C106809 HAQ01-Dress Yourself HAQ01-Dress Yourself Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons? HAQ-DI With VAS - Able to Dress Yourself
C106840 HAQ01-Get In and Out of a Car HAQ01-Get In and Out of a Car Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to get in and out of a car? HAQ-DI With VAS - Able to Get In and Out of Car
C106812 HAQ01-Get In and Out of Bed HAQ01-Get In and Out of Bed Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to get in and out of bed? HAQ-DI With VAS - Able to Get In and Out of Bed
C106833 HAQ01-Get On and Off The Toilet HAQ01-Get On and Off The Toilet Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet? HAQ-DI With VAS - Able to Get On and Off Toilet
C106828 HAQ01-Help: Arising HAQ01-Help: Arising Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Arising. HAQ-DI With VAS - Help From Another Person - Arising
C106827 HAQ01-Help: Dressing and Grooming HAQ01-Help: Dressing and Grooming Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming. HAQ-DI With VAS - Help From Another Person - Dressing and Grooming
C106829 HAQ01-Help: Eating HAQ01-Help: Eating Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Eating. HAQ-DI With VAS - Help From Another Person - Eating
C106850 HAQ01-Help: Errands and Chores HAQ01-Help: Errands and Chores Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Errands and chores. HAQ-DI With VAS - Help From Another Person - Errands and Chores
C106849 HAQ01-Help: Gripping and Opening Things HAQ01-Help: Gripping and Opening Things Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things. HAQ-DI With VAS - Help From Another Person - Gripping and Opening Things
C106847 HAQ01-Help: Hygiene HAQ01-Help: Hygiene Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Hygiene. HAQ-DI With VAS - Help From Another Person - Hygiene
C106848 HAQ01-Help: Reach HAQ01-Help: Reach Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Reach. HAQ-DI With VAS - Help From Another Person - Reach
C106830 HAQ01-Help: Walking HAQ01-Help: Walking Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Walking. HAQ-DI With VAS - Help From Another Person - Walking
C106814 HAQ01-Lift a Full Cup or Glass to Mouth HAQ01-Lift a Full Cup or Glass to Mouth Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth? HAQ-DI With VAS - Able to Lift Cup or Glass to Mouth
C106815 HAQ01-Open a New Milk Carton HAQ01-Open a New Milk Carton Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to open a new milk carton? HAQ-DI With VAS - Able to Open Milk Carton
C106836 HAQ01-Open Car Doors HAQ01-Open Car Doors Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open car doors? HAQ-DI With VAS - Able to Open Car Doors
C106837 HAQ01-Open Jars Previously Opened HAQ01-Open Jars Previously Opened Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened? HAQ-DI With VAS - Able to Open Previously Opened Jars
C106825 HAQ01-Othr Aid (Dress/Arising/Eat/Walk) HAQ01-Othr Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Other
C107093 HAQ01-Othr Aid (Hygiene/Reach/Grip/Act) HAQ01-Othr Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Other
C106834 HAQ01-Reach-Get Down 5 Lb Obj Above Head HAQ01-Reach-Get Down 5 Lb Obj Above Head Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head? HAQ-DI With VAS - Able to Reach and Get Down Object From Above Head
C106839 HAQ01-Run Errands and Shop HAQ01-Run Errands and Shop Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to run errands and shop? HAQ-DI With VAS - Able to Run Errands and Shop
C106851 HAQ01-Severity of Pain HAQ01-Severity of Pain Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - How much pain have you had because of your illness in the past week? HAQ-DI With VAS - Severity of Pain in the Past Week
C106810 HAQ01-Shampoo Your Hair HAQ01-Shampoo Your Hair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair? HAQ-DI With VAS - Able to Shampoo Hair
C106826 HAQ01-Spec Aid (Dress/Arising/Eat/Walk) HAQ01-Spec Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Specify
C107094 HAQ01-Spec Aid (Hygiene/Reach/Grip/Act) HAQ01-Spec Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Specify
C106811 HAQ01-Stand Up From a Straight Chair HAQ01-Stand Up From a Straight Chair Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair? HAQ-DI With VAS - Able to Stand Up From Chair
C106832 HAQ01-Take a Tub Bath HAQ01-Take a Tub Bath Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath? HAQ-DI With VAS - Able to Take Tub Bath
C106838 HAQ01-Turn Faucets On And Off HAQ01-Turn Faucets On And Off Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off? HAQ-DI With VAS - Able to Turn Faucets On and Off
C106816 HAQ01-Walk Outdoors on Flat Ground HAQ01-Walk Outdoors on Flat Ground Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground? HAQ-DI With VAS - Able to Walk Outdoors On Flat Ground
C106831 HAQ01-Wash and Dry Your Body HAQ01-Wash and Dry Your Body Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body? HAQ-DI With VAS - Able to Wash and Dry Body

HAQ02TC (Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Code)

NCI Code: C132523, Codelist extensible: No
C132523 HAQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132573 HAQ0201 HAQ02-Dress Yourself Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons? HAQ-DI Without VAS - Dress Yourself
C132574 HAQ0202 HAQ02-Shampoo Your Hair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair? HAQ-DI Without VAS - Shampoo Your Hair
C132575 HAQ0203 HAQ02-Stand Up From a Straight Chair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair? HAQ-DI Without VAS - Stand Up From a Straight Chair
C132576 HAQ0204 HAQ02-Get In and Out of Bed Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to get in and out of bed? HAQ-DI Without VAS - Get In and Out of Bed
C132577 HAQ0205 HAQ02-Cut Your Meat Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to cut your meat? HAQ-DI Without VAS - Cut Your Meat
C132578 HAQ0206 HAQ02-Lift a Full Cup or Glass to Mouth Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth? HAQ-DI Without VAS - Lift a Full Cup or Glass to Mouth
C132579 HAQ0207 HAQ02-Open a New Milk Carton Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to open a new milk carton? HAQ-DI Without VAS - Open a New Milk Carton
C132580 HAQ0208 HAQ02-Walk Outdoors on Flat Ground Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground? HAQ-DI Without VAS - Walk Outdoors on Flat Ground
C132581 HAQ0209 HAQ02-Climb Up Five Steps Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to climb up five steps? HAQ-DI Without VAS - Climb Up Five Steps
C132582 HAQ0210 HAQ02-Aid: Cane Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane. HAQ-DI Without VAS - Aid: Cane
C132583 HAQ0211 HAQ02-Aid: Walker Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker. HAQ-DI Without VAS - Aid: Walker
C132584 HAQ0212 HAQ02-Aid: Crutches Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches. HAQ-DI Without VAS - Aid: Crutches
C132585 HAQ0213 HAQ02-Aid: Wheelchair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair. HAQ-DI Without VAS - Aid: Wheelchair
C132586 HAQ0214 HAQ02-Aid: Devices Used for Dressing Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.). HAQ-DI Without VAS - Aid: Devices Used for Dressing
C132587 HAQ0215 HAQ02-Aid: Built Up or Special Utensils Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils. HAQ-DI Without VAS - Aid: Built Up or Special Utensils
C132588 HAQ0216 HAQ02-Aid: Special or Built Up Chair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair. HAQ-DI Without VAS - Aid: Special or Built Up Chair
C132589 HAQ0217 HAQ02-Othr Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI Without VAS - Other Aid (Dress or Arising or Eat or Walk)
C132590 HAQ0218 HAQ02-Spec Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI Without VAS - Special Aid (Dress or Arising or Eat or Walk)
C132591 HAQ0219 HAQ02-Help: Dressing and Grooming Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming. HAQ-DI Without VAS - Help: Dressing and Grooming
C132592 HAQ0220 HAQ02-Help: Arising Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Arising. HAQ-DI Without VAS - Help: Arising
C132593 HAQ0221 HAQ02-Help: Eating Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Eating. HAQ-DI Without VAS - Help: Eating
C132594 HAQ0222 HAQ02-Help: Walking Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Walking. HAQ-DI Without VAS - Help: Walking
C132595 HAQ0223 HAQ02-Wash and Dry Your Body Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body? HAQ-DI Without VAS - Wash and Dry Your Body
C132596 HAQ0224 HAQ02-Take a Tub Bath Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath? HAQ-DI Without VAS - Take a Tub Bath
C132597 HAQ0225 HAQ02-Get On and Off The Toilet Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet? HAQ-DI Without VAS - Get On and Off The Toilet
C132598 HAQ0226 HAQ02-Reach-Get Down 5 Lb Obj Above Head Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5-pound object (such as a bag of sugar) from just above your head? HAQ-DI Without VAS - Reach-Get Down 5 Lb Object Above Head
C132599 HAQ0227 HAQ02-Bend Down Pick Up Clothing - Floor Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor? HAQ-DI Without VAS - Bend Down Pick Up Clothing - Floor
C132600 HAQ0228 HAQ02-Open Car Doors Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open car doors? HAQ-DI Without VAS - Open Car Doors
C132601 HAQ0229 HAQ02-Open Jars Previously Opened Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened? HAQ-DI Without VAS - Open Jars Previously Opened
C132602 HAQ0230 HAQ02-Turn Faucets On And Off Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off? HAQ-DI Without VAS - Turn Faucets On And Off
C132603 HAQ0231 HAQ02-Run Errands and Shop Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to run errands and shop? HAQ-DI Without VAS - Run Errands and Shop
C132604 HAQ0232 HAQ02-Get In and Out of a Car Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to get in and out of a car? HAQ-DI Without VAS - Get In and Out of a Car
C132605 HAQ0233 HAQ02-Able to Do Chores Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork? HAQ-DI Without VAS - Able to Do Chores
C132606 HAQ0234 HAQ02-Aid: Raised Toilet Seat Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat. HAQ-DI Without VAS - Aid: Raised Toilet Seat
C132607 HAQ0235 HAQ02-Aid: Bathtub Seat Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat. HAQ-DI Without VAS - Aid: Bathtub Seat
C132608 HAQ0236 HAQ02-Aid: Jar Opener (Previously Open) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened). HAQ-DI Without VAS - Aid: Jar Opener (Previously Open)
C132609 HAQ0237 HAQ02-Aid: Bathtub Bar Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar. HAQ-DI Without VAS - Aid: Bathtub Bar
C132610 HAQ0238 HAQ02-Aid: Long-Handled Appl Reach Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach. HAQ-DI Without VAS - Aid: Long-Handled Appliances Reach
C132611 HAQ0239 HAQ02-Aid: Long-Handled Appl Bathroom Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom. HAQ-DI Without VAS - Aid: Long-Handled Appliances Bathroom
C132612 HAQ0240 HAQ02-Othr Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI Without VAS - Other Aid (Hygiene or Reach or Grip or Act)
C132613 HAQ0241 HAQ02-Spec Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI Without VAS - Special Aid (Hygiene or Reach or Grip or Act)
C132614 HAQ0242 HAQ02-Help: Hygiene Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Hygiene. HAQ-DI Without VAS - Help: Hygiene
C132615 HAQ0243 HAQ02-Help: Reach Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Reach. HAQ-DI Without VAS - Help: Reach
C132616 HAQ0244 HAQ02-Help: Gripping and Opening Things Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things. HAQ-DI Without VAS - Help: Gripping and Opening Things
C132617 HAQ0245 HAQ02-Help: Errands and Chores Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Errands and chores. HAQ-DI Without VAS - Help: Errands and Chores

HAQ02TN (Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Name)

NCI Code: C132522, Codelist extensible: No
C132522 HAQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132605 HAQ02-Able to Do Chores HAQ02-Able to Do Chores Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork? HAQ-DI Without VAS - Able to Do Chores
C132609 HAQ02-Aid: Bathtub Bar HAQ02-Aid: Bathtub Bar Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar. HAQ-DI Without VAS - Aid: Bathtub Bar
C132607 HAQ02-Aid: Bathtub Seat HAQ02-Aid: Bathtub Seat Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat. HAQ-DI Without VAS - Aid: Bathtub Seat
C132587 HAQ02-Aid: Built Up or Special Utensils HAQ02-Aid: Built Up or Special Utensils Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils. HAQ-DI Without VAS - Aid: Built Up or Special Utensils
C132582 HAQ02-Aid: Cane HAQ02-Aid: Cane Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane. HAQ-DI Without VAS - Aid: Cane
C132584 HAQ02-Aid: Crutches HAQ02-Aid: Crutches Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches. HAQ-DI Without VAS - Aid: Crutches
C132586 HAQ02-Aid: Devices Used for Dressing HAQ02-Aid: Devices Used for Dressing Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.). HAQ-DI Without VAS - Aid: Devices Used for Dressing
C132608 HAQ02-Aid: Jar Opener (Previously Open) HAQ02-Aid: Jar Opener (Previously Open) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened). HAQ-DI Without VAS - Aid: Jar Opener (Previously Open)
C132611 HAQ02-Aid: Long-Handled Appl Bathroom HAQ02-Aid: Long-Handled Appl Bathroom Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom. HAQ-DI Without VAS - Aid: Long-Handled Appliances Bathroom
C132610 HAQ02-Aid: Long-Handled Appl Reach HAQ02-Aid: Long-Handled Appl Reach Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach. HAQ-DI Without VAS - Aid: Long-Handled Appliances Reach
C132606 HAQ02-Aid: Raised Toilet Seat HAQ02-Aid: Raised Toilet Seat Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat. HAQ-DI Without VAS - Aid: Raised Toilet Seat
C132588 HAQ02-Aid: Special or Built Up Chair HAQ02-Aid: Special or Built Up Chair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair. HAQ-DI Without VAS - Aid: Special or Built Up Chair
C132583 HAQ02-Aid: Walker HAQ02-Aid: Walker Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker. HAQ-DI Without VAS - Aid: Walker
C132585 HAQ02-Aid: Wheelchair HAQ02-Aid: Wheelchair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair. HAQ-DI Without VAS - Aid: Wheelchair
C132599 HAQ02-Bend Down Pick Up Clothing - Floor HAQ02-Bend Down Pick Up Clothing - Floor Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor? HAQ-DI Without VAS - Bend Down Pick Up Clothing - Floor
C132581 HAQ02-Climb Up Five Steps HAQ02-Climb Up Five Steps Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to climb up five steps? HAQ-DI Without VAS - Climb Up Five Steps
C132577 HAQ02-Cut Your Meat HAQ02-Cut Your Meat Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to cut your meat? HAQ-DI Without VAS - Cut Your Meat
C132573 HAQ02-Dress Yourself HAQ02-Dress Yourself Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons? HAQ-DI Without VAS - Dress Yourself
C132604 HAQ02-Get In and Out of a Car HAQ02-Get In and Out of a Car Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to get in and out of a car? HAQ-DI Without VAS - Get In and Out of a Car
C132576 HAQ02-Get In and Out of Bed HAQ02-Get In and Out of Bed Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to get in and out of bed? HAQ-DI Without VAS - Get In and Out of Bed
C132597 HAQ02-Get On and Off The Toilet HAQ02-Get On and Off The Toilet Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet? HAQ-DI Without VAS - Get On and Off The Toilet
C132592 HAQ02-Help: Arising HAQ02-Help: Arising Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Arising. HAQ-DI Without VAS - Help: Arising
C132591 HAQ02-Help: Dressing and Grooming HAQ02-Help: Dressing and Grooming Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming. HAQ-DI Without VAS - Help: Dressing and Grooming
C132593 HAQ02-Help: Eating HAQ02-Help: Eating Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Eating. HAQ-DI Without VAS - Help: Eating
C132617 HAQ02-Help: Errands and Chores HAQ02-Help: Errands and Chores Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Errands and chores. HAQ-DI Without VAS - Help: Errands and Chores
C132616 HAQ02-Help: Gripping and Opening Things HAQ02-Help: Gripping and Opening Things Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things. HAQ-DI Without VAS - Help: Gripping and Opening Things
C132614 HAQ02-Help: Hygiene HAQ02-Help: Hygiene Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Hygiene. HAQ-DI Without VAS - Help: Hygiene
C132615 HAQ02-Help: Reach HAQ02-Help: Reach Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Reach. HAQ-DI Without VAS - Help: Reach
C132594 HAQ02-Help: Walking HAQ02-Help: Walking Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Walking. HAQ-DI Without VAS - Help: Walking
C132578 HAQ02-Lift a Full Cup or Glass to Mouth HAQ02-Lift a Full Cup or Glass to Mouth Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth? HAQ-DI Without VAS - Lift a Full Cup or Glass to Mouth
C132579 HAQ02-Open a New Milk Carton HAQ02-Open a New Milk Carton Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to open a new milk carton? HAQ-DI Without VAS - Open a New Milk Carton
C132600 HAQ02-Open Car Doors HAQ02-Open Car Doors Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open car doors? HAQ-DI Without VAS - Open Car Doors
C132601 HAQ02-Open Jars Previously Opened HAQ02-Open Jars Previously Opened Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened? HAQ-DI Without VAS - Open Jars Previously Opened
C132589 HAQ02-Othr Aid (Dress/Arising/Eat/Walk) HAQ02-Othr Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI Without VAS - Other Aid (Dress or Arising or Eat or Walk)
C132612 HAQ02-Othr Aid (Hygiene/Reach/Grip/Act) HAQ02-Othr Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other. HAQ-DI Without VAS - Other Aid (Hygiene or Reach or Grip or Act)
C132598 HAQ02-Reach-Get Down 5 Lb Obj Above Head HAQ02-Reach-Get Down 5 Lb Obj Above Head Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5-pound object (such as a bag of sugar) from just above your head? HAQ-DI Without VAS - Reach-Get Down 5 Lb Object Above Head
C132603 HAQ02-Run Errands and Shop HAQ02-Run Errands and Shop Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to run errands and shop? HAQ-DI Without VAS - Run Errands and Shop
C132574 HAQ02-Shampoo Your Hair HAQ02-Shampoo Your Hair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair? HAQ-DI Without VAS - Shampoo Your Hair
C132590 HAQ02-Spec Aid (Dress/Arising/Eat/Walk) HAQ02-Spec Aid (Dress/Arising/Eat/Walk) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI Without VAS - Special Aid (Dress or Arising or Eat or Walk)
C132613 HAQ02-Spec Aid (Hygiene/Reach/Grip/Act) HAQ02-Spec Aid (Hygiene/Reach/Grip/Act) Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify). HAQ-DI Without VAS - Special Aid (Hygiene or Reach or Grip or Act)
C132575 HAQ02-Stand Up From a Straight Chair HAQ02-Stand Up From a Straight Chair Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair? HAQ-DI Without VAS - Stand Up From a Straight Chair
C132596 HAQ02-Take a Tub Bath HAQ02-Take a Tub Bath Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath? HAQ-DI Without VAS - Take a Tub Bath
C132602 HAQ02-Turn Faucets On And Off HAQ02-Turn Faucets On And Off Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off? HAQ-DI Without VAS - Turn Faucets On And Off
C132580 HAQ02-Walk Outdoors on Flat Ground HAQ02-Walk Outdoors on Flat Ground Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground? HAQ-DI Without VAS - Walk Outdoors on Flat Ground
C132595 HAQ02-Wash and Dry Your Body HAQ02-Wash and Dry Your Body Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body? HAQ-DI Without VAS - Wash and Dry Your Body

HCS01TC (Hypoglycemic Confidence Scale Questionnaire Test Code)

NCI Code: C163393, Codelist extensible: No
C163393 HCS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163860 HCS0101 HCS01-When You Are Exercising Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are exercising? HCS - When You Are Exercising
C163861 HCS0102 HCS01-When You Are Sleeping Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are sleeping? HCS - When You Are Sleeping
C163862 HCS0103 HCS01-When You Are Driving Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are driving? HCS - When You Are Driving
C163863 HCS0104 HCS01-When You Are in Social Situations Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are in social situations? HCS - When You Are in Social Situations
C163864 HCS0105 HCS01-When You Are Alone Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are alone? HCS - When You Are Alone
C163865 HCS0106 HCS01-Avoid Serious Problems Hypoglycemic Confidence Scale - In general, how confident are you that you can: Avoid serious problems due to hypoglycemia? HCS - Avoid Serious Problems
C163866 HCS0107 HCS01-Catch Before Sugars Get Too Low Hypoglycemic Confidence Scale - In general, how confident are you that you can: Catch and respond to hypoglycemia before your blood sugars get too low? HCS - Catch Before Sugars Get Too Low
C163867 HCS0108 HCS01-Continue to Do Things Really Want Hypoglycemic Confidence Scale - In general, how confident are you that you can: Continue to do the things you really want to do in your life, despite the risks of hypoglycemia? HCS - Continue to Do Things Really Want
C163868 HCS0109 HCS01-Your Ability to Avoid Problems Hypoglycemic Confidence Scale - If you have a spouse or partner: What is your best guess about how confident your spouse or partner feels about your ability to avoid serious problems due to hypoglycemia? HCS - Your Ability to Avoid Problems
C163869 HCS0110 HCS01-Mean HCS Score Hypoglycemic Confidence Scale - Mean HCS score. HCS - Mean HCS Score

HCS01TN (Hypoglycemic Confidence Scale Questionnaire Test Name)

NCI Code: C163392, Codelist extensible: No
C163392 HCS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C163865 HCS01-Avoid Serious Problems HCS01-Avoid Serious Problems Hypoglycemic Confidence Scale - In general, how confident are you that you can: Avoid serious problems due to hypoglycemia? HCS - Avoid Serious Problems
C163866 HCS01-Catch Before Sugars Get Too Low HCS01-Catch Before Sugars Get Too Low Hypoglycemic Confidence Scale - In general, how confident are you that you can: Catch and respond to hypoglycemia before your blood sugars get too low? HCS - Catch Before Sugars Get Too Low
C163867 HCS01-Continue to Do Things Really Want HCS01-Continue to Do Things Really Want Hypoglycemic Confidence Scale - In general, how confident are you that you can: Continue to do the things you really want to do in your life, despite the risks of hypoglycemia? HCS - Continue to Do Things Really Want
C163869 HCS01-Mean HCS Score HCS01-Mean HCS Score Hypoglycemic Confidence Scale - Mean HCS score. HCS - Mean HCS Score
C163864 HCS01-When You Are Alone HCS01-When You Are Alone Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are alone? HCS - When You Are Alone
C163862 HCS01-When You Are Driving HCS01-When You Are Driving Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are driving? HCS - When You Are Driving
C163860 HCS01-When You Are Exercising HCS01-When You Are Exercising Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are exercising? HCS - When You Are Exercising
C163863 HCS01-When You Are in Social Situations HCS01-When You Are in Social Situations Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are in social situations? HCS - When You Are in Social Situations
C163861 HCS01-When You Are Sleeping HCS01-When You Are Sleeping Hypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are sleeping? HCS - When You Are Sleeping
C163868 HCS01-Your Ability to Avoid Problems HCS01-Your Ability to Avoid Problems Hypoglycemic Confidence Scale - If you have a spouse or partner: What is your best guess about how confident your spouse or partner feels about your ability to avoid serious problems due to hypoglycemia? HCS - Your Ability to Avoid Problems

HDCAB1TC (Huntington's Disease Cognitive Assessment Battery Functional Test Test Code)

NCI Code: C166188, Codelist extensible: No
C166188 HDCAB1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166331 HDCAB101 HDCAB1-Paced Tapping Huntington's Disease Cognitive Assessment Battery - Paced Tapping key variable for composite score: 1/SD of the inter-tap interval for the self-paced taps. HD-CAB - Paced Tapping
C166332 HDCAB102 HDCAB1-Emotion Recognition Huntington's Disease Cognitive Assessment Battery - Emotion Recognition key variable for composite score: Number of correct responses to the negative expressions (anger, fear, sadness, disgust) out of 24 possible. HD-CAB - Emotion Recognition
C166333 HDCAB103 HDCAB1-One Touch Stockings of Cambridge Huntington's Disease Cognitive Assessment Battery - One Touch Stockings of Cambridge key variable for composite score: Mean time to correct response (sec) averaged across all 10 trials (reverse scored). HD-CAB - One Touch Stockings of Cambridge
C166334 HDCAB104 HDCAB1-Symbol Digit Modalities Test Huntington's Disease Cognitive Assessment Battery - Symbol Digit Modalities Test key variable for composite score: Number of correct responses in 90 seconds out of 110 possible responses. HD-CAB - Symbol Digit Modalities Test
C166335 HDCAB105 HDCAB1-Hopkins Verbal Learning Test Rev Huntington's Disease Cognitive Assessment Battery - Hopkins Verbal Learning Test - Revised key variable for composite score: Total number of words correctly recalled over Trials 1-4 out of 48 possible. HD-CAB - Hopkins Verbal Learning Test Revised
C166336 HDCAB106 HDCAB1-Trail Making Test-B Huntington's Disease Cognitive Assessment Battery - Trail Making Test-B key variable for composite score: Time to completion (sec) of TMT Part B with upper time limit of 240 seconds (reverse scored). HD-CAB - Trail Making Test-B
C166337 HDCAB107 HDCAB1-HD-CAB Total Score Huntington's Disease Cognitive Assessment Battery - HD-CAB total score. HD-CAB - HD-CAB Total Score

HDCAB1TN (Huntington's Disease Cognitive Assessment Battery Functional Test Test Name)

NCI Code: C166187, Codelist extensible: No
C166187 HDCAB1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166332 HDCAB1-Emotion Recognition HDCAB1-Emotion Recognition Huntington's Disease Cognitive Assessment Battery - Emotion Recognition key variable for composite score: Number of correct responses to the negative expressions (anger, fear, sadness, disgust) out of 24 possible. HD-CAB - Emotion Recognition
C166337 HDCAB1-HD-CAB Total Score HDCAB1-HD-CAB Total Score Huntington's Disease Cognitive Assessment Battery - HD-CAB total score. HD-CAB - HD-CAB Total Score
C166335 HDCAB1-Hopkins Verbal Learning Test Rev HDCAB1-Hopkins Verbal Learning Test Rev Huntington's Disease Cognitive Assessment Battery - Hopkins Verbal Learning Test - Revised key variable for composite score: Total number of words correctly recalled over Trials 1-4 out of 48 possible. HD-CAB - Hopkins Verbal Learning Test Revised
C166333 HDCAB1-One Touch Stockings of Cambridge HDCAB1-One Touch Stockings of Cambridge Huntington's Disease Cognitive Assessment Battery - One Touch Stockings of Cambridge key variable for composite score: Mean time to correct response (sec) averaged across all 10 trials (reverse scored). HD-CAB - One Touch Stockings of Cambridge
C166331 HDCAB1-Paced Tapping HDCAB1-Paced Tapping Huntington's Disease Cognitive Assessment Battery - Paced Tapping key variable for composite score: 1/SD of the inter-tap interval for the self-paced taps. HD-CAB - Paced Tapping
C166334 HDCAB1-Symbol Digit Modalities Test HDCAB1-Symbol Digit Modalities Test Huntington's Disease Cognitive Assessment Battery - Symbol Digit Modalities Test key variable for composite score: Number of correct responses in 90 seconds out of 110 possible responses. HD-CAB - Symbol Digit Modalities Test
C166336 HDCAB1-Trail Making Test-B HDCAB1-Trail Making Test-B Huntington's Disease Cognitive Assessment Battery - Trail Making Test-B key variable for composite score: Time to completion (sec) of TMT Part B with upper time limit of 240 seconds (reverse scored). HD-CAB - Trail Making Test-B

HSB01TC (HAS-BLED Bleeding Risk Score Clinical Classification Test Code)

NCI Code: C138213, Codelist extensible: No
C138213 HSB01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138357 HSB0101 HSB01-Hypertension HAS-BLED Bleeding Risk Score - Hypertension. HAS-BLED - Hypertension
C138358 HSB0102 HSB01-Abnormal Renal and Liver Function HAS-BLED Bleeding Risk Score - Abnormal renal and liver function. HAS-BLED - Abnormal Renal and Liver Function
C138359 HSB0103 HSB01-Stroke HAS-BLED Bleeding Risk Score - Stroke. HAS-BLED - Stroke
C138360 HSB0104 HSB01-Bleeding HAS-BLED Bleeding Risk Score - Bleeding. HAS-BLED - Bleeding
C138361 HSB0105 HSB01-Labile INRs HAS-BLED Bleeding Risk Score - Labile INRs. HAS-BLED - Labile INRs
C138362 HSB0106 HSB01-Elderly HAS-BLED Bleeding Risk Score - Elderly. HAS-BLED - Elderly
C138363 HSB0107 HSB01-Drugs or Alcohol HAS-BLED Bleeding Risk Score - Drugs or alcohol. HAS-BLED - Drugs or Alcohol

HSB01TN (HAS-BLED Bleeding Risk Score Clinical Classification Test Name)

NCI Code: C138212, Codelist extensible: No
C138212 HSB01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138358 HSB01-Abnormal Renal and Liver Function HSB01-Abnormal Renal and Liver Function HAS-BLED Bleeding Risk Score - Abnormal renal and liver function. HAS-BLED - Abnormal Renal and Liver Function
C138360 HSB01-Bleeding HSB01-Bleeding HAS-BLED Bleeding Risk Score - Bleeding. HAS-BLED - Bleeding
C138363 HSB01-Drugs or Alcohol HSB01-Drugs or Alcohol HAS-BLED Bleeding Risk Score - Drugs or alcohol. HAS-BLED - Drugs or Alcohol
C138362 HSB01-Elderly HSB01-Elderly HAS-BLED Bleeding Risk Score - Elderly. HAS-BLED - Elderly
C138357 HSB01-Hypertension HSB01-Hypertension HAS-BLED Bleeding Risk Score - Hypertension. HAS-BLED - Hypertension
C138361 HSB01-Labile INRs HSB01-Labile INRs HAS-BLED Bleeding Risk Score - Labile INRs. HAS-BLED - Labile INRs
C138359 HSB01-Stroke HSB01-Stroke HAS-BLED Bleeding Risk Score - Stroke. HAS-BLED - Stroke

IBDQ01TC (Quality of Life in Inflammatory Bowel Disease Questionnaire Test Code)

NCI Code: C174052, Codelist extensible: No
C174052 IBDQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C174071 IBDQ0101 IBDQ01-How Frequent Bowel Movements Quality of Life in Inflammatory Bowel Disease Questionnaire - How frequent have your bowel movements been during the last two weeks? IBDQ - How Frequent Bowel Movements
C174072 IBDQ0102 IBDQ01-Fatigue Been a Problem Quality of Life in Inflammatory Bowel Disease Questionnaire - How often has the feeling of fatigue or of being tired and worn out been a problem for you during the last 2 weeks? IBDQ - Fatigue Been a Problem
C174073 IBDQ0103 IBDQ01-Felt Frustrated Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt frustrated, impatient or restless? IBDQ - Felt Frustrated
C174074 IBDQ0104 IBDQ01-Unable to Attend School or Work Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been unable to attend school or do your work because of your bowel problem? IBDQ - Unable to Attend School or Work
C174075 IBDQ0105 IBDQ01-Bowel Movements Been Loose Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have your bowel movements been loose? IBDQ - Bowel Movements Been Loose
C174076 IBDQ0106 IBDQ01-How Much Energy Have You Had Quality of Life in Inflammatory Bowel Disease Questionnaire - How much energy have you had during the last 2 weeks? IBDQ - How Much Energy Have You Had
C174077 IBDQ0107 IBDQ01-Feel Worried About Surgery Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks did you feel worried about the possibility of needing to have surgery because of your bowel problem? IBDQ - Feel Worried About Surgery
C174078 IBDQ0108 IBDQ01-Delay/Cancel Social Engagement Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to delay or cancel a social engagement because of your bowel problem? IBDQ - Delay or Cancel Social Engagement
C174079 IBDQ0109 IBDQ01-Troubled by Cramps in Abdomen Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by cramps in your abdomen? IBDQ - Troubled by Cramps in Abdomen
C174080 IBDQ0110 IBDQ01-Felt Generally Unwell Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt generally unwell? IBDQ - Felt Generally Unwell
C174081 IBDQ0111 IBDQ01-Fear of Not Finding a Washroom Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled because of fear of not finding a washroom? IBDQ - Fear of Not Finding a Washroom
C174082 IBDQ0112 IBDQ01-Difficulty Doing Leisure/Sports Quality of Life in Inflammatory Bowel Disease Questionnaire - How much difficulty have you had, as a result of your bowel problems, doing leisure or sports activities you would have liked to have done during the last 2 weeks? IBDQ - Difficulty Doing Leisure or Sports
C174083 IBDQ0113 IBDQ01-Troubled by Pain in Abdomen Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by pain in the abdomen? IBDQ - Troubled by Pain in Abdomen
C174084 IBDQ0114 IBDQ01-Problems Getting Sleep/Waking Up Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had problems getting a good night's sleep, or been troubled by waking up during the night? IBDQ - Problems Getting Sleep or Waking Up
C174085 IBDQ0115 IBDQ01-Felt Depressed or Discouraged Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt depressed or discouraged? IBDQ - Felt Depressed or Discouraged
C174086 IBDQ0116 IBDQ01-Avoid Events Where No Washroom Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to avoid attending events where there was no washroom close at hand? IBDQ - Avoid Events Where No Washroom
C174087 IBDQ0117 IBDQ01-Problem Passing Large Amounts Gas Quality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had with passing large amounts of gas? IBDQ - Problem Passing Large Amounts Gas
C174088 IBDQ0118 IBDQ01-Problem Maintaining Weight Quality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had maintaining or getting to, the weight you would like to be at? IBDQ - Problem Maintaining Weight
C174089 IBDQ0119 IBDQ01-Felt Worried or Anxious Quality of Life in Inflammatory Bowel Disease Questionnaire - In general, how often during the last 2 weeks have you felt worried or anxious? IBDQ - Felt Worried or Anxious
C174090 IBDQ0120 IBDQ01-Troubled by Abdominal Bloating Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 week have you been troubled by a feeling of abdominal bloating? IBDQ - Troubled by Abdominal Bloating
C174091 IBDQ0121 IBDQ01-Felt Relaxed and Free of Tension Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt relaxed and free of tension? IBDQ - Felt Relaxed and Free of Tension
C174092 IBDQ0122 IBDQ01-Problem With Rectal Bleeding Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you had a problem with rectal bleeding with your bowel movements? IBDQ - Problem With Rectal Bleeding
C174093 IBDQ0123 IBDQ01-Felt Embarrassed Bowel Problem Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt embarrassed as a result of your bowel problem? IBDQ - Felt Embarrassed Bowel Problem
C174094 IBDQ0124 IBDQ01-Go to Bathroom Bowels Empty Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by a feeling of having to go to the bathroom even though your bowels were empty? IBDQ - Go to Bathroom Bowels Empty
C174095 IBDQ0125 IBDQ01-Felt Tearful or Upset Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt tearful or upset? IBDQ - Felt Tearful or Upset
C174096 IBDQ0126 IBDQ01-Accidental Soiling of Underpants Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by accidental soiling of your underpants? IBDQ - Accidental Soiling of Underpants
C174097 IBDQ0127 IBDQ01-Felt Angry Bowel Problem Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt angry as a result of your bowel problem? IBDQ - Felt Angry Bowel Problem
C174098 IBDQ0128 IBDQ01-Limited Sexual Activity Quality of Life in Inflammatory Bowel Disease Questionnaire - To what extent has your bowel problem limited sexual activity during the last 2 weeks? IBDQ - Limited Sexual Activity
C174099 IBDQ0129 IBDQ01-Nausea or Sick to Your Stomach Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by nausea or feeling sick to your stomach? IBDQ - Nausea or Sick to Your Stomach
C174100 IBDQ0130 IBDQ01-Felt Irritable Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt irritable? IBDQ - Felt Irritable
C174101 IBDQ0131 IBDQ01-Lack of Understanding From Others Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the past 2 weeks have you felt a lack of understanding from others? IBDQ - Lack of Understanding From Others
C174102 IBDQ0132 IBDQ01-Satisfied With Personal Life Quality of Life in Inflammatory Bowel Disease Questionnaire - How satisfied, happy, or pleased have you been with your personal life during the past 2 weeks? IBDQ - Satisfied With Personal Life

IBDQ01TN (Quality of Life in Inflammatory Bowel Disease Questionnaire Test Name)

NCI Code: C174051, Codelist extensible: No
C174051 IBDQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C174096 IBDQ01-Accidental Soiling of Underpants IBDQ01-Accidental Soiling of Underpants Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by accidental soiling of your underpants? IBDQ - Accidental Soiling of Underpants
C174086 IBDQ01-Avoid Events Where No Washroom IBDQ01-Avoid Events Where No Washroom Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to avoid attending events where there was no washroom close at hand? IBDQ - Avoid Events Where No Washroom
C174075 IBDQ01-Bowel Movements Been Loose IBDQ01-Bowel Movements Been Loose Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have your bowel movements been loose? IBDQ - Bowel Movements Been Loose
C174078 IBDQ01-Delay/Cancel Social Engagement IBDQ01-Delay/Cancel Social Engagement Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to delay or cancel a social engagement because of your bowel problem? IBDQ - Delay or Cancel Social Engagement
C174082 IBDQ01-Difficulty Doing Leisure/Sports IBDQ01-Difficulty Doing Leisure/Sports Quality of Life in Inflammatory Bowel Disease Questionnaire - How much difficulty have you had, as a result of your bowel problems, doing leisure or sports activities you would have liked to have done during the last 2 weeks? IBDQ - Difficulty Doing Leisure or Sports
C174072 IBDQ01-Fatigue Been a Problem IBDQ01-Fatigue Been a Problem Quality of Life in Inflammatory Bowel Disease Questionnaire - How often has the feeling of fatigue or of being tired and worn out been a problem for you during the last 2 weeks? IBDQ - Fatigue Been a Problem
C174081 IBDQ01-Fear of Not Finding a Washroom IBDQ01-Fear of Not Finding a Washroom Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled because of fear of not finding a washroom? IBDQ - Fear of Not Finding a Washroom
C174077 IBDQ01-Feel Worried About Surgery IBDQ01-Feel Worried About Surgery Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks did you feel worried about the possibility of needing to have surgery because of your bowel problem? IBDQ - Feel Worried About Surgery
C174097 IBDQ01-Felt Angry Bowel Problem IBDQ01-Felt Angry Bowel Problem Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt angry as a result of your bowel problem? IBDQ - Felt Angry Bowel Problem
C174085 IBDQ01-Felt Depressed or Discouraged IBDQ01-Felt Depressed or Discouraged Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt depressed or discouraged? IBDQ - Felt Depressed or Discouraged
C174093 IBDQ01-Felt Embarrassed Bowel Problem IBDQ01-Felt Embarrassed Bowel Problem Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt embarrassed as a result of your bowel problem? IBDQ - Felt Embarrassed Bowel Problem
C174073 IBDQ01-Felt Frustrated IBDQ01-Felt Frustrated Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt frustrated, impatient or restless? IBDQ - Felt Frustrated
C174080 IBDQ01-Felt Generally Unwell IBDQ01-Felt Generally Unwell Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt generally unwell? IBDQ - Felt Generally Unwell
C174100 IBDQ01-Felt Irritable IBDQ01-Felt Irritable Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt irritable? IBDQ - Felt Irritable
C174091 IBDQ01-Felt Relaxed and Free of Tension IBDQ01-Felt Relaxed and Free of Tension Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt relaxed and free of tension? IBDQ - Felt Relaxed and Free of Tension
C174095 IBDQ01-Felt Tearful or Upset IBDQ01-Felt Tearful or Upset Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt tearful or upset? IBDQ - Felt Tearful or Upset
C174089 IBDQ01-Felt Worried or Anxious IBDQ01-Felt Worried or Anxious Quality of Life in Inflammatory Bowel Disease Questionnaire - In general, how often during the last 2 weeks have you felt worried or anxious? IBDQ - Felt Worried or Anxious
C174094 IBDQ01-Go to Bathroom Bowels Empty IBDQ01-Go to Bathroom Bowels Empty Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by a feeling of having to go to the bathroom even though your bowels were empty? IBDQ - Go to Bathroom Bowels Empty
C174071 IBDQ01-How Frequent Bowel Movements IBDQ01-How Frequent Bowel Movements Quality of Life in Inflammatory Bowel Disease Questionnaire - How frequent have your bowel movements been during the last two weeks? IBDQ - How Frequent Bowel Movements
C174076 IBDQ01-How Much Energy Have You Had IBDQ01-How Much Energy Have You Had Quality of Life in Inflammatory Bowel Disease Questionnaire - How much energy have you had during the last 2 weeks? IBDQ - How Much Energy Have You Had
C174101 IBDQ01-Lack of Understanding From Others IBDQ01-Lack of Understanding From Others Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the past 2 weeks have you felt a lack of understanding from others? IBDQ - Lack of Understanding From Others
C174098 IBDQ01-Limited Sexual Activity IBDQ01-Limited Sexual Activity Quality of Life in Inflammatory Bowel Disease Questionnaire - To what extent has your bowel problem limited sexual activity during the last 2 weeks? IBDQ - Limited Sexual Activity
C174099 IBDQ01-Nausea or Sick to Your Stomach IBDQ01-Nausea or Sick to Your Stomach Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by nausea or feeling sick to your stomach? IBDQ - Nausea or Sick to Your Stomach
C174088 IBDQ01-Problem Maintaining Weight IBDQ01-Problem Maintaining Weight Quality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had maintaining or getting to, the weight you would like to be at? IBDQ - Problem Maintaining Weight
C174087 IBDQ01-Problem Passing Large Amounts Gas IBDQ01-Problem Passing Large Amounts Gas Quality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had with passing large amounts of gas? IBDQ - Problem Passing Large Amounts Gas
C174092 IBDQ01-Problem With Rectal Bleeding IBDQ01-Problem With Rectal Bleeding Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you had a problem with rectal bleeding with your bowel movements? IBDQ - Problem With Rectal Bleeding
C174084 IBDQ01-Problems Getting Sleep/Waking Up IBDQ01-Problems Getting Sleep/Waking Up Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had problems getting a good night's sleep, or been troubled by waking up during the night? IBDQ - Problems Getting Sleep or Waking Up
C174102 IBDQ01-Satisfied With Personal Life IBDQ01-Satisfied With Personal Life Quality of Life in Inflammatory Bowel Disease Questionnaire - How satisfied, happy, or pleased have you been with your personal life during the past 2 weeks? IBDQ - Satisfied With Personal Life
C174090 IBDQ01-Troubled by Abdominal Bloating IBDQ01-Troubled by Abdominal Bloating Quality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 week have you been troubled by a feeling of abdominal bloating? IBDQ - Troubled by Abdominal Bloating
C174079 IBDQ01-Troubled by Cramps in Abdomen IBDQ01-Troubled by Cramps in Abdomen Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by cramps in your abdomen? IBDQ - Troubled by Cramps in Abdomen
C174083 IBDQ01-Troubled by Pain in Abdomen IBDQ01-Troubled by Pain in Abdomen Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by pain in the abdomen? IBDQ - Troubled by Pain in Abdomen
C174074 IBDQ01-Unable to Attend School or Work IBDQ01-Unable to Attend School or Work Quality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been unable to attend school or do your work because of your bowel problem? IBDQ - Unable to Attend School or Work

IDSC1TC (Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code)

NCI Code: C130247, Codelist extensible: No
C130247 IDSC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130360 IDSC101 IDSC1-Sleep Onset Insomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia. IDS-C - Sleep Onset Insomnia
C130361 IDSC102 IDSC1-Mid-Nocturnal Insomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia. IDS-C - Mid-Nocturnal Insomnia
C130362 IDSC103 IDSC1-Early Morning Insomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia. IDS-C - Early Morning Insomnia
C130363 IDSC104 IDSC1-Hypersomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia. IDS-C - Hypersomnia
C130364 IDSC105 IDSC1-Mood (Sad) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad). IDS-C - Mood (Sad)
C130365 IDSC106 IDSC1-Mood (Irritable) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (irritable). IDS-C - Mood (Irritable)
C130366 IDSC107 IDSC1-Mood (Anxious) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (anxious). IDS-C - Mood (Anxious)
C130367 IDSC108 IDSC1-Reactivity of Mood Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Reactivity of mood. IDS-C - Reactivity of Mood
C130368 IDSC109 IDSC1-Mood Variation Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood variation. IDS-C - Mood Variation
C130369 IDSC109A IDSC1-Mood Worse Morn/Afternoon/Night Inventory of Depressive Symptomatology - Clinician-Rated - Is mood typically worse in morning, afternoon, or night. IDS-C - Mood Worse in Morning, Afternoon, or Night
C130370 IDSC109B IDSC1-Mood Attributed to Environment Inventory of Depressive Symptomatology - Clinician-Rated - Is mood variation attributed to environment by the patient? IDS-C - Mood Variation Attributed to Environment
C130371 IDSC110 IDSC1-Quality of Mood Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Quality of mood. IDS-C - Quality of Mood
C130372 IDSC111 IDSC1-Appetite (Decreased) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased). IDS-C - Appetite (Decreased)
C130373 IDSC112 IDSC1-Appetite (Increased) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased). IDS-C - Appetite (Increased)
C130374 IDSC113 IDSC1-Weight (Decrease) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks. IDS-C - Weight (Decrease)
C130375 IDSC114 IDSC1-Weight (Increase) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks. IDS-C - Weight (Increase)
C130376 IDSC115 IDSC1-Concentration/Decision Making Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making. IDS-C - Concentration or Decision Making
C130377 IDSC116 IDSC1-Outlook (Self) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self). IDS-C - Outlook (Self)
C130378 IDSC117 IDSC1-Outlook (Future) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (future). IDS-C - Outlook (Future)
C130379 IDSC118 IDSC1-Suicidal Ideation Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation. IDS-C - Suicidal Ideation
C130380 IDSC119 IDSC1-Involvement Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement. IDS-C - Involvement
C130381 IDSC120 IDSC1-Energy/Fatiguability Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability. IDS-C - Energy or Fatiguability
C130382 IDSC121 IDSC1-Pleasure/Enjoyment (Exclude Sex) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Pleasure/enjoyment (exclude sexual activities). IDS-C - Pleasure or Enjoyment
C130383 IDSC122 IDSC1-Sexual Interest Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sexual interest. IDS-C - Sexual Interest
C130384 IDSC123 IDSC1-Psychomotor Slowing Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing. IDS-C - Psychomotor Slowing
C130385 IDSC124 IDSC1-Psychomotor Agitation Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation. IDS-C - Psychomotor Agitation
C130386 IDSC125 IDSC1-Somatic Complaints Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Somatic complaints. IDS-C - Somatic Complaints
C130387 IDSC126 IDSC1-Sympathetic Arousal Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sympathetic arousal. IDS-C - Sympathetic Arousal
C130388 IDSC127 IDSC1-Panic/Phobic Symptoms Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Panic/phobic symptoms. IDS-C - Panic or Phobic Symptoms
C130389 IDSC128 IDSC1-Gastrointestinal Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Gastrointestinal. IDS-C - Gastrointestinal
C130390 IDSC129 IDSC1-Interpersonal Sensitivity Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Interpersonal sensitivity. IDS-C - Interpersonal Sensitivity
C130391 IDSC130 IDSC1-Leaden Paralysis/Physical Energy Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Leaden paralysis/physical energy. IDS-C - Leaden Paralysis or Physical Energy
C130392 IDSC131 IDSC1-Score Inventory of Depressive Symptomatology - Clinician-Rated - Score. IDS-C - Score

IDSC1TN (Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name)

NCI Code: C130246, Codelist extensible: No
C130246 IDSC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130372 IDSC1-Appetite (Decreased) IDSC1-Appetite (Decreased) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased). IDS-C - Appetite (Decreased)
C130373 IDSC1-Appetite (Increased) IDSC1-Appetite (Increased) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased). IDS-C - Appetite (Increased)
C130376 IDSC1-Concentration/Decision Making IDSC1-Concentration/Decision Making Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making. IDS-C - Concentration or Decision Making
C130362 IDSC1-Early Morning Insomnia IDSC1-Early Morning Insomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia. IDS-C - Early Morning Insomnia
C130381 IDSC1-Energy/Fatiguability IDSC1-Energy/Fatiguability Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability. IDS-C - Energy or Fatiguability
C130389 IDSC1-Gastrointestinal IDSC1-Gastrointestinal Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Gastrointestinal. IDS-C - Gastrointestinal
C130363 IDSC1-Hypersomnia IDSC1-Hypersomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia. IDS-C - Hypersomnia
C130390 IDSC1-Interpersonal Sensitivity IDSC1-Interpersonal Sensitivity Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Interpersonal sensitivity. IDS-C - Interpersonal Sensitivity
C130380 IDSC1-Involvement IDSC1-Involvement Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement. IDS-C - Involvement
C130391 IDSC1-Leaden Paralysis/Physical Energy IDSC1-Leaden Paralysis/Physical Energy Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Leaden paralysis/physical energy. IDS-C - Leaden Paralysis or Physical Energy
C130361 IDSC1-Mid-Nocturnal Insomnia IDSC1-Mid-Nocturnal Insomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia. IDS-C - Mid-Nocturnal Insomnia
C130366 IDSC1-Mood (Anxious) IDSC1-Mood (Anxious) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (anxious). IDS-C - Mood (Anxious)
C130365 IDSC1-Mood (Irritable) IDSC1-Mood (Irritable) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (irritable). IDS-C - Mood (Irritable)
C130364 IDSC1-Mood (Sad) IDSC1-Mood (Sad) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad). IDS-C - Mood (Sad)
C130370 IDSC1-Mood Attributed to Environment IDSC1-Mood Attributed to Environment Inventory of Depressive Symptomatology - Clinician-Rated - Is mood variation attributed to environment by the patient? IDS-C - Mood Variation Attributed to Environment
C130368 IDSC1-Mood Variation IDSC1-Mood Variation Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood variation. IDS-C - Mood Variation
C130369 IDSC1-Mood Worse Morn/Afternoon/Night IDSC1-Mood Worse Morn/Afternoon/Night Inventory of Depressive Symptomatology - Clinician-Rated - Is mood typically worse in morning, afternoon, or night. IDS-C - Mood Worse in Morning, Afternoon, or Night
C130378 IDSC1-Outlook (Future) IDSC1-Outlook (Future) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (future). IDS-C - Outlook (Future)
C130377 IDSC1-Outlook (Self) IDSC1-Outlook (Self) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self). IDS-C - Outlook (Self)
C130388 IDSC1-Panic/Phobic Symptoms IDSC1-Panic/Phobic Symptoms Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Panic/phobic symptoms. IDS-C - Panic or Phobic Symptoms
C130382 IDSC1-Pleasure/Enjoyment (Exclude Sex) IDSC1-Pleasure/Enjoyment (Exclude Sex) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Pleasure/enjoyment (exclude sexual activities). IDS-C - Pleasure or Enjoyment
C130385 IDSC1-Psychomotor Agitation IDSC1-Psychomotor Agitation Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation. IDS-C - Psychomotor Agitation
C130384 IDSC1-Psychomotor Slowing IDSC1-Psychomotor Slowing Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing. IDS-C - Psychomotor Slowing
C130371 IDSC1-Quality of Mood IDSC1-Quality of Mood Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Quality of mood. IDS-C - Quality of Mood
C130367 IDSC1-Reactivity of Mood IDSC1-Reactivity of Mood Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Reactivity of mood. IDS-C - Reactivity of Mood
C130392 IDSC1-Score IDSC1-Score Inventory of Depressive Symptomatology - Clinician-Rated - Score. IDS-C - Score
C130383 IDSC1-Sexual Interest IDSC1-Sexual Interest Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sexual interest. IDS-C - Sexual Interest
C130360 IDSC1-Sleep Onset Insomnia IDSC1-Sleep Onset Insomnia Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia. IDS-C - Sleep Onset Insomnia
C130386 IDSC1-Somatic Complaints IDSC1-Somatic Complaints Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Somatic complaints. IDS-C - Somatic Complaints
C130379 IDSC1-Suicidal Ideation IDSC1-Suicidal Ideation Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation. IDS-C - Suicidal Ideation
C130387 IDSC1-Sympathetic Arousal IDSC1-Sympathetic Arousal Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sympathetic arousal. IDS-C - Sympathetic Arousal
C130374 IDSC1-Weight (Decrease) IDSC1-Weight (Decrease) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks. IDS-C - Weight (Decrease)
C130375 IDSC1-Weight (Increase) IDSC1-Weight (Increase) Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks. IDS-C - Weight (Increase)

IDSR1TC (Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code)

NCI Code: C130261, Codelist extensible: No
C130261 IDSR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130551 IDSR101 IDSR1-Falling Asleep Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep. IDS-SR - Falling Asleep
C130552 IDSR102 IDSR1-Sleep During the Night Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night. IDS-SR - Sleep During the Night
C130553 IDSR103 IDSR1-Waking Up Too Early Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early. IDS-SR - Waking Up Too Early
C130554 IDSR104 IDSR1-Sleeping Too Much Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much. IDS-SR - Sleeping Too Much
C130555 IDSR105 IDSR1-Feeling Sad Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad. IDS-SR - Feeling Sad
C130556 IDSR106 IDSR1-Feeling Irritable Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling irritable. IDS-SR - Feeling Irritable
C130557 IDSR107 IDSR1-Feeling Anxious or Tense Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling anxious or tense. IDS-SR - Feeling Anxious or Tense
C130558 IDSR108 IDSR1-Your Mood to Good/Desired Events Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Response of your mood to good or desired events. IDS-SR - Response of Your Mood to Good or Desired Events
C130559 IDSR109 IDSR1-Mood in Relation to Time of Day Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Mood in relation to the time of day. IDS-SR - Mood in Relation to the Time of Day
C130560 IDSR109A IDSR1-Mood Worse Morn/Afternoon/Night Inventory of Depressive Symptomatology - Self-Report - Is your mood typically worse in the morning, afternoon or night? IDS-SR - Mood Worse in Morning, Afternoon, or Night
C130561 IDSR109B IDSR1-Mood Attributed to Environment Inventory of Depressive Symptomatology - Self-Report - Is your mood variation attributed to the environment? IDS-SR - Mood Variation Attributed to Environment
C130562 IDSR110 IDSR1-Quality of Your Mood Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: The quality of your mood. IDS-SR - The Quality of Your Mood
C130563 IDSR111 IDSR1-Decreased Appetite Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite. IDS-SR - Decreased Appetite
C130564 IDSR112 IDSR1-Increased Appetite Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite. IDS-SR - Increased Appetite
C130565 IDSR113 IDSR1-Weight (Decrease) Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (decrease). IDS-SR - Weight (Decrease)
C130566 IDSR114 IDSR1-Weight (Increase) Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (increase). IDS-SR - Weight (Increase)
C130567 IDSR115 IDSR1-Concentration/Decision Making Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making. IDS-SR - Concentration or Decision Making
C130568 IDSR116 IDSR1-View of Myself Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself. IDS-SR - View of Myself
C130569 IDSR117 IDSR1-View of My Future Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of my future. IDS-SR - View of My Future
C130570 IDSR118 IDSR1-Thoughts of Death or Suicide Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide. IDS-SR - Thoughts of Death or Suicide
C130571 IDSR119 IDSR1-General Interest Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest. IDS-SR - General Interest
C130572 IDSR120 IDSR1-Energy Level Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level. IDS-SR - Energy Level
C130573 IDSR121 IDSR1-Pleasure/Enjoyment (Exclude Sex) Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Capacity for pleasure or enjoyment (excluding sex). IDS-SR - Capacity for Pleasure or Enjoyment
C130574 IDSR122 IDSR1-Interest in Sex Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interest in sex. IDS-SR - Interest in Sex
C130575 IDSR123 IDSR1-Feeling Slowed Down Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down. IDS-SR - Feeling Slowed Down
C130576 IDSR124 IDSR1-Feeling Restless Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless. IDS-SR - Feeling Restless
C130577 IDSR125 IDSR1-Aches and Pains Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Aches and pains. IDS-SR - Aches and Pains
C130578 IDSR126 IDSR1-Other Bodily Symptoms Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Other bodily symptoms. IDS-SR - Other Bodily Symptoms
C130579 IDSR127 IDSR1-Panic/Phobic Symptoms Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Panic/phobic symptoms. IDS-SR - Panic or Phobic Symptoms
C130580 IDSR128 IDSR1-Constipation/Diarrhea Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Constipation/diarrhea. IDS-SR - Constipation or Diarrhea
C130581 IDSR129 IDSR1-Interpersonal Sensitivity Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interpersonal sensitivity. IDS-SR - Interpersonal Sensitivity
C130582 IDSR130 IDSR1-Leaden Paralysis/Physical Energy Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Leaden paralysis/physical energy. IDS-SR - Leaden Paralysis or Physical Energy
C130583 IDSR131 IDSR1-Score Inventory of Depressive Symptomatology - Self-Report - Score. IDS-SR - Score

IDSR1TN (Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name)

NCI Code: C130260, Codelist extensible: No
C130260 IDSR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130577 IDSR1-Aches and Pains IDSR1-Aches and Pains Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Aches and pains. IDS-SR - Aches and Pains
C130567 IDSR1-Concentration/Decision Making IDSR1-Concentration/Decision Making Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making. IDS-SR - Concentration or Decision Making
C130580 IDSR1-Constipation/Diarrhea IDSR1-Constipation/Diarrhea Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Constipation/diarrhea. IDS-SR - Constipation or Diarrhea
C130563 IDSR1-Decreased Appetite IDSR1-Decreased Appetite Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite. IDS-SR - Decreased Appetite
C130572 IDSR1-Energy Level IDSR1-Energy Level Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level. IDS-SR - Energy Level
C130551 IDSR1-Falling Asleep IDSR1-Falling Asleep Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep. IDS-SR - Falling Asleep
C130557 IDSR1-Feeling Anxious or Tense IDSR1-Feeling Anxious or Tense Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling anxious or tense. IDS-SR - Feeling Anxious or Tense
C130556 IDSR1-Feeling Irritable IDSR1-Feeling Irritable Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling irritable. IDS-SR - Feeling Irritable
C130576 IDSR1-Feeling Restless IDSR1-Feeling Restless Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless. IDS-SR - Feeling Restless
C130555 IDSR1-Feeling Sad IDSR1-Feeling Sad Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad. IDS-SR - Feeling Sad
C130575 IDSR1-Feeling Slowed Down IDSR1-Feeling Slowed Down Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down. IDS-SR - Feeling Slowed Down
C130571 IDSR1-General Interest IDSR1-General Interest Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest. IDS-SR - General Interest
C130564 IDSR1-Increased Appetite IDSR1-Increased Appetite Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite. IDS-SR - Increased Appetite
C130574 IDSR1-Interest in Sex IDSR1-Interest in Sex Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interest in sex. IDS-SR - Interest in Sex
C130581 IDSR1-Interpersonal Sensitivity IDSR1-Interpersonal Sensitivity Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interpersonal sensitivity. IDS-SR - Interpersonal Sensitivity
C130582 IDSR1-Leaden Paralysis/Physical Energy IDSR1-Leaden Paralysis/Physical Energy Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Leaden paralysis/physical energy. IDS-SR - Leaden Paralysis or Physical Energy
C130561 IDSR1-Mood Attributed to Environment IDSR1-Mood Attributed to Environment Inventory of Depressive Symptomatology - Self-Report - Is your mood variation attributed to the environment? IDS-SR - Mood Variation Attributed to Environment
C130559 IDSR1-Mood in Relation to Time of Day IDSR1-Mood in Relation to Time of Day Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Mood in relation to the time of day. IDS-SR - Mood in Relation to the Time of Day
C130560 IDSR1-Mood Worse Morn/Afternoon/Night IDSR1-Mood Worse Morn/Afternoon/Night Inventory of Depressive Symptomatology - Self-Report - Is your mood typically worse in the morning, afternoon or night? IDS-SR - Mood Worse in Morning, Afternoon, or Night
C130578 IDSR1-Other Bodily Symptoms IDSR1-Other Bodily Symptoms Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Other bodily symptoms. IDS-SR - Other Bodily Symptoms
C130579 IDSR1-Panic/Phobic Symptoms IDSR1-Panic/Phobic Symptoms Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Panic/phobic symptoms. IDS-SR - Panic or Phobic Symptoms
C130573 IDSR1-Pleasure/Enjoyment (Exclude Sex) IDSR1-Pleasure/Enjoyment (Exclude Sex) Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Capacity for pleasure or enjoyment (excluding sex). IDS-SR - Capacity for Pleasure or Enjoyment
C130562 IDSR1-Quality of Your Mood IDSR1-Quality of Your Mood Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: The quality of your mood. IDS-SR - The Quality of Your Mood
C130583 IDSR1-Score IDSR1-Score Inventory of Depressive Symptomatology - Self-Report - Score. IDS-SR - Score
C130552 IDSR1-Sleep During the Night IDSR1-Sleep During the Night Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night. IDS-SR - Sleep During the Night
C130554 IDSR1-Sleeping Too Much IDSR1-Sleeping Too Much Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much. IDS-SR - Sleeping Too Much
C130570 IDSR1-Thoughts of Death or Suicide IDSR1-Thoughts of Death or Suicide Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide. IDS-SR - Thoughts of Death or Suicide
C130569 IDSR1-View of My Future IDSR1-View of My Future Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of my future. IDS-SR - View of My Future
C130568 IDSR1-View of Myself IDSR1-View of Myself Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself. IDS-SR - View of Myself
C130553 IDSR1-Waking Up Too Early IDSR1-Waking Up Too Early Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early. IDS-SR - Waking Up Too Early
C130565 IDSR1-Weight (Decrease) IDSR1-Weight (Decrease) Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (decrease). IDS-SR - Weight (Decrease)
C130566 IDSR1-Weight (Increase) IDSR1-Weight (Increase) Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (increase). IDS-SR - Weight (Increase)
C130558 IDSR1-Your Mood to Good/Desired Events IDSR1-Your Mood to Good/Desired Events Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Response of your mood to good or desired events. IDS-SR - Response of Your Mood to Good or Desired Events

IIEF01TC (International Index of Erectile Function Questionnaire Test Code)

NCI Code: C103471, Codelist extensible: No
C103471 IIEF01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103587 IIEF0101 IIEF01-Erection During Sexual Activity;IIEF01-Erection Frequency International Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity? IIEF - Able to Get an Erection During Sexual Activity
C103588 IIEF0102 IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to Penetrate International Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration? IIEF - Erections Hard Enough for Penetration
C103589 IIEF0103 IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration Ability International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner? IIEF - Able to Penetrate Your Partner
C103590 IIEF0104 IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance Frequency International Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner
C103591 IIEF0105 IIEF01-Maintain Erection to Completion;IIEF01-Maintenance Ability International Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? IIEF - Maintain Your Erection to Completion of Intercourse
C103592 IIEF0106 IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual Intercours International Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse? IIEF - How Many Times Have You Attempted Sexual Intercourse
C103593 IIEF0107 IIEF01-How Often was it Satisfactory;IIEF01-Intercourse Satisfaction International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you? IIEF - How Often was it Satisfactory for You
C103594 IIEF0108 IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse Enjoyment International Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse? IIEF - How Much Have You Enjoyed Sexual Intercourse
C103595 IIEF0109 IIEF01-Ejaculation Frequency;IIEF01-How Often Did You Ejaculate International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate? IIEF - How Often Did You Ejaculate
C103596 IIEF0110 IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm Frequency International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation? IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation
C103597 IIEF0111 IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual Desire International Index of Erectile Function - Over the past four weeks how often have you felt sexual desire? IIEF - How Often Have You Felt Sexual Desire
C103598 IIEF0112 IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual Desire International Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire? IIEF - Rate Your Level of Sexual Desire
C103599 IIEF0113 IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex Life International Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life? IIEF - Satisfied with Overall Sex Life
C103600 IIEF0114 IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual Relationship International Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner? IIEF - Satisfied with Your Sexual Relationship with Your Partner
C103601 IIEF0115 IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection Confidence International Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection? IIEF - Your Confidence to Get and Keep an Erection

IIEF01TN (International Index of Erectile Function Questionnaire Test Name)

NCI Code: C103470, Codelist extensible: No
C103470 IIEF01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103589 IIEF01-Able to Penetrate Your Partner IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration Ability International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner? IIEF - Able to Penetrate Your Partner
C103601 IIEF01-Confidence to Get/Keep Erection IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection Confidence International Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection? IIEF - Your Confidence to Get and Keep an Erection
C103596 IIEF01-Did You Have Feeling of Orgasm IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm Frequency International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation? IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation
C103594 IIEF01-Enjoyed Sexual Intercourse IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse Enjoyment International Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse? IIEF - How Much Have You Enjoyed Sexual Intercourse
C103587 IIEF01-Erection During Sexual Activity IIEF01-Erection During Sexual Activity;IIEF01-Erection Frequency International Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity? IIEF - Able to Get an Erection During Sexual Activity
C103588 IIEF01-Erection Hard Enough to Penetrate IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to Penetrate International Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration? IIEF - Erections Hard Enough for Penetration
C103597 IIEF01-Have You Felt Sexual Desire IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual Desire International Index of Erectile Function - Over the past four weeks how often have you felt sexual desire? IIEF - How Often Have You Felt Sexual Desire
C103595 IIEF01-How Often Did You Ejaculate IIEF01-Ejaculation Frequency;IIEF01-How Often Did You Ejaculate International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate? IIEF - How Often Did You Ejaculate
C103593 IIEF01-How Often was it Satisfactory IIEF01-How Often was it Satisfactory;IIEF01-Intercourse Satisfaction International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you? IIEF - How Often was it Satisfactory for You
C103590 IIEF01-Maintain Erection After Penetrate IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance Frequency International Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner
C103591 IIEF01-Maintain Erection to Completion IIEF01-Maintain Erection to Completion;IIEF01-Maintenance Ability International Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? IIEF - Maintain Your Erection to Completion of Intercourse
C103598 IIEF01-Rate Your Level of Sexual Desire IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual Desire International Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire? IIEF - Rate Your Level of Sexual Desire
C103599 IIEF01-Satisfied with Overall Sex Life IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex Life International Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life? IIEF - Satisfied with Overall Sex Life
C103600 IIEF01-Satisfy with Sexual Relationship IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual Relationship International Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner? IIEF - Satisfied with Your Sexual Relationship with Your Partner
C103592 IIEF01-Times Attempted Sexual Intercours IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual Intercours International Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse? IIEF - How Many Times Have You Attempted Sexual Intercourse

IPAQ01TC (International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Code)

NCI Code: C141671, Codelist extensible: No
C141671 IPAQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141848 IPA0101 IPA01-Days Vigorous Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities? IPAQ Short Last 7 Days Telephone Format Version - Days Vigorous Physical Activities
C141849 IPA0102A IPA01-Vigorous Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing vigorous physical activities on one of those days?: Hours and minutes per day. IPAQ Short Last 7 Days Telephone Format Version - Vigorous Physical Hr and Min per Day
C141851 IPA0102B IPA01-Total Vigorous Hr & Min per Week International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time in total would you spend over the last 7 days doing vigorous physical activities?: Hours and minutes per week. IPAQ Short Last 7 Days Telephone Format Version - Total Vigorous Hr and Min per Week
C141853 IPA0103 IPA01-Days Moderate Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities? IPAQ Short Last 7 Days Telephone Format Version - Days Moderate Physical Activities
C141854 IPA0104A IPA01-Moderate Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing moderate physical activities on one of those days?: Hours and minutes per day. IPAQ Short Last 7 Days Telephone Format Version - Moderate Physical Hr and Min per Day
C141856 IPA0104B IPA01-Total Moderate Hr & Min per Week International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities?: Hours and minutes per week. IPAQ Short Last 7 Days Telephone Format Version - Total Moderate Hr and Min per Week
C141858 IPA0105 IPA01-Days Walk at Least 10 Minutes International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time? IPAQ Short Last 7 Days Telephone Format Version - Days Walk at Least 10 Minutes
C141859 IPA0106A IPA01-Walking Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend walking on one of those days?: Hours and minutes per day. IPAQ Short Last 7 Days Telephone Format Version - Walking Hr and Min per Day
C141861 IPA0106B IPA01-Total Walking Hr & Min per Week International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days?: Hours and minutes per week. IPAQ Short Last 7 Days Telephone Format Version - Total Walking Hr and Min per Week
C141863 IPA0107A IPA01-Sitting Hr & Min per Weekday International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per weekday. IPAQ Short Last 7 Days Telephone Format Version - Sitting Hr and Min per Weekday
C141865 IPA0107B IPA01-Total Sitting Hr & Min Wednesday International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent sitting last Wednesday?: Hours and minutes on Wednesday. IPAQ Short Last 7 Days Telephone Format Version - Total Sitting Hr and Min Wednesday

IPAQ01TN (International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Name)

NCI Code: C141670, Codelist extensible: No
C141670 IPAQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141853 IPA01-Days Moderate Physical Activities IPA01-Days Moderate Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities? IPAQ Short Last 7 Days Telephone Format Version - Days Moderate Physical Activities
C141848 IPA01-Days Vigorous Physical Activities IPA01-Days Vigorous Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities? IPAQ Short Last 7 Days Telephone Format Version - Days Vigorous Physical Activities
C141858 IPA01-Days Walk at Least 10 Minutes IPA01-Days Walk at Least 10 Minutes International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time? IPAQ Short Last 7 Days Telephone Format Version - Days Walk at Least 10 Minutes
C141854 IPA01-Moderate Physical Hr & Min per Day IPA01-Moderate Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing moderate physical activities on one of those days?: Hours and minutes per day. IPAQ Short Last 7 Days Telephone Format Version - Moderate Physical Hr and Min per Day
C141863 IPA01-Sitting Hr & Min per Weekday IPA01-Sitting Hr & Min per Weekday International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per weekday. IPAQ Short Last 7 Days Telephone Format Version - Sitting Hr and Min per Weekday
C141856 IPA01-Total Moderate Hr & Min per Week IPA01-Total Moderate Hr & Min per Week International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities?: Hours and minutes per week. IPAQ Short Last 7 Days Telephone Format Version - Total Moderate Hr and Min per Week
C141865 IPA01-Total Sitting Hr & Min Wednesday IPA01-Total Sitting Hr & Min Wednesday International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent sitting last Wednesday?: Hours and minutes on Wednesday. IPAQ Short Last 7 Days Telephone Format Version - Total Sitting Hr and Min Wednesday
C141851 IPA01-Total Vigorous Hr & Min per Week IPA01-Total Vigorous Hr & Min per Week International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time in total would you spend over the last 7 days doing vigorous physical activities?: Hours and minutes per week. IPAQ Short Last 7 Days Telephone Format Version - Total Vigorous Hr and Min per Week
C141861 IPA01-Total Walking Hr & Min per Week IPA01-Total Walking Hr & Min per Week International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days?: Hours and minutes per week. IPAQ Short Last 7 Days Telephone Format Version - Total Walking Hr and Min per Week
C141849 IPA01-Vigorous Physical Hr & Min per Day IPA01-Vigorous Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing vigorous physical activities on one of those days?: Hours and minutes per day. IPAQ Short Last 7 Days Telephone Format Version - Vigorous Physical Hr and Min per Day
C141859 IPA01-Walking Hr & Min per Day IPA01-Walking Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend walking on one of those days?: Hours and minutes per day. IPAQ Short Last 7 Days Telephone Format Version - Walking Hr and Min per Day

IPAQ02TC (International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Code)

NCI Code: C141669, Codelist extensible: No
C141669 IPAQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141779 IPA0201 IPA02-Currently Have Job or Unpaid Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Do you currently have a job or do any unpaid work outside your home? IPAQ Long Last 7 Days Telephone Format Version - Currently Have Job or Unpaid Work
C141780 IPA0202 IPA02-Days Vigorous as Part of Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities as part of your work? IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous as Part of Work
C141781 IPA0203A IPA02-Vigorous Work Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Day
C141783 IPA0203B IPA02-Vigorous Work Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities as part of your work?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Week
C141785 IPA0204 IPA02-Days Moderate as Part of Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities as part of your work? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate as Part of Work
C141786 IPA0205A IPA02-Moderate Work Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Day
C141788 IPA0205B IPA02-Moderate Work Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities as part of your work?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Week
C141790 IPA0206 IPA02-Days Walk as Part of Your Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk as part of your work? IPAQ Long Last 7 Days Telephone Format Version - Days Walk as Part of Your Work
C141791 IPA0207A IPA02-Walking Work Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking as part of your work?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Day
C141793 IPA0207B IPA02-Walking Work Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days as part of your work?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Week
C141795 IPA0208 IPA02-Days Travel in a Motor Vehicle International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram? IPAQ Long Last 7 Days Telephone Format Version - Days Travel in a Motor Vehicle
C141796 IPA0209A IPA02-Traveling Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days traveling in a car, bus, train or other kind of motor vehicle?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Day
C141798 IPA0209B IPA02-Traveling Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days traveling in a motor vehicle?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Week
C141800 IPA0210 IPA02-Days Bicycle Place to Place International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you bicycle to go from place to place? IPAQ Long Last 7 Days Telephone Format Version - Days Bicycle Place to Place
C141801 IPA0211A IPA02-Bicycle Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days to bicycle from place to place?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Bicycle Hr and Min per Day
C141803 IPA0211B IPA02-Bicycling Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent bicycling over the last 7 days to travel from place to place?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Bicycling Hr and Min per Week
C141805 IPA0212 IPA02-Days Walk Place to Place International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk to go from place to place? IPAQ Long Last 7 Days Telephone Format Version - Days Walk Place to Place
C141806 IPA0213A IPA02-Walking Place Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking from place to place?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Day
C141808 IPA0213B IPA02-Walking Place Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking from place to place?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Week
C141810 IPA0214 IPA02-Days Vigorous in the Garden/Yard International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in the garden or yard? IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in the Garden/Yard
C141811 IPA0215A IPA02-Vigorous Garden Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Day
C141813 IPA0215B IPA02-Vigorous Garden Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in the garden or yard?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Week
C141815 IPA0216 IPA02-Days Moderate in the Garden/Yard International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities in the garden or yard? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in the Garden/Yard
C141816 IPA0217A IPA02-Moderate Garden Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Day
C141818 IPA0217B IPA02-Moderate Garden Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in the garden or yard?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Week
C141820 IPA0218 IPA02-Days Moderate Inside Your Home International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities inside your home? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate Inside Your Home
C141821 IPA0219A IPA02-Moderate Home Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Day
C141823 IPA0219B IPA02-Moderate Home Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities inside your home?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Week
C141825 IPA0220 IPA02-Days Walk in Your Leisure Time International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time? IPAQ Long Last 7 Days Telephone Format Version - Days Walk in Your Leisure Time
C141826 IPA0221A IPA02-Walking Leisure Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking in your leisure time?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Day
C141828 IPA0221B IPA02-Walking Leisure Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking in your leisure time?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Week
C141830 IPA0222 IPA02-Days Vigorous in Your Leisure Time International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in your leisure time? IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in Your Leisure Time
C141831 IPA0223A IPA02-Vigorous Leisure Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Day
C141833 IPA0223B IPA02-Vigorous Leisure Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in your leisure time?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Week
C141835 IPA0224 IPA02-Days Moderate in Your Leisure Time International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities in your leisure time? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in Your Leisure Time
C141836 IPA0225A IPA02-Moderate Leisure Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Day
C141838 IPA0225B IPA02-Moderate Leisure Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in your leisure time?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Week
C141840 IPA0226A IPA02-Sitting Weekday Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekday Hr and Min per Day
C141842 IPA0226B IPA02-Sitting Hr & Min on Wednesday International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Wednesday?: Hours and minutes on Wednesday. IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Wednesday
C141844 IPA0227A IPA02-Sitting Weekend Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekend Hr and Min per Day
C141846 IPA0227B IPA02-Sitting Hr & Min on Saturday International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Saturday?: Hours and minutes on Saturday. IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Saturday

IPAQ02TN (International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Name)

NCI Code: C141668, Codelist extensible: No
C141668 IPAQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141801 IPA02-Bicycle Hr & Min per Day IPA02-Bicycle Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days to bicycle from place to place?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Bicycle Hr and Min per Day
C141803 IPA02-Bicycling Hr & Min per Week IPA02-Bicycling Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent bicycling over the last 7 days to travel from place to place?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Bicycling Hr and Min per Week
C141779 IPA02-Currently Have Job or Unpaid Work IPA02-Currently Have Job or Unpaid Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Do you currently have a job or do any unpaid work outside your home? IPAQ Long Last 7 Days Telephone Format Version - Currently Have Job or Unpaid Work
C141800 IPA02-Days Bicycle Place to Place IPA02-Days Bicycle Place to Place International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you bicycle to go from place to place? IPAQ Long Last 7 Days Telephone Format Version - Days Bicycle Place to Place
C141785 IPA02-Days Moderate as Part of Work IPA02-Days Moderate as Part of Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities as part of your work? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate as Part of Work
C141815 IPA02-Days Moderate in the Garden/Yard IPA02-Days Moderate in the Garden/Yard International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities in the garden or yard? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in the Garden/Yard
C141835 IPA02-Days Moderate in Your Leisure Time IPA02-Days Moderate in Your Leisure Time International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities in your leisure time? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in Your Leisure Time
C141820 IPA02-Days Moderate Inside Your Home IPA02-Days Moderate Inside Your Home International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities inside your home? IPAQ Long Last 7 Days Telephone Format Version - Days Moderate Inside Your Home
C141795 IPA02-Days Travel in a Motor Vehicle IPA02-Days Travel in a Motor Vehicle International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram? IPAQ Long Last 7 Days Telephone Format Version - Days Travel in a Motor Vehicle
C141780 IPA02-Days Vigorous as Part of Work IPA02-Days Vigorous as Part of Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities as part of your work? IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous as Part of Work
C141810 IPA02-Days Vigorous in the Garden/Yard IPA02-Days Vigorous in the Garden/Yard International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in the garden or yard? IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in the Garden/Yard
C141830 IPA02-Days Vigorous in Your Leisure Time IPA02-Days Vigorous in Your Leisure Time International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in your leisure time? IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in Your Leisure Time
C141790 IPA02-Days Walk as Part of Your Work IPA02-Days Walk as Part of Your Work International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk as part of your work? IPAQ Long Last 7 Days Telephone Format Version - Days Walk as Part of Your Work
C141825 IPA02-Days Walk in Your Leisure Time IPA02-Days Walk in Your Leisure Time International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time? IPAQ Long Last 7 Days Telephone Format Version - Days Walk in Your Leisure Time
C141805 IPA02-Days Walk Place to Place IPA02-Days Walk Place to Place International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk to go from place to place? IPAQ Long Last 7 Days Telephone Format Version - Days Walk Place to Place
C141816 IPA02-Moderate Garden Hr & Min per Day IPA02-Moderate Garden Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Day
C141818 IPA02-Moderate Garden Hr & Min per Week IPA02-Moderate Garden Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in the garden or yard?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Week
C141821 IPA02-Moderate Home Hr & Min per Day IPA02-Moderate Home Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Day
C141823 IPA02-Moderate Home Hr & Min per Week IPA02-Moderate Home Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities inside your home?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Week
C141836 IPA02-Moderate Leisure Hr & Min per Day IPA02-Moderate Leisure Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Day
C141838 IPA02-Moderate Leisure Hr & Min per Week IPA02-Moderate Leisure Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in your leisure time?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Week
C141786 IPA02-Moderate Work Hr & Min per Day IPA02-Moderate Work Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Day
C141788 IPA02-Moderate Work Hr & Min per Week IPA02-Moderate Work Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities as part of your work?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Week
C141846 IPA02-Sitting Hr & Min on Saturday IPA02-Sitting Hr & Min on Saturday International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Saturday?: Hours and minutes on Saturday. IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Saturday
C141842 IPA02-Sitting Hr & Min on Wednesday IPA02-Sitting Hr & Min on Wednesday International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Wednesday?: Hours and minutes on Wednesday. IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Wednesday
C141840 IPA02-Sitting Weekday Hr & Min per Day IPA02-Sitting Weekday Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekday Hr and Min per Day
C141844 IPA02-Sitting Weekend Hr & Min per Day IPA02-Sitting Weekend Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekend Hr and Min per Day
C141796 IPA02-Traveling Hr & Min per Day IPA02-Traveling Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days traveling in a car, bus, train or other kind of motor vehicle?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Day
C141798 IPA02-Traveling Hr & Min per Week IPA02-Traveling Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days traveling in a motor vehicle?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Week
C141811 IPA02-Vigorous Garden Hr & Min per Day IPA02-Vigorous Garden Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Day
C141813 IPA02-Vigorous Garden Hr & Min per Week IPA02-Vigorous Garden Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in the garden or yard?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Week
C141831 IPA02-Vigorous Leisure Hr & Min per Day IPA02-Vigorous Leisure Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Day
C141833 IPA02-Vigorous Leisure Hr & Min per Week IPA02-Vigorous Leisure Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in your leisure time?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Week
C141781 IPA02-Vigorous Work Hr & Min per Day IPA02-Vigorous Work Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Day
C141783 IPA02-Vigorous Work Hr & Min per Week IPA02-Vigorous Work Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities as part of your work?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Week
C141826 IPA02-Walking Leisure Hr & Min per Day IPA02-Walking Leisure Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking in your leisure time?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Day
C141828 IPA02-Walking Leisure Hr & Min per Week IPA02-Walking Leisure Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking in your leisure time?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Week
C141806 IPA02-Walking Place Hr & Min per Day IPA02-Walking Place Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking from place to place?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Day
C141808 IPA02-Walking Place Hr & Min per Week IPA02-Walking Place Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking from place to place?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Week
C141791 IPA02-Walking Work Hr & Min per Day IPA02-Walking Work Hr & Min per Day International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking as part of your work?: Hours and minutes per day. IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Day
C141793 IPA02-Walking Work Hr & Min per Week IPA02-Walking Work Hr & Min per Week International Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days as part of your work?: Hours and minutes per week. IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Week

IPAQ03TC (International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Code)

NCI Code: C141667, Codelist extensible: No
C141667 IPAQ03TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141726 IPA0301 IPA03-Currently Have Job or Unpaid Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - Do you currently have a job or do any unpaid work outside your home? IPAQ Long Last 7 Days Self-Administered Format Version - Currently Have Job or Unpaid Work
C141727 IPA0302 IPA03-Days Vigorous as Part of Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, heavy construction, or climbing up stairs as part of your work?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous as Part of Work
C141729 IPA0303 IPA03-Vigorous Work Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Work Hr and Min per Day
C141731 IPA0304 IPA03-Days Moderate as Part of Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads as part of your work?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate as Part of Work
C141733 IPA0305 IPA03-Moderate Work Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Work Hr and Min per Day
C141735 IPA0306 IPA03-Days Walk as Part of Your Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk as Part of Your Work
C141737 IPA0307 IPA03-Walking Work Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking as part of your work?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Walking Work Hr and Min per Day
C141739 IPA0308 IPA03-Days Travel in a Motor Vehicle International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Travel in a Motor Vehicle
C141741 IPA0309 IPA03-Traveling Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days traveling in a train, bus, car, tram, or other kind of motor vehicle?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Traveling Hr and Min per Day
C141743 IPA0310 IPA03-Days Bicycle Place to Place International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Bicycle Place to Place
C141745 IPA0311 IPA03-Bicycle Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days to bicycle from place to place?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Bicycle Hr and Min per Day
C141747 IPA0312 IPA03-Days Walk Place to Place International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk Place to Place
C141749 IPA0313 IPA03-Walking Place Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking from place to place?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Walking Place Hr and Min per Day
C141751 IPA0314 IPA03-Days Vigorous in the Garden/Yard International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, chopping wood, shoveling snow, or digging in the garden or yard?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in the Garden/Yard
C141753 IPA0315 IPA03-Vigorous Garden Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Garden Hr and Min per Day
C141755 IPA0316 IPA03-Days Moderate in the Garden/Yard International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, sweeping, washing windows, and raking in the garden or yard?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in the Garden/Yard
C141757 IPA0317 IPA03-Moderate Garden Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Garden Hr and Min per Day
C141759 IPA0318 IPA03-Days Moderate Inside Home International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, washing windows, scrubbing floors and sweeping inside your home?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate Inside Home
C141761 IPA0319 IPA03-Moderate Home Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Home Hr and Min per Day
C141763 IPA0320 IPA03-Days Walk in Leisure Time International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk in Leisure Time
C141765 IPA0321 IPA03-Walking Leisure Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking in your leisure time?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Walking Leisure Hr and Min per Day
C141767 IPA0322 IPA03-Days Vigorous in Leisure Time International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like aerobics, running, fast bicycling, or fast swimming in your leisure time?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in Leisure Time
C141769 IPA0323 IPA03-Vigorous Leisure Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Leisure Hr and Min per Day
C141771 IPA0324 IPA03-Days Moderate in Leisure Time International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in Leisure Time
C141773 IPA0325 IPA03-Moderate Leisure Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Leisure Hr and Min per Day
C141775 IPA0326 IPA03-Sitting Weekday Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekday Hr and Min per Day
C141777 IPA0327 IPA03-Sitting Weekend Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekend Hr and Min per Day

IPAQ03TN (International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Name)

NCI Code: C141666, Codelist extensible: No
C141666 IPAQ03TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141745 IPA03-Bicycle Hr & Min per Day IPA03-Bicycle Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days to bicycle from place to place?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Bicycle Hr and Min per Day
C141726 IPA03-Currently Have Job or Unpaid Work IPA03-Currently Have Job or Unpaid Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - Do you currently have a job or do any unpaid work outside your home? IPAQ Long Last 7 Days Self-Administered Format Version - Currently Have Job or Unpaid Work
C141743 IPA03-Days Bicycle Place to Place IPA03-Days Bicycle Place to Place International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Bicycle Place to Place
C141731 IPA03-Days Moderate as Part of Work IPA03-Days Moderate as Part of Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads as part of your work?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate as Part of Work
C141771 IPA03-Days Moderate in Leisure Time IPA03-Days Moderate in Leisure Time International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in Leisure Time
C141755 IPA03-Days Moderate in the Garden/Yard IPA03-Days Moderate in the Garden/Yard International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, sweeping, washing windows, and raking in the garden or yard?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in the Garden/Yard
C141759 IPA03-Days Moderate Inside Home IPA03-Days Moderate Inside Home International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, washing windows, scrubbing floors and sweeping inside your home?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate Inside Home
C141739 IPA03-Days Travel in a Motor Vehicle IPA03-Days Travel in a Motor Vehicle International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Travel in a Motor Vehicle
C141727 IPA03-Days Vigorous as Part of Work IPA03-Days Vigorous as Part of Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, heavy construction, or climbing up stairs as part of your work?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous as Part of Work
C141767 IPA03-Days Vigorous in Leisure Time IPA03-Days Vigorous in Leisure Time International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like aerobics, running, fast bicycling, or fast swimming in your leisure time?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in Leisure Time
C141751 IPA03-Days Vigorous in the Garden/Yard IPA03-Days Vigorous in the Garden/Yard International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, chopping wood, shoveling snow, or digging in the garden or yard?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in the Garden/Yard
C141735 IPA03-Days Walk as Part of Your Work IPA03-Days Walk as Part of Your Work International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk as Part of Your Work
C141763 IPA03-Days Walk in Leisure Time IPA03-Days Walk in Leisure Time International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk in Leisure Time
C141747 IPA03-Days Walk Place to Place IPA03-Days Walk Place to Place International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?: days per week. IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk Place to Place
C141757 IPA03-Moderate Garden Hr & Min per Day IPA03-Moderate Garden Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Garden Hr and Min per Day
C141761 IPA03-Moderate Home Hr & Min per Day IPA03-Moderate Home Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Home Hr and Min per Day
C141773 IPA03-Moderate Leisure Hr & Min per Day IPA03-Moderate Leisure Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Leisure Hr and Min per Day
C141733 IPA03-Moderate Work Hr & Min per Day IPA03-Moderate Work Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Work Hr and Min per Day
C141775 IPA03-Sitting Weekday Hr & Min per Day IPA03-Sitting Weekday Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekday Hr and Min per Day
C141777 IPA03-Sitting Weekend Hr & Min per Day IPA03-Sitting Weekend Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekend Hr and Min per Day
C141741 IPA03-Traveling Hr & Min per Day IPA03-Traveling Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days traveling in a train, bus, car, tram, or other kind of motor vehicle?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Traveling Hr and Min per Day
C141753 IPA03-Vigorous Garden Hr & Min per Day IPA03-Vigorous Garden Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Garden Hr and Min per Day
C141769 IPA03-Vigorous Leisure Hr & Min per Day IPA03-Vigorous Leisure Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Leisure Hr and Min per Day
C141729 IPA03-Vigorous Work Hr & Min per Day IPA03-Vigorous Work Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Work Hr and Min per Day
C141765 IPA03-Walking Leisure Hr & Min per Day IPA03-Walking Leisure Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking in your leisure time?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Walking Leisure Hr and Min per Day
C141749 IPA03-Walking Place Hr & Min per Day IPA03-Walking Place Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking from place to place?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Walking Place Hr and Min per Day
C141737 IPA03-Walking Work Hr & Min per Day IPA03-Walking Work Hr & Min per Day International Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking as part of your work?: hours and minutes per day. IPAQ Long Last 7 Days Self-Administered Format Version - Walking Work Hr and Min per Day

IPAQ04TC (International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Code)

NCI Code: C141665, Codelist extensible: No
C141665 IPAQ04TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141708 IPA0401 IPA04-Days Vigorous Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?: days per week. IPAQ Short Last 7 Days Self-administered Format Version - Days Vigorous Physical Activities
C141710 IPA0402 IPA04-Vigorous Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing vigorous physical activities on one of those days?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Vigorous Physical Hr and Min per Day
C141713 IPA0403 IPA04-Days Moderate Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis?: days per week. IPAQ Short Last 7 Days Self-administered Format Version - Days Moderate Physical Activities
C141715 IPA0404 IPA04-Moderate Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing moderate physical activities on one of those days?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Moderate Physical Hr and Min per Day
C141718 IPA0405 IPA04-Days Walk at Least 10 Minutes International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time?: days per week. IPAQ Short Last 7 Days Self-administered Format Version - Days Walk at Least 10 Minutes
C141720 IPA0406 IPA04-Walking Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend walking on one of those days?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Walking Hr and Min per Day
C141723 IPA0407 IPA04-Sitting Weekday Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, how much time did you spend sitting on a weekday?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Sitting Weekday Hr and Min per Day

IPAQ04TN (International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Name)

NCI Code: C141664, Codelist extensible: No
C141664 IPAQ04TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141713 IPA04-Days Moderate Physical Activities IPA04-Days Moderate Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis?: days per week. IPAQ Short Last 7 Days Self-administered Format Version - Days Moderate Physical Activities
C141708 IPA04-Days Vigorous Physical Activities IPA04-Days Vigorous Physical Activities International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?: days per week. IPAQ Short Last 7 Days Self-administered Format Version - Days Vigorous Physical Activities
C141718 IPA04-Days Walk at Least 10 Minutes IPA04-Days Walk at Least 10 Minutes International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time?: days per week. IPAQ Short Last 7 Days Self-administered Format Version - Days Walk at Least 10 Minutes
C141715 IPA04-Moderate Physical Hr & Min per Day IPA04-Moderate Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing moderate physical activities on one of those days?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Moderate Physical Hr and Min per Day
C141723 IPA04-Sitting Weekday Hr & Min per Day IPA04-Sitting Weekday Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, how much time did you spend sitting on a weekday?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Sitting Weekday Hr and Min per Day
C141710 IPA04-Vigorous Physical Hr & Min per Day IPA04-Vigorous Physical Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing vigorous physical activities on one of those days?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Vigorous Physical Hr and Min per Day
C141720 IPA04-Walking Hr & Min per Day IPA04-Walking Hr & Min per Day International Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend walking on one of those days?: hours and minutes per day. IPAQ Short Last 7 Days Self-administered Format Version - Walking Hr and Min per Day

IPS0101T06OR (International Prostate Symptom Score Questionnaire ORRES for IPS0101 Through IPS0106 TN/TC)

NCI Code: C182461, Codelist extensible: No
C182461 IPS0101T06OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182637 About Half the Time IPS0101 through IPS0106-About Half the Time International Prostate Symptom Score original result for IPS0101 through IPS0106-About half the time. International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - About Half the Time
C182639 Almost Always IPS0101 through IPS0106-Almost Always International Prostate Symptom Score original result for IPS0101 through IPS0106-Almost always. International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Almost Always
C182635 Less Than 1 Time in 5 IPS0101 through IPS0106-Less Than 1 Time in 5 International Prostate Symptom Score original result for IPS0101 through IPS0106-Less than 1 time in 5. International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Less Than 1 Time in 5
C182636 Less Than Half the Time IPS0101 through IPS0106-Less Than Half the Time International Prostate Symptom Score original result for IPS0101 through IPS0106-Less than half the time. International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Less Than Half the Time
C182638 More Than Half the Time IPS0101 through IPS0106-More Than Half the Time International Prostate Symptom Score original result for IPS0101 through IPS0106-More than half the time. International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - More Than Half the Time
C182634 Not at All IPS0101 through IPS0106-Not at All International Prostate Symptom Score original result for IPS0101 through IPS0106-Not at all. International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Not at All

IPS0101T06STR (International Prostate Symptom Score Questionnaire STRESC for IPS0101 Through IPS0106 TN/TC)

NCI Code: C182499, Codelist extensible: No
C182499 IPS0101T06STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182640 0 IPS0101 through IPS0106-0 International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Not at all. International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 0
C182641 1 IPS0101 through IPS0106-1 International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Less than 1 time in 5. International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 1
C182642 2 IPS0101 through IPS0106-2 International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Less than half the time. International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 2
C182643 3 IPS0101 through IPS0106-3 International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-About half the time. International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 3
C182644 4 IPS0101 through IPS0106-4 International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-More than half the time. International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 4
C182645 5 IPS0101 through IPS0106-5 International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Almost always. International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 5

IPS0107OR (International Prostate Symptom Score Questionnaire ORRES for IPS0107 TN/TC)

NCI Code: C182462, Codelist extensible: No
C182462 IPS0107OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182647 1 Time IPS0107-1 Time International Prostate Symptom Score original result for IPS0107-1 time. International Prostate Symptom Score IPS0107 Original Result - 1 Time
C182648 2 Times IPS0107-2 Times International Prostate Symptom Score original result for IPS0107-2 times. International Prostate Symptom Score IPS0107 Original Result - 2 Times
C182649 3 Times IPS0107-3 Times International Prostate Symptom Score original result for IPS0107-3 times. International Prostate Symptom Score IPS0107 Original Result - 3 Times
C182650 4 Times IPS0107-4 Times International Prostate Symptom Score original result for IPS0107-4 times. International Prostate Symptom Score IPS0107 Original Result - 4 Times
C182651 5 or More Times IPS0107-5 or More Times International Prostate Symptom Score original result for IPS0107-5 or more times. International Prostate Symptom Score IPS0107 Original Result - 5 or More Times
C182646 None IPS0107-None International Prostate Symptom Score original result for IPS0107-None. International Prostate Symptom Score IPS0107 Original Result - None

IPS0107STR (International Prostate Symptom Score Questionnaire STRESC for IPS0107 TN/TC)

NCI Code: C182500, Codelist extensible: No
C182500 IPS0107STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182652 0 IPS0107-0 International Prostate Symptom Score standardized character result for IPS0107-None. International Prostate Symptom Score IPS0107 Standardized Character Result 0
C182653 1 IPS0107-1 International Prostate Symptom Score standardized character result for IPS0107-1 time. International Prostate Symptom Score IPS0107 Standardized Character Result 1
C182654 2 IPS0107-2 International Prostate Symptom Score standardized character result for IPS0107-2 times. International Prostate Symptom Score IPS0107 Standardized Character Result 2
C182655 3 IPS0107-3 International Prostate Symptom Score standardized character result for IPS0107-3 times. International Prostate Symptom Score IPS0107 Standardized Character Result 3
C182656 4 IPS0107-4 International Prostate Symptom Score standardized character result for IPS0107-4 times. International Prostate Symptom Score IPS0107 Standardized Character Result 4
C182657 5 IPS0107-5 International Prostate Symptom Score standardized character result for IPS0107-5 or more times. International Prostate Symptom Score IPS0107 Standardized Character Result 5

IPS0109OR (International Prostate Symptom Score Questionnaire ORRES for IPS0109 TN/TC)

NCI Code: C182463, Codelist extensible: No
C182463 IPS0109OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182658 Delighted IPS0109-Delighted International Prostate Symptom Score original result for IPS0109-Delighted. International Prostate Symptom Score IPS0109 Original Result - Delighted
C182661 Mixed (about equally satisfied and dissatisfied) IPS0109-Mixed (about equally satisfied and dissatisfied) International Prostate Symptom Score original result for IPS0109-Mixed (about equally satisfied and dissatisfied). International Prostate Symptom Score IPS0109 Original Result - Mixed (about equally satisfied and dissatisfied)
C182662 Mostly dissatisfied IPS0109-Mostly dissatisfied International Prostate Symptom Score original result for IPS0109-Mostly dissatisfied. International Prostate Symptom Score IPS0109 Original Result - Mostly dissatisfied
C182660 Mostly satisfied IPS0109-Mostly satisfied International Prostate Symptom Score original result for IPS0109-Mostly satisfied. International Prostate Symptom Score IPS0109 Original Result - Mostly satisfied
C182659 Pleased IPS0109-Pleased International Prostate Symptom Score original result for IPS0109-Pleased. International Prostate Symptom Score IPS0109 Original Result - Pleased
C182664 Terrible IPS0109-Terrible International Prostate Symptom Score original result for IPS0109-Terrible. International Prostate Symptom Score IPS0109 Original Result - Terrible
C182663 Unhappy IPS0109-Unhappy International Prostate Symptom Score original result for IPS0109-Unhappy. International Prostate Symptom Score IPS0109 Original Result - Unhappy

IPS0109STR (International Prostate Symptom Score Questionnaire STRESC for IPS0109 TN/TC)

NCI Code: C182501, Codelist extensible: No
C182501 IPS0109STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182665 0 IPS0109-0 International Prostate Symptom Score standardized character result for IPS0109-Delighted. International Prostate Symptom Score IPS0109 Standardized Character Result 0
C182666 1 IPS0109-1 International Prostate Symptom Score standardized character result for IPS0109-Pleased. International Prostate Symptom Score IPS0109 Standardized Character Result 1
C182667 2 IPS0109-2 International Prostate Symptom Score standardized character result for IPS0109-Mostly satisfied. International Prostate Symptom Score IPS0109 Standardized Character Result 2
C182668 3 IPS0109-3 International Prostate Symptom Score standardized character result for IPS0109-Mixed (about equally satisfied and dissatisfied). International Prostate Symptom Score IPS0109 Standardized Character Result 3
C182669 4 IPS0109-4 International Prostate Symptom Score standardized character result for IPS0109-Mostly dissatisfied. International Prostate Symptom Score IPS0109 Standardized Character Result 4
C182670 5 IPS0109-5 International Prostate Symptom Score standardized character result for IPS0109-Unhappy. International Prostate Symptom Score IPS0109 Standardized Character Result 5
C182671 6 IPS0109-6 International Prostate Symptom Score standardized character result for IPS0109-Terrible. International Prostate Symptom Score IPS0109 Standardized Character Result 6

IPS01TC (International Prostate Symptom Score Questionnaire Test Code)

NCI Code: C183547, Codelist extensible: No
C183547 IPS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183599 IPS0101 IPS01-Sensation of Not Emptying Bladder International Prostate Symptom Score - During the last month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating? IPSS - Sensation of Not Emptying Bladder
C183600 IPS0102 IPS01-Urinate Again Less Than 2 Hours International Prostate Symptom Score - During the last month or so, how often have you had to urinate again less than 2 hours after you finished urinating? IPSS - Urinate Again Less Than 2 Hours
C183601 IPS0103 IPS01-Stop Start Several Times Urinated International Prostate Symptom Score - During the last month or so, how often have you found you stopped and started again several times when you urinated? IPSS - Stop Start Several Times Urinated
C183602 IPS0104 IPS01-Difficult to Postpone Urination International Prostate Symptom Score - During the last month or so, how often have you found it difficult to postpone urination? IPSS - Difficult to Postpone Urination
C183603 IPS0105 IPS01-Had Weak Urinary Stream International Prostate Symptom Score - During the last month or so, how often have you had a weak urinary stream? IPSS - Had Weak Urinary Stream
C183604 IPS0106 IPS01-Push or Strain to Begin Urination International Prostate Symptom Score - During the last month or so, how often have you had to push or strain to begin urination? IPSS - Push or Strain to Begin Urination
C183605 IPS0107 IPS01-Times Get Up to Urinate at Night International Prostate Symptom Score - During the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning? IPSS - Times Get Up to Urinate at Night
C183606 IPS0108 IPS01-Total Score International Prostate Symptom Score - AUA symptom total score. IPSS - Total Score
C183607 IPS0109 IPS01-Life With Symptoms Feel About It International Prostate Symptom Score - If you were to spend the rest of your life with your prostate symptoms just as they are now, how would you feel about that? IPSS - Life With Symptoms Feel About It

IPS01TN (International Prostate Symptom Score Questionnaire Test Name)

NCI Code: C183546, Codelist extensible: No
C183546 IPS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C183602 IPS01-Difficult to Postpone Urination IPS01-Difficult to Postpone Urination International Prostate Symptom Score - During the last month or so, how often have you found it difficult to postpone urination? IPSS - Difficult to Postpone Urination
C183603 IPS01-Had Weak Urinary Stream IPS01-Had Weak Urinary Stream International Prostate Symptom Score - During the last month or so, how often have you had a weak urinary stream? IPSS - Had Weak Urinary Stream
C183607 IPS01-Life With Symptoms Feel About It IPS01-Life With Symptoms Feel About It International Prostate Symptom Score - If you were to spend the rest of your life with your prostate symptoms just as they are now, how would you feel about that? IPSS - Life With Symptoms Feel About It
C183604 IPS01-Push or Strain to Begin Urination IPS01-Push or Strain to Begin Urination International Prostate Symptom Score - During the last month or so, how often have you had to push or strain to begin urination? IPSS - Push or Strain to Begin Urination
C183599 IPS01-Sensation of Not Emptying Bladder IPS01-Sensation of Not Emptying Bladder International Prostate Symptom Score - During the last month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating? IPSS - Sensation of Not Emptying Bladder
C183601 IPS01-Stop Start Several Times Urinated IPS01-Stop Start Several Times Urinated International Prostate Symptom Score - During the last month or so, how often have you found you stopped and started again several times when you urinated? IPSS - Stop Start Several Times Urinated
C183605 IPS01-Times Get Up to Urinate at Night IPS01-Times Get Up to Urinate at Night International Prostate Symptom Score - During the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning? IPSS - Times Get Up to Urinate at Night
C183606 IPS01-Total Score IPS01-Total Score International Prostate Symptom Score - AUA symptom total score. IPSS - Total Score
C183600 IPS01-Urinate Again Less Than 2 Hours IPS01-Urinate Again Less Than 2 Hours International Prostate Symptom Score - During the last month or so, how often have you had to urinate again less than 2 hours after you finished urinating? IPSS - Urinate Again Less Than 2 Hours

IVIS01TC (Impact of Visual Impairment Scale Questionnaire Test Code)

NCI Code: C113856, Codelist extensible: No
C113856 IVIS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113962 IVIS0101 IVIS01-Read or Access Personal Letters Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes? IVIS - Read or Access Personal Letters
C113963 IVIS0102 IVIS01-Read or Access Printed Materials Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.? IVIS - Read or Access Printed Materials
C113964 IVIS0103 IVIS01-Read or Access Dials Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.? IVIS - Read or Access Dials
C113965 IVIS0104 IVIS01-Watch TV/ID Faces From Distance Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance? IVIS - Watch TV or Identify Faces From Distance
C113966 IVIS0105 IVIS01-Identify House Number/Street Sign Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.? IVIS - Identify House Numbers or Street Signs

IVIS01TN (Impact of Visual Impairment Scale Questionnaire Test Name)

NCI Code: C113855, Codelist extensible: No
C113855 IVIS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113966 IVIS01-Identify House Number/Street Sign IVIS01-Identify House Number/Street Sign Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.? IVIS - Identify House Numbers or Street Signs
C113964 IVIS01-Read or Access Dials IVIS01-Read or Access Dials Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.? IVIS - Read or Access Dials
C113962 IVIS01-Read or Access Personal Letters IVIS01-Read or Access Personal Letters Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes? IVIS - Read or Access Personal Letters
C113963 IVIS01-Read or Access Printed Materials IVIS01-Read or Access Printed Materials Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.? IVIS - Read or Access Printed Materials
C113965 IVIS01-Watch TV/ID Faces From Distance IVIS01-Watch TV/ID Faces From Distance Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance? IVIS - Watch TV or Identify Faces From Distance

KDIGO1TC (Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Code)

NCI Code: C170529, Codelist extensible: No
C170529 KDIGO1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170692 KDIGO101 KDIGO1-KDIGO AKI Stage Kidney Disease: Improving Global Outcomes Staging For Acute Kidney Injury - KDIGO AKI stage. KDIGO-AKI - KDIGO AKI Stage

KDIGO1TN (Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Name)

NCI Code: C170528, Codelist extensible: No
C170528 KDIGO1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170692 KDIGO1-KDIGO AKI Stage KDIGO1-KDIGO AKI Stage Kidney Disease: Improving Global Outcomes Staging For Acute Kidney Injury - KDIGO AKI stage. KDIGO-AKI - KDIGO AKI Stage

KDPI01TC (Kidney Donor Profile Index Clinical Classification Test Code)

NCI Code: C130251, Codelist extensible: No
C130251 KDPI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130393 KDPI0101 KDPI01-KDPI Score Kidney Donor Profile Index - KDPI score. KDPI - KDPI Score

KDPI01TN (Kidney Donor Profile Index Clinical Classification Test Name)

NCI Code: C130250, Codelist extensible: No
C130250 KDPI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130393 KDPI01-KDPI Score KDPI01-KDPI Score Kidney Donor Profile Index - KDPI score. KDPI - KDPI Score

KFSS101OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS101 TN/TC)

NCI Code: C182475, Codelist extensible: No
C182475 KFSS101OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182767 Abnormal signs without disability KFSS101-Abnormal signs without disability Kurtzke Functional System Scores original result for KFSS101-Abnormal signs without disability. Kurtzke Functional System Scores KFSS101 Original Result - Abnormal signs without disability
C182770 Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia KFSS101-Marked paraparesis or hemiparesis;moderate quadriparesis;or monoplegia Kurtzke Functional System Scores original result for KFSS101-Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia. Kurtzke Functional System Scores KFSS101 Original Result - Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia
C182769 Mild or moderate paraparesis or hemiparesis; severe monoparesis KFSS101-Mild or moderate paraparesis or hemiparesis;severe monoparesis Kurtzke Functional System Scores original result for KFSS101-Mild or moderate paraparesis or hemiparesis; severe monoparesis. Kurtzke Functional System Scores KFSS101 Original Result - Mild or moderate paraparesis or hemiparesis; severe monoparesis
C182768 Minimal disability KFSS101-Minimal disability Kurtzke Functional System Scores original result for KFSS101-Minimal disability. Kurtzke Functional System Scores KFSS101 Original Result - Minimal disability
C182766 Normal KFSS101-Normal Kurtzke Functional System Scores original result for KFSS101-Normal. Kurtzke Functional System Scores KFSS101 Original Result - Normal
C182771 Paraplegia, hemiplegia, or marked quadriparesis KFSS101-Paraplegia, hemiplegia, or marked quadriparesis Kurtzke Functional System Scores original result for KFSS101-Paraplegia, hemiplegia, or marked quadriparesis. Kurtzke Functional System Scores KFSS101 Original Result - Paraplegia, hemiplegia, or marked quadriparesis
C182772 Quadriplegia KFSS101-Quadriplegia Kurtzke Functional System Scores original result for KFSS101-Quadriplegia. Kurtzke Functional System Scores KFSS101 Original Result - Quadriplegia
C182773 Unknown KFSS101-Unknown Kurtzke Functional System Scores original result for KFSS101-Unknown. Kurtzke Functional System Scores KFSS101 Original Result - Unknown

KFSS101STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS101 TN/TC)

NCI Code: C182513, Codelist extensible: No
C182513 KFSS101STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182774 0 KFSS101-0 Kurtzke Functional System Scores standardized character result for KFSS101-Normal. Kurtzke Functional System Scores KFSS101 Standardized Character Result 0
C182775 1 KFSS101-1 Kurtzke Functional System Scores standardized character result for KFSS101-Abnormal signs without disability. Kurtzke Functional System Scores KFSS101 Standardized Character Result 1
C182776 2 KFSS101-2 Kurtzke Functional System Scores standardized character result for KFSS101-Minimal disability. Kurtzke Functional System Scores KFSS101 Standardized Character Result 2
C182777 3 KFSS101-3 Kurtzke Functional System Scores standardized character result for KFSS101-Mild or moderate paraparesis or hemiparesis; severe monoparesis. Kurtzke Functional System Scores KFSS101 Standardized Character Result 3
C182778 4 KFSS101-4 Kurtzke Functional System Scores standardized character result for KFSS101-Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia. Kurtzke Functional System Scores KFSS101 Standardized Character Result 4
C182779 5 KFSS101-5 Kurtzke Functional System Scores standardized character result for KFSS101-Paraplegia, hemiplegia, or marked quadriparesis. Kurtzke Functional System Scores KFSS101 Standardized Character Result 5
C182780 6 KFSS101-6 Kurtzke Functional System Scores standardized character result for KFSS101-Quadriplegia. Kurtzke Functional System Scores KFSS101 Standardized Character Result 6
C182781 Unknown KFSS101-Unknown Kurtzke Functional System Scores standardized character result for KFSS101-Unknown. Kurtzke Functional System Scores KFSS101 Standardized Character Result Unknown

KFSS102A&6AOR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102A and KFSS106A TN/TC)

NCI Code: C182477, Codelist extensible: No
C182477 KFSS102A&6AOR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182796 CHECKED KFSS102 and KFSS106A-CHECKED Kurtzke Functional System Scores original result for KFSS102 and KFSS106A-Checked. Kurtzke Functional System Scores KFSS102 and KFSS106A Original Result - CHECKED
C182797 NOT CHECKED KFSS102 and KFSS106A-NOT CHECKED Kurtzke Functional System Scores original result for KFSS102 and KFSS106A-Not checked. Kurtzke Functional System Scores KFSS102 and KFSS106A Original Result - NOT CHECKED

KFSS102A&6ASTR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102A and KFSS106A TN/TC)

NCI Code: C182515, Codelist extensible: No
C182515 KFSS102A&6ASTR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182798 CHECKED KFSS102A and KFSS106A-CHECKED Kurtzke Functional System Scores standardized character result for KFSS102A and KFSS106A-Checked. Kurtzke Functional System Scores KFSS102A and KFSS106A Standardized Character Result Checked - Checked
C182799 NOT CHECKED KFSS102A and KFSS106A-NOT CHECKED Kurtzke Functional System Scores standardized character result for KFSS102A and KFSS106A-Not checked. Kurtzke Functional System Scores KFSS102A and KFSS106A Standardized Character Result Not Checked - Not Checked

KFSS102OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102 TN/TC)

NCI Code: C182476, Codelist extensible: No
C182476 KFSS102OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182783 Abnormal signs without disability KFSS102-Abnormal signs without disability Kurtzke Functional System Scores original result for KFSS102-Abnormal signs without disability. Kurtzke Functional System Scores KFSS102 Original Result - Abnormal signs without disability
C182784 Mild ataxia KFSS102-Mild ataxia Kurtzke Functional System Scores original result for KFSS102-Mild ataxia. Kurtzke Functional System Scores KFSS102 Original Result - Mild ataxia
C182785 Moderate truncal or limb ataxia KFSS102-Moderate truncal or limb ataxias Kurtzke Functional System Scores original result for KFSS102-Moderate truncal or limb ataxia. Kurtzke Functional System Scores KFSS102 Original Result - Moderate truncal or limb ataxia
C182782 Normal KFSS102-Normal Kurtzke Functional System Scores original result for KFSS102-Normal. Kurtzke Functional System Scores KFSS102 Original Result - Normal
C182786 Severe ataxia, all limbs KFSS102-Severe ataxia, all limbs Kurtzke Functional System Scores original result for KFSS102-Severe ataxia, all limbs. Kurtzke Functional System Scores KFSS102 Original Result - Severe ataxia, all limbs
C182787 Unable to perform coordinated movements due to ataxia KFSS102-Unable to perform coordinated movements due to ataxia Kurtzke Functional System Scores original result for KFSS102-Unable to perform coordinated movements due to ataxia. Kurtzke Functional System Scores KFSS102 Original Result - Unable to perform coordinated movements due to ataxia
C182788 Unknown KFSS102-Unknown Kurtzke Functional System Scores original result for KFSS102-Unknown. Kurtzke Functional System Scores KFSS102 Original Result - Unknown

KFSS102STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102 TN/TC)

NCI Code: C182514, Codelist extensible: No
C182514 KFSS102STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182789 0 KFSS102-0 Kurtzke Functional System Scores standardized character result for KFSS102-Normal. Kurtzke Functional System Scores KFSS102 Standardized Character Result 0
C182790 1 KFSS102-1 Kurtzke Functional System Scores standardized character result for KFSS102-Abnormal signs without disability. Kurtzke Functional System Scores KFSS102 Standardized Character Result 1
C182791 2 KFSS102-2 Kurtzke Functional System Scores standardized character result for KFSS102-Mild ataxia. Kurtzke Functional System Scores KFSS102 Standardized Character Result 2
C182792 3 KFSS102-3 Kurtzke Functional System Scores standardized character result for KFSS102-Moderate truncal or limb ataxia. Kurtzke Functional System Scores KFSS102 Standardized Character Result 3
C182793 4 KFSS102-4 Kurtzke Functional System Scores standardized character result for KFSS102-Severe ataxia, all limbs. Kurtzke Functional System Scores KFSS102 Standardized Character Result 4
C182794 5 KFSS102-5 Kurtzke Functional System Scores standardized character result for KFSS102-Unable to perform coordinated movements due to ataxia. Kurtzke Functional System Scores KFSS102 Standardized Character Result 5
C182795 Unknown KFSS102-Unknown Kurtzke Functional System Scores standardized character result for KFSS102-Unknown. Kurtzke Functional System Scores KFSS102 Standardized Character Result Unknown

KFSS103OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS103 TN/TC)

NCI Code: C182478, Codelist extensible: No
C182478 KFSS103OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182805 Inability to swallow or speak KFSS103-Inability to swallow or speak Kurtzke Functional System Scores original result for KFSS103-Inability to swallow or speak. Kurtzke Functional System Scores KFSS103 Original Result - Inability to swallow or speak
C182804 Marked dysarthria or other marked disability KFSS103-Marked dysarthria or other marked disability Kurtzke Functional System Scores original result for KFSS103-Marked dysarthria or other marked disability. Kurtzke Functional System Scores KFSS103 Original Result - Marked dysarthria or other marked disability
C182802 Moderate nystagmus or other mild disability KFSS103-Moderate nystagmus or other mild disability Kurtzke Functional System Scores original result for KFSS103-Moderate nystagmus or other mild disability. Kurtzke Functional System Scores KFSS103 Original Result - Moderate nystagmus or other mild disability
C182800 Normal KFSS103-Normal. Kurtzke Functional System Scores original result for KFSS103-Normal. Kurtzke Functional System Scores KFSS103 Original Result - Normal
C182803 Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves Kurtzke Functional System Scores original result for KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves. Kurtzke Functional System Scores KFSS103 Original Result - Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves
C182801 Signs only KFSS103-Signs only Kurtzke Functional System Scores original result for KFSS103-Signs only. Kurtzke Functional System Scores KFSS103 Original Result - Signs only
C182806 Unknown KFSS103-Unknown Kurtzke Functional System Scores original result for KFSS103-Unknown. Kurtzke Functional System Scores KFSS103 Original Result - Unknown

KFSS103STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS103 TN/TC)

NCI Code: C182516, Codelist extensible: No
C182516 KFSS103STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182807 0 KFSS103-0 Kurtzke Functional System Scores standardized character result for KFSS103-Normal. Kurtzke Functional System Scores KFSS103 Standardized Character Result 0
C182808 1 KFSS103-1 Kurtzke Functional System Scores standardized character result for KFSS103-Signs only. Kurtzke Functional System Scores KFSS103 Standardized Character Result 1
C182809 2 KFSS103-2 Kurtzke Functional System Scores standardized character result for KFSS103-Moderate nystagmus or other mild disability. Kurtzke Functional System Scores KFSS103 Standardized Character Result 2
C182810 3 KFSS103-3 Kurtzke Functional System Scores standardized character result for KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves. Kurtzke Functional System Scores KFSS103 Standardized Character Result 3
C182811 4 KFSS103-4 Kurtzke Functional System Scores standardized character result for KFSS103-Marked dysarthria or other marked disability. Kurtzke Functional System Scores KFSS103 Standardized Character Result 4
C182812 5 KFSS103-5 Kurtzke Functional System Scores standardized character result for KFSS103-Inability to swallow or speak. Kurtzke Functional System Scores KFSS103 Standardized Character Result 5
C182813 Unknown KFSS103-Unknown Kurtzke Functional System Scores standardized character result for KFSS103-Unknown. Kurtzke Functional System Scores KFSS103 Standardized Character Result Unknown

KFSS104OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS104 TN/TC)

NCI Code: C182479, Codelist extensible: No
C182479 KFSS104OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182819 Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head KFSS104-Loss (essentially) of sensation in one or two limbs;or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head Kurtzke Functional System Scores original result for KFSS104-Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head. Kurtzke Functional System Scores KFSS104 Original Result - Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head
C182818 Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs KFSS104-Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs;or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs Kurtzke Functional System Scores original result for KFSS104-Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs. Kurtzke Functional System Scores KFSS104 Original Result - Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs
C182816 Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs KFSS104-Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs;or vibratory (c/s figure writing) decrease alone in three or four limbs Kurtzke Functional System Scores original result for KFSS104-Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs. Kurtzke Functional System Scores KFSS104 Original Result - Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs
C182817 Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs KFSS104-Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs;or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs Kurtzke Functional System Scores original result for KFSS104-Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs. Kurtzke Functional System Scores KFSS104 Original Result - Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs
C182814 Normal KFSS104-Normal Kurtzke Functional System Scores original result for KFSS104-Normal. Kurtzke Functional System Scores KFSS104 Original Result - Normal
C182820 Sensation essentially lost below the head KFSS104-Sensation essentially lost below the head Kurtzke Functional System Scores original result for KFSS104-Sensation essentially lost below the head. Kurtzke Functional System Scores KFSS104 Original Result - Sensation essentially lost below the head
C182821 Unknown KFSS104-Unknown Kurtzke Functional System Scores original result for KFSS104-Unknown. Kurtzke Functional System Scores KFSS104 Original Result - Unknown
C182815 Vibration or figure-writing decrease only, in one or two limbs KFSS104-Vibration or figure-writing decrease only, in one or two limbs Kurtzke Functional System Scores original result for KFSS104-Vibration or figure-writing decrease only, in one or two limbs. Kurtzke Functional System Scores KFSS104 Original Result - Vibration or figure-writing decrease only, in one or two limbs

KFSS104STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS104 TN/TC)

NCI Code: C182517, Codelist extensible: No
C182517 KFSS104STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182822 0 KFSS104-0 Kurtzke Functional System Scores standardized character result for KFSS104-Normal. Kurtzke Functional System Scores KFSS104 Standardized Character Result 0
C182823 1 KFSS104-1 Kurtzke Functional System Scores standardized character result for KFSS104-Vibration or figure-writing decrease only, in one or two limbs. Kurtzke Functional System Scores KFSS104 Standardized Character Result 1
C182824 2 KFSS104-2 Kurtzke Functional System Scores standardized character result for KFSS104-Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs. Kurtzke Functional System Scores KFSS104 Standardized Character Result 2
C182825 3 KFSS104-3 Kurtzke Functional System Scores standardized character result for KFSS104-Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs. Kurtzke Functional System Scores KFSS104 Standardized Character Result 3
C182826 4 KFSS104-4 Kurtzke Functional System Scores standardized character result for KFSS104-Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs. Kurtzke Functional System Scores KFSS104 Standardized Character Result 4
C182827 5 KFSS104-5 Kurtzke Functional System Scores standardized character result for KFSS104-Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head. Kurtzke Functional System Scores KFSS104 Standardized Character Result 5
C182828 6 KFSS104-6 Kurtzke Functional System Scores standardized character result for KFSS104-Sensation essentially lost below the head. Kurtzke Functional System Scores KFSS104 Standardized Character Result 6
C182829 Unknown KFSS104-Unknown Kurtzke Functional System Scores standardized character result for KFSS104-Unknown. Kurtzke Functional System Scores KFSS104 Standardized Character Result Unknown

KFSS105OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS105 TN/TC)

NCI Code: C182480, Codelist extensible: No
C182480 KFSS105OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182833 Frequent urinary incontinence KFSS105-Frequent urinary incontinence Kurtzke Functional System Scores original result for KFSS105-Frequent urinary incontinence. Kurtzke Functional System Scores KFSS105 Original Result - Frequent urinary incontinence
C182834 In need of almost constant catheterization KFSS105-In need of almost constant catheterization Kurtzke Functional System Scores original result for KFSS105-In need of almost constant catheterization. Kurtzke Functional System Scores KFSS105 Original Result - In need of almost constant catheterization
C182835 Loss of bladder function KFSS105-Loss of bladder function Kurtzke Functional System Scores original result for KFSS105-Loss of bladder function. Kurtzke Functional System Scores KFSS105 Original Result - Loss of bladder function
C182836 Loss of bowel and bladder function KFSS105-Loss of bowel and bladder function Kurtzke Functional System Scores original result for KFSS105-Loss of bowel and bladder function. Kurtzke Functional System Scores KFSS105 Original Result - Loss of bowel and bladder function
C182831 Mild urinary hesitancy, urgency, or retention KFSS105-Mild urinary hesitancy, urgency, or retention Kurtzke Functional System Scores original result for KFSS105-Mild urinary hesitancy, urgency, or retention. Kurtzke Functional System Scores KFSS105 Original Result - Mild urinary hesitancy, urgency, or retention
C182832 Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinence KFSS105-Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinence Kurtzke Functional System Scores original result for KFSS105-Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinences. Kurtzke Functional System Scores KFSS105 Original Result - Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinence
C182830 Normal KFSS105-Normal Kurtzke Functional System Scores original result for KFSS105-Normal. Kurtzke Functional System Scores KFSS105 Original Result - Normal
C182837 Unknown KFSS105-Unknown Kurtzke Functional System Scores original result for KFSS105-Unknown. Kurtzke Functional System Scores KFSS105 Original Result - Unknown

KFSS105STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS105 TN/TC)

NCI Code: C182518, Codelist extensible: No
C182518 KFSS105STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182838 0 KFSS105-0 Kurtzke Functional System Scores standardized character result for KFSS105-Normal. Kurtzke Functional System Scores KFSS105 Standardized Character Result 0
C182839 1 KFSS105-1 Kurtzke Functional System Scores standardized character result for KFSS105-Mild urinary hesitancy, urgency, or retention. Kurtzke Functional System Scores KFSS105 Standardized Character Result 1
C182840 2 KFSS105-2 Kurtzke Functional System Scores standardized character result for KFSS105-Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinences. Kurtzke Functional System Scores KFSS105 Standardized Character Result 2
C182841 3 KFSS105-3 Kurtzke Functional System Scores standardized character result for KFSS105-Frequent urinary incontinence. Kurtzke Functional System Scores KFSS105 Standardized Character Result 3
C182842 4 KFSS105-4 Kurtzke Functional System Scores standardized character result for KFSS105-In need of almost constant catheterization. Kurtzke Functional System Scores KFSS105 Standardized Character Result 4
C182843 5 KFSS105-5 Kurtzke Functional System Scores standardized character result for KFSS105-Loss of bladder function. Kurtzke Functional System Scores KFSS105 Standardized Character Result 5
C182844 6 KFSS105-6 Kurtzke Functional System Scores standardized character result for KFSS105-Loss of bowel and bladder function. Kurtzke Functional System Scores KFSS105 Standardized Character Result 6
C182845 Unknown KFSS105-Unknown Kurtzke Functional System Scores standardized character result for KFSS105-Unknown. Kurtzke Functional System Scores KFSS105 Standardized Character Result Unknown

KFSS106OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS106 TN/TC)

NCI Code: C182481, Codelist extensible: No
C182481 KFSS106OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182852 Grade 5 plus maximal visual acuity of better eye of 20/60 or less KFSS106-Grade 5 plus maximal visual acuity of better eye of 20/60 or less Kurtzke Functional System Scores original result for KFSS106-Grade 5 plus maximal visual acuity of better eye of 20/60 or less. Kurtzke Functional System Scores KFSS106 Original Result - Grade 5 plus maximal visual acuity of better eye of 20/60 or less
C182846 Normal KFSS106-Normal Kurtzke Functional System Scores original result for KFSS106-Normal. Kurtzke Functional System Scores KFSS106 Original Result - Normal
C182847 Scotoma with visual acuity (corrected) better than 20/30 KFSS106-Scotoma with visual acuity (corrected) better than 20/30 Kurtzke Functional System Scores original result for KFSS106-Scotoma with visual acuity (corrected) better than 20/30. Kurtzke Functional System Scores KFSS106 Original Result - Scotoma with visual acuity (corrected) better than 20/30
C182853 Unknown KFSS106-Unknown Kurtzke Functional System Scores original result for KFSS106-Unknown. Kurtzke Functional System Scores KFSS106 Original Result - Unknown
C182849 Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99 KFSS106-Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99 Kurtzke Functional System Scores original result for KFSS106-Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99. Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99
C182850 Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less KFSS106-Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200;grade 3 plus maximal acuity of better eye of 20/60 or less Kurtzke Functional System Scores original result for KFSS106-Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less. Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less
C182851 Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less KFSS106-Worse eye with maximal visual acuity (corrected) less than 20/200;grade 4 plus maximal acuity of better eye of 20/60 or less Kurtzke Functional System Scores original result for KFSS106-Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less. Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less
C182848 Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59 KFSS106-Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59 Kurtzke Functional System Scores original result for KFSS106-Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59. Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59

KFSS106STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS106 TN/TC)

NCI Code: C182519, Codelist extensible: No
C182519 KFSS106STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182854 0 KFSS106-0 Kurtzke Functional System Scores standardized character result for KFSS106-Normal. Kurtzke Functional System Scores KFSS106 Standardized Character Result 0
C182855 1 KFSS106-1 Kurtzke Functional System Scores standardized character result for KFSS106-Scotoma with visual acuity (corrected) better than 20/30. Kurtzke Functional System Scores KFSS106 Standardized Character Result 1
C182856 2 KFSS106-2 Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59. Kurtzke Functional System Scores KFSS106 Standardized Character Result 2
C182857 3 KFSS106-3 Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99. Kurtzke Functional System Scores KFSS106 Standardized Character Result 3
C182858 4 KFSS106-4 Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less. Kurtzke Functional System Scores KFSS106 Standardized Character Result 4
C182859 5 KFSS106-5 Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less. Kurtzke Functional System Scores KFSS106 Standardized Character Result 5
C182860 6 KFSS106-6 Kurtzke Functional System Scores standardized character result for KFSS106-Grade 5 plus maximal visual acuity of better eye of 20/60 or less. Kurtzke Functional System Scores KFSS106 Standardized Character Result 6
C182861 Unknown KFSS106-Unknown Kurtzke Functional System Scores standardized character result for KFSS106-Unknown. Kurtzke Functional System Scores KFSS106 Standardized Character Result Unknown

KFSS107OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS107 TN/TC)

NCI Code: C182482, Codelist extensible: No
C182482 KFSS107OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182867 Dementia or chronic brain syndrome - severe or incompetent KFSS107-Dementia or chronic brain syndrome - severe or incompetent Kurtzke Functional System Scores original result for KFSS107-Dementia or chronic brain syndrome - severe or incompetent. Kurtzke Functional System Scores KFSS107 Original Result - Dementia or chronic brain syndrome - severe or incompetent
C182866 Marked decrease in mentation (chronic brain syndrome - moderate) KFSS107-Marked decrease in mentation (chronic brain syndrome - moderate) Kurtzke Functional System Scores original result for KFSS107-Marked decrease in mentation (chronic brain syndrome - moderate). Kurtzke Functional System Scores KFSS107 Original Result - Marked decrease in mentation (chronic brain syndrome - moderate)
C182864 Mild decrease in mentation KFSS107-Mild decrease in mentation Kurtzke Functional System Scores original result for KFSS107-Mild decrease in mentation. Kurtzke Functional System Scores KFSS107 Original Result - Mild decrease in mentation
C182865 Moderate decrease in mentation KFSS107-Moderate decrease in mentation Kurtzke Functional System Scores original result for KFSS107-Moderate decrease in mentation. Kurtzke Functional System Scores KFSS107 Original Result - Moderate decrease in mentation
C182863 Mood alteration only (does not affect DSS score) KFSS107-Mood alteration only (does not affect DSS score) Kurtzke Functional System Scores original result for KFSS107-Mood alteration only (does not affect DSS score). Kurtzke Functional System Scores KFSS107 Original Result - Mood alteration only (does not affect DSS score)
C182862 Normal KFSS107-Normal Kurtzke Functional System Scores original result for KFSS107-Normal. Kurtzke Functional System Scores KFSS107 Original Result - Normal
C182868 Unknown KFSS107-Unknown Kurtzke Functional System Scores original result for KFSS107-Unknown. Kurtzke Functional System Scores KFSS107 Original Result - Unknown

KFSS107STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS107 TN/TC)

NCI Code: C182520, Codelist extensible: No
C182520 KFSS107STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182869 0 KFSS107-0 Kurtzke Functional System Scores standardized character result for KFSS107-Normal. Kurtzke Functional System Scores KFSS107 Standardized Character Result 0
C182870 1 KFSS107-1 Kurtzke Functional System Scores standardized character result for KFSS107-Mood alteration only (does not affect DSS score). Kurtzke Functional System Scores KFSS107 Standardized Character Result 1
C182871 2 KFSS107-2 Kurtzke Functional System Scores standardized character result for KFSS107-Mild decrease in mentation. Kurtzke Functional System Scores KFSS107 Standardized Character Result 2
C182872 3 KFSS107-3 Kurtzke Functional System Scores standardized character result for KFSS107-Moderate decrease in mentation. Kurtzke Functional System Scores KFSS107 Standardized Character Result 3
C182873 4 KFSS107-4 Kurtzke Functional System Scores standardized character result for KFSS107-Marked decrease in mentation (chronic brain syndrome - moderate). Kurtzke Functional System Scores KFSS107 Standardized Character Result 4
C182874 5 KFSS107-5 Kurtzke Functional System Scores standardized character result for KFSS107-Dementia or chronic brain syndrome - severe or incompetent. Kurtzke Functional System Scores KFSS107 Standardized Character Result 5
C182875 Unknown KFSS107-Unknown Kurtzke Functional System Scores standardized character result for KFSS107-Unknown. Kurtzke Functional System Scores KFSS107 Standardized Character Result Unknown

KFSS108OR (Kurtzke Functional System Scores Clinical Classification ORRES for KFSS108 TN/TC)

NCI Code: C182483, Codelist extensible: No
C182483 KFSS108OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182877 Any other neurologic findings attributed to MS (specify) KFSS108-Any other neurologic findings attributed to MS (specify) Kurtzke Functional System Scores original result for KFSS108-Any other neurologic findings attributed to MS (specify). Kurtzke Functional System Scores KFSS108 Original Result - Any other neurologic findings attributed to MS (specify)
C182876 None KFSS108-None Kurtzke Functional System Scores original result for KFSS108-None. Kurtzke Functional System Scores KFSS108 Original Result - None
C182878 Unknown KFSS108-Unknown Kurtzke Functional System Scores original result for KFSS108-Unknown. Kurtzke Functional System Scores KFSS108 Original Result - Unknown

KFSS108STR (Kurtzke Functional System Scores Clinical Classification STRESC for KFSS108 TN/TC)

NCI Code: C182521, Codelist extensible: No
C182521 KFSS108STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182879 0 KFSS108-0 Kurtzke Functional System Scores standardized character result for KFSS108-None. Kurtzke Functional System Scores KFSS108 Standardized Character Result 0
C182880 1 KFSS108-1 Kurtzke Functional System Scores standardized character result for KFSS108-Any other neurologic findings attributed to MS (specify). Kurtzke Functional System Scores KFSS108 Standardized Character Result 1
C182881 Unknown KFSS108-Unknown Kurtzke Functional System Scores standardized character result for KFSS108-Unknown. Kurtzke Functional System Scores KFSS108 Standardized Character Result Unknown

KFSS1TC (Kurtzke Functional Systems Scores Clinical Classification Test Code)

NCI Code: C112443, Codelist extensible: No
C112443 KFSS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112609 KFSS101 KFSS1-Pyramidal Functions Kurtzke Functional Systems Scores - Pyramidal functions. KFSS - Pyramidal Functions
C112610 KFSS102 KFSS1-Cerebellar Functions Kurtzke Functional Systems Scores - Cerebellar functions. KFSS - Cerebellar Functions
C112611 KFSS102A KFSS1-Weakness Interferes With Testing Kurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing. KFSS - Weakness Interferes With Testing
C112612 KFSS103 KFSS1-Brain Stem Functions Kurtzke Functional Systems Scores - Brain stem functions. KFSS - Brain Stem Functions
C112613 KFSS104 KFSS1-Sensory Functions Kurtzke Functional Systems Scores - Sensory functions. KFSS - Sensory Functions
C112614 KFSS105 KFSS1-Bowel and Bladder Functions Kurtzke Functional Systems Scores - Bowel and bladder functions. KFSS - Bowel and Bladder Functions
C112615 KFSS106 KFSS1-Visual or Optic Functions Kurtzke Functional Systems Scores - Visual (or optic) functions. KFSS - Visual (or Optic) Functions
C112616 KFSS106A KFSS1-Presence of Temporal Pallor Kurtzke Functional Systems Scores - Check here for presence of temporal pallor. KFSS - Presence of Temporal Pallor
C112617 KFSS107 KFSS1-Cerebral or Mental Functions Kurtzke Functional Systems Scores - Cerebral (or mental) functions. KFSS - Cerebral (or Mental) Functions
C113884 KFSS108 KFSS1-Other Functions Kurtzke Functional Systems Scores - Other functions. KFSS - Other Functions
C113885 KFSS108A KFSS1-Other Functions Specify Kurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify). KFSS - Other Functions Specify

KFSS1TN (Kurtzke Functional Systems Scores Clinical Classification Test Name)

NCI Code: C112442, Codelist extensible: No
C112442 KFSS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112614 KFSS1-Bowel and Bladder Functions KFSS1-Bowel and Bladder Functions Kurtzke Functional Systems Scores - Bowel and bladder functions. KFSS - Bowel and Bladder Functions
C112612 KFSS1-Brain Stem Functions KFSS1-Brain Stem Functions Kurtzke Functional Systems Scores - Brain stem functions. KFSS - Brain Stem Functions
C112610 KFSS1-Cerebellar Functions KFSS1-Cerebellar Functions Kurtzke Functional Systems Scores - Cerebellar functions. KFSS - Cerebellar Functions
C112617 KFSS1-Cerebral or Mental Functions KFSS1-Cerebral or Mental Functions Kurtzke Functional Systems Scores - Cerebral (or mental) functions. KFSS - Cerebral (or Mental) Functions
C113885 KFSS1-Other Functions Specify KFSS1-Other Functions Specify Kurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify). KFSS - Other Functions Specify
C113884 KFSS1-Other Functions KFSS1-Other Functions Kurtzke Functional Systems Scores - Other functions. KFSS - Other Functions
C112616 KFSS1-Presence of Temporal Pallor KFSS1-Presence of Temporal Pallor Kurtzke Functional Systems Scores - Check here for presence of temporal pallor. KFSS - Presence of Temporal Pallor
C112609 KFSS1-Pyramidal Functions KFSS1-Pyramidal Functions Kurtzke Functional Systems Scores - Pyramidal functions. KFSS - Pyramidal Functions
C112613 KFSS1-Sensory Functions KFSS1-Sensory Functions Kurtzke Functional Systems Scores - Sensory functions. KFSS - Sensory Functions
C112615 KFSS1-Visual or Optic Functions KFSS1-Visual or Optic Functions Kurtzke Functional Systems Scores - Visual (or optic) functions. KFSS - Visual (or Optic) Functions
C112611 KFSS1-Weakness Interferes With Testing KFSS1-Weakness Interferes With Testing Kurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing. KFSS - Weakness Interferes With Testing

KPSS0101OR (Karnofsky Performance Status Scale Clinical Classification ORRES for KPSS0101 TN/TC)

NCI Code: C182469, Codelist extensible: No
C182469 KPSS0101OR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182717 Able to carry on normal activity; minor signs or symptoms of disease. KPSS0101-Able to carry on normal activity;minor signs or symptoms of disease Karnofsky Performance Status Scale original result for KPSS0101-Able to carry on normal activity; minor signs or symptoms of disease. Karnofsky Performance Status Scale KPSS0101 Original Result - Able to carry on normal activity; minor signs or symptoms of disease
C182719 Cares for self; unable to carry on normal activity or to do active work. KPSS0101-Cares for self;unable to carry on normal activity or to do active work Karnofsky Performance Status Scale original result for KPSS0101-Cares for self; unable to carry on normal activity or to do active work. Karnofsky Performance Status Scale KPSS0101 Original Result - Cares for self; unable to carry on normal activity or to do active work
C182726 Dead KPSS0101-Dead Karnofsky Performance Status Scale original result for KPSS0101-Dead. Karnofsky Performance Status Scale KPSS0101 Original Result - Dead
C182722 Disabled; requires special care and assistance. KPSS0101-Disabled;requires special care and assistance Karnofsky Performance Status Scale original result for KPSS0101-Disabled; requires special care and assistance. Karnofsky Performance Status Scale KPSS0101 Original Result - Disabled; requires special care and assistance
C182725 Moribund; fatal processes progressing rapidly. KPSS0101-Moribund;fatal processes progressing rapidly Karnofsky Performance Status Scale original result for KPSS0101-Moribund; fatal processes progressing rapidly. Karnofsky Performance Status Scale KPSS0101 Original Result - Moribund; fatal processes progressing rapidly
C182718 Normal activity with effort; some signs or symptoms of disease. KPSS0101-Normal activity with effort;some signs or symptoms of disease Karnofsky Performance Status Scale original result for KPSS0101-Normal activity with effort; some signs or symptoms of disease. Karnofsky Performance Status Scale KPSS0101 Original Result - Normal activity with effort; some signs or symptoms of disease
C182716 Normal no complaints; no evidence of disease. KPSS0101-Normal no complaints;no evidence of disease Karnofsky Performance Status Scale original result for KPSS0101-Normal no complaints; no evidence of disease. Karnofsky Performance Status Scale KPSS0101 Original Result - Normal no complaints; no evidence of disease
C182721 Requires considerable assistance and frequent medical care. KPSS0101-Requires considerable assistance and frequent medical care Karnofsky Performance Status Scale original result for KPSS0101-Requires considerable assistance and frequent medical care. Karnofsky Performance Status Scale KPSS0101 Original Result - Requires considerable assistance and frequent medical care
C182720 Requires occasional assistance, but is able to care for most of his personal needs. KPSS0101-Requires occasional assistance, but is able to care for most of his personal needs Karnofsky Performance Status Scale original result for KPSS0101-Requires occasional assistance, but is able to care for most of his personal needs. Karnofsky Performance Status Scale KPSS0101 Original Result - Requires occasional assistance, but is able to care for most of his personal needs
C182723 Severely disabled; hospital admission is indicated although death not imminent. KPSS0101-Severely disabled;hospital admission is indicated although death not imminent Karnofsky Performance Status Scale original result for KPSS0101-Severely disabled; hospital admission is indicated although death not imminent. Karnofsky Performance Status Scale KPSS0101 Original Result - Severely disabled; hospital admission is indicated although death not imminent
C182724 Very sick; hospital admission necessary; active supportive treatment necessary. KPSS0101-Very sick;hospital admission necessary;active supportive treatment necessary Karnofsky Performance Status Scale original result for KPSS0101-Very sick; hospital admission necessary; active supportive treatment necessary. Karnofsky Performance Status Scale KPSS0101 Original Result - Very sick; hospital admission necessary; active supportive treatment necessary

KPSS0101STR (Karnofsky Performance Status Scale Clinical Classification STRESC for KPSS0101 TN/TC)

NCI Code: C182507, Codelist extensible: No
C182507 KPSS0101STR
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C182737 0 KPSS0101-0 Karnofsky Performance Status Scale standardized character result for KPSS0101-Dead. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 0
C182736 10 KPSS0101-10 Karnofsky Performance Status Scale standardized character result for KPSS0101-Moribund; fatal processes progressing rapidly. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 10
C182727 100 KPSS0101-100 Karnofsky Performance Status Scale standardized character result for KPSS0101-Normal no complaints; no evidence of disease. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 100
C182735 20 KPSS0101-20 Karnofsky Performance Status Scale standardized character result for KPSS0101-Very sick; hospital admission necessary; active supportive treatment necessary. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 20
C182734 30 KPSS0101-30 Karnofsky Performance Status Scale standardized character result for KPSS0101-Severely disabled; hospital admission is indicated although death not imminent. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 30
C182733 40 KPSS0101-40 Karnofsky Performance Status Scale standardized character result for KPSS0101-Disabled; requires special care and assistance. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 40
C182732 50 KPSS0101-50 Karnofsky Performance Status Scale standardized character result for KPSS0101-Requires considerable assistance and frequent medical care. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 50
C182731 60 KPSS0101-60 Karnofsky Performance Status Scale standardized character result for KPSS0101-Requires occasional assistance, but is able to care for most of his personal needs. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 60
C182730 70 KPSS0101-70 Karnofsky Performance Status Scale standardized character result for KPSS0101-Cares for self; unable to carry on normal activity or to do active work. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 70
C182729 80 KPSS0101-80 Karnofsky Performance Status Scale standardized character result for KPSS0101-Normal activity with effort; some signs or symptoms of disease. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 80
C182728 90 KPSS0101-90 Karnofsky Performance Status Scale standardized character result for KPSS0101-Able to carry on normal activity; minor signs or symptoms of disease. Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 90

KPSS01TC (Karnofsky Performance Status Scale Clinical Classification Test Code)

NCI Code: C100170, Codelist extensible: No
C100170 KPSS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100417 KPSS0101 KPSS01-Karnofsky Performance Status Karnofsky Performance Status Scale - Karnofsky Performance Status. KPS Scale - Karnofsky Performance Status

KPSS01TN (Karnofsky Performance Status Scale Clinical Classification Test Name)

NCI Code: C100169, Codelist extensible: No
C100169 KPSS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100417 KPSS01-Karnofsky Performance Status KPSS01-Karnofsky Performance Status Karnofsky Performance Status Scale - Karnofsky Performance Status. KPS Scale - Karnofsky Performance Status

LEC01TC (Life Events Checklist for DSM-5 Standard Version Questionnaire Test Code)

NCI Code: C135690, Codelist extensible: No
C135690 LEC01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135820 LEC0101A LEC01-Natural Disaster: Happened Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Happened to me. LEC-5 Standard Version - Natural Disaster: Happened
C135821 LEC0101B LEC01-Natural Disaster: Witnessed Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Witnessed it. LEC-5 Standard Version - Natural Disaster: Witnessed
C135822 LEC0101C LEC01-Natural Disaster: Learned Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Learned about it. LEC-5 Standard Version - Natural Disaster: Learned
C135823 LEC0101D LEC01-Natural Disaster: Job Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Part of my job. LEC-5 Standard Version - Natural Disaster: Job
C135824 LEC0101E LEC01-Natural Disaster: Not Sure Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Not sure. LEC-5 Standard Version - Natural Disaster: Not Sure
C135825 LEC0101F LEC01-Natural Disaster: Not Apply Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Doesn't apply. LEC-5 Standard Version - Natural Disaster: Not Apply
C135826 LEC0102A LEC01-Fire or Explosion: Happened Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Happened to me. LEC-5 Standard Version - Fire or Explosion: Happened
C135827 LEC0102B LEC01-Fire or Explosion: Witnessed Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Witnessed it. LEC-5 Standard Version - Fire or Explosion: Witnessed
C135828 LEC0102C LEC01-Fire or Explosion: Learned Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Learned about it. LEC-5 Standard Version - Fire or Explosion: Learned
C135829 LEC0102D LEC01-Fire or Explosion: Job Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Part of my job. LEC-5 Standard Version - Fire or Explosion: Job
C135830 LEC0102E LEC01-Fire or Explosion: Not Sure Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Not sure. LEC-5 Standard Version - Fire or Explosion: Not Sure
C135831 LEC0102F LEC01-Fire or Explosion: Not Apply Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Doesn't apply. LEC-5 Standard Version - Fire or Explosion: Not Apply
C135832 LEC0103A LEC01-Transportation Accident: Happened Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Happened to me. LEC-5 Standard Version - Transportation Accident: Happened
C135833 LEC0103B LEC01-Transportation Accident: Witnessed Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Witnessed it. LEC-5 Standard Version - Transportation Accident: Witnessed
C135834 LEC0103C LEC01-Transportation Accident: Learned Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Learned about it. LEC-5 Standard Version - Transportation Accident: Learned
C135835 LEC0103D LEC01-Transportation Accident: Job Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Part of my job. LEC-5 Standard Version - Transportation Accident: Job
C135836 LEC0103E LEC01-Transportation Accident: Not Sure Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Not sure. LEC-5 Standard Version - Transportation Accident: Not Sure
C135837 LEC0103F LEC01-Transportation Accident: Not Apply Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Doesn't apply. LEC-5 Standard Version - Transportation Accident: Not Apply
C135838 LEC0104A LEC01-Serious Accident: Happened Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Happened to me. LEC-5 Standard Version - Serious Accident: Happened
C135839 LEC0104B LEC01-Serious Accident: Witnessed Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Witnessed it. LEC-5 Standard Version - Serious Accident: Witnessed
C135840 LEC0104C LEC01-Serious Accident: Learned Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Learned about it. LEC-5 Standard Version - Serious Accident: Learned
C135841 LEC0104D LEC01-Serious Accident: Job Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Part of my job. LEC-5 Standard Version - Serious Accident: Job
C135842 LEC0104E LEC01-Serious Accident: Not Sure Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Not sure. LEC-5 Standard Version - Serious Accident: Not Sure
C135843 LEC0104F LEC01-Serious Accident: Not Apply Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Doesn't apply. LEC-5 Standard Version - Serious Accident: Not Apply
C135844 LEC0105A LEC01-Toxic Substance: Happened Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Happened to me. LEC-5 Standard Version - Toxic Substance: Happened
C135845 LEC0105B LEC01-Toxic Substance: Witnessed Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Witnessed it. LEC-5 Standard Version - Toxic Substance: Witnessed
C135846 LEC0105C LEC01-Toxic Substance: Learned Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Learned about it. LEC-5 Standard Version - Toxic Substance: Learned
C135847 LEC0105D LEC01-Toxic Substance: Job Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Part of my job. LEC-5 Standard Version - Toxic Substance: Job
C135848 LEC0105E LEC01-Toxic Substance: Not Sure Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Not sure. LEC-5 Standard Version - Toxic Substance: Not Sure
C135849 LEC0105F LEC01-Toxic Substance: Not Apply Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Doesn't apply. LEC-5 Standard Version - Toxic Substance: Not Apply
C135850 LEC0106A LEC01-Physical Assault: Happened Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Happened to me. LEC-5 Standard Version - Physical Assault: Happened
C135851 LEC0106B LEC01-Physical Assault: Witnessed Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Witnessed it. LEC-5 Standard Version - Physical Assault: Witnessed
C135852 LEC0106C LEC01-Physical Assault: Learned Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Learned about it. LEC-5 Standard Version - Physical Assault: Learned
C135853 LEC0106D LEC01-Physical Assault: Job Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Part of my job. LEC-5 Standard Version - Physical Assault: Job
C135854 LEC0106E LEC01-Physical Assault: Not Sure Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Not sure. LEC-5 Standard Version - Physical Assault: Not Sure
C135855 LEC0106F LEC01-Physical Assault: Not Apply Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Doesn't apply. LEC-5 Standard Version - Physical Assault: Not Apply
C135856 LEC0107A LEC01-Assault With a Weapon: Happened Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Happened to me. LEC-5 Standard Version - Assault With a Weapon: Happened
C135857 LEC0107B LEC01-Assault With a Weapon: Witnessed Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Witnessed it. LEC-5 Standard Version - Assault With a Weapon: Witnessed
C135858 LEC0107C LEC01-Assault With a Weapon: Learned Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Learned about it. LEC-5 Standard Version - Assault With a Weapon: Learned
C135859 LEC0107D LEC01-Assault With a Weapon: Job Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Part of my job. LEC-5 Standard Version - Assault With a Weapon: Job
C135860 LEC0107E LEC01-Assault With a Weapon: Not Sure Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Not sure. LEC-5 Standard Version - Assault With a Weapon: Not Sure
C135861 LEC0107F LEC01-Assault With a Weapon: Not Apply Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Doesn't apply. LEC-5 Standard Version - Assault With a Weapon: Not Apply
C135862 LEC0108A LEC01-Sexual Assault: Happened Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Happened to me. LEC-5 Standard Version - Sexual Assault: Happened
C135863 LEC0108B LEC01-Sexual Assault: Witnessed Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Witnessed it. LEC-5 Standard Version - Sexual Assault: Witnessed
C135864 LEC0108C LEC01-Sexual Assault: Learned Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Learned about it. LEC-5 Standard Version - Sexual Assault: Learned
C135865 LEC0108D LEC01-Sexual Assault: Job Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Part of my job. LEC-5 Standard Version - Sexual Assault: Job
C135866 LEC0108E LEC01-Sexual Assault: Not Sure Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Not sure. LEC-5 Standard Version - Sexual Assault: Not Sure
C135867 LEC0108F LEC01-Sexual Assault: Not Apply Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Doesn't apply. LEC-5 Standard Version - Sexual Assault: Not Apply
C135868 LEC0109A LEC01-Unwanted Sex Experience: Happened Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Happened to me. LEC-5 Standard Version - Unwanted Sex Experience: Happened
C135869 LEC0109B LEC01-Unwanted Sex Experience: Witnessed Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Witnessed it. LEC-5 Standard Version - Unwanted Sex Experience: Witnessed
C135870 LEC0109C LEC01-Unwanted Sex Experience: Learned Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Learned about it. LEC-5 Standard Version - Unwanted Sex Experience: Learned
C135871 LEC0109D LEC01-Unwanted Sex Experience: Job Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Part of my job. LEC-5 Standard Version - Unwanted Sex Experience: Job
C135872 LEC0109E LEC01-Unwanted Sex Experience: Not Sure Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Not sure. LEC-5 Standard Version - Unwanted Sex Experience: Not Sure
C135873 LEC0109F LEC01-Unwanted Sex Experience: Not Apply Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Doesn't apply. LEC-5 Standard Version - Unwanted Sex Experience: Not Apply
C135874 LEC0110A LEC01-Combat/Exp to War-Zone: Happened Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Happened to me. LEC-5 Standard Version - Combat or Exposure to War-Zone: Happened
C135875 LEC0110B LEC01-Combat/Exp to War-Zone: Witnessed Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Witnessed it. LEC-5 Standard Version - Combat or Exposure to War-Zone: Witnessed
C135876 LEC0110C LEC01-Combat/Exp to War-Zone: Learned Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Learned about it. LEC-5 Standard Version - Combat or Exposure to War-Zone: Learned
C135877 LEC0110D LEC01-Combat/Exp to War-Zone: Job Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Part of my job. LEC-5 Standard Version - Combat or Exposure to War-Zone: Job
C135878 LEC0110E LEC01-Combat/Exp to War-Zone: Not Sure Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Not sure. LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Sure
C135879 LEC0110F LEC01-Combat/Exp to War-Zone: Not Apply Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Doesn't apply. LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Apply
C135880 LEC0111A LEC01-Captivity: Happened Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Happened to me. LEC-5 Standard Version - Captivity: Happened
C135881 LEC0111B LEC01-Captivity: Witnessed Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Witnessed it. LEC-5 Standard Version - Captivity: Witnessed
C135882 LEC0111C LEC01-Captivity: Learned Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Learned about it. LEC-5 Standard Version - Captivity: Learned
C135883 LEC0111D LEC01-Captivity: Job Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Part of my job. LEC-5 Standard Version - Captivity: Job
C135884 LEC0111E LEC01-Captivity: Not Sure Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Not sure. LEC-5 Standard Version - Captivity: Not Sure
C135885 LEC0111F LEC01-Captivity: Not Apply Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Doesn't apply. LEC-5 Standard Version - Captivity: Not Apply
C135886 LEC0112A LEC01-Life-threatening Illness: Happened Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Happened to me. LEC-5 Standard Version - Life-threatening Illness: Happened
C135887 LEC0112B LEC01-Life-threatening Illness: Witness Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Witnessed it. LEC-5 Standard Version - Life-threatening Illness: Witnessed
C135888 LEC0112C LEC01-Life-threatening Illness: Learned Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Learned about it. LEC-5 Standard Version - Life-threatening Illness: Learned
C135889 LEC0112D LEC01-Life-threatening Illness: Job Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Part of my job. LEC-5 Standard Version - Life-threatening Illness: Job
C135890 LEC0112E LEC01-Life-threatening Illness: Not Sure Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Not sure. LEC-5 Standard Version - Life-threatening Illness: Not Sure
C135891 LEC0112F LEC01-Life-threatening Illness: No Apply Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Doesn't apply. LEC-5 Standard Version - Life-threatening Illness: Not Apply
C135892 LEC0113A LEC01-Severe Human Suffering: Happened Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Happened to me. LEC-5 Standard Version - Severe Human Suffering: Happened
C135893 LEC0113B LEC01-Severe Human Suffering: Witnessed Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Witnessed it. LEC-5 Standard Version - Severe Human Suffering: Witnessed
C135894 LEC0113C LEC01-Severe Human Suffering: Learned Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Learned about it. LEC-5 Standard Version - Severe Human Suffering: Learned
C135895 LEC0113D LEC01-Severe Human Suffering: Job Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Part of my job. LEC-5 Standard Version - Severe Human Suffering: Job
C135896 LEC0113E LEC01-Severe Human Suffering: Not Sure Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Not sure. LEC-5 Standard Version - Severe Human Suffering: Not Sure
C135897 LEC0113F LEC01-Severe Human Suffering: Not Apply Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Doesn't apply. LEC-5 Standard Version - Severe Human Suffering: Not Apply
C135898 LEC0114A LEC01-Sudden Violent Death: Happened Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Happened to me. LEC-5 Standard Version - Sudden Violent Death: Happened
C135899 LEC0114B LEC01-Sudden Violent Death: Witnessed Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Witnessed it. LEC-5 Standard Version - Sudden Violent Death: Witnessed
C135900 LEC0114C LEC01-Sudden Violent Death: Learned Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Learned about it. LEC-5 Standard Version - Sudden Violent Death: Learned
C135901 LEC0114D LEC01-Sudden Violent Death: Job Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Part of my job. LEC-5 Standard Version - Sudden Violent Death: Job
C135902 LEC0114E LEC01-Sudden Violent Death: Not Sure Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Not sure. LEC-5 Standard Version - Sudden Violent Death: Not Sure
C135903 LEC0114F LEC01-Sudden Violent Death: Not Apply Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Doesn't apply. LEC-5 Standard Version - Sudden Violent Death: Not Apply
C135904 LEC0115A LEC01-Sudden Accidental Death: Happened Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Happened to me. LEC-5 Standard Version - Sudden Accidental Death: Happened
C135905 LEC0115B LEC01-Sudden Accidental Death: Witnessed Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Witnessed it. LEC-5 Standard Version - Sudden Accidental Death: Witnessed
C135906 LEC0115C LEC01-Sudden Accidental Death: Learned Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Learned about it. LEC-5 Standard Version - Sudden Accidental Death: Learned
C135907 LEC0115D LEC01-Sudden Accidental Death: Job Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Part of my job. LEC-5 Standard Version - Sudden Accidental Death: Job
C135908 LEC0115E LEC01-Sudden Accidental Death: Not Sure Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Not sure. LEC-5 Standard Version - Sudden Accidental Death: Not Sure
C135909 LEC0115F LEC01-Sudden Accidental Death: Not Apply Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Doesn't apply. LEC-5 Standard Version - Sudden Accidental Death: Not Apply
C135910 LEC0116A LEC01-Serious Injury Caused: Happened Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Happened to me. LEC-5 Standard Version - Serious Injury Caused: Happened
C135911 LEC0116B LEC01-Serious Injury Caused: Witnessed Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Witnessed it. LEC-5 Standard Version - Serious Injury Caused: Witnessed
C135912 LEC0116C LEC01-Serious Injury Caused: Learned Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Learned about it. LEC-5 Standard Version - Serious Injury Caused: Learned
C135913 LEC0116D LEC01-Serious Injury Caused: Job Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Part of my job. LEC-5 Standard Version - Serious Injury Caused: Job
C135914 LEC0116E LEC01-Serious Injury Caused: Not Sure Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Not sure. LEC-5 Standard Version - Serious Injury Caused: Not Sure
C135915 LEC0116F LEC01-Serious Injury Caused: Not Apply Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Doesn't apply. LEC-5 Standard Version - Serious Injury Caused: Not Apply
C135916 LEC0117A LEC01-Other Stressful Event: Happened Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Happened to me. LEC-5 Standard Version - Other Stressful Event: Happened
C135917 LEC0117B LEC01-Other Stressful Event: Witnessed Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Witnessed it. LEC-5 Standard Version - Other Stressful Event: Witnessed
C135918 LEC0117C LEC01-Other Stressful Event: Learned Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Learned about it. LEC-5 Standard Version - Other Stressful Event: Learned
C135919 LEC0117D LEC01-Other Stressful Event: Job Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Part of my job. LEC-5 Standard Version - Other Stressful Event: Job
C135920 LEC0117E LEC01-Other Stressful Event: Not Sure Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Not sure. LEC-5 Standard Version - Other Stressful Event: Not Sure
C135921 LEC0117F LEC01-Other Stressful Event: Not Apply Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Doesn't apply. LEC-5 Standard Version - Other Stressful Event: Not Apply

LEC01TN (Life Events Checklist for DSM-5 Standard Version Questionnaire Test Name)

NCI Code: C135689, Codelist extensible: No
C135689 LEC01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135856 LEC01-Assault With a Weapon: Happened LEC01-Assault With a Weapon: Happened Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Happened to me. LEC-5 Standard Version - Assault With a Weapon: Happened
C135859 LEC01-Assault With a Weapon: Job LEC01-Assault With a Weapon: Job Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Part of my job. LEC-5 Standard Version - Assault With a Weapon: Job
C135858 LEC01-Assault With a Weapon: Learned LEC01-Assault With a Weapon: Learned Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Learned about it. LEC-5 Standard Version - Assault With a Weapon: Learned
C135861 LEC01-Assault With a Weapon: Not Apply LEC01-Assault With a Weapon: Not Apply Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Doesn't apply. LEC-5 Standard Version - Assault With a Weapon: Not Apply
C135860 LEC01-Assault With a Weapon: Not Sure LEC01-Assault With a Weapon: Not Sure Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Not sure. LEC-5 Standard Version - Assault With a Weapon: Not Sure
C135857 LEC01-Assault With a Weapon: Witnessed LEC01-Assault With a Weapon: Witnessed Life Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Witnessed it. LEC-5 Standard Version - Assault With a Weapon: Witnessed
C135880 LEC01-Captivity: Happened LEC01-Captivity: Happened Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Happened to me. LEC-5 Standard Version - Captivity: Happened
C135883 LEC01-Captivity: Job LEC01-Captivity: Job Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Part of my job. LEC-5 Standard Version - Captivity: Job
C135882 LEC01-Captivity: Learned LEC01-Captivity: Learned Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Learned about it. LEC-5 Standard Version - Captivity: Learned
C135885 LEC01-Captivity: Not Apply LEC01-Captivity: Not Apply Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Doesn't apply. LEC-5 Standard Version - Captivity: Not Apply
C135884 LEC01-Captivity: Not Sure LEC01-Captivity: Not Sure Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Not sure. LEC-5 Standard Version - Captivity: Not Sure
C135881 LEC01-Captivity: Witnessed LEC01-Captivity: Witnessed Life Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Witnessed it. LEC-5 Standard Version - Captivity: Witnessed
C135874 LEC01-Combat/Exp to War-Zone: Happened LEC01-Combat/Exp to War-Zone: Happened Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Happened to me. LEC-5 Standard Version - Combat or Exposure to War-Zone: Happened
C135877 LEC01-Combat/Exp to War-Zone: Job LEC01-Combat/Exp to War-Zone: Job Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Part of my job. LEC-5 Standard Version - Combat or Exposure to War-Zone: Job
C135876 LEC01-Combat/Exp to War-Zone: Learned LEC01-Combat/Exp to War-Zone: Learned Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Learned about it. LEC-5 Standard Version - Combat or Exposure to War-Zone: Learned
C135879 LEC01-Combat/Exp to War-Zone: Not Apply LEC01-Combat/Exp to War-Zone: Not Apply Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Doesn't apply. LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Apply
C135878 LEC01-Combat/Exp to War-Zone: Not Sure LEC01-Combat/Exp to War-Zone: Not Sure Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Not sure. LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Sure
C135875 LEC01-Combat/Exp to War-Zone: Witnessed LEC01-Combat/Exp to War-Zone: Witnessed Life Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Witnessed it. LEC-5 Standard Version - Combat or Exposure to War-Zone: Witnessed
C135826 LEC01-Fire or Explosion: Happened LEC01-Fire or Explosion: Happened Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Happened to me. LEC-5 Standard Version - Fire or Explosion: Happened
C135829 LEC01-Fire or Explosion: Job LEC01-Fire or Explosion: Job Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Part of my job. LEC-5 Standard Version - Fire or Explosion: Job
C135828 LEC01-Fire or Explosion: Learned LEC01-Fire or Explosion: Learned Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Learned about it. LEC-5 Standard Version - Fire or Explosion: Learned
C135831 LEC01-Fire or Explosion: Not Apply LEC01-Fire or Explosion: Not Apply Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Doesn't apply. LEC-5 Standard Version - Fire or Explosion: Not Apply
C135830 LEC01-Fire or Explosion: Not Sure LEC01-Fire or Explosion: Not Sure Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Not sure. LEC-5 Standard Version - Fire or Explosion: Not Sure
C135827 LEC01-Fire or Explosion: Witnessed LEC01-Fire or Explosion: Witnessed Life Events Checklist for DSM-5, Standard Version - Fire or explosion: Witnessed it. LEC-5 Standard Version - Fire or Explosion: Witnessed
C135886 LEC01-Life-threatening Illness: Happened LEC01-Life-threatening Illness: Happened Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Happened to me. LEC-5 Standard Version - Life-threatening Illness: Happened
C135889 LEC01-Life-threatening Illness: Job LEC01-Life-threatening Illness: Job Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Part of my job. LEC-5 Standard Version - Life-threatening Illness: Job
C135888 LEC01-Life-threatening Illness: Learned LEC01-Life-threatening Illness: Learned Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Learned about it. LEC-5 Standard Version - Life-threatening Illness: Learned
C135891 LEC01-Life-threatening Illness: No Apply LEC01-Life-threatening Illness: No Apply Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Doesn't apply. LEC-5 Standard Version - Life-threatening Illness: Not Apply
C135890 LEC01-Life-threatening Illness: Not Sure LEC01-Life-threatening Illness: Not Sure Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Not sure. LEC-5 Standard Version - Life-threatening Illness: Not Sure
C135887 LEC01-Life-threatening Illness: Witness LEC01-Life-threatening Illness: Witness Life Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Witnessed it. LEC-5 Standard Version - Life-threatening Illness: Witnessed
C135820 LEC01-Natural Disaster: Happened LEC01-Natural Disaster: Happened Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Happened to me. LEC-5 Standard Version - Natural Disaster: Happened
C135823 LEC01-Natural Disaster: Job LEC01-Natural Disaster: Job Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Part of my job. LEC-5 Standard Version - Natural Disaster: Job
C135822 LEC01-Natural Disaster: Learned LEC01-Natural Disaster: Learned Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Learned about it. LEC-5 Standard Version - Natural Disaster: Learned
C135825 LEC01-Natural Disaster: Not Apply LEC01-Natural Disaster: Not Apply Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Doesn't apply. LEC-5 Standard Version - Natural Disaster: Not Apply
C135824 LEC01-Natural Disaster: Not Sure LEC01-Natural Disaster: Not Sure Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Not sure. LEC-5 Standard Version - Natural Disaster: Not Sure
C135821 LEC01-Natural Disaster: Witnessed LEC01-Natural Disaster: Witnessed Life Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Witnessed it. LEC-5 Standard Version - Natural Disaster: Witnessed
C135916 LEC01-Other Stressful Event: Happened LEC01-Other Stressful Event: Happened Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Happened to me. LEC-5 Standard Version - Other Stressful Event: Happened
C135919 LEC01-Other Stressful Event: Job LEC01-Other Stressful Event: Job Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Part of my job. LEC-5 Standard Version - Other Stressful Event: Job
C135918 LEC01-Other Stressful Event: Learned LEC01-Other Stressful Event: Learned Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Learned about it. LEC-5 Standard Version - Other Stressful Event: Learned
C135921 LEC01-Other Stressful Event: Not Apply LEC01-Other Stressful Event: Not Apply Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Doesn't apply. LEC-5 Standard Version - Other Stressful Event: Not Apply
C135920 LEC01-Other Stressful Event: Not Sure LEC01-Other Stressful Event: Not Sure Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Not sure. LEC-5 Standard Version - Other Stressful Event: Not Sure
C135917 LEC01-Other Stressful Event: Witnessed LEC01-Other Stressful Event: Witnessed Life Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Witnessed it. LEC-5 Standard Version - Other Stressful Event: Witnessed
C135850 LEC01-Physical Assault: Happened LEC01-Physical Assault: Happened Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Happened to me. LEC-5 Standard Version - Physical Assault: Happened
C135853 LEC01-Physical Assault: Job LEC01-Physical Assault: Job Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Part of my job. LEC-5 Standard Version - Physical Assault: Job
C135852 LEC01-Physical Assault: Learned LEC01-Physical Assault: Learned Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Learned about it. LEC-5 Standard Version - Physical Assault: Learned
C135855 LEC01-Physical Assault: Not Apply LEC01-Physical Assault: Not Apply Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Doesn't apply. LEC-5 Standard Version - Physical Assault: Not Apply
C135854 LEC01-Physical Assault: Not Sure LEC01-Physical Assault: Not Sure Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Not sure. LEC-5 Standard Version - Physical Assault: Not Sure
C135851 LEC01-Physical Assault: Witnessed LEC01-Physical Assault: Witnessed Life Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Witnessed it. LEC-5 Standard Version - Physical Assault: Witnessed
C135838 LEC01-Serious Accident: Happened LEC01-Serious Accident: Happened Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Happened to me. LEC-5 Standard Version - Serious Accident: Happened
C135841 LEC01-Serious Accident: Job LEC01-Serious Accident: Job Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Part of my job. LEC-5 Standard Version - Serious Accident: Job
C135840 LEC01-Serious Accident: Learned LEC01-Serious Accident: Learned Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Learned about it. LEC-5 Standard Version - Serious Accident: Learned
C135843 LEC01-Serious Accident: Not Apply LEC01-Serious Accident: Not Apply Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Doesn't apply. LEC-5 Standard Version - Serious Accident: Not Apply
C135842 LEC01-Serious Accident: Not Sure LEC01-Serious Accident: Not Sure Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Not sure. LEC-5 Standard Version - Serious Accident: Not Sure
C135839 LEC01-Serious Accident: Witnessed LEC01-Serious Accident: Witnessed Life Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Witnessed it. LEC-5 Standard Version - Serious Accident: Witnessed
C135910 LEC01-Serious Injury Caused: Happened LEC01-Serious Injury Caused: Happened Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Happened to me. LEC-5 Standard Version - Serious Injury Caused: Happened
C135913 LEC01-Serious Injury Caused: Job LEC01-Serious Injury Caused: Job Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Part of my job. LEC-5 Standard Version - Serious Injury Caused: Job
C135912 LEC01-Serious Injury Caused: Learned LEC01-Serious Injury Caused: Learned Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Learned about it. LEC-5 Standard Version - Serious Injury Caused: Learned
C135915 LEC01-Serious Injury Caused: Not Apply LEC01-Serious Injury Caused: Not Apply Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Doesn't apply. LEC-5 Standard Version - Serious Injury Caused: Not Apply
C135914 LEC01-Serious Injury Caused: Not Sure LEC01-Serious Injury Caused: Not Sure Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Not sure. LEC-5 Standard Version - Serious Injury Caused: Not Sure
C135911 LEC01-Serious Injury Caused: Witnessed LEC01-Serious Injury Caused: Witnessed Life Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Witnessed it. LEC-5 Standard Version - Serious Injury Caused: Witnessed
C135892 LEC01-Severe Human Suffering: Happened LEC01-Severe Human Suffering: Happened Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Happened to me. LEC-5 Standard Version - Severe Human Suffering: Happened
C135895 LEC01-Severe Human Suffering: Job LEC01-Severe Human Suffering: Job Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Part of my job. LEC-5 Standard Version - Severe Human Suffering: Job
C135894 LEC01-Severe Human Suffering: Learned LEC01-Severe Human Suffering: Learned Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Learned about it. LEC-5 Standard Version - Severe Human Suffering: Learned
C135897 LEC01-Severe Human Suffering: Not Apply LEC01-Severe Human Suffering: Not Apply Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Doesn't apply. LEC-5 Standard Version - Severe Human Suffering: Not Apply
C135896 LEC01-Severe Human Suffering: Not Sure LEC01-Severe Human Suffering: Not Sure Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Not sure. LEC-5 Standard Version - Severe Human Suffering: Not Sure
C135893 LEC01-Severe Human Suffering: Witnessed LEC01-Severe Human Suffering: Witnessed Life Events Checklist for DSM-5, Standard Version - Severe human suffering: Witnessed it. LEC-5 Standard Version - Severe Human Suffering: Witnessed
C135862 LEC01-Sexual Assault: Happened LEC01-Sexual Assault: Happened Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Happened to me. LEC-5 Standard Version - Sexual Assault: Happened
C135865 LEC01-Sexual Assault: Job LEC01-Sexual Assault: Job Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Part of my job. LEC-5 Standard Version - Sexual Assault: Job
C135864 LEC01-Sexual Assault: Learned LEC01-Sexual Assault: Learned Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Learned about it. LEC-5 Standard Version - Sexual Assault: Learned
C135867 LEC01-Sexual Assault: Not Apply LEC01-Sexual Assault: Not Apply Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Doesn't apply. LEC-5 Standard Version - Sexual Assault: Not Apply
C135866 LEC01-Sexual Assault: Not Sure LEC01-Sexual Assault: Not Sure Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Not sure. LEC-5 Standard Version - Sexual Assault: Not Sure
C135863 LEC01-Sexual Assault: Witnessed LEC01-Sexual Assault: Witnessed Life Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Witnessed it. LEC-5 Standard Version - Sexual Assault: Witnessed
C135904 LEC01-Sudden Accidental Death: Happened LEC01-Sudden Accidental Death: Happened Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Happened to me. LEC-5 Standard Version - Sudden Accidental Death: Happened
C135907 LEC01-Sudden Accidental Death: Job LEC01-Sudden Accidental Death: Job Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Part of my job. LEC-5 Standard Version - Sudden Accidental Death: Job
C135906 LEC01-Sudden Accidental Death: Learned LEC01-Sudden Accidental Death: Learned Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Learned about it. LEC-5 Standard Version - Sudden Accidental Death: Learned
C135909 LEC01-Sudden Accidental Death: Not Apply LEC01-Sudden Accidental Death: Not Apply Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Doesn't apply. LEC-5 Standard Version - Sudden Accidental Death: Not Apply
C135908 LEC01-Sudden Accidental Death: Not Sure LEC01-Sudden Accidental Death: Not Sure Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Not sure. LEC-5 Standard Version - Sudden Accidental Death: Not Sure
C135905 LEC01-Sudden Accidental Death: Witnessed LEC01-Sudden Accidental Death: Witnessed Life Events Checklist for DSM-5, Standard Version - Sudden accidental death: Witnessed it. LEC-5 Standard Version - Sudden Accidental Death: Witnessed
C135898 LEC01-Sudden Violent Death: Happened LEC01-Sudden Violent Death: Happened Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Happened to me. LEC-5 Standard Version - Sudden Violent Death: Happened
C135901 LEC01-Sudden Violent Death: Job LEC01-Sudden Violent Death: Job Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Part of my job. LEC-5 Standard Version - Sudden Violent Death: Job
C135900 LEC01-Sudden Violent Death: Learned LEC01-Sudden Violent Death: Learned Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Learned about it. LEC-5 Standard Version - Sudden Violent Death: Learned
C135903 LEC01-Sudden Violent Death: Not Apply LEC01-Sudden Violent Death: Not Apply Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Doesn't apply. LEC-5 Standard Version - Sudden Violent Death: Not Apply
C135902 LEC01-Sudden Violent Death: Not Sure LEC01-Sudden Violent Death: Not Sure Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Not sure. LEC-5 Standard Version - Sudden Violent Death: Not Sure
C135899 LEC01-Sudden Violent Death: Witnessed LEC01-Sudden Violent Death: Witnessed Life Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Witnessed it. LEC-5 Standard Version - Sudden Violent Death: Witnessed
C135844 LEC01-Toxic Substance: Happened LEC01-Toxic Substance: Happened Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Happened to me. LEC-5 Standard Version - Toxic Substance: Happened
C135847 LEC01-Toxic Substance: Job LEC01-Toxic Substance: Job Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Part of my job. LEC-5 Standard Version - Toxic Substance: Job
C135846 LEC01-Toxic Substance: Learned LEC01-Toxic Substance: Learned Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Learned about it. LEC-5 Standard Version - Toxic Substance: Learned
C135849 LEC01-Toxic Substance: Not Apply LEC01-Toxic Substance: Not Apply Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Doesn't apply. LEC-5 Standard Version - Toxic Substance: Not Apply
C135848 LEC01-Toxic Substance: Not Sure LEC01-Toxic Substance: Not Sure Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Not sure. LEC-5 Standard Version - Toxic Substance: Not Sure
C135845 LEC01-Toxic Substance: Witnessed LEC01-Toxic Substance: Witnessed Life Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Witnessed it. LEC-5 Standard Version - Toxic Substance: Witnessed
C135832 LEC01-Transportation Accident: Happened LEC01-Transportation Accident: Happened Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Happened to me. LEC-5 Standard Version - Transportation Accident: Happened
C135835 LEC01-Transportation Accident: Job LEC01-Transportation Accident: Job Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Part of my job. LEC-5 Standard Version - Transportation Accident: Job
C135834 LEC01-Transportation Accident: Learned LEC01-Transportation Accident: Learned Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Learned about it. LEC-5 Standard Version - Transportation Accident: Learned
C135837 LEC01-Transportation Accident: Not Apply LEC01-Transportation Accident: Not Apply Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Doesn't apply. LEC-5 Standard Version - Transportation Accident: Not Apply
C135836 LEC01-Transportation Accident: Not Sure LEC01-Transportation Accident: Not Sure Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Not sure. LEC-5 Standard Version - Transportation Accident: Not Sure
C135833 LEC01-Transportation Accident: Witnessed LEC01-Transportation Accident: Witnessed Life Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Witnessed it. LEC-5 Standard Version - Transportation Accident: Witnessed
C135868 LEC01-Unwanted Sex Experience: Happened LEC01-Unwanted Sex Experience: Happened Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Happened to me. LEC-5 Standard Version - Unwanted Sex Experience: Happened
C135871 LEC01-Unwanted Sex Experience: Job LEC01-Unwanted Sex Experience: Job Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Part of my job. LEC-5 Standard Version - Unwanted Sex Experience: Job
C135870 LEC01-Unwanted Sex Experience: Learned LEC01-Unwanted Sex Experience: Learned Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Learned about it. LEC-5 Standard Version - Unwanted Sex Experience: Learned
C135873 LEC01-Unwanted Sex Experience: Not Apply LEC01-Unwanted Sex Experience: Not Apply Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Doesn't apply. LEC-5 Standard Version - Unwanted Sex Experience: Not Apply
C135872 LEC01-Unwanted Sex Experience: Not Sure LEC01-Unwanted Sex Experience: Not Sure Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Not sure. LEC-5 Standard Version - Unwanted Sex Experience: Not Sure
C135869 LEC01-Unwanted Sex Experience: Witnessed LEC01-Unwanted Sex Experience: Witnessed Life Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Witnessed it. LEC-5 Standard Version - Unwanted Sex Experience: Witnessed

LPPSS1TC (Lansky Play-Performance Status Scale Clinical Classification Test Code)

NCI Code: C138215, Codelist extensible: No
C138215 LPPSS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138364 LPPSS101 LPPSS1-Lansky Play-Performance Status Lansky Play-Performance Status Scale - Lansky play-performance status. LPSS - Lansky Play-Performance Status

LPPSS1TN (Lansky Play-Performance Status Scale Clinical Classification Test Name)

NCI Code: C138214, Codelist extensible: No
C138214 LPPSS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138364 LPPSS1-Lansky Play-Performance Status LPPSS1-Lansky Play-Performance Status Lansky Play-Performance Status Scale - Lansky play-performance status. LPSS - Lansky Play-Performance Status

MELD01TC (Model for End Stage Liver Disease Clinical Classification Test Code)

NCI Code: C120991, Codelist extensible: No
C120991 MELD01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121076 MELD0101 MELD01-Score Model for End Stage Liver Disease - MELD score. MELD - Score

MELD01TN (Model for End Stage Liver Disease Clinical Classification Test Name)

NCI Code: C120990, Codelist extensible: No
C120990 MELD01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121076 MELD01-Score MELD01-Score Model for End Stage Liver Disease - MELD score. MELD - Score

MFIS01TC (Modified Fatigue Impact Scale Questionnaire Test Code)

NCI Code: C113858, Codelist extensible: No
C113858 MFIS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113967 MFIS0101 MFIS01-I Have Been Less Alert Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert. MFIS - Have Been Less Alert
C113968 MFIS0102 MFIS01-Have Difficulty Paying Attention Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time. MFIS - Have Difficulty Paying Attention for Long Time
C113969 MFIS0103 MFIS01-Have Been Unable to Think Clearly Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly. MFIS - Unable to Think Clearly
C113970 MFIS0104 MFIS01-Been Clumsy and Uncoordinated Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated. MFIS - Have Been Clumsy and Uncoordinated
C113971 MFIS0105 MFIS01-I Have Been Forgetful Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful. MFIS - Have Been Forgetful
C113972 MFIS0106 MFIS01-Pace Myself in Physical Activity Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities. MFIS - Pace Myself in Physical Activities
C113973 MFIS0107 MFIS01-Less Motivated, Physical Effort Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort. MFIS - Less Motivated to Do Anything That Requires Physical Effort
C113974 MFIS0108 MFIS01-Less Motivated, Social Activity Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities. MFIS - Less Motivated to Participate in Social Activities
C113975 MFIS0109 MFIS01-Limited in Ability Away From Home Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home. MFIS - Limited in My Abilities to Do Things Away From Home
C113976 MFIS0110 MFIS01-Trouble Maintain Physical Effort Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods. MFIS - Have Trouble Maintain Physical Effort
C113977 MFIS0111 MFIS01-Have Difficulty Making Decisions Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions. MFIS - Have Difficulty Making Decisions
C113978 MFIS0112 MFIS01-Less Motivated, Thinking Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking. MFIS - Less Motivated to Do Anything That Requires Thinking
C113979 MFIS0113 MFIS01-My Muscles Have Felt Weak Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak. MFIS - Muscles Have Felt Weak
C113980 MFIS0114 MFIS01-Been Physically Uncomfortable Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable. MFIS - Been Physically Uncomfortable
C113981 MFIS0115 MFIS01-Trouble Finishing Thinking Tasks Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking. MFIS - Have Trouble Finishing Tasks That Require Thinking
C113982 MFIS0116 MFIS01-Difficulty Organizing My Thoughts Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work. MFIS - Difficulty Organizing My Thoughts
C113983 MFIS0117 MFIS01-Less Able Complete Physical Tasks Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort. MFIS - Less Able to Complete Tasks That Require Physical Effort
C113984 MFIS0118 MFIS01-My Thinking Has Been Slowed Down Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down. MFIS - My Thinking Has Been Slowed Down
C113985 MFIS0119 MFIS01-I Have Had Trouble Concentrating Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating. MFIS - Have Trouble Concentrating
C113986 MFIS0120 MFIS01-Have Limited My Physical Activity Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities. MFIS - Have Limited My Physical Activities
C113987 MFIS0121 MFIS01-Need to Rest More Often or Longer Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods. MFIS - Need to Rest More Often or Longer

MFIS01TN (Modified Fatigue Impact Scale Questionnaire Test Name)

NCI Code: C113857, Codelist extensible: No
C113857 MFIS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113970 MFIS01-Been Clumsy and Uncoordinated MFIS01-Been Clumsy and Uncoordinated Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated. MFIS - Have Been Clumsy and Uncoordinated
C113980 MFIS01-Been Physically Uncomfortable MFIS01-Been Physically Uncomfortable Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable. MFIS - Been Physically Uncomfortable
C113982 MFIS01-Difficulty Organizing My Thoughts MFIS01-Difficulty Organizing My Thoughts Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work. MFIS - Difficulty Organizing My Thoughts
C113969 MFIS01-Have Been Unable to Think Clearly MFIS01-Have Been Unable to Think Clearly Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly. MFIS - Unable to Think Clearly
C113977 MFIS01-Have Difficulty Making Decisions MFIS01-Have Difficulty Making Decisions Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions. MFIS - Have Difficulty Making Decisions
C113968 MFIS01-Have Difficulty Paying Attention MFIS01-Have Difficulty Paying Attention Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time. MFIS - Have Difficulty Paying Attention for Long Time
C113986 MFIS01-Have Limited My Physical Activity MFIS01-Have Limited My Physical Activity Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities. MFIS - Have Limited My Physical Activities
C113971 MFIS01-I Have Been Forgetful MFIS01-I Have Been Forgetful Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful. MFIS - Have Been Forgetful
C113967 MFIS01-I Have Been Less Alert MFIS01-I Have Been Less Alert Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert. MFIS - Have Been Less Alert
C113985 MFIS01-I Have Had Trouble Concentrating MFIS01-I Have Had Trouble Concentrating Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating. MFIS - Have Trouble Concentrating
C113983 MFIS01-Less Able Complete Physical Tasks MFIS01-Less Able Complete Physical Tasks Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort. MFIS - Less Able to Complete Tasks That Require Physical Effort
C113973 MFIS01-Less Motivated, Physical Effort MFIS01-Less Motivated, Physical Effort Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort. MFIS - Less Motivated to Do Anything That Requires Physical Effort
C113974 MFIS01-Less Motivated, Social Activity MFIS01-Less Motivated, Social Activity Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities. MFIS - Less Motivated to Participate in Social Activities
C113978 MFIS01-Less Motivated, Thinking MFIS01-Less Motivated, Thinking Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking. MFIS - Less Motivated to Do Anything That Requires Thinking
C113975 MFIS01-Limited in Ability Away From Home MFIS01-Limited in Ability Away From Home Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home. MFIS - Limited in My Abilities to Do Things Away From Home
C113979 MFIS01-My Muscles Have Felt Weak MFIS01-My Muscles Have Felt Weak Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak. MFIS - Muscles Have Felt Weak
C113984 MFIS01-My Thinking Has Been Slowed Down MFIS01-My Thinking Has Been Slowed Down Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down. MFIS - My Thinking Has Been Slowed Down
C113987 MFIS01-Need to Rest More Often or Longer MFIS01-Need to Rest More Often or Longer Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods. MFIS - Need to Rest More Often or Longer
C113972 MFIS01-Pace Myself in Physical Activity MFIS01-Pace Myself in Physical Activity Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities. MFIS - Pace Myself in Physical Activities
C113981 MFIS01-Trouble Finishing Thinking Tasks MFIS01-Trouble Finishing Thinking Tasks Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking. MFIS - Have Trouble Finishing Tasks That Require Thinking
C113976 MFIS01-Trouble Maintain Physical Effort MFIS01-Trouble Maintain Physical Effort Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods. MFIS - Have Trouble Maintain Physical Effort

MHIS01TC (Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code)

NCI Code: C112445, Codelist extensible: No
C112445 MHIS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112618 MHIS0101 MHIS01-Abrupt Onset Modified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status). MHIS-NACC - Abrupt Onset
C112619 MHIS0102 MHIS01-Stepwise Deterioration Modified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status). MHIS-NACC - Stepwise Deterioration
C112813 MHIS0103 MHIS01- Somatic Complaints Modified Hachinski Ischemic Scale-NACC Version - Somatic complaints. MHIS-NACC - Somatic Complaints
C112620 MHIS0104 MHIS01-Emotional Incontinence Modified Hachinski Ischemic Scale-NACC Version - Emotional incontinence. MHIS-NACC - Emotional Incontinence
C112621 MHIS0105 MHIS01-History or Presence Hypertension Modified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension. MHIS-NACC - History or Presence of Hypertension
C112622 MHIS0106 MHIS01-History of Stroke Modified Hachinski Ischemic Scale-NACC Version - History of stroke. MHIS-NACC - History of Stroke
C112623 MHIS0107 MHIS01-Focal Neurological Symptoms Modified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms. MHIS-NACC - Focal Neurological Symptoms
C112624 MHIS0108 MHIS01-Focal Neurological Signs Modified Hachinski Ischemic Scale-NACC Version - Focal neurological signs. MHIS-NACC - Focal Neurological Signs
C112625 MHIS0109 MHIS01-Total Score Modified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score. MHIS-NACC - Total Score

MHIS01TN (Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name)

NCI Code: C112444, Codelist extensible: No
C112444 MHIS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112813 MHIS01- Somatic Complaints MHIS01- Somatic Complaints Modified Hachinski Ischemic Scale-NACC Version - Somatic complaints. MHIS-NACC - Somatic Complaints
C112618 MHIS01-Abrupt Onset MHIS01-Abrupt Onset Modified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status). MHIS-NACC - Abrupt Onset
C112620 MHIS01-Emotional Incontinence MHIS01-Emotional Incontinence Modified Hachinski Ischemic Scale-NACC Version - Emotional incontinence. MHIS-NACC - Emotional Incontinence
C112624 MHIS01-Focal Neurological Signs MHIS01-Focal Neurological Signs Modified Hachinski Ischemic Scale-NACC Version - Focal neurological signs. MHIS-NACC - Focal Neurological Signs
C112623 MHIS01-Focal Neurological Symptoms MHIS01-Focal Neurological Symptoms Modified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms. MHIS-NACC - Focal Neurological Symptoms
C112622 MHIS01-History of Stroke MHIS01-History of Stroke Modified Hachinski Ischemic Scale-NACC Version - History of stroke. MHIS-NACC - History of Stroke
C112621 MHIS01-History or Presence Hypertension MHIS01-History or Presence Hypertension Modified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension. MHIS-NACC - History or Presence of Hypertension
C112619 MHIS01-Stepwise Deterioration MHIS01-Stepwise Deterioration Modified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status). MHIS-NACC - Stepwise Deterioration
C112625 MHIS01-Total Score MHIS01-Total Score Modified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score. MHIS-NACC - Total Score

MMRC01TC (Modified Medical Research Council Dyspnea Scale Questionnaire Test Code)

NCI Code: C106669, Codelist extensible: No
C106669 MMRC01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106852 MMRC0101 MMRC01-Description of Breathlessness Modified Medical Research Council Dyspnea Scale - Description of breathlessness. MMRC - Description of Level of Breathlessness

MMRC01TN (Modified Medical Research Council Dyspnea Scale Questionnaire Test Name)

NCI Code: C106668, Codelist extensible: No
C106668 MMRC01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106852 MMRC01-Description of Breathlessness MMRC01-Description of Breathlessness Modified Medical Research Council Dyspnea Scale - Description of breathlessness. MMRC - Description of Level of Breathlessness

MMS1TC (Mini-Mental State Examination Functional Test Test Code)

NCI Code: C100142, Codelist extensible: No
C100142 MMS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100543 MMS101A MMS1-What Is the Year Mini-Mental State Examination - What is the year? MMSE - What Is the Year
C100544 MMS101B MMS1-What Is the Season Mini-Mental State Examination - What is the season? MMSE - What Is the Season
C100547 MMS101C MMS1-What Is the Month of Year Mini-Mental State Examination - What is the month of the year? MMSE - What Is the Month of Year
C100546 MMS101D MMS1-What Is the Day of Week Mini-Mental State Examination - What is the day of the week? MMSE - What Is the Day of Week
C100545 MMS101E MMS1-What Is the Date Mini-Mental State Examination - What is the date? MMSE - What Is the Date
C100549 MMS102A MMS1-What Is the State Mini-Mental State Examination - Where are we now? What is the state (province)? MMSE - What Is the State
C100550 MMS102B MMS1-What Is the County Mini-Mental State Examination - Where are we now? What is the county (or city/town)? MMSE - What Is the County
C100551 MMS102C MMS1-What Is the City/Town Mini-Mental State Examination - Where are we now? What is the city/town (or part of city/neighborhood)? MMSE - What Is the City or Town
C100552 MMS102D MMS1-What Is the Building Mini-Mental State Examination - Where are we now? What is the building (name or type)? MMSE - What Is the Building
C100553 MMS102E MMS1-What Is the Floor Mini-Mental State Examination - Where are we now? What is the floor of the building (room number or address)? MMSE - What Is the Floor
C100555 MMS103A MMS1-Repeat Word 1 Mini-Mental State Examination - Now repeat those words back to me: Word 1. MMSE - Repeat Word 1
C100556 MMS103B MMS1-Repeat Word 2 Mini-Mental State Examination - Now repeat those words back to me: Word 2. MMSE - Repeat Word 2
C100557 MMS103C MMS1-Repeat Word 3 Mini-Mental State Examination - Now repeat those words back to me: Word 3. MMSE - Repeat Word 3
C100570 MMS104 MMS1-Attention and Calculation Subtotal Mini-Mental State Examination - Attention and calculation subtotal. MMSE - Attention and Calculation Subtotal
C100559 MMS104AA MMS1-What is 100 Take Away 7 Mini-Mental State Examination - What is 100 take away 7 [93]? MMSE - What is 100 Take Away 7
C100560 MMS104AB MMS1-Keep Subtracting 7 Step 2 Mini-Mental State Examination - Keep going [86]. MMSE - Keep Subtracting 7 Step 2
C100561 MMS104AC MMS1-Keep Subtracting 7 Step 3 Mini-Mental State Examination - Keep going [79]. MMSE - Keep Subtracting 7 Step 3
C100562 MMS104AD MMS1-Keep Subtracting 7 Step 4 Mini-Mental State Examination - Keep going [72]. MMSE - Keep Subtracting 7 Step 4
C100563 MMS104AE MMS1-Keep Subtracting 7 Step 5 Mini-Mental State Examination - Keep going [65]. MMSE - Keep Subtracting 7 Step 5
C100565 MMS104BA MMS1-Spell Backward Letter 1 Mini-Mental State Examination - Spell backward, letter 1. MMSE - Spell Backward Letter 1
C100566 MMS104BB MMS1-Spell Backward Letter 2 Mini-Mental State Examination - Spell backward, letter 2. MMSE - Spell Backward Letter 2
C100567 MMS104BC MMS1-Spell Backward Letter 3 Mini-Mental State Examination - Spell backward, letter 3. MMSE - Spell Backward Letter 3
C100568 MMS104BD MMS1-Spell Backward Letter 4 Mini-Mental State Examination - Spell backward, letter 4. MMSE - Spell Backward Letter 4
C100569 MMS104BE MMS1-Spell Backward Letter 5 Mini-Mental State Examination - Spell backward, letter 5. MMSE - Spell Backward Letter 5
C100572 MMS105A MMS1-Recall Word 1 Mini-Mental State Examination - What were those three words I asked you to remember: Word 1? MMSE - Recall Word 1
C100573 MMS105B MMS1-Recall Word 2 Mini-Mental State Examination - What were those three words I asked you to remember: Word 2? MMSE - Recall Word 2
C100574 MMS105C MMS1-Recall Word 3 Mini-Mental State Examination - What were those three words I asked you to remember: Word 3? MMSE - Recall Word 3
C100576 MMS106A MMS1-Naming Object 1 Mini-Mental State Examination - What is this: Object 1? MMSE - Naming Object 1
C100577 MMS106B MMS1-Naming Object 2 Mini-Mental State Examination - What is this: Object 2? MMSE - Naming Object 2
C100578 MMS107 MMS1-Repeat What I Say Mini-Mental State Examination - Now I am going to ask you to repeat what I say. Ready? "No ifs, ands, or buts." Now you say that. MMSE - Repeat What I Say
C100580 MMS108A MMS1-Take in Right Hand Mini-Mental State Examination - Listen carefully because I am going to ask you to do something. Take this paper in your right hand. MMSE - Take in Right Hand
C100581 MMS108B MMS1-Fold in Half Mini-Mental State Examination - Fold it in half. MMSE - Fold in Half
C100582 MMS108C MMS1-Put on Floor (or Table) Mini-Mental State Examination - And put it on the floor (or table). MMSE - Put on Floor or Table
C100583 MMS109 MMS1-Read This and Do What It Says Mini-Mental State Examination - Please read this and do what it says. MMSE - Read This and Do What It Says
C100584 MMS110 MMS1-Write a Sentence Mini-Mental State Examination - Please write a sentence. MMSE - Write a Sentence
C100585 MMS111 MMS1-Copy This Design Mini-Mental State Examination - Please copy this design. MMSE - Copy This Design
C100586 MMS112 MMS1-Total Score Mini-Mental State Examination - Total score. MMSE - Total Score
C136234 MMS113 MMS1-Level of Consciousness Mini-Mental State Examination - Assessment of level of consciousness. MMSE - Level of Consciousness

MMS1TN (Mini-Mental State Examination Functional Test Test Name)

NCI Code: C100141, Codelist extensible: No
C100141 MMS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100570 MMS1-Attention and Calculation Subtotal MMS1-Attention and Calculation Subtotal Mini-Mental State Examination - Attention and calculation subtotal. MMSE - Attention and Calculation Subtotal
C100585 MMS1-Copy This Design MMS1-Copy This Design Mini-Mental State Examination - Please copy this design. MMSE - Copy This Design
C100581 MMS1-Fold in Half MMS1-Fold in Half Mini-Mental State Examination - Fold it in half. MMSE - Fold in Half
C100560 MMS1-Keep Subtracting 7 Step 2 MMS1-Keep Subtracting 7 Step 2 Mini-Mental State Examination - Keep going [86]. MMSE - Keep Subtracting 7 Step 2
C100561 MMS1-Keep Subtracting 7 Step 3 MMS1-Keep Subtracting 7 Step 3 Mini-Mental State Examination - Keep going [79]. MMSE - Keep Subtracting 7 Step 3
C100562 MMS1-Keep Subtracting 7 Step 4 MMS1-Keep Subtracting 7 Step 4 Mini-Mental State Examination - Keep going [72]. MMSE - Keep Subtracting 7 Step 4
C100563 MMS1-Keep Subtracting 7 Step 5 MMS1-Keep Subtracting 7 Step 5 Mini-Mental State Examination - Keep going [65]. MMSE - Keep Subtracting 7 Step 5
C136234 MMS1-Level of Consciousness MMS1-Level of Consciousness Mini-Mental State Examination - Assessment of level of consciousness. MMSE - Level of Consciousness
C100576 MMS1-Naming Object 1 MMS1-Naming Object 1 Mini-Mental State Examination - What is this: Object 1? MMSE - Naming Object 1
C100577 MMS1-Naming Object 2 MMS1-Naming Object 2 Mini-Mental State Examination - What is this: Object 2? MMSE - Naming Object 2
C100582 MMS1-Put on Floor (or Table) MMS1-Put on Floor (or Table) Mini-Mental State Examination - And put it on the floor (or table). MMSE - Put on Floor or Table
C100583 MMS1-Read This and Do What It Says MMS1-Read This and Do What It Says Mini-Mental State Examination - Please read this and do what it says. MMSE - Read This and Do What It Says
C100572 MMS1-Recall Word 1 MMS1-Recall Word 1 Mini-Mental State Examination - What were those three words I asked you to remember: Word 1? MMSE - Recall Word 1
C100573 MMS1-Recall Word 2 MMS1-Recall Word 2 Mini-Mental State Examination - What were those three words I asked you to remember: Word 2? MMSE - Recall Word 2
C100574 MMS1-Recall Word 3 MMS1-Recall Word 3 Mini-Mental State Examination - What were those three words I asked you to remember: Word 3? MMSE - Recall Word 3
C100578 MMS1-Repeat What I Say MMS1-Repeat What I Say Mini-Mental State Examination - Now I am going to ask you to repeat what I say. Ready? "No ifs, ands, or buts." Now you say that. MMSE - Repeat What I Say
C100555 MMS1-Repeat Word 1 MMS1-Repeat Word 1 Mini-Mental State Examination - Now repeat those words back to me: Word 1. MMSE - Repeat Word 1
C100556 MMS1-Repeat Word 2 MMS1-Repeat Word 2 Mini-Mental State Examination - Now repeat those words back to me: Word 2. MMSE - Repeat Word 2
C100557 MMS1-Repeat Word 3 MMS1-Repeat Word 3 Mini-Mental State Examination - Now repeat those words back to me: Word 3. MMSE - Repeat Word 3
C100565 MMS1-Spell Backward Letter 1 MMS1-Spell Backward Letter 1 Mini-Mental State Examination - Spell backward, letter 1. MMSE - Spell Backward Letter 1
C100566 MMS1-Spell Backward Letter 2 MMS1-Spell Backward Letter 2 Mini-Mental State Examination - Spell backward, letter 2. MMSE - Spell Backward Letter 2
C100567 MMS1-Spell Backward Letter 3 MMS1-Spell Backward Letter 3 Mini-Mental State Examination - Spell backward, letter 3. MMSE - Spell Backward Letter 3
C100568 MMS1-Spell Backward Letter 4 MMS1-Spell Backward Letter 4 Mini-Mental State Examination - Spell backward, letter 4. MMSE - Spell Backward Letter 4
C100569 MMS1-Spell Backward Letter 5 MMS1-Spell Backward Letter 5 Mini-Mental State Examination - Spell backward, letter 5. MMSE - Spell Backward Letter 5
C100580 MMS1-Take in Right Hand MMS1-Take in Right Hand Mini-Mental State Examination - Listen carefully because I am going to ask you to do something. Take this paper in your right hand. MMSE - Take in Right Hand
C100586 MMS1-Total Score MMS1-Total Score Mini-Mental State Examination - Total score. MMSE - Total Score
C100559 MMS1-What is 100 Take Away 7 MMS1-What is 100 Take Away 7 Mini-Mental State Examination - What is 100 take away 7 [93]? MMSE - What is 100 Take Away 7
C100552 MMS1-What Is the Building MMS1-What Is the Building Mini-Mental State Examination - Where are we now? What is the building (name or type)? MMSE - What Is the Building
C100551 MMS1-What Is the City/Town MMS1-What Is the City/Town Mini-Mental State Examination - Where are we now? What is the city/town (or part of city/neighborhood)? MMSE - What Is the City or Town
C100550 MMS1-What Is the County MMS1-What Is the County Mini-Mental State Examination - Where are we now? What is the county (or city/town)? MMSE - What Is the County
C100545 MMS1-What Is the Date MMS1-What Is the Date Mini-Mental State Examination - What is the date? MMSE - What Is the Date
C100546 MMS1-What Is the Day of Week MMS1-What Is the Day of Week Mini-Mental State Examination - What is the day of the week? MMSE - What Is the Day of Week
C100553 MMS1-What Is the Floor MMS1-What Is the Floor Mini-Mental State Examination - Where are we now? What is the floor of the building (room number or address)? MMSE - What Is the Floor
C100547 MMS1-What Is the Month of Year MMS1-What Is the Month of Year Mini-Mental State Examination - What is the month of the year? MMSE - What Is the Month of Year
C100544 MMS1-What Is the Season MMS1-What Is the Season Mini-Mental State Examination - What is the season? MMSE - What Is the Season
C100549 MMS1-What Is the State MMS1-What Is the State Mini-Mental State Examination - Where are we now? What is the state (province)? MMSE - What Is the State
C100543 MMS1-What Is the Year MMS1-What Is the Year Mini-Mental State Examination - What is the year? MMSE - What Is the Year
C100584 MMS1-Write a Sentence MMS1-Write a Sentence Mini-Mental State Examination - Please write a sentence. MMSE - Write a Sentence

MMS2TC (Mini-Mental State Examination 2 Standard Version Functional Test Test Code)

NCI Code: C150770, Codelist extensible: No
C150770 MMS2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C150994 MMS201A MMS2-Repeat Word 1 Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 1. MMSE-2 Standard Version - Repeat Word 1
C150995 MMS201B MMS2-Repeat Word 2 Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 2. MMSE-2 Standard Version - Repeat Word 2
C150996 MMS201C MMS2-Repeat Word 3 Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 3. MMSE-2 Standard Version - Repeat Word 3
C150997 MMS202A MMS2-What Is the Year Mini-Mental State Examination 2 Standard Version - What is the year? MMSE-2 Standard Version - What Is the Year
C150998 MMS202B MMS2-What Is the Season Mini-Mental State Examination 2 Standard Version - What is the season? MMSE-2 Standard Version - What Is the Season
C150999 MMS202C MMS2-What Is the Month of Year Mini-Mental State Examination 2 Standard Version - What is the month of the year? MMSE-2 Standard Version - What Is the Month of Year
C151000 MMS202D MMS2-What Is the Day of Week Mini-Mental State Examination 2 Standard Version - What is the day of the week? MMSE-2 Standard Version - What Is the Day of Week
C151001 MMS202E MMS2-What Is the Date Mini-Mental State Examination 2 Standard Version - What is the date? MMSE-2 Standard Version - What Is the Date
C151002 MMS203A MMS2-What Is the State Mini-Mental State Examination 2 Standard Version - Where are we now? What is the state (or province)? MMSE-2 Standard Version - What Is the State
C151003 MMS203B MMS2-What Is the County Mini-Mental State Examination 2 Standard Version - Where are we now? What is the county (or city/town)? MMSE-2 Standard Version - What Is the County
C151004 MMS203C MMS2-What Is the City/Town Mini-Mental State Examination 2 Standard Version - Where are we now? What is the city/town (or part of city/neighborhood)? MMSE-2 Standard Version - What Is the City/Town
C151005 MMS203D MMS2-What Is the Building Mini-Mental State Examination 2 Standard Version - Where are we now? What is the building (name or type)? MMSE-2 Standard Version - What Is the Building
C151006 MMS203E MMS2-What Is the Floor Mini-Mental State Examination 2 Standard Version - Where are we now? What is the floor of the building (room number or address)? MMSE-2 Standard Version - What Is the Floor
C151007 MMS204A MMS2-Recall Word 1 Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 1? MMSE-2 Standard Version - Recall Word 1
C151008 MMS204B MMS2-Recall Word 2 Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 2? MMSE-2 Standard Version - Recall Word 2
C151009 MMS204C MMS2-Recall Word 3 Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 3? MMSE-2 Standard Version - Recall Word 3
C151010 MMS205A MMS2-What is 100 Take Away 7 Mini-Mental State Examination 2 Standard Version - What is 100 take away 7 [93]? MMSE-2 Standard Version - What is 100 Take Away 7
C151011 MMS205B MMS2-Keep Subtracting 7 Step 2 Mini-Mental State Examination 2 Standard Version - Keep going [86]. MMSE-2 Standard Version - Keep Subtracting 7 Step 2
C151012 MMS205C MMS2-Keep Subtracting 7 Step 3 Mini-Mental State Examination 2 Standard Version - Keep going [79]. MMSE-2 Standard Version - Keep Subtracting 7 Step 3
C151013 MMS205D MMS2-Keep Subtracting 7 Step 4 Mini-Mental State Examination 2 Standard Version - Keep going [72]. MMSE-2 Standard Version - Keep Subtracting 7 Step 4
C151014 MMS205E MMS2-Keep Subtracting 7 Step 5 Mini-Mental State Examination 2 Standard Version - Keep going [65]. MMSE-2 Standard Version - Keep Subtracting 7 Step 5
C151015 MMS206A MMS2-Naming Object 1 Mini-Mental State Examination 2 Standard Version - What is this: Object 1? MMSE-2 Standard Version - Naming Object 1
C151016 MMS206B MMS2-Naming Object 2 Mini-Mental State Examination 2 Standard Version - What is this: Object 2? MMSE-2 Standard Version - Naming Object 2
C151017 MMS207 MMS2-Repeat What I Say Mini-Mental State Examination 2 Standard Version - Now I am going to ask you to repeat what I say. Ready? "It is a lovely, sunny day but too warm." Now you say that. MMSE-2 Standard Version - Repeat What I Say
C151018 MMS208A MMS2-Point to the Circle Mini-Mental State Examination 2 Standard Version - Look at these pictures and point to the circle. MMSE-2 Standard Version - Point to the Circle
C151019 MMS208B MMS2-Point to the Square Mini-Mental State Examination 2 Standard Version - Then point to the square. MMSE-2 Standard Version - Point to the Square
C151020 MMS208C MMS2-Point to the Triangle Mini-Mental State Examination 2 Standard Version - Then point to the triangle. MMSE-2 Standard Version - Point to the Triangle
C151021 MMS209 MMS2-Do What This Says to Do Mini-Mental State Examination 2 Standard Version - Please do what this says to do. MMSE-2 Standard Version - Do What This Says to Do
C151022 MMS210 MMS2-Write a Sentence Mini-Mental State Examination 2 Standard Version - Please write a sentence. MMSE-2 Standard Version - Write a Sentence
C151023 MMS211 MMS2-Copy This Design Mini-Mental State Examination 2 Standard Version - Please copy this design. MMSE-2 Standard Version - Copy This Design
C151024 MMS212 MMS2-BV Total Raw Score Mini-Mental State Examination 2 Standard Version - BV (Brief Version) total raw score. MMSE-2 Standard Version - BV Total Raw Score
C151025 MMS213 MMS2-SV Total Raw Score Mini-Mental State Examination 2 Standard Version - SV (Standard Version) total raw score. MMSE-2 Standard Version - SV Total Raw Score
C151026 MMS214 MMS2-Level of Consciousness Mini-Mental State Examination 2 Standard Version - Assessment of level of consciousness. MMSE-2 Standard Version - Level of Consciousness

MMS2TN (Mini-Mental State Examination 2 Standard Version Functional Test Test Name)

NCI Code: C150769, Codelist extensible: No
C150769 MMS2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151024 MMS2-BV Total Raw Score MMS2-BV Total Raw Score Mini-Mental State Examination 2 Standard Version - BV (Brief Version) total raw score. MMSE-2 Standard Version - BV Total Raw Score
C151023 MMS2-Copy This Design MMS2-Copy This Design Mini-Mental State Examination 2 Standard Version - Please copy this design. MMSE-2 Standard Version - Copy This Design
C151021 MMS2-Do What This Says to Do MMS2-Do What This Says to Do Mini-Mental State Examination 2 Standard Version - Please do what this says to do. MMSE-2 Standard Version - Do What This Says to Do
C151011 MMS2-Keep Subtracting 7 Step 2 MMS2-Keep Subtracting 7 Step 2 Mini-Mental State Examination 2 Standard Version - Keep going [86]. MMSE-2 Standard Version - Keep Subtracting 7 Step 2
C151012 MMS2-Keep Subtracting 7 Step 3 MMS2-Keep Subtracting 7 Step 3 Mini-Mental State Examination 2 Standard Version - Keep going [79]. MMSE-2 Standard Version - Keep Subtracting 7 Step 3
C151013 MMS2-Keep Subtracting 7 Step 4 MMS2-Keep Subtracting 7 Step 4 Mini-Mental State Examination 2 Standard Version - Keep going [72]. MMSE-2 Standard Version - Keep Subtracting 7 Step 4
C151014 MMS2-Keep Subtracting 7 Step 5 MMS2-Keep Subtracting 7 Step 5 Mini-Mental State Examination 2 Standard Version - Keep going [65]. MMSE-2 Standard Version - Keep Subtracting 7 Step 5
C151026 MMS2-Level of Consciousness MMS2-Level of Consciousness Mini-Mental State Examination 2 Standard Version - Assessment of level of consciousness. MMSE-2 Standard Version - Level of Consciousness
C151015 MMS2-Naming Object 1 MMS2-Naming Object 1 Mini-Mental State Examination 2 Standard Version - What is this: Object 1? MMSE-2 Standard Version - Naming Object 1
C151016 MMS2-Naming Object 2 MMS2-Naming Object 2 Mini-Mental State Examination 2 Standard Version - What is this: Object 2? MMSE-2 Standard Version - Naming Object 2
C151018 MMS2-Point to the Circle MMS2-Point to the Circle Mini-Mental State Examination 2 Standard Version - Look at these pictures and point to the circle. MMSE-2 Standard Version - Point to the Circle
C151019 MMS2-Point to the Square MMS2-Point to the Square Mini-Mental State Examination 2 Standard Version - Then point to the square. MMSE-2 Standard Version - Point to the Square
C151020 MMS2-Point to the Triangle MMS2-Point to the Triangle Mini-Mental State Examination 2 Standard Version - Then point to the triangle. MMSE-2 Standard Version - Point to the Triangle
C151007 MMS2-Recall Word 1 MMS2-Recall Word 1 Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 1? MMSE-2 Standard Version - Recall Word 1
C151008 MMS2-Recall Word 2 MMS2-Recall Word 2 Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 2? MMSE-2 Standard Version - Recall Word 2
C151009 MMS2-Recall Word 3 MMS2-Recall Word 3 Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 3? MMSE-2 Standard Version - Recall Word 3
C151017 MMS2-Repeat What I Say MMS2-Repeat What I Say Mini-Mental State Examination 2 Standard Version - Now I am going to ask you to repeat what I say. Ready? "It is a lovely, sunny day but too warm." Now you say that. MMSE-2 Standard Version - Repeat What I Say
C150994 MMS2-Repeat Word 1 MMS2-Repeat Word 1 Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 1. MMSE-2 Standard Version - Repeat Word 1
C150995 MMS2-Repeat Word 2 MMS2-Repeat Word 2 Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 2. MMSE-2 Standard Version - Repeat Word 2
C150996 MMS2-Repeat Word 3 MMS2-Repeat Word 3 Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 3. MMSE-2 Standard Version - Repeat Word 3
C151025 MMS2-SV Total Raw Score MMS2-SV Total Raw Score Mini-Mental State Examination 2 Standard Version - SV (Standard Version) total raw score. MMSE-2 Standard Version - SV Total Raw Score
C151010 MMS2-What is 100 Take Away 7 MMS2-What is 100 Take Away 7 Mini-Mental State Examination 2 Standard Version - What is 100 take away 7 [93]? MMSE-2 Standard Version - What is 100 Take Away 7
C151005 MMS2-What Is the Building MMS2-What Is the Building Mini-Mental State Examination 2 Standard Version - Where are we now? What is the building (name or type)? MMSE-2 Standard Version - What Is the Building
C151004 MMS2-What Is the City/Town MMS2-What Is the City/Town Mini-Mental State Examination 2 Standard Version - Where are we now? What is the city/town (or part of city/neighborhood)? MMSE-2 Standard Version - What Is the City/Town
C151003 MMS2-What Is the County MMS2-What Is the County Mini-Mental State Examination 2 Standard Version - Where are we now? What is the county (or city/town)? MMSE-2 Standard Version - What Is the County
C151001 MMS2-What Is the Date MMS2-What Is the Date Mini-Mental State Examination 2 Standard Version - What is the date? MMSE-2 Standard Version - What Is the Date
C151000 MMS2-What Is the Day of Week MMS2-What Is the Day of Week Mini-Mental State Examination 2 Standard Version - What is the day of the week? MMSE-2 Standard Version - What Is the Day of Week
C151006 MMS2-What Is the Floor MMS2-What Is the Floor Mini-Mental State Examination 2 Standard Version - Where are we now? What is the floor of the building (room number or address)? MMSE-2 Standard Version - What Is the Floor
C150999 MMS2-What Is the Month of Year MMS2-What Is the Month of Year Mini-Mental State Examination 2 Standard Version - What is the month of the year? MMSE-2 Standard Version - What Is the Month of Year
C150998 MMS2-What Is the Season MMS2-What Is the Season Mini-Mental State Examination 2 Standard Version - What is the season? MMSE-2 Standard Version - What Is the Season
C151002 MMS2-What Is the State MMS2-What Is the State Mini-Mental State Examination 2 Standard Version - Where are we now? What is the state (or province)? MMSE-2 Standard Version - What Is the State
C150997 MMS2-What Is the Year MMS2-What Is the Year Mini-Mental State Examination 2 Standard Version - What is the year? MMSE-2 Standard Version - What Is the Year
C151022 MMS2-Write a Sentence MMS2-Write a Sentence Mini-Mental State Examination 2 Standard Version - Please write a sentence. MMSE-2 Standard Version - Write a Sentence

MNSI1TC (Michigan Neuropathy Screening Instrument Questionnaire Test Code)

NCI Code: C100152, Codelist extensible: No
C100152 MNSI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100587 MNSI101 MNSI1-Are Your Legs and/or Feet Numb Michigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb? MNSI - Legs and/or Feet Numb
C100588 MNSI102 MNSI1-Ever Have Burning Pain Legs/Feet Michigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet? MNSI - Burning Pain Legs/Feet
C100589 MNSI103 MNSI1-Are Feet Too Sensitive to Touch Michigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch? MNSI - Feet Too Sensitive to Touch
C100590 MNSI104 MNSI1-Get Muscle Cramps Legs/Feet Michigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet? MNSI - Muscle Cramps Legs/Feet
C100591 MNSI105 MNSI1-Ever Prickling Feelings Legs/Feet Michigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet? MNSI - Prickling Feelings Legs/Feet
C100592 MNSI106 MNSI1-Hurt When Bed Covers Touch Skin Michigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin? MNSI - Hurt When Bed Covers Touch Skin
C100593 MNSI107 MNSI1-Able to Tell Hot from Cold Water Michigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water? MNSI - Able to Tell Hot from Cold Water
C100594 MNSI108 MNSI1-Ever Had Open Sore on Foot Michigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot? MNSI - Open Sore on Foot
C100595 MNSI109 MNSI1-Doctor Says Diabetic Neuropathy Michigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy? MNSI - Doctor Says Diabetic Neuropathy
C100596 MNSI110 MNSI1-Feel Weak All Over Most Times Michigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time? MNSI - Feel Weak All Over Most Times
C100597 MNSI111 MNSI1-Symptoms Worse at Night Michigan Neuropathy Screening Instrument - History: Are your symptoms worse at night? MNSI - Symptoms Worse at Night
C100598 MNSI112 MNSI1-Legs Hurt When Walking Michigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk? MNSI - Legs Hurt When Walking
C100599 MNSI113 MNSI1-Able to Sense Feet When Walking Michigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk? MNSI - Able to Sense Feet When Walking
C100600 MNSI114 MNSI1-Skin So Dry That Feet Crack Open Michigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open? MNSI - Skin So Dry That Feet Crack Open
C100601 MNSI115 MNSI1-Ever Had Amputation Michigan Neuropathy Screening Instrument - History: Have you ever had an amputation? MNSI - Ever Had Amputation
C100602 MNSI116 MNSI1-Total Michigan Neuropathy Screening Instrument - History: Total. MNSI - History Total
C100603 MNSI117 MNSI1-Right Foot Appears Normal Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal. MNSI - Right Foot Appears Normal
C100604 MNSI118 MNSI1-Right Foot Deformities Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities. MNSI - Right Foot Deformities
C101019 MNSI119 MNSI1-Right Foot Dry Skin, Callus Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus. MNSI - Right Foot Dry Skin, Callus
C100605 MNSI120 MNSI1-Right Foot Infection Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection. MNSI - Right Foot Infection
C100606 MNSI121 MNSI1-Right Foot Fissure Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure. MNSI - Right Foot Fissure
C100607 MNSI122 MNSI1-Right Foot Other Abnormal Specify Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify. MNSI - Right Foot Other Abnormal Specify
C100608 MNSI123 MNSI1-Left Foot Appears Normal Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal. MNSI - Left Foot Appears Normal
C100609 MNSI124 MNSI1-Left Foot Deformities Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities. MNSI - Left Foot Deformities
C101020 MNSI125 MNSI1-Left Foot Dry Skin, Callus Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus. MNSI - Left Foot Dry Skin, Callus
C100610 MNSI126 MNSI1-Left Foot Infection Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection. MNSI - Left Foot Infection
C100611 MNSI127 MNSI1-Left Foot Fissure Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure. MNSI - Left Foot Fissure
C100612 MNSI128 MNSI1-Left Foot Other Abnormal Specify Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify. MNSI - Left Foot Other Abnormal Specify
C100613 MNSI129 MNSI1-Right Foot Ulceration Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration. MNSI - Right Foot Ulceration
C100614 MNSI130 MNSI1-Left Foot Ulceration Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration. MNSI - Left Foot Ulceration
C100615 MNSI131 MNSI1-Right Ankle Reflexes Michigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes. MNSI - Right Ankle Reflexes
C100616 MNSI132 MNSI1-Left Ankle Reflexes Michigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes. MNSI - Left Ankle Reflexes
C100617 MNSI133 MNSI1-Right Foot Vibration Great Toe Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe. MNSI - Right Foot Vibration Great Toe
C100618 MNSI134 MNSI1-Left Foot Vibration Great Toe Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe. MNSI - Left Foot Vibration Great Toe
C100619 MNSI135 MNSI1-Right Foot Monofilament Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament. MNSI - Right Foot Monofilament
C100620 MNSI136 MNSI1-Left Foot Monofilament Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament. MNSI - Left Foot Monofilament
C100621 MNSI137 MNSI1-Total Score Michigan Neuropathy Screening Instrument - Physical Assessment: Total Score. MNSI - Physical Assessment Total Score

MNSI1TN (Michigan Neuropathy Screening Instrument Questionnaire Test Name)

NCI Code: C100151, Codelist extensible: No
C100151 MNSI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100599 MNSI1-Able to Sense Feet When Walking MNSI1-Able to Sense Feet When Walking Michigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk? MNSI - Able to Sense Feet When Walking
C100593 MNSI1-Able to Tell Hot from Cold Water MNSI1-Able to Tell Hot from Cold Water Michigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water? MNSI - Able to Tell Hot from Cold Water
C100589 MNSI1-Are Feet Too Sensitive to Touch MNSI1-Are Feet Too Sensitive to Touch Michigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch? MNSI - Feet Too Sensitive to Touch
C100587 MNSI1-Are Your Legs and/or Feet Numb MNSI1-Are Your Legs and/or Feet Numb Michigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb? MNSI - Legs and/or Feet Numb
C100595 MNSI1-Doctor Says Diabetic Neuropathy MNSI1-Doctor Says Diabetic Neuropathy Michigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy? MNSI - Doctor Says Diabetic Neuropathy
C100601 MNSI1-Ever Had Amputation MNSI1-Ever Had Amputation Michigan Neuropathy Screening Instrument - History: Have you ever had an amputation? MNSI - Ever Had Amputation
C100594 MNSI1-Ever Had Open Sore on Foot MNSI1-Ever Had Open Sore on Foot Michigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot? MNSI - Open Sore on Foot
C100588 MNSI1-Ever Have Burning Pain Legs/Feet MNSI1-Ever Have Burning Pain Legs/Feet Michigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet? MNSI - Burning Pain Legs/Feet
C100591 MNSI1-Ever Prickling Feelings Legs/Feet MNSI1-Ever Prickling Feelings Legs/Feet Michigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet? MNSI - Prickling Feelings Legs/Feet
C100596 MNSI1-Feel Weak All Over Most Times MNSI1-Feel Weak All Over Most Times Michigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time? MNSI - Feel Weak All Over Most Times
C100590 MNSI1-Get Muscle Cramps Legs/Feet MNSI1-Get Muscle Cramps Legs/Feet Michigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet? MNSI - Muscle Cramps Legs/Feet
C100592 MNSI1-Hurt When Bed Covers Touch Skin MNSI1-Hurt When Bed Covers Touch Skin Michigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin? MNSI - Hurt When Bed Covers Touch Skin
C100616 MNSI1-Left Ankle Reflexes MNSI1-Left Ankle Reflexes Michigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes. MNSI - Left Ankle Reflexes
C100608 MNSI1-Left Foot Appears Normal MNSI1-Left Foot Appears Normal Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal. MNSI - Left Foot Appears Normal
C100609 MNSI1-Left Foot Deformities MNSI1-Left Foot Deformities Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities. MNSI - Left Foot Deformities
C101020 MNSI1-Left Foot Dry Skin, Callus MNSI1-Left Foot Dry Skin, Callus Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus. MNSI - Left Foot Dry Skin, Callus
C100611 MNSI1-Left Foot Fissure MNSI1-Left Foot Fissure Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure. MNSI - Left Foot Fissure
C100610 MNSI1-Left Foot Infection MNSI1-Left Foot Infection Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection. MNSI - Left Foot Infection
C100620 MNSI1-Left Foot Monofilament MNSI1-Left Foot Monofilament Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament. MNSI - Left Foot Monofilament
C100612 MNSI1-Left Foot Other Abnormal Specify MNSI1-Left Foot Other Abnormal Specify Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify. MNSI - Left Foot Other Abnormal Specify
C100614 MNSI1-Left Foot Ulceration MNSI1-Left Foot Ulceration Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration. MNSI - Left Foot Ulceration
C100618 MNSI1-Left Foot Vibration Great Toe MNSI1-Left Foot Vibration Great Toe Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe. MNSI - Left Foot Vibration Great Toe
C100598 MNSI1-Legs Hurt When Walking MNSI1-Legs Hurt When Walking Michigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk? MNSI - Legs Hurt When Walking
C100615 MNSI1-Right Ankle Reflexes MNSI1-Right Ankle Reflexes Michigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes. MNSI - Right Ankle Reflexes
C100603 MNSI1-Right Foot Appears Normal MNSI1-Right Foot Appears Normal Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal. MNSI - Right Foot Appears Normal
C100604 MNSI1-Right Foot Deformities MNSI1-Right Foot Deformities Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities. MNSI - Right Foot Deformities
C101019 MNSI1-Right Foot Dry Skin, Callus MNSI1-Right Foot Dry Skin, Callus Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus. MNSI - Right Foot Dry Skin, Callus
C100606 MNSI1-Right Foot Fissure MNSI1-Right Foot Fissure Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure. MNSI - Right Foot Fissure
C100605 MNSI1-Right Foot Infection MNSI1-Right Foot Infection Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection. MNSI - Right Foot Infection
C100619 MNSI1-Right Foot Monofilament MNSI1-Right Foot Monofilament Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament. MNSI - Right Foot Monofilament
C100607 MNSI1-Right Foot Other Abnormal Specify MNSI1-Right Foot Other Abnormal Specify Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify. MNSI - Right Foot Other Abnormal Specify
C100613 MNSI1-Right Foot Ulceration MNSI1-Right Foot Ulceration Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration. MNSI - Right Foot Ulceration
C100617 MNSI1-Right Foot Vibration Great Toe MNSI1-Right Foot Vibration Great Toe Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe. MNSI - Right Foot Vibration Great Toe
C100600 MNSI1-Skin So Dry That Feet Crack Open MNSI1-Skin So Dry That Feet Crack Open Michigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open? MNSI - Skin So Dry That Feet Crack Open
C100597 MNSI1-Symptoms Worse at Night MNSI1-Symptoms Worse at Night Michigan Neuropathy Screening Instrument - History: Are your symptoms worse at night? MNSI - Symptoms Worse at Night
C100621 MNSI1-Total Score MNSI1-Total Score Michigan Neuropathy Screening Instrument - Physical Assessment: Total Score. MNSI - Physical Assessment Total Score
C100602 MNSI1-Total MNSI1-Total Michigan Neuropathy Screening Instrument - History: Total. MNSI - History Total

MPAI1TC (Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code)

NCI Code: C115406, Codelist extensible: No
C115406 MPAI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115851 MPAI101 MPAI1-Mobility Mayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about. MPAI-4 - Abilities: Mobility
C115852 MPAI102 MPAI1-Use of Hands Mayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands. MPAI-4 - Abilities: Use of Hands
C115853 MPAI103 MPAI1-Vision Mayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing. MPAI-4 - Abilities: Vision
C115854 MPAI104 MPAI1-Audition Mayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears. MPAI-4 - Abilities: Audition
C115855 MPAI105 MPAI1-Dizziness Mayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed. MPAI-4 - Abilities: Dizziness
C115856 MPAI106 MPAI1-Motor Speech Mayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering. MPAI-4 - Abilities: Motor Speech
C115857 MPAI107A MPAI1-Verbal Communication Mayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language. MPAI-4 - Abilities: Verbal Communication
C115858 MPAI107B MPAI1-Nonverbal Communication Mayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others. MPAI-4 - Abilities: Nonverbal Communication
C115859 MPAI108 MPAI1-Attention/Concentration Mayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time. MPAI-4 - Abilities: Attention or Concentration
C115860 MPAI109 MPAI1-Memory Mayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information. MPAI-4 - Abilities: Memory
C115861 MPAI110 MPAI1-Fund of Information Mayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago. MPAI-4 - Abilities: Fund of Information
C115862 MPAI111 MPAI1-Novel Problem-Solving Mayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems. MPAI-4 - Abilities: Novel Problem-Solving
C115863 MPAI112 MPAI1-Visuospatial Abilities Mayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides. MPAI-4 - Abilities: Visuospatial Abilities
C115864 MPAI113 MPAI1-Anxiety Mayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events. MPAI-4 - Adjustment: Anxiety
C115865 MPAI114 MPAI1-Depression Mayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism. MPAI-4 - Adjustment: Depression
C115866 MPAI115 MPAI1-Irritablity, Anger, Aggression Mayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger. MPAI-4 - Adjustment: Irritability, Anger, Aggression
C115867 MPAI116 MPAI1-Pain and Headache Mayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain. MPAI-4 - Adjustment: Pain and Headache
C115868 MPAI117 MPAI1-Fatigue Mayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily. MPAI-4 - Adjustment: Fatigue
C115869 MPAI118 MPAI1-Sensitivity to Mild Symptoms Mayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves. MPAI-4 - Adjustment: Sensitivity to Mild Symptoms
C115870 MPAI119 MPAI1-Inappropriate Social Interaction Mayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place. MPAI-4 - Adjustment: Inappropriate Social Interaction
C115871 MPAI120 MPAI1-Impaired Self-Awareness Mayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school. MPAI-4 - Adjustment: Impaired Self-Awareness
C115872 MPAI121 MPAI1-Family/Significant Relationships Mayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running. MPAI-4 - Adjustment: Family or Significant Relationships
C115873 MPAI122 MPAI1-Initiation Mayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting. MPAI-4 - Participation: Initiation
C115874 MPAI123 MPAI1-Social Contact-Friends/Coworkers Mayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals. MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others
C115875 MPAI124 MPAI1-Leisure and Recreation Activities Mayo-Portland Adaptability Inventory-4 - Leisure and recreational activities. MPAI-4 - Participation: Leisure and Recreational Activities
C115876 MPAI125 MPAI1-Self-Care Mayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene. MPAI-4 - Participation: Self-Care
C115877 MPAI126 MPAI1-Residence Mayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money. MPAI-4 - Participation: Residence
C115878 MPAI127 MPAI1-Transportation Mayo-Portland Adaptability Inventory-4 - Transportation. MPAI-4 - Participation: Transportation
C115879 MPAI128A MPAI1-Paid Employment Mayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. MPAI-4 - Participation: Paid Employment
C115880 MPAI128B MPAI1-Other Employment Mayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. MPAI-4 - Participation: Other Employment
C115881 MPAI128C MPAI1-Other Employment-Social Role Mayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role. MPAI-4 - Participation: Other Employment-Social Role
C115882 MPAI129 MPAI1-Managing Money and Finances Mayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments. MPAI-4 - Participation: Managing Money and Finances
C115883 MPAI130A MPAI1-Alcohol Use-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages. MPAI-4 - Alcohol Use Pre-Injury
C115884 MPAI130B MPAI1-Alcohol Use-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages. MPAI-4 - Alcohol Use Post-Injury
C115885 MPAI131A MPAI1-Drug Use-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs. MPAI-4 - Drug Use Pre-Injury
C115886 MPAI131B MPAI1-Drug Use-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs. MPAI-4 - Drug Use Post-Injury
C115887 MPAI132A MPAI1-Psychotic Symptoms-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. MPAI-4 - Psychotic Symptoms Pre-Injury
C115888 MPAI132B MPAI1-Psychotic Symptoms-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. MPAI-4 - Psychotic Symptoms Post-Injury
C115889 MPAI133A MPAI1-Law Violations-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury. MPAI-4 - Law Violations Pre-Injury
C115890 MPAI133B MPAI1-Law Violations-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury. MPAI-4 - Law Violations Post-Injury
C115891 MPAI134A MPAI1-Other Physical Cond-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury
C115892 MPAI134B MPAI1-Other Physical Cond-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. MPAI-4 - Other Condition Causing Physical Impairment Post-Injury
C115893 MPAI135A MPAI1-Other Cognitive Cond-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury
C115894 MPAI135B MPAI1-Other Cognitive Cond-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury

MPAI1TN (Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name)

NCI Code: C115405, Codelist extensible: No
C115405 MPAI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115884 MPAI1-Alcohol Use-Post-Injury MPAI1-Alcohol Use-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages. MPAI-4 - Alcohol Use Post-Injury
C115883 MPAI1-Alcohol Use-Pre-Injury MPAI1-Alcohol Use-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages. MPAI-4 - Alcohol Use Pre-Injury
C115864 MPAI1-Anxiety MPAI1-Anxiety Mayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events. MPAI-4 - Adjustment: Anxiety
C115859 MPAI1-Attention/Concentration MPAI1-Attention/Concentration Mayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time. MPAI-4 - Abilities: Attention or Concentration
C115854 MPAI1-Audition MPAI1-Audition Mayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears. MPAI-4 - Abilities: Audition
C115865 MPAI1-Depression MPAI1-Depression Mayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism. MPAI-4 - Adjustment: Depression
C115855 MPAI1-Dizziness MPAI1-Dizziness Mayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed. MPAI-4 - Abilities: Dizziness
C115886 MPAI1-Drug Use-Post-Injury MPAI1-Drug Use-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs. MPAI-4 - Drug Use Post-Injury
C115885 MPAI1-Drug Use-Pre-Injury MPAI1-Drug Use-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs. MPAI-4 - Drug Use Pre-Injury
C115872 MPAI1-Family/Significant Relationships MPAI1-Family/Significant Relationships Mayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running. MPAI-4 - Adjustment: Family or Significant Relationships
C115868 MPAI1-Fatigue MPAI1-Fatigue Mayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily. MPAI-4 - Adjustment: Fatigue
C115861 MPAI1-Fund of Information MPAI1-Fund of Information Mayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago. MPAI-4 - Abilities: Fund of Information
C115871 MPAI1-Impaired Self-Awareness MPAI1-Impaired Self-Awareness Mayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school. MPAI-4 - Adjustment: Impaired Self-Awareness
C115870 MPAI1-Inappropriate Social Interaction MPAI1-Inappropriate Social Interaction Mayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place. MPAI-4 - Adjustment: Inappropriate Social Interaction
C115873 MPAI1-Initiation MPAI1-Initiation Mayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting. MPAI-4 - Participation: Initiation
C115866 MPAI1-Irritablity, Anger, Aggression MPAI1-Irritablity, Anger, Aggression Mayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger. MPAI-4 - Adjustment: Irritability, Anger, Aggression
C115890 MPAI1-Law Violations-Post-Injury MPAI1-Law Violations-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury. MPAI-4 - Law Violations Post-Injury
C115889 MPAI1-Law Violations-Pre-Injury MPAI1-Law Violations-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury. MPAI-4 - Law Violations Pre-Injury
C115875 MPAI1-Leisure and Recreation Activities MPAI1-Leisure and Recreation Activities Mayo-Portland Adaptability Inventory-4 - Leisure and recreational activities. MPAI-4 - Participation: Leisure and Recreational Activities
C115882 MPAI1-Managing Money and Finances MPAI1-Managing Money and Finances Mayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments. MPAI-4 - Participation: Managing Money and Finances
C115860 MPAI1-Memory MPAI1-Memory Mayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information. MPAI-4 - Abilities: Memory
C115851 MPAI1-Mobility MPAI1-Mobility Mayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about. MPAI-4 - Abilities: Mobility
C115856 MPAI1-Motor Speech MPAI1-Motor Speech Mayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering. MPAI-4 - Abilities: Motor Speech
C115858 MPAI1-Nonverbal Communication MPAI1-Nonverbal Communication Mayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others. MPAI-4 - Abilities: Nonverbal Communication
C115862 MPAI1-Novel Problem-Solving MPAI1-Novel Problem-Solving Mayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems. MPAI-4 - Abilities: Novel Problem-Solving
C115894 MPAI1-Other Cognitive Cond-Post-Injury MPAI1-Other Cognitive Cond-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury
C115893 MPAI1-Other Cognitive Cond-Pre-Injury MPAI1-Other Cognitive Cond-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury
C115880 MPAI1-Other Employment MPAI1-Other Employment Mayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. MPAI-4 - Participation: Other Employment
C115881 MPAI1-Other Employment-Social Role MPAI1-Other Employment-Social Role Mayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role. MPAI-4 - Participation: Other Employment-Social Role
C115892 MPAI1-Other Physical Cond-Post-Injury MPAI1-Other Physical Cond-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. MPAI-4 - Other Condition Causing Physical Impairment Post-Injury
C115891 MPAI1-Other Physical Cond-Pre-Injury MPAI1-Other Physical Cond-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury
C115879 MPAI1-Paid Employment MPAI1-Paid Employment Mayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. MPAI-4 - Participation: Paid Employment
C115867 MPAI1-Pain and Headache MPAI1-Pain and Headache Mayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain. MPAI-4 - Adjustment: Pain and Headache
C115888 MPAI1-Psychotic Symptoms-Post-Injury MPAI1-Psychotic Symptoms-Post-Injury Mayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. MPAI-4 - Psychotic Symptoms Post-Injury
C115887 MPAI1-Psychotic Symptoms-Pre-Injury MPAI1-Psychotic Symptoms-Pre-Injury Mayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. MPAI-4 - Psychotic Symptoms Pre-Injury
C115877 MPAI1-Residence MPAI1-Residence Mayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money. MPAI-4 - Participation: Residence
C115876 MPAI1-Self-Care MPAI1-Self-Care Mayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene. MPAI-4 - Participation: Self-Care
C115869 MPAI1-Sensitivity to Mild Symptoms MPAI1-Sensitivity to Mild Symptoms Mayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves. MPAI-4 - Adjustment: Sensitivity to Mild Symptoms
C115874 MPAI1-Social Contact-Friends/Coworkers MPAI1-Social Contact-Friends/Coworkers Mayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals. MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others
C115878 MPAI1-Transportation MPAI1-Transportation Mayo-Portland Adaptability Inventory-4 - Transportation. MPAI-4 - Participation: Transportation
C115852 MPAI1-Use of Hands MPAI1-Use of Hands Mayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands. MPAI-4 - Abilities: Use of Hands
C115857 MPAI1-Verbal Communication MPAI1-Verbal Communication Mayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language. MPAI-4 - Abilities: Verbal Communication
C115853 MPAI1-Vision MPAI1-Vision Mayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing. MPAI-4 - Abilities: Vision
C115863 MPAI1-Visuospatial Abilities MPAI1-Visuospatial Abilities Mayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides. MPAI-4 - Abilities: Visuospatial Abilities

MRS01TC (Modified Rankin Scale Questionnaire Test Code)

NCI Code: C111348, Codelist extensible: No
C111348 MRS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111520 MRS0101 MRS01-Modified Rankin Scale Score Modified Rankin Scale - Modified Rankin Scale Score. MRS - Modified Rankin Scale Score

MRS01TN (Modified Rankin Scale Questionnaire Test Name)

NCI Code: C111347, Codelist extensible: No
C111347 MRS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111520 MRS01-Modified Rankin Scale Score MRS01-Modified Rankin Scale Score Modified Rankin Scale - Modified Rankin Scale Score. MRS - Modified Rankin Scale Score

MSQL1TC (Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Code)

NCI Code: C113860, Codelist extensible: No
C113860 MSQL1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C113988 MSQL101 MSQL1-Would You Say Your Health Is Multiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is: MSQOL-54 - Would You Say Your Health Is
C113989 MSQL102 MSQL1-Health Now Compared to 1 Year Ago Multiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now? MSQOL-54 - Health Now Compared to One Year Ago
C113990 MSQL103 MSQL1-Health Limit Vigorous Activities Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. MSQOL-54 - Health Limit Vigorous Activities
C113991 MSQL104 MSQL1-Health Limit Moderate Activities Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. MSQOL-54 - Health Limit Moderate Activities
C113992 MSQL105 MSQL1-Health Limit Carrying Groceries Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries. MSQOL-54 - Health Limit Lifting or Carrying Groceries
C113993 MSQL106 MSQL1-Health Limit Climb Several Flights Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs. MSQOL-54 - Health Limit Climbing Several Stairs
C113994 MSQL107 MSQL1-Health Limit Climb One Flight Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs. MSQOL-54 - Health Limit Climbing One Stair
C113995 MSQL108 MSQL1-Health Limit Bending or Kneeling Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping. MSQOL-54 - Health Limit Bending, Kneeling or Stooping
C113996 MSQL109 MSQL1-Health Limit Walk More Than Mile Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile. MSQOL-54 - Health Limit Walking More than A Mile
C113997 MSQL110 MSQL1-Health Limit Walk Several Blocks Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks. MSQOL-54 - Health Limit Walking Several Blocks
C113998 MSQL111 MSQL1-Health Limit Walk One Block Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block. MSQOL-54 - Health Limit Walking One Block
C113999 MSQL112 MSQL1-Health Limit Bathing/Dressing Self Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself. MSQOL-54 - Health Limit Bathing and Dressing Yourself
C114000 MSQL113 MSQL1-Phys Health: Cut Work Time Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities. MSQOL-54 - Physical Health Cut Down Time on Work
C114001 MSQL114 MSQL1-Phys Health: Accomplish Less Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. MSQOL-54 - Physical Health Accomplish Less
C114002 MSQL115 MSQL1-Phys Health: Limit Kind of Work Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. MSQOL-54 - Physical Health Limited in the Kind of Work
C114003 MSQL116 MSQL1-Phys Health: Difficulty Performing Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. MSQOL-54 - Physical Health Difficulty Perform Work
C114004 MSQL117 MSQL1-Emotional Problem: Cut Work Time Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities. MSQOL-54 - Emotional Problem Cut Down Time on Work
C114005 MSQL118 MSQL1-Emotional Problem: Accomplish Less Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. MSQOL-54 - Emotional Problem Accomplish Less
C114006 MSQL119 MSQL1-Emotional Problem: Less Careful Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. MSQOL-54 - Emotional Problem Did Not Do Work Carefully
C114007 MSQL120 MSQL1-Extent Interfered Social Activity Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities
C114008 MSQL121 MSQL1-How Much Bodily Pain Have You Had Multiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks? MSQOL-54 - Bodily Pain
C114009 MSQL122 MSQL1-Did Pain Interfere With Your Work Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work? MSQOL-54 - Pain Interfere With Normal Work
C114010 MSQL123 MSQL1-Did You Feel Full of Pep Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep? MSQOL-54 - Feel Full of Pep
C114011 MSQL124 MSQL1-Have Been a Very Nervous Person Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person? MSQOL-54 - Been a Nervous Person
C114012 MSQL125 MSQL1-Have Felt So Down in the Dumps Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? MSQOL-54 - Felt So Down Nothing Could Cheer You Up
C114013 MSQL126 MSQL1-Have You Felt Calm and Peaceful Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful? MSQOL-54 - Felt Calm and Peaceful
C114014 MSQL127 MSQL1-Did You Have a Lot of Energy Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy? MSQOL-54 - Have a Lot of Energy
C114015 MSQL128 MSQL1-Have Felt Downhearted and Blue Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue? MSQOL-54 - Felt Downhearted and Blue
C114016 MSQL129 MSQL1-Did You Feel Worn Out Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out? MSQOL-54 - Feel Worn Out
C114017 MSQL130 MSQL1-Have You Been a Happy Person Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person? MSQOL-54 - Been a Happy Person
C114018 MSQL131 MSQL1-Did You Feel Tired Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired? MSQOL-54 - Feel Tired
C114019 MSQL132 MSQL1-Did You Feel Rested on Waking Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning? MSQOL-54 - Feel Rested Waking in the Morning
C114020 MSQL133 MSQL1-Amt Time Interfere Social Activity Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities
C114021 MSQL134 MSQL1-Get Sick Easier Than Other People Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. MSQOL-54 - Get Sick Easier Than Other
C114022 MSQL135 MSQL1-I Am as Healthy as Anybody I Know Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. MSQOL-54 - As Healthy as Anybody
C114023 MSQL136 MSQL1-I Expect My Health to Get Worse Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. MSQOL-54 - Expect Health to Get Worse
C114024 MSQL137 MSQL1-My Health Is Excellent Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent. MSQOL-54 - Health is Excellent
C114025 MSQL138 MSQL1-Discouraged by Health Problems Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems? MSQOL-54 - Discouraged by Health Problem
C114026 MSQL139 MSQL1-Were Frustrated About Your Health Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health? MSQOL-54 - Frustrated With Health
C114027 MSQL140 MSQL1-Was Health a Worry in Your Life Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life? MSQOL-54 - Health a Worry in Life
C114028 MSQL141 MSQL1-Weighed Down by Health Problems Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems? MSQOL-54 - Feel Weighed Down by Health Problem
C114029 MSQL142 MSQL1-Difficulty Concentrating/Thinking Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking? MSQOL-54 - Difficulty Concentrating and Thinking
C114030 MSQL143 MSQL1-Trouble Keep Attention for Long Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long? MSQOL-54 - Trouble Keep Attention for Long
C114031 MSQL144 MSQL1-Have Had Trouble With Your Memory Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory? MSQOL-54 - Trouble With Memory
C114032 MSQL145 MSQL1-Others Notice Your Memory Trouble Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration? MSQOL-54 - Others Notice Your Problems With Memory or Concentration
C114033 MSQL146 MSQL1-Lack of Sexual Interest Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest. MSQOL-54 - Lack of Sexual Interest
C114034 MSQL147M MSQL1-Difficult Getting/Keeping Erection Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection. MSQOL-54 - Difficulty Keeping an Erection
C114035 MSQL147W MSQL1-Inadequate Lubrication Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication. MSQOL-54 - Inadequate Lubrication
C114036 MSQL148 MSQL1-Difficulty Having Orgasm Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm. MSQOL-54 - Difficulty Having Orgasm
C114037 MSQL149 MSQL1-Ability to Satisfy Sexual Partner Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner. MSQOL-54 - Ability to Satisfy Sexual Partner
C114038 MSQL150 MSQL1-Satisfied With Sexual Function Multiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks? MSQOL-54 - Satisfied With Sexual Function
C114039 MSQL151 MSQL1-Bowel/Bladder Interfered Activity Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups? MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities
C114040 MSQL152 MSQL1-Pain Interfere Enjoyment of Life Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life? MSQOL-54 - Pain Interfere Enjoyment of Life
C114041 MSQL153 MSQL1-Rate Your Own Quality-of-Life Multiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life? MSQOL-54 - Rate Your Own Quality of Life
C114042 MSQL154 MSQL1-Describe How Feel About Your Life Multiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole? MSQOL-54 - Describe How You Feel About Your Life

MSQL1TN (Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Name)

NCI Code: C113859, Codelist extensible: No
C113859 MSQL1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C114037 MSQL1-Ability to Satisfy Sexual Partner MSQL1-Ability to Satisfy Sexual Partner Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner. MSQOL-54 - Ability to Satisfy Sexual Partner
C114020 MSQL1-Amt Time Interfere Social Activity MSQL1-Amt Time Interfere Social Activity Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities
C114039 MSQL1-Bowel/Bladder Interfered Activity MSQL1-Bowel/Bladder Interfered Activity Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups? MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities
C114042 MSQL1-Describe How Feel About Your Life MSQL1-Describe How Feel About Your Life Multiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole? MSQOL-54 - Describe How You Feel About Your Life
C114009 MSQL1-Did Pain Interfere With Your Work MSQL1-Did Pain Interfere With Your Work Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work? MSQOL-54 - Pain Interfere With Normal Work
C114010 MSQL1-Did You Feel Full of Pep MSQL1-Did You Feel Full of Pep Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep? MSQOL-54 - Feel Full of Pep
C114019 MSQL1-Did You Feel Rested on Waking MSQL1-Did You Feel Rested on Waking Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning? MSQOL-54 - Feel Rested Waking in the Morning
C114018 MSQL1-Did You Feel Tired MSQL1-Did You Feel Tired Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired? MSQOL-54 - Feel Tired
C114016 MSQL1-Did You Feel Worn Out MSQL1-Did You Feel Worn Out Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out? MSQOL-54 - Feel Worn Out
C114014 MSQL1-Did You Have a Lot of Energy MSQL1-Did You Have a Lot of Energy Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy? MSQOL-54 - Have a Lot of Energy
C114034 MSQL1-Difficult Getting/Keeping Erection MSQL1-Difficult Getting/Keeping Erection Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection. MSQOL-54 - Difficulty Keeping an Erection
C114029 MSQL1-Difficulty Concentrating/Thinking MSQL1-Difficulty Concentrating/Thinking Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking? MSQOL-54 - Difficulty Concentrating and Thinking
C114036 MSQL1-Difficulty Having Orgasm MSQL1-Difficulty Having Orgasm Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm. MSQOL-54 - Difficulty Having Orgasm
C114025 MSQL1-Discouraged by Health Problems MSQL1-Discouraged by Health Problems Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems? MSQOL-54 - Discouraged by Health Problem
C114005 MSQL1-Emotional Problem: Accomplish Less MSQL1-Emotional Problem: Accomplish Less Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. MSQOL-54 - Emotional Problem Accomplish Less
C114004 MSQL1-Emotional Problem: Cut Work Time MSQL1-Emotional Problem: Cut Work Time Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities. MSQOL-54 - Emotional Problem Cut Down Time on Work
C114006 MSQL1-Emotional Problem: Less Careful MSQL1-Emotional Problem: Less Careful Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. MSQOL-54 - Emotional Problem Did Not Do Work Carefully
C114007 MSQL1-Extent Interfered Social Activity MSQL1-Extent Interfered Social Activity Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities
C114021 MSQL1-Get Sick Easier Than Other People MSQL1-Get Sick Easier Than Other People Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. MSQOL-54 - Get Sick Easier Than Other
C114011 MSQL1-Have Been a Very Nervous Person MSQL1-Have Been a Very Nervous Person Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person? MSQOL-54 - Been a Nervous Person
C114015 MSQL1-Have Felt Downhearted and Blue MSQL1-Have Felt Downhearted and Blue Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue? MSQOL-54 - Felt Downhearted and Blue
C114012 MSQL1-Have Felt So Down in the Dumps MSQL1-Have Felt So Down in the Dumps Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? MSQOL-54 - Felt So Down Nothing Could Cheer You Up
C114031 MSQL1-Have Had Trouble With Your Memory MSQL1-Have Had Trouble With Your Memory Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory? MSQOL-54 - Trouble With Memory
C114017 MSQL1-Have You Been a Happy Person MSQL1-Have You Been a Happy Person Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person? MSQOL-54 - Been a Happy Person
C114013 MSQL1-Have You Felt Calm and Peaceful MSQL1-Have You Felt Calm and Peaceful Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful? MSQOL-54 - Felt Calm and Peaceful
C113999 MSQL1-Health Limit Bathing/Dressing Self MSQL1-Health Limit Bathing/Dressing Self Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself. MSQOL-54 - Health Limit Bathing and Dressing Yourself
C113995 MSQL1-Health Limit Bending or Kneeling MSQL1-Health Limit Bending or Kneeling Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping. MSQOL-54 - Health Limit Bending, Kneeling or Stooping
C113992 MSQL1-Health Limit Carrying Groceries MSQL1-Health Limit Carrying Groceries Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries. MSQOL-54 - Health Limit Lifting or Carrying Groceries
C113994 MSQL1-Health Limit Climb One Flight MSQL1-Health Limit Climb One Flight Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs. MSQOL-54 - Health Limit Climbing One Stair
C113993 MSQL1-Health Limit Climb Several Flights MSQL1-Health Limit Climb Several Flights Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs. MSQOL-54 - Health Limit Climbing Several Stairs
C113991 MSQL1-Health Limit Moderate Activities MSQL1-Health Limit Moderate Activities Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. MSQOL-54 - Health Limit Moderate Activities
C113990 MSQL1-Health Limit Vigorous Activities MSQL1-Health Limit Vigorous Activities Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. MSQOL-54 - Health Limit Vigorous Activities
C113996 MSQL1-Health Limit Walk More Than Mile MSQL1-Health Limit Walk More Than Mile Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile. MSQOL-54 - Health Limit Walking More than A Mile
C113998 MSQL1-Health Limit Walk One Block MSQL1-Health Limit Walk One Block Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block. MSQOL-54 - Health Limit Walking One Block
C113997 MSQL1-Health Limit Walk Several Blocks MSQL1-Health Limit Walk Several Blocks Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks. MSQOL-54 - Health Limit Walking Several Blocks
C113989 MSQL1-Health Now Compared to 1 Year Ago MSQL1-Health Now Compared to 1 Year Ago Multiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now? MSQOL-54 - Health Now Compared to One Year Ago
C114008 MSQL1-How Much Bodily Pain Have You Had MSQL1-How Much Bodily Pain Have You Had Multiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks? MSQOL-54 - Bodily Pain
C114022 MSQL1-I Am as Healthy as Anybody I Know MSQL1-I Am as Healthy as Anybody I Know Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. MSQOL-54 - As Healthy as Anybody
C114023 MSQL1-I Expect My Health to Get Worse MSQL1-I Expect My Health to Get Worse Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. MSQOL-54 - Expect Health to Get Worse
C114035 MSQL1-Inadequate Lubrication MSQL1-Inadequate Lubrication Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication. MSQOL-54 - Inadequate Lubrication
C114033 MSQL1-Lack of Sexual Interest MSQL1-Lack of Sexual Interest Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest. MSQOL-54 - Lack of Sexual Interest
C114024 MSQL1-My Health Is Excellent MSQL1-My Health Is Excellent Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent. MSQOL-54 - Health is Excellent
C114032 MSQL1-Others Notice Your Memory Trouble MSQL1-Others Notice Your Memory Trouble Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration? MSQOL-54 - Others Notice Your Problems With Memory or Concentration
C114040 MSQL1-Pain Interfere Enjoyment of Life MSQL1-Pain Interfere Enjoyment of Life Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life? MSQOL-54 - Pain Interfere Enjoyment of Life
C114001 MSQL1-Phys Health: Accomplish Less MSQL1-Phys Health: Accomplish Less Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. MSQOL-54 - Physical Health Accomplish Less
C114000 MSQL1-Phys Health: Cut Work Time MSQL1-Phys Health: Cut Work Time Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities. MSQOL-54 - Physical Health Cut Down Time on Work
C114003 MSQL1-Phys Health: Difficulty Performing MSQL1-Phys Health: Difficulty Performing Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. MSQOL-54 - Physical Health Difficulty Perform Work
C114002 MSQL1-Phys Health: Limit Kind of Work MSQL1-Phys Health: Limit Kind of Work Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. MSQOL-54 - Physical Health Limited in the Kind of Work
C114041 MSQL1-Rate Your Own Quality-of-Life MSQL1-Rate Your Own Quality-of-Life Multiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life? MSQOL-54 - Rate Your Own Quality of Life
C114038 MSQL1-Satisfied With Sexual Function MSQL1-Satisfied With Sexual Function Multiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks? MSQOL-54 - Satisfied With Sexual Function
C114030 MSQL1-Trouble Keep Attention for Long MSQL1-Trouble Keep Attention for Long Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long? MSQOL-54 - Trouble Keep Attention for Long
C114027 MSQL1-Was Health a Worry in Your Life MSQL1-Was Health a Worry in Your Life Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life? MSQOL-54 - Health a Worry in Life
C114028 MSQL1-Weighed Down by Health Problems MSQL1-Weighed Down by Health Problems Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems? MSQOL-54 - Feel Weighed Down by Health Problem
C114026 MSQL1-Were Frustrated About Your Health MSQL1-Were Frustrated About Your Health Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health? MSQOL-54 - Frustrated With Health
C113988 MSQL1-Would You Say Your Health Is MSQL1-Would You Say Your Health Is Multiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is: MSQOL-54 - Would You Say Your Health Is

NEWS1TC (National Early Warning Score 2 Clinical Classification Test Code)

NCI Code: C171355, Codelist extensible: No
C171355 NEWS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C171358 NEWS101 NEWS1-Respirations National Early Warning Score 2 - Respirations. NEWS2 - Respirations
C171359 NEWS102 NEWS1-Oxygen Saturation SpO2 Scale 1 National Early Warning Score 2 - SpO2 Scale 1 oxygen saturation. NEWS2 - Oxygen Saturation SpO2 Scale 1
C171360 NEWS103 NEWS1-Oxygen Saturation SpO2 Scale 2 National Early Warning Score 2 - SpO2 Scale 2 oxygen saturation. NEWS2 - Oxygen Saturation SpO2 Scale 2
C171361 NEWS104 NEWS1-Air or Oxygen National Early Warning Score 2 - Air or oxygen? NEWS2 - Air or Oxygen
C171362 NEWS104A NEWS1-Air or Oxygen: Device National Early Warning Score 2 - Air or oxygen: Device. NEWS2 - Air or Oxygen: Device
C171363 NEWS105 NEWS1-Systolic Blood Pressure National Early Warning Score 2 - Blood pressure. Score uses systolic BP only. NEWS2 - Systolic Blood Pressure
C171364 NEWS106 NEWS1-Pulse National Early Warning Score 2 - Pulse. NEWS2 - Pulse
C171365 NEWS107 NEWS1-Consciousness National Early Warning Score 2 - Consciousness. NEWS2 - Consciousness
C171366 NEWS108 NEWS1-Temperature National Early Warning Score 2 - Temperature. NEWS2 - Temperature
C171367 NEWS109 NEWS1-NEWS Total National Early Warning Score 2 - NEWS total. NEWS2 - NEWS Total
C171368 NEWS110 NEWS1-Monitoring Frequency National Early Warning Score 2 - Monitoring frequency. NEWS2 - Monitoring Frequency
C171369 NEWS111 NEWS1-Escalation of Care National Early Warning Score 2 - Escalation of care. NEWS2 - Escalation of Care

NEWS1TN (National Early Warning Score 2 Clinical Classification Test Name)

NCI Code: C171354, Codelist extensible: No
C171354 NEWS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C171361 NEWS1-Air or Oxygen NEWS1-Air or Oxygen National Early Warning Score 2 - Air or oxygen? NEWS2 - Air or Oxygen
C171362 NEWS1-Air or Oxygen: Device NEWS1-Air or Oxygen: Device National Early Warning Score 2 - Air or oxygen: Device. NEWS2 - Air or Oxygen: Device
C171365 NEWS1-Consciousness NEWS1-Consciousness National Early Warning Score 2 - Consciousness. NEWS2 - Consciousness
C171369 NEWS1-Escalation of Care NEWS1-Escalation of Care National Early Warning Score 2 - Escalation of care. NEWS2 - Escalation of Care
C171368 NEWS1-Monitoring Frequency NEWS1-Monitoring Frequency National Early Warning Score 2 - Monitoring frequency. NEWS2 - Monitoring Frequency
C171367 NEWS1-NEWS Total NEWS1-NEWS Total National Early Warning Score 2 - NEWS total. NEWS2 - NEWS Total
C171359 NEWS1-Oxygen Saturation SpO2 Scale 1 NEWS1-Oxygen Saturation SpO2 Scale 1 National Early Warning Score 2 - SpO2 Scale 1 oxygen saturation. NEWS2 - Oxygen Saturation SpO2 Scale 1
C171360 NEWS1-Oxygen Saturation SpO2 Scale 2 NEWS1-Oxygen Saturation SpO2 Scale 2 National Early Warning Score 2 - SpO2 Scale 2 oxygen saturation. NEWS2 - Oxygen Saturation SpO2 Scale 2
C171364 NEWS1-Pulse NEWS1-Pulse National Early Warning Score 2 - Pulse. NEWS2 - Pulse
C171358 NEWS1-Respirations NEWS1-Respirations National Early Warning Score 2 - Respirations. NEWS2 - Respirations
C171363 NEWS1-Systolic Blood Pressure NEWS1-Systolic Blood Pressure National Early Warning Score 2 - Blood pressure. Score uses systolic BP only. NEWS2 - Systolic Blood Pressure
C171366 NEWS1-Temperature NEWS1-Temperature National Early Warning Score 2 - Temperature. NEWS2 - Temperature

NHPT01TC (Nine-Hole Peg Test Functional Test Test Code)

NCI Code: C115392, Codelist extensible: No
C115392 NHPT01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115807 NHPT0101 NHPT01-Time to Complete 9-Hole Peg Test Nine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test. NHPT - Time to Complete 9-Hole Peg Test
C115808 NHPT0102 NHPT01-More Than Two Attempts Nine-Hole Peg Test - Did it take more than two attempts to get two successful trials? NHPT - More Than Two Attempts

NHPT01TN (Nine-Hole Peg Test Functional Test Test Name)

NCI Code: C115391, Codelist extensible: No
C115391 NHPT01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115808 NHPT01-More Than Two Attempts NHPT01-More Than Two Attempts Nine-Hole Peg Test - Did it take more than two attempts to get two successful trials? NHPT - More Than Two Attempts
C115807 NHPT01-Time to Complete 9-Hole Peg Test NHPT01-Time to Complete 9-Hole Peg Test Nine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test. NHPT - Time to Complete 9-Hole Peg Test

NPI1TC (Neuropsychiatric Inventory Questionnaire Test Code)

NCI Code: C100144, Codelist extensible: No
C100144 NPI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100622 NPI1A NPI1-Beliefs Untrue Neuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her. NPI - Have Beliefs That You Know are Not True
C100623 NPI1A01 NPI1-In Danger Neuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her? NPI - He/She is in Danger
C100624 NPI1A02 NPI1-Others Are Stealing Neuropsychiatric Inventory - Does the patient believe that others are stealing from him/her? NPI - Others are Stealing From Him/Her
C100625 NPI1A03 NPI1-Spouse Having Affair Neuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair? NPI - His/Her Spouse is Having an Affair
C100626 NPI1A04 NPI1-Unwelcome Guests in House Neuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house? NPI - Unwelcome Guests are Living in His/Her House
C100627 NPI1A05 NPI1-People Not Who They Claim Neuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be? NPI - His/Her Spouse or Others Are Not Who They Claim To Be
C100628 NPI1A06 NPI1-House Not Their Home Neuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home? NPI - His/Her House Is Not His/Her Home
C100629 NPI1A07 NPI1-Family Plans to Abandon Neuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her? NPI - Family Members Plan to Abandon Him/Her
C100630 NPI1A08 NPI1-TV/Magazine Figures Present Neuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?) NPI - Television or Magazine Figures Are Actually Present In the Home
C100631 NPI1A09 NPI1-Other Unusual Beliefs Neuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about? NPI - Any Other Unusual Things That I Haven't Asked About
C103602 NPI1A10 NPI1-Delusions Frequency Neuropsychiatric Inventory - Frequency of the delusions. NPI - Delusions Frequency
C103603 NPI1A11 NPI1-Delusions Severity Neuropsychiatric Inventory - Severity of the delusions. NPI - Delusions Severity
C103604 NPI1A12 NPI1-Delusions Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Delusions Distress
C112469 NPI1AFS NPI1-Delusions FxS Score Neuropsychiatric Inventory - Delusions: (frequency score x severity score). NPI - Delusions FxS Score
C100632 NPI1B NPI1-False Visions or Voices Neuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions. NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices
C100633 NPI1B01 NPI1-Hearing Voices Neuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices? NPI - Describe Hearing Voices or Act as if He/She Hears Voices
C100634 NPI1B02 NPI1-Talk to People Not There Neuropsychiatric Inventory - Does the patient talk to people who are not there? NPI - Talk to People Who Are Not There
C100635 NPI1B03 NPI1-See Things Not Seen by Others Neuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)? NPI - Describe Seeing Things Not Seen by Others
C100636 NPI1B04 NPI1-Smell Odors Others Do Not Smell Neuropsychiatric Inventory - Does the patient report smelling odors not smelled by others? NPI - Report Smelling Odors Not Smelled by Others
C100637 NPI1B05 NPI1-Feel Things on Skin Neuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her? NPI - Describe Feeling Things on His/Her Skin
C100638 NPI1B06 NPI1-Taste without Known Cause Neuropsychiatric Inventory - Does the patient describe tastes that are without any known cause? NPI - Describe Tastes That Are Without Any Known Cause
C100639 NPI1B07 NPI1-Other Unusual Sensory Experience Neuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences? NPI - Describe Any Other Unusual Sensory Experiences
C103605 NPI1B08 NPI1-Hallucinations Frequency Neuropsychiatric Inventory - Frequency of the hallucinations. NPI - Hallucinations Frequency
C103606 NPI1B09 NPI1-Hallucinations Severity Neuropsychiatric Inventory - Severity of the hallucinations. NPI - Hallucinations Severity
C103607 NPI1B10 NPI1-Hallucinations Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Hallucinations Distress
C112470 NPI1BFS NPI1-Hallucinations FxS Score Neuropsychiatric Inventory - Hallucinations: (frequency score x severity score). NPI - Hallucinations FxS Score
C100640 NPI1C NPI1-Refuse to Cooperate Neuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle? NPI - Periods When He/She Refuses to Cooperate
C100641 NPI1C01 NPI1-Get Upset with Caregiver Neuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes? NPI - Get Upset with Those Trying to Care for Him/Her
C100642 NPI1C02 NPI1-Stubborn Neuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way? NPI - Stubborn
C100643 NPI1C03 NPI1-Uncooperative Neuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others? NPI - Uncooperative
C100644 NPI1C04 NPI1-Other Behaviors Hard to Handle Neuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle? NPI - Any Other Behaviors That Make Him/Her Hard to Handle
C100645 NPI1C05 NPI1-Shout or Curse Angrily Neuropsychiatric Inventory - Does the patient shout or curse angrily? NPI - Shout or Curse Angrily
C100646 NPI1C06 NPI1-Slam, Kick or Throw Things Neuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things? NPI - Slam doors, Kick Furniture, Throw Things
C100647 NPI1C07 NPI1-Hurt or Hit Others Neuropsychiatric Inventory - Does the patient attempt to hurt or hit others? NPI - Attempt to Hurt or Hit Others
C100648 NPI1C08 NPI1-Other Aggressive Behavior Neuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors? NPI - Any Other Aggressive or Agitated Behaviors
C103608 NPI1C09 NPI1-Agitation/Aggression Frequency Neuropsychiatric Inventory - Frequency of the agitation/aggression. NPI - Agitation/Aggression Frequency
C103609 NPI1C10 NPI1-Agitation/Aggression Severity Neuropsychiatric Inventory - Severity of the agitation/aggression. NPI - Agitation/Aggression Severity
C103610 NPI1C11 NPI1-Agitation/Aggression Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Agitation/Aggression Distress
C112471 NPI1CFS NPI1-Agitation/Aggression FxS Score Neuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score). NPI - Agitation/Aggression FxS Score
C100649 NPI1D NPI1-Sad or Depressed Neuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed? NPI - Seem Sad or Depressed
C100650 NPI1D01 NPI1-Tearfulness or Sobbing Neuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness? NPI - Periods of Tearfulness or Sobbing
C100651 NPI1D02 NPI1-Say or Act in Low Spirits Neuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits? NPI - Say, or Act as if He/She is Sad or in Low Spirits
C100652 NPI1D03 NPI1-Feel Like a Failure Neuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure? NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure
C100653 NPI1D04 NPI1-Bad Person Neuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished? NPI - Say That He/She is a Bad Person
C100654 NPI1D05 NPI1-Discouraged Neuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future? NPI - Seem Very Discouraged
C100655 NPI1D06 NPI1-Burden to Family Neuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her? NPI - Say He/She is a Burden to the Family
C100656 NPI1D07 NPI1-Wish for Death Neuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself? NPI - Express a Wish for Death
C100657 NPI1D08 NPI1-Other Signs of Depression Neuropsychiatric Inventory - Does the patient show any other signs of depression or sadness? NPI - Show Any Other Signs of Depression or Sadness
C103611 NPI1D09 NPI1-Depression/Dysphoria Frequency Neuropsychiatric Inventory - Frequency of the depression/dysphoria. NPI - Depression/Dysphoria Frequency
C103612 NPI1D10 NPI1-Depression/Dysphoria Severity Neuropsychiatric Inventory - Severity of the depression/dysphoria. NPI - Depression/Dysphoria Severity
C103613 NPI1D11 NPI1-Depression/Dysphoria Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Depression/Dysphoria Distress
C112472 NPI1DFS NPI1-Depression/Dysphoria FxS Score Neuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score). NPI - Depression/Dysphoria FxS Score
C112482 NPI1DIST NPI1-NPI Total Distress Score Neuropsychiatric Inventory - Sub-total of distress score. NPI - NPI Total Distress Score
C100658 NPI1E NPI1-Nervous or Worried Neuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you? NPI - Very Nervous, Worried, or Frightened for No Apparent Reason
C100659 NPI1E01 NPI1-Worried about Planned Event Neuropsychiatric Inventory - Does the patient say that he/she is worried about planned events? NPI - Say That He/She is Worried About Planned Events
C100660 NPI1E02 NPI1-Shaky or Unable to Relax Neuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense? NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense
C100661 NPI1E03 NPI1-Short of Breath, Gasp, Sigh Neuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness? NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason
C100662 NPI1E04 NPI1-Butterflies or Racing Heart Neuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health). NPI - Complain of Butterflies, Racing or Pounding Heart
C100663 NPI1E05 NPI1-Avoid Places or Situations Neuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds? NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous
C100664 NPI1E06 NPI1-Nervous when Separated Neuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?). NPI - Become Nervous and Upset When Separated From You
C100665 NPI1E07 NPI1-Other Signs of Anxiety Neuropsychiatric Inventory - Does the patient show any other signs of anxiety? NPI - Show Any Other Signs of Anxiety
C103614 NPI1E08 NPI1-Anxiety Frequency Neuropsychiatric Inventory - Frequency of the anxiety. NPI - Anxiety Frequency
C103615 NPI1E09 NPI1-Anxiety Severity Neuropsychiatric Inventory - Severity of the anxiety. NPI - Anxiety Severity
C103616 NPI1E10 NPI1-Anxiety Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Anxiety Distress
C112473 NPI1EFS NPI1-Anxiety FxS Score Neuropsychiatric Inventory - Anxiety: (frequency score x severity score). NPI - Anxiety FxS Score
C100666 NPI1F NPI1-Too Cheerful or Happy Neuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not. NPI - Seem Too Cheerful or Too Happy for No Reason
C100667 NPI1F01 NPI1-Feel Good or Too Happy Neuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self? NPI - Appear to Feel Good or to Be Too Happy
C100668 NPI1F02 NPI1-Humor Others Do Not Find Funny Neuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny? NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny
C100669 NPI1F03 NPI1-Childish Sense of Humor Neuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)? NPI - Seem to Have a Childish Sense of Humor
C100670 NPI1F04 NPI1-Jokes Others Do Not Find Funny Neuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her? NPI - Tell Jokes or Make Remarks That are Not Funny to Others
C100671 NPI1F05 NPI1-Childish Pranks Neuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it? NPI - Play Childish Pranks
C100672 NPI1F06 NPI1-Talk Big Neuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true? NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True
C100673 NPI1F07 NPI1-Other Signs of Feeling Too Happy Neuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy? NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy
C103617 NPI1F08 NPI1-Elation/Euphoria Frequency Neuropsychiatric Inventory - Frequency of the elation/euphoria. NPI - Elation/Euphoria Frequency
C103618 NPI1F09 NPI1-Elation/Euphoria Severity Neuropsychiatric Inventory - Severity of the elation/euphoria. NPI - Elation/Euphoria Severity
C103619 NPI1F10 NPI1-Elation/Euphoria Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Elation/Euphoria Distress
C112474 NPI1FFS NPI1-Elation/Euphoria FxS Score Neuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score). NPI - Elation/Euphoria FxS Score
C100674 NPI1G NPI1-Lost Interest in World Neuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent? NPI - Lost Interest in the World Around Him/Her
C100675 NPI1G01 NPI1-Less Spontaneous or Active Neuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual? NPI - Seem Less Spontaneous and Less Active Than Usual
C100676 NPI1G02 NPI1-Less Likely Initiate Conversation Neuropsychiatric Inventory - Is the patient less likely to initiate a conversation? NPI - Less Likely Initiate to Initiate a Conversation
C100677 NPI1G03 NPI1-Less Affectionate Neuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self? NPI - Less Affectionate or Lacking in Emotions
C100678 NPI1G04 NPI1-Contribute Less to Chores Neuropsychiatric Inventory - Does the patient contribute less to household chores? NPI - Contribute Less to Household Chores
C100679 NPI1G05 NPI1-Less Interest in Activities Neuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others? NPI - Less Interested in the Activities and Plans of Others
C100680 NPI1G06 NPI1-Lost Interest in Friends Neuropsychiatric Inventory - Has the patient lost interest in friends and family members? NPI - Lost Interest in Friends and Family Members
C100681 NPI1G07 NPI1-Less Enthusiastic Neuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests? NPI - Less Enthusiastic About His/Her Usual Interests
C100682 NPI1G08 NPI1-Other Signs of Not Caring Neuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things? NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things
C103620 NPI1G09 NPI1-Apathy/Indifference Frequency Neuropsychiatric Inventory - Frequency of the apathy/indifference. NPI - Apathy/Indifference Frequency
C103621 NPI1G10 NPI1-Apathy/Indifference Severity Neuropsychiatric Inventory - Severity of the apathy/indifference. NPI - Apathy/Indifference Severity
C103622 NPI1G11 NPI1-Apathy/Indifference Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Apathy/Indifference Distress
C112475 NPI1GFS NPI1-Apathy/Indifference FxS Score Neuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score). NPI - Apathy/Indifference FxS Score
C100683 NPI1H NPI1-Act Impulsively Neuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others? NPI - Seem to Act Impulsively Without Thinking
C100684 NPI1H01 NPI1-Act Impulsively without Care Neuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences? NPI - Act Impulsively without Appearing to Consider the Consequences
C100685 NPI1H02 NPI1-Talk to Strangers Neuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them? NPI - Talk to Total Strangers as if He/She Knew Them
C100686 NPI1H03 NPI1-Say Insensitive Things Neuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings? NPI - Say Things to People that are Insensitive
C100687 NPI1H04 NPI1-Make Crude Remarks Neuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said? NPI - Say Crude Things or Make Sexual Remarks
C100688 NPI1H05 NPI1-Talk Openly about Private Matters Neuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public? NPI - Talk Openly About Very Personal or Private Matters
C100689 NPI1H06 NPI1-Take Liberties or Touch Others Neuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her? NPI - Take Liberties or Touch or Hug Others
C100690 NPI1H07 NPI1-Other Signs of Impulses Neuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses? NPI - Show Any Other Signs of Loss of Control of His/Her Impulses
C103623 NPI1H08 NPI1-Disinhibition Frequency Neuropsychiatric Inventory - Frequency of the disinhibition. NPI - Disinhibition Frequency
C103624 NPI1H09 NPI1-Disinhibition Severity Neuropsychiatric Inventory - Severity of the disinhibition. NPI - Disinhibition Severity
C103625 NPI1H10 NPI1-Disinhibition Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Disinhibition Distress
C112476 NPI1HFS NPI1-Disinhibition FxS Score Neuropsychiatric Inventory - Disinhibition: (frequency score x severity score). NPI - Disinhibition FxS Score
C100691 NPI1I NPI1-Irritated and Easily Disturbed Neuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self. NPI - Get Irritated and Easily Disturbed
C100692 NPI1I01 NPI1-Bad Temper Neuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things? NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things
C100693 NPI1I02 NPI1-Rapidly Change Moods Neuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next? NPI - Rapidly Change Moods From One to Another
C100694 NPI1I03 NPI1-Sudden Anger Neuropsychiatric Inventory - Does the patient have sudden flashes of anger? NPI - Sudden Flares of Anger
C100695 NPI1I04 NPI1-Impatient Neuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities? NPI - Impatient, Having Trouble Coping with Delays
C100696 NPI1I05 NPI1-Cranky and Irritable Neuropsychiatric Inventory - Is the patient cranky and irritable? NPI - Cranky and Irritable
C100697 NPI1I06 NPI1-Argumentative Neuropsychiatric Inventory - Is the patient argumentative and difficult to get along with? NPI - Argumentative and Difficult to Get Along With
C100698 NPI1I07 NPI1-Other Signs of Irritability Neuropsychiatric Inventory - Does the patient show any other signs of irritability? NPI - Show Any Other Signs of Irritability
C103626 NPI1I08 NPI1-Irritability/Lability Frequency Neuropsychiatric Inventory - Frequency of the irritability/lability. NPI - Irritability/Lability Frequency
C103627 NPI1I09 NPI1-Irritability/Lability Severity Neuropsychiatric Inventory - Severity of the irritability/lability. NPI - Irritability/Lability Severity
C103628 NPI1I10 NPI1-Irritability/Lability Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Irritability/Lability Distress
C112477 NPI1IFS NPI1-Irritability/Lability FxS Score Neuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score). NPI - Irritability/Lability FxS Score
C100699 NPI1J NPI1-Do Things Repeatedly Neuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads? NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things
C100700 NPI1J01 NPI1-Pace Neuropsychiatric Inventory - Does the patient pace around the house without apparent purpose? NPI - Pace Around the House Without Apparent Purpose
C100701 NPI1J02 NPI1-Rummage Around and Unpack Neuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets? NPI - Rummage Around Opening and Unpacking Drawers or Closets
C100702 NPI1J03 NPI1-Repeatedly Change Clothing Neuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing? NPI - Repeatedly Put On and Take Off Clothing
C100703 NPI1J04 NPI1-Repetitive Activities or Habits Neuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over? NPI - Repetitive Activities or 'Habits'
C100704 NPI1J05 NPI1-Repetitive Activities Neuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.? NPI - Engage in Repetitive Activities
C100705 NPI1J06 NPI1-Fidget Excessively Neuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot? NPI - Fidget Excessively, Seem Unable to Sit Still
C100706 NPI1J07 NPI1-Other Repetitive Activities Neuropsychiatric Inventory - Does the patient do any other activities over and over? NPI - Do Any Other Activities Over and Over
C103629 NPI1J08 NPI1-Aberrant Motor Behavior Frequency Neuropsychiatric Inventory - Frequency of the aberrant motor behavior. NPI - Aberrant Motor Behavior Frequency
C103630 NPI1J09 NPI1-Aberrant Motor Behavior Severity Neuropsychiatric Inventory - Severity of the aberrant motor behavior. NPI - Aberrant Motor Behavior Severity
C103631 NPI1J10 NPI1-Aberrant Motor Behavior Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Aberrant Motor Behavior Distress
C112478 NPI1JFS NPI1-Aberrant Motor Behavior FxS Score Neuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score). NPI - Aberrant Motor Behavior FxS Score
C100707 NPI1K NPI1-Difficulty Sleeping Neuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep? NPI - Difficulty Sleeping
C100708 NPI1K01 NPI1-Difficulty Falling Asleep Neuropsychiatric Inventory - Does the patient have difficulty falling asleep? NPI - Difficulty Falling Asleep
C100709 NPI1K02 NPI1-Get Up during Night Neuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)? NPI - Get Up During the Night
C100710 NPI1K03 NPI1-Wander or Pace at Night Neuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night? NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night
C100711 NPI1K04 NPI1-Awaken Caregiver during Night Neuropsychiatric Inventory - Does the patient awaken you during the night? NPI - Awaken You During the Night
C100712 NPI1K05 NPI1-Wake at Night and Think Morning Neuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day? NPI - Wake Up at Night, Dress, and Plan to Go Out
C100713 NPI1K06 NPI1-Awaken Too Early in Morning Neuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)? NPI - Awaken Too Early in Morning
C100714 NPI1K07 NPI1-Excessive Sleep during Day Neuropsychiatric Inventory - Does the patient sleep excessively during the day? NPI - Sleep Excessively During the Day
C100715 NPI1K08 NPI1-Other Nighttime Behaviors Neuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about? NPI - Any Other Nighttime Behaviors That Bother You
C103632 NPI1K09 NPI1-Sleep/Nighttime Behavior Frequency Neuropsychiatric Inventory - Frequency of the nighttime behavior. NPI - Sleep and Nighttime Behavior Disorders Frequency
C103633 NPI1K10 NPI1-Sleep/Nighttime Behavior Severity Neuropsychiatric Inventory - Severity of the nighttime behavior. NPI - Sleep and Nighttime Behavior Disorders Severity
C103634 NPI1K11 NPI1-Sleep/Nighttime Behavior Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Sleep and Nighttime Behavior Disorders Distress
C112479 NPI1KFS NPI1-Sleep/Night Behav Disord FxS Score Neuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score). NPI - Sleep/Night Behavior Disorder FxS Score
C100716 NPI1L NPI1-Change in Appetite or Weight Neuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers? NPI - Change in Appetite, Weight, or Eating Habits
C100717 NPI1L01 NPI1-Loss of Appetite Neuropsychiatric Inventory - Has he/she had a loss of appetite? NPI - Loss of Appetite
C100718 NPI1L02 NPI1-Increase in Appetite Neuropsychiatric Inventory - Has he/she had an increase in appetite? NPI - Increase in Appetite
C100719 NPI1L03 NPI1-Weight Loss Neuropsychiatric Inventory - Has he/she had a loss of weight? NPI - Loss of Weight
C100720 NPI1L04 NPI1-Weight Gain Neuropsychiatric Inventory - Has he/she gained weight? NPI - Gained Weight
C100721 NPI1L05 NPI1-Change in Eating Behavior Neuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once? NPI - Change in Eating Behavior
C100722 NPI1L06 NPI1-Change in Kind of Food Neuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food? NPI - Change in Kind of Food He/She Likes
C100723 NPI1L07 NPI1-Develop Eating Behaviors Neuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order? NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food
C100724 NPI1L08 NPI1-Other Changes in Eating Neuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about? NPI - Any Other Changes in Appetite or Eating
C103635 NPI1L09 NPI1-Appetite/Eating Disorder Frequency Neuropsychiatric Inventory - Frequency of the changes in eating habits or appetite. NPI - Appetite and Eating Disorders Frequency
C103636 NPI1L10 NPI1-Appetite/Eating Disorder Severity Neuropsychiatric Inventory - Severity of the changes in eating habits or appetite. NPI - Appetite and Eating Disorders Severity
C103637 NPI1L11 NPI1-Appetite/Eating Disorder Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Appetite and Eating Disorders Distress
C112480 NPI1LFS NPI1-Appetite/Eating Disorders FxS Score Neuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score). NPI - Appetite/Eating Disorders FxS Score
C112481 NPI1TOT NPI1-NPI Total Score Neuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total). NPI - NPI Total Score

NPI1TN (Neuropsychiatric Inventory Questionnaire Test Name)

NCI Code: C100143, Codelist extensible: No
C100143 NPI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103631 NPI1-Aberrant Motor Behavior Distress NPI1-Aberrant Motor Behavior Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Aberrant Motor Behavior Distress
C103629 NPI1-Aberrant Motor Behavior Frequency NPI1-Aberrant Motor Behavior Frequency Neuropsychiatric Inventory - Frequency of the aberrant motor behavior. NPI - Aberrant Motor Behavior Frequency
C112478 NPI1-Aberrant Motor Behavior FxS Score NPI1-Aberrant Motor Behavior FxS Score Neuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score). NPI - Aberrant Motor Behavior FxS Score
C103630 NPI1-Aberrant Motor Behavior Severity NPI1-Aberrant Motor Behavior Severity Neuropsychiatric Inventory - Severity of the aberrant motor behavior. NPI - Aberrant Motor Behavior Severity
C100684 NPI1-Act Impulsively without Care NPI1-Act Impulsively without Care Neuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences? NPI - Act Impulsively without Appearing to Consider the Consequences
C100683 NPI1-Act Impulsively NPI1-Act Impulsively Neuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others? NPI - Seem to Act Impulsively Without Thinking
C103610 NPI1-Agitation/Aggression Distress NPI1-Agitation/Aggression Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Agitation/Aggression Distress
C103608 NPI1-Agitation/Aggression Frequency NPI1-Agitation/Aggression Frequency Neuropsychiatric Inventory - Frequency of the agitation/aggression. NPI - Agitation/Aggression Frequency
C112471 NPI1-Agitation/Aggression FxS Score NPI1-Agitation/Aggression FxS Score Neuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score). NPI - Agitation/Aggression FxS Score
C103609 NPI1-Agitation/Aggression Severity NPI1-Agitation/Aggression Severity Neuropsychiatric Inventory - Severity of the agitation/aggression. NPI - Agitation/Aggression Severity
C103616 NPI1-Anxiety Distress NPI1-Anxiety Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Anxiety Distress
C103614 NPI1-Anxiety Frequency NPI1-Anxiety Frequency Neuropsychiatric Inventory - Frequency of the anxiety. NPI - Anxiety Frequency
C112473 NPI1-Anxiety FxS Score NPI1-Anxiety FxS Score Neuropsychiatric Inventory - Anxiety: (frequency score x severity score). NPI - Anxiety FxS Score
C103615 NPI1-Anxiety Severity NPI1-Anxiety Severity Neuropsychiatric Inventory - Severity of the anxiety. NPI - Anxiety Severity
C103622 NPI1-Apathy/Indifference Distress NPI1-Apathy/Indifference Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Apathy/Indifference Distress
C103620 NPI1-Apathy/Indifference Frequency NPI1-Apathy/Indifference Frequency Neuropsychiatric Inventory - Frequency of the apathy/indifference. NPI - Apathy/Indifference Frequency
C112475 NPI1-Apathy/Indifference FxS Score NPI1-Apathy/Indifference FxS Score Neuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score). NPI - Apathy/Indifference FxS Score
C103621 NPI1-Apathy/Indifference Severity NPI1-Apathy/Indifference Severity Neuropsychiatric Inventory - Severity of the apathy/indifference. NPI - Apathy/Indifference Severity
C103637 NPI1-Appetite/Eating Disorder Distress NPI1-Appetite/Eating Disorder Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Appetite and Eating Disorders Distress
C103635 NPI1-Appetite/Eating Disorder Frequency NPI1-Appetite/Eating Disorder Frequency Neuropsychiatric Inventory - Frequency of the changes in eating habits or appetite. NPI - Appetite and Eating Disorders Frequency
C103636 NPI1-Appetite/Eating Disorder Severity NPI1-Appetite/Eating Disorder Severity Neuropsychiatric Inventory - Severity of the changes in eating habits or appetite. NPI - Appetite and Eating Disorders Severity
C112480 NPI1-Appetite/Eating Disorders FxS Score NPI1-Appetite/Eating Disorders FxS Score Neuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score). NPI - Appetite/Eating Disorders FxS Score
C100697 NPI1-Argumentative NPI1-Argumentative Neuropsychiatric Inventory - Is the patient argumentative and difficult to get along with? NPI - Argumentative and Difficult to Get Along With
C100663 NPI1-Avoid Places or Situations NPI1-Avoid Places or Situations Neuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds? NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous
C100711 NPI1-Awaken Caregiver during Night NPI1-Awaken Caregiver during Night Neuropsychiatric Inventory - Does the patient awaken you during the night? NPI - Awaken You During the Night
C100713 NPI1-Awaken Too Early in Morning NPI1-Awaken Too Early in Morning Neuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)? NPI - Awaken Too Early in Morning
C100653 NPI1-Bad Person NPI1-Bad Person Neuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished? NPI - Say That He/She is a Bad Person
C100692 NPI1-Bad Temper NPI1-Bad Temper Neuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things? NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things
C100622 NPI1-Beliefs Untrue NPI1-Beliefs Untrue Neuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her. NPI - Have Beliefs That You Know are Not True
C100655 NPI1-Burden to Family NPI1-Burden to Family Neuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her? NPI - Say He/She is a Burden to the Family
C100662 NPI1-Butterflies or Racing Heart NPI1-Butterflies or Racing Heart Neuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health). NPI - Complain of Butterflies, Racing or Pounding Heart
C100716 NPI1-Change in Appetite or Weight NPI1-Change in Appetite or Weight Neuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers? NPI - Change in Appetite, Weight, or Eating Habits
C100721 NPI1-Change in Eating Behavior NPI1-Change in Eating Behavior Neuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once? NPI - Change in Eating Behavior
C100722 NPI1-Change in Kind of Food NPI1-Change in Kind of Food Neuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food? NPI - Change in Kind of Food He/She Likes
C100671 NPI1-Childish Pranks NPI1-Childish Pranks Neuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it? NPI - Play Childish Pranks
C100669 NPI1-Childish Sense of Humor NPI1-Childish Sense of Humor Neuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)? NPI - Seem to Have a Childish Sense of Humor
C100678 NPI1-Contribute Less to Chores NPI1-Contribute Less to Chores Neuropsychiatric Inventory - Does the patient contribute less to household chores? NPI - Contribute Less to Household Chores
C100696 NPI1-Cranky and Irritable NPI1-Cranky and Irritable Neuropsychiatric Inventory - Is the patient cranky and irritable? NPI - Cranky and Irritable
C103604 NPI1-Delusions Distress NPI1-Delusions Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Delusions Distress
C103602 NPI1-Delusions Frequency NPI1-Delusions Frequency Neuropsychiatric Inventory - Frequency of the delusions. NPI - Delusions Frequency
C112469 NPI1-Delusions FxS Score NPI1-Delusions FxS Score Neuropsychiatric Inventory - Delusions: (frequency score x severity score). NPI - Delusions FxS Score
C103603 NPI1-Delusions Severity NPI1-Delusions Severity Neuropsychiatric Inventory - Severity of the delusions. NPI - Delusions Severity
C103613 NPI1-Depression/Dysphoria Distress NPI1-Depression/Dysphoria Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Depression/Dysphoria Distress
C103611 NPI1-Depression/Dysphoria Frequency NPI1-Depression/Dysphoria Frequency Neuropsychiatric Inventory - Frequency of the depression/dysphoria. NPI - Depression/Dysphoria Frequency
C112472 NPI1-Depression/Dysphoria FxS Score NPI1-Depression/Dysphoria FxS Score Neuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score). NPI - Depression/Dysphoria FxS Score
C103612 NPI1-Depression/Dysphoria Severity NPI1-Depression/Dysphoria Severity Neuropsychiatric Inventory - Severity of the depression/dysphoria. NPI - Depression/Dysphoria Severity
C100723 NPI1-Develop Eating Behaviors NPI1-Develop Eating Behaviors Neuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order? NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food
C100708 NPI1-Difficulty Falling Asleep NPI1-Difficulty Falling Asleep Neuropsychiatric Inventory - Does the patient have difficulty falling asleep? NPI - Difficulty Falling Asleep
C100707 NPI1-Difficulty Sleeping NPI1-Difficulty Sleeping Neuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep? NPI - Difficulty Sleeping
C100654 NPI1-Discouraged NPI1-Discouraged Neuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future? NPI - Seem Very Discouraged
C103625 NPI1-Disinhibition Distress NPI1-Disinhibition Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Disinhibition Distress
C103623 NPI1-Disinhibition Frequency NPI1-Disinhibition Frequency Neuropsychiatric Inventory - Frequency of the disinhibition. NPI - Disinhibition Frequency
C112476 NPI1-Disinhibition FxS Score NPI1-Disinhibition FxS Score Neuropsychiatric Inventory - Disinhibition: (frequency score x severity score). NPI - Disinhibition FxS Score
C103624 NPI1-Disinhibition Severity NPI1-Disinhibition Severity Neuropsychiatric Inventory - Severity of the disinhibition. NPI - Disinhibition Severity
C100699 NPI1-Do Things Repeatedly NPI1-Do Things Repeatedly Neuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads? NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things
C103619 NPI1-Elation/Euphoria Distress NPI1-Elation/Euphoria Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Elation/Euphoria Distress
C103617 NPI1-Elation/Euphoria Frequency NPI1-Elation/Euphoria Frequency Neuropsychiatric Inventory - Frequency of the elation/euphoria. NPI - Elation/Euphoria Frequency
C112474 NPI1-Elation/Euphoria FxS Score NPI1-Elation/Euphoria FxS Score Neuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score). NPI - Elation/Euphoria FxS Score
C103618 NPI1-Elation/Euphoria Severity NPI1-Elation/Euphoria Severity Neuropsychiatric Inventory - Severity of the elation/euphoria. NPI - Elation/Euphoria Severity
C100714 NPI1-Excessive Sleep during Day NPI1-Excessive Sleep during Day Neuropsychiatric Inventory - Does the patient sleep excessively during the day? NPI - Sleep Excessively During the Day
C100632 NPI1-False Visions or Voices NPI1-False Visions or Voices Neuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions. NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices
C100629 NPI1-Family Plans to Abandon NPI1-Family Plans to Abandon Neuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her? NPI - Family Members Plan to Abandon Him/Her
C100667 NPI1-Feel Good or Too Happy NPI1-Feel Good or Too Happy Neuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self? NPI - Appear to Feel Good or to Be Too Happy
C100652 NPI1-Feel Like a Failure NPI1-Feel Like a Failure Neuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure? NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure
C100637 NPI1-Feel Things on Skin NPI1-Feel Things on Skin Neuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her? NPI - Describe Feeling Things on His/Her Skin
C100705 NPI1-Fidget Excessively NPI1-Fidget Excessively Neuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot? NPI - Fidget Excessively, Seem Unable to Sit Still
C100709 NPI1-Get Up during Night NPI1-Get Up during Night Neuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)? NPI - Get Up During the Night
C100641 NPI1-Get Upset with Caregiver NPI1-Get Upset with Caregiver Neuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes? NPI - Get Upset with Those Trying to Care for Him/Her
C103607 NPI1-Hallucinations Distress NPI1-Hallucinations Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Hallucinations Distress
C103605 NPI1-Hallucinations Frequency NPI1-Hallucinations Frequency Neuropsychiatric Inventory - Frequency of the hallucinations. NPI - Hallucinations Frequency
C112470 NPI1-Hallucinations FxS Score NPI1-Hallucinations FxS Score Neuropsychiatric Inventory - Hallucinations: (frequency score x severity score). NPI - Hallucinations FxS Score
C103606 NPI1-Hallucinations Severity NPI1-Hallucinations Severity Neuropsychiatric Inventory - Severity of the hallucinations. NPI - Hallucinations Severity
C100633 NPI1-Hearing Voices NPI1-Hearing Voices Neuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices? NPI - Describe Hearing Voices or Act as if He/She Hears Voices
C100628 NPI1-House Not Their Home NPI1-House Not Their Home Neuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home? NPI - His/Her House Is Not His/Her Home
C100668 NPI1-Humor Others Do Not Find Funny NPI1-Humor Others Do Not Find Funny Neuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny? NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny
C100647 NPI1-Hurt or Hit Others NPI1-Hurt or Hit Others Neuropsychiatric Inventory - Does the patient attempt to hurt or hit others? NPI - Attempt to Hurt or Hit Others
C100695 NPI1-Impatient NPI1-Impatient Neuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities? NPI - Impatient, Having Trouble Coping with Delays
C100623 NPI1-In Danger NPI1-In Danger Neuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her? NPI - He/She is in Danger
C100718 NPI1-Increase in Appetite NPI1-Increase in Appetite Neuropsychiatric Inventory - Has he/she had an increase in appetite? NPI - Increase in Appetite
C103628 NPI1-Irritability/Lability Distress NPI1-Irritability/Lability Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Irritability/Lability Distress
C103626 NPI1-Irritability/Lability Frequency NPI1-Irritability/Lability Frequency Neuropsychiatric Inventory - Frequency of the irritability/lability. NPI - Irritability/Lability Frequency
C112477 NPI1-Irritability/Lability FxS Score NPI1-Irritability/Lability FxS Score Neuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score). NPI - Irritability/Lability FxS Score
C103627 NPI1-Irritability/Lability Severity NPI1-Irritability/Lability Severity Neuropsychiatric Inventory - Severity of the irritability/lability. NPI - Irritability/Lability Severity
C100691 NPI1-Irritated and Easily Disturbed NPI1-Irritated and Easily Disturbed Neuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self. NPI - Get Irritated and Easily Disturbed
C100670 NPI1-Jokes Others Do Not Find Funny NPI1-Jokes Others Do Not Find Funny Neuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her? NPI - Tell Jokes or Make Remarks That are Not Funny to Others
C100677 NPI1-Less Affectionate NPI1-Less Affectionate Neuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self? NPI - Less Affectionate or Lacking in Emotions
C100681 NPI1-Less Enthusiastic NPI1-Less Enthusiastic Neuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests? NPI - Less Enthusiastic About His/Her Usual Interests
C100679 NPI1-Less Interest in Activities NPI1-Less Interest in Activities Neuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others? NPI - Less Interested in the Activities and Plans of Others
C100676 NPI1-Less Likely Initiate Conversation NPI1-Less Likely Initiate Conversation Neuropsychiatric Inventory - Is the patient less likely to initiate a conversation? NPI - Less Likely Initiate to Initiate a Conversation
C100675 NPI1-Less Spontaneous or Active NPI1-Less Spontaneous or Active Neuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual? NPI - Seem Less Spontaneous and Less Active Than Usual
C100717 NPI1-Loss of Appetite NPI1-Loss of Appetite Neuropsychiatric Inventory - Has he/she had a loss of appetite? NPI - Loss of Appetite
C100680 NPI1-Lost Interest in Friends NPI1-Lost Interest in Friends Neuropsychiatric Inventory - Has the patient lost interest in friends and family members? NPI - Lost Interest in Friends and Family Members
C100674 NPI1-Lost Interest in World NPI1-Lost Interest in World Neuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent? NPI - Lost Interest in the World Around Him/Her
C100687 NPI1-Make Crude Remarks NPI1-Make Crude Remarks Neuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said? NPI - Say Crude Things or Make Sexual Remarks
C100658 NPI1-Nervous or Worried NPI1-Nervous or Worried Neuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you? NPI - Very Nervous, Worried, or Frightened for No Apparent Reason
C100664 NPI1-Nervous when Separated NPI1-Nervous when Separated Neuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?). NPI - Become Nervous and Upset When Separated From You
C112482 NPI1-NPI Total Distress Score NPI1-NPI Total Distress Score Neuropsychiatric Inventory - Sub-total of distress score. NPI - NPI Total Distress Score
C112481 NPI1-NPI Total Score NPI1-NPI Total Score Neuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total). NPI - NPI Total Score
C100648 NPI1-Other Aggressive Behavior NPI1-Other Aggressive Behavior Neuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors? NPI - Any Other Aggressive or Agitated Behaviors
C100644 NPI1-Other Behaviors Hard to Handle NPI1-Other Behaviors Hard to Handle Neuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle? NPI - Any Other Behaviors That Make Him/Her Hard to Handle
C100724 NPI1-Other Changes in Eating NPI1-Other Changes in Eating Neuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about? NPI - Any Other Changes in Appetite or Eating
C100715 NPI1-Other Nighttime Behaviors NPI1-Other Nighttime Behaviors Neuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about? NPI - Any Other Nighttime Behaviors That Bother You
C100706 NPI1-Other Repetitive Activities NPI1-Other Repetitive Activities Neuropsychiatric Inventory - Does the patient do any other activities over and over? NPI - Do Any Other Activities Over and Over
C100665 NPI1-Other Signs of Anxiety NPI1-Other Signs of Anxiety Neuropsychiatric Inventory - Does the patient show any other signs of anxiety? NPI - Show Any Other Signs of Anxiety
C100657 NPI1-Other Signs of Depression NPI1-Other Signs of Depression Neuropsychiatric Inventory - Does the patient show any other signs of depression or sadness? NPI - Show Any Other Signs of Depression or Sadness
C100673 NPI1-Other Signs of Feeling Too Happy NPI1-Other Signs of Feeling Too Happy Neuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy? NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy
C100690 NPI1-Other Signs of Impulses NPI1-Other Signs of Impulses Neuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses? NPI - Show Any Other Signs of Loss of Control of His/Her Impulses
C100698 NPI1-Other Signs of Irritability NPI1-Other Signs of Irritability Neuropsychiatric Inventory - Does the patient show any other signs of irritability? NPI - Show Any Other Signs of Irritability
C100682 NPI1-Other Signs of Not Caring NPI1-Other Signs of Not Caring Neuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things? NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things
C100631 NPI1-Other Unusual Beliefs NPI1-Other Unusual Beliefs Neuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about? NPI - Any Other Unusual Things That I Haven't Asked About
C100639 NPI1-Other Unusual Sensory Experience NPI1-Other Unusual Sensory Experience Neuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences? NPI - Describe Any Other Unusual Sensory Experiences
C100624 NPI1-Others Are Stealing NPI1-Others Are Stealing Neuropsychiatric Inventory - Does the patient believe that others are stealing from him/her? NPI - Others are Stealing From Him/Her
C100700 NPI1-Pace NPI1-Pace Neuropsychiatric Inventory - Does the patient pace around the house without apparent purpose? NPI - Pace Around the House Without Apparent Purpose
C100627 NPI1-People Not Who They Claim NPI1-People Not Who They Claim Neuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be? NPI - His/Her Spouse or Others Are Not Who They Claim To Be
C100693 NPI1-Rapidly Change Moods NPI1-Rapidly Change Moods Neuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next? NPI - Rapidly Change Moods From One to Another
C100640 NPI1-Refuse to Cooperate NPI1-Refuse to Cooperate Neuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle? NPI - Periods When He/She Refuses to Cooperate
C100702 NPI1-Repeatedly Change Clothing NPI1-Repeatedly Change Clothing Neuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing? NPI - Repeatedly Put On and Take Off Clothing
C100703 NPI1-Repetitive Activities or Habits NPI1-Repetitive Activities or Habits Neuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over? NPI - Repetitive Activities or 'Habits'
C100704 NPI1-Repetitive Activities NPI1-Repetitive Activities Neuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.? NPI - Engage in Repetitive Activities
C100701 NPI1-Rummage Around and Unpack NPI1-Rummage Around and Unpack Neuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets? NPI - Rummage Around Opening and Unpacking Drawers or Closets
C100649 NPI1-Sad or Depressed NPI1-Sad or Depressed Neuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed? NPI - Seem Sad or Depressed
C100686 NPI1-Say Insensitive Things NPI1-Say Insensitive Things Neuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings? NPI - Say Things to People that are Insensitive
C100651 NPI1-Say or Act in Low Spirits NPI1-Say or Act in Low Spirits Neuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits? NPI - Say, or Act as if He/She is Sad or in Low Spirits
C100635 NPI1-See Things Not Seen by Others NPI1-See Things Not Seen by Others Neuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)? NPI - Describe Seeing Things Not Seen by Others
C100660 NPI1-Shaky or Unable to Relax NPI1-Shaky or Unable to Relax Neuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense? NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense
C100661 NPI1-Short of Breath, Gasp, Sigh NPI1-Short of Breath, Gasp, Sigh Neuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness? NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason
C100645 NPI1-Shout or Curse Angrily NPI1-Shout or Curse Angrily Neuropsychiatric Inventory - Does the patient shout or curse angrily? NPI - Shout or Curse Angrily
C100646 NPI1-Slam, Kick or Throw Things NPI1-Slam, Kick or Throw Things Neuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things? NPI - Slam doors, Kick Furniture, Throw Things
C112479 NPI1-Sleep/Night Behav Disord FxS Score NPI1-Sleep/Night Behav Disord FxS Score Neuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score). NPI - Sleep/Night Behavior Disorder FxS Score
C103634 NPI1-Sleep/Nighttime Behavior Distress NPI1-Sleep/Nighttime Behavior Distress Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? NPI - Sleep and Nighttime Behavior Disorders Distress
C103632 NPI1-Sleep/Nighttime Behavior Frequency NPI1-Sleep/Nighttime Behavior Frequency Neuropsychiatric Inventory - Frequency of the nighttime behavior. NPI - Sleep and Nighttime Behavior Disorders Frequency
C103633 NPI1-Sleep/Nighttime Behavior Severity NPI1-Sleep/Nighttime Behavior Severity Neuropsychiatric Inventory - Severity of the nighttime behavior. NPI - Sleep and Nighttime Behavior Disorders Severity
C100636 NPI1-Smell Odors Others Do Not Smell NPI1-Smell Odors Others Do Not Smell Neuropsychiatric Inventory - Does the patient report smelling odors not smelled by others? NPI - Report Smelling Odors Not Smelled by Others
C100625 NPI1-Spouse Having Affair NPI1-Spouse Having Affair Neuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair? NPI - His/Her Spouse is Having an Affair
C100642 NPI1-Stubborn NPI1-Stubborn Neuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way? NPI - Stubborn
C100694 NPI1-Sudden Anger NPI1-Sudden Anger Neuropsychiatric Inventory - Does the patient have sudden flashes of anger? NPI - Sudden Flares of Anger
C100689 NPI1-Take Liberties or Touch Others NPI1-Take Liberties or Touch Others Neuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her? NPI - Take Liberties or Touch or Hug Others
C100672 NPI1-Talk Big NPI1-Talk Big Neuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true? NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True
C100688 NPI1-Talk Openly about Private Matters NPI1-Talk Openly about Private Matters Neuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public? NPI - Talk Openly About Very Personal or Private Matters
C100634 NPI1-Talk to People Not There NPI1-Talk to People Not There Neuropsychiatric Inventory - Does the patient talk to people who are not there? NPI - Talk to People Who Are Not There
C100685 NPI1-Talk to Strangers NPI1-Talk to Strangers Neuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them? NPI - Talk to Total Strangers as if He/She Knew Them
C100638 NPI1-Taste without Known Cause NPI1-Taste without Known Cause Neuropsychiatric Inventory - Does the patient describe tastes that are without any known cause? NPI - Describe Tastes That Are Without Any Known Cause
C100650 NPI1-Tearfulness or Sobbing NPI1-Tearfulness or Sobbing Neuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness? NPI - Periods of Tearfulness or Sobbing
C100666 NPI1-Too Cheerful or Happy NPI1-Too Cheerful or Happy Neuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not. NPI - Seem Too Cheerful or Too Happy for No Reason
C100630 NPI1-TV/Magazine Figures Present NPI1-TV/Magazine Figures Present Neuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?) NPI - Television or Magazine Figures Are Actually Present In the Home
C100643 NPI1-Uncooperative NPI1-Uncooperative Neuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others? NPI - Uncooperative
C100626 NPI1-Unwelcome Guests in House NPI1-Unwelcome Guests in House Neuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house? NPI - Unwelcome Guests are Living in His/Her House
C100712 NPI1-Wake at Night and Think Morning NPI1-Wake at Night and Think Morning Neuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day? NPI - Wake Up at Night, Dress, and Plan to Go Out
C100710 NPI1-Wander or Pace at Night NPI1-Wander or Pace at Night Neuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night? NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night
C100720 NPI1-Weight Gain NPI1-Weight Gain Neuropsychiatric Inventory - Has he/she gained weight? NPI - Gained Weight
C100719 NPI1-Weight Loss NPI1-Weight Loss Neuropsychiatric Inventory - Has he/she had a loss of weight? NPI - Loss of Weight
C100656 NPI1-Wish for Death NPI1-Wish for Death Neuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself? NPI - Express a Wish for Death
C100659 NPI1-Worried about Planned Event NPI1-Worried about Planned Event Neuropsychiatric Inventory - Does the patient say that he/she is worried about planned events? NPI - Say That He/She is Worried About Planned Events

NPS01TC (Neuropathic Pain Scale Questionnaire Test Code)

NCI Code: C103473, Codelist extensible: No
C103473 NPS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103638 NPS0101 NPS01-Tell Us How Intense Your Pain Is Neuropathic Pain Scale - Please use the scale below to tell us how intense your pain is. NPS - Tell Us How Intense Your Pain Is
C103639 NPS0102 NPS01-Tell Us How Sharp Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.' NPS - Tell Us How Sharp Your Pain Feels
C103640 NPS0103 NPS01-Tell Us How Hot Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.' NPS - Tell Us How Hot Your Pain Feels
C103641 NPS0104 NPS01-Tell Us How Dull Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.' NPS - Tell Us How Dull Your Pain Feels
C103642 NPS0105 NPS01-Tell Us How Cold Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.' NPS - Tell Us How Cold Your Pain Feels
C103643 NPS0106 NPS01-Sensitiv Skin to Light Touch/Cloth Neuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.' NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing
C103644 NPS0107 NPS01-Tell Us How Itchy Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.' NPS - Tell Us How Itchy Your Pain Feels
C103645 NPS0108 NPS01-Describe Time Quality Of Your Pain Neuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer. NPS - Describe the Time Quality Of Your Pain
C103646 NPS0108A NPS01-Describe the Background Pain Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain. NPS - Describe the Background Pain
C103647 NPS0108B NPS01-Describe the Flare-up Pain Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain. NPS - Describe the Flare-up Pain
C103648 NPS0108C NPS01-Describe Single Type Pain All Time Neuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain. NPS - Describe the Single Type of Pain All Time
C103649 NPS0108D NPS01-Describe the Occasional Pain Neuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain. NPS - Describe the Occasional Pain
C103650 NPS0109 NPS01-Tell How Unpleasant Your Pain Feel Neuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels. NPS - Tell Us Overall How Unpleasant Your Pain is to You
C103651 NPS0110A NPS01-How Intense is Your Deep Pain Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain? NPS - How Intense is Your Deep Pain
C103652 NPS0110B NPS01-How Intense is Your Surface Pain Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain? NPS - How Intense is Your Surface Pain

NPS01TN (Neuropathic Pain Scale Questionnaire Test Name)

NCI Code: C103472, Codelist extensible: No
C103472 NPS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103648 NPS01-Describe Single Type Pain All Time NPS01-Describe Single Type Pain All Time Neuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain. NPS - Describe the Single Type of Pain All Time
C103646 NPS01-Describe the Background Pain NPS01-Describe the Background Pain Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain. NPS - Describe the Background Pain
C103647 NPS01-Describe the Flare-up Pain NPS01-Describe the Flare-up Pain Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain. NPS - Describe the Flare-up Pain
C103649 NPS01-Describe the Occasional Pain NPS01-Describe the Occasional Pain Neuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain. NPS - Describe the Occasional Pain
C103645 NPS01-Describe Time Quality Of Your Pain NPS01-Describe Time Quality Of Your Pain Neuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer. NPS - Describe the Time Quality Of Your Pain
C103651 NPS01-How Intense is Your Deep Pain NPS01-How Intense is Your Deep Pain Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain? NPS - How Intense is Your Deep Pain
C103652 NPS01-How Intense is Your Surface Pain NPS01-How Intense is Your Surface Pain Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain? NPS - How Intense is Your Surface Pain
C103643 NPS01-Sensitiv Skin to Light Touch/Cloth NPS01-Sensitiv Skin to Light Touch/Cloth Neuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.' NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing
C103650 NPS01-Tell How Unpleasant Your Pain Feel NPS01-Tell How Unpleasant Your Pain Feel Neuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels. NPS - Tell Us Overall How Unpleasant Your Pain is to You
C103642 NPS01-Tell Us How Cold Your Pain Feels NPS01-Tell Us How Cold Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.' NPS - Tell Us How Cold Your Pain Feels
C103641 NPS01-Tell Us How Dull Your Pain Feels NPS01-Tell Us How Dull Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.' NPS - Tell Us How Dull Your Pain Feels
C103640 NPS01-Tell Us How Hot Your Pain Feels NPS01-Tell Us How Hot Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.' NPS - Tell Us How Hot Your Pain Feels
C103638 NPS01-Tell Us How Intense Your Pain Is NPS01-Tell Us How Intense Your Pain Is Neuropathic Pain Scale - Please use the scale below to tell us how intense your pain is. NPS - Tell Us How Intense Your Pain Is
C103644 NPS01-Tell Us How Itchy Your Pain Feels NPS01-Tell Us How Itchy Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.' NPS - Tell Us How Itchy Your Pain Feels
C103639 NPS01-Tell Us How Sharp Your Pain Feels NPS01-Tell Us How Sharp Your Pain Feels Neuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.' NPS - Tell Us How Sharp Your Pain Feels

NSA01TC (Negative Symptom Assessment-16 Clinical Classification Test Code)

NCI Code: C120993, Codelist extensible: No
C120993 NSA01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121077 NSA0101 NSA01-Prolonged Time to Respond Negative Symptom Assessment-16 - Prolonged time to respond. NSA-16 - Prolonged Time to Respond
C121078 NSA0102 NSA01-Restricted Speech Quantity Negative Symptom Assessment-16 - Restricted speech quantity. NSA-16 - Restricted Speech Quantity
C121079 NSA0103 NSA01-Impoverished Speech Content Negative Symptom Assessment-16 - Impoverished speech content. NSA-16 - Impoverished Speech Content
C121080 NSA0104 NSA01-Inarticulate Speech Negative Symptom Assessment-16 - Inarticulate speech. NSA-16 - Inarticulate Speech
C121081 NSA0105 NSA01-Emotion: Reduced Range Negative Symptom Assessment-16 - Emotion: Reduced range. NSA-16 - Emotion: Reduced Range
C121082 NSA0106 NSA01-Affect Reduce Modulation Intensity Negative Symptom Assessment-16 - Affect: Reduced modulation of intensity. NSA-16 - Affect: Reduce Modulation Intensity
C121083 NSA0107 NSA01-Affect: Reduced Display on Demand Negative Symptom Assessment-16 - Affect: Reduced display on demand. NSA-16 - Affect: Reduced Display on Demand
C121084 NSA0108 NSA01-Reduced Social Drive Negative Symptom Assessment-16 - Reduced social drive. NSA-16 - Reduced Social Drive
C121085 NSA0109 NSA01-Poor Rapport With Interviewer Negative Symptom Assessment-16 - Poor rapport with interviewer. NSA-16 - Poor Rapport With Interviewer
C121086 NSA0110 NSA01-Interest Emotional/Phys Intimacy Negative Symptom Assessment-16 - Interest in emotional and physical intimacy. NSA-16 - Interest in Emotional and Physical Intimacy
C121087 NSA0111 NSA01-Poor Grooming and Hygiene Negative Symptom Assessment-16 - Poor grooming and hygiene. NSA-16 - Poor Grooming and Hygiene
C121088 NSA0112 NSA01-Reduced Sense of Purpose Negative Symptom Assessment-16 - Reduced sense of purpose. NSA-16 - Reduced Sense of Purpose
C121089 NSA0113 NSA01-Reduced Interests Negative Symptom Assessment-16 - Reduced interests. NSA-16 - Reduced Interests
C121090 NSA0114 NSA01-Reduced Daily Activity Negative Symptom Assessment-16 - Reduced daily activity. NSA-16 - Reduced Daily Activity
C121091 NSA0115 NSA01-Reduced Expressive Gestures Negative Symptom Assessment-16 - Reduced expressive gestures. NSA-16 - Reduced Expressive Gestures
C121092 NSA0116 NSA01-Slowed Movements Negative Symptom Assessment-16 - Slowed movements. NSA-16 - Slowed Movements
C121093 NSA0117 NSA01-Global Negative Symptoms Rating Negative Symptom Assessment-16 - Global negative symptoms rating. NSA-16 - Global Negative Symptoms Rating
C121094 NSA0118 NSA01-Global Neg Symptom Rating-Severity Negative Symptom Assessment-16 - Global negative symptoms rating - severity. NSA-16 - Global Negative Symptoms Rating-Severity
C121095 NSA0119 NSA01-Global Level of Functioning Negative Symptom Assessment-16 - Global level of functioning. NSA-16 - Global Level of Functioning

NSA01TN (Negative Symptom Assessment-16 Clinical Classification Test Name)

NCI Code: C120992, Codelist extensible: No
C120992 NSA01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C121082 NSA01-Affect Reduce Modulation Intensity NSA01-Affect Reduce Modulation Intensity Negative Symptom Assessment-16 - Affect: Reduced modulation of intensity. NSA-16 - Affect: Reduce Modulation Intensity
C121083 NSA01-Affect: Reduced Display on Demand NSA01-Affect: Reduced Display on Demand Negative Symptom Assessment-16 - Affect: Reduced display on demand. NSA-16 - Affect: Reduced Display on Demand
C121081 NSA01-Emotion: Reduced Range NSA01-Emotion: Reduced Range Negative Symptom Assessment-16 - Emotion: Reduced range. NSA-16 - Emotion: Reduced Range
C121095 NSA01-Global Level of Functioning NSA01-Global Level of Functioning Negative Symptom Assessment-16 - Global level of functioning. NSA-16 - Global Level of Functioning
C121094 NSA01-Global Neg Symptom Rating-Severity NSA01-Global Neg Symptom Rating-Severity Negative Symptom Assessment-16 - Global negative symptoms rating - severity. NSA-16 - Global Negative Symptoms Rating-Severity
C121093 NSA01-Global Negative Symptoms Rating NSA01-Global Negative Symptoms Rating Negative Symptom Assessment-16 - Global negative symptoms rating. NSA-16 - Global Negative Symptoms Rating
C121079 NSA01-Impoverished Speech Content NSA01-Impoverished Speech Content Negative Symptom Assessment-16 - Impoverished speech content. NSA-16 - Impoverished Speech Content
C121080 NSA01-Inarticulate Speech NSA01-Inarticulate Speech Negative Symptom Assessment-16 - Inarticulate speech. NSA-16 - Inarticulate Speech
C121086 NSA01-Interest Emotional/Phys Intimacy NSA01-Interest Emotional/Phys Intimacy Negative Symptom Assessment-16 - Interest in emotional and physical intimacy. NSA-16 - Interest in Emotional and Physical Intimacy
C121087 NSA01-Poor Grooming and Hygiene NSA01-Poor Grooming and Hygiene Negative Symptom Assessment-16 - Poor grooming and hygiene. NSA-16 - Poor Grooming and Hygiene
C121085 NSA01-Poor Rapport With Interviewer NSA01-Poor Rapport With Interviewer Negative Symptom Assessment-16 - Poor rapport with interviewer. NSA-16 - Poor Rapport With Interviewer
C121077 NSA01-Prolonged Time to Respond NSA01-Prolonged Time to Respond Negative Symptom Assessment-16 - Prolonged time to respond. NSA-16 - Prolonged Time to Respond
C121090 NSA01-Reduced Daily Activity NSA01-Reduced Daily Activity Negative Symptom Assessment-16 - Reduced daily activity. NSA-16 - Reduced Daily Activity
C121091 NSA01-Reduced Expressive Gestures NSA01-Reduced Expressive Gestures Negative Symptom Assessment-16 - Reduced expressive gestures. NSA-16 - Reduced Expressive Gestures
C121089 NSA01-Reduced Interests NSA01-Reduced Interests Negative Symptom Assessment-16 - Reduced interests. NSA-16 - Reduced Interests
C121088 NSA01-Reduced Sense of Purpose NSA01-Reduced Sense of Purpose Negative Symptom Assessment-16 - Reduced sense of purpose. NSA-16 - Reduced Sense of Purpose
C121084 NSA01-Reduced Social Drive NSA01-Reduced Social Drive Negative Symptom Assessment-16 - Reduced social drive. NSA-16 - Reduced Social Drive
C121078 NSA01-Restricted Speech Quantity NSA01-Restricted Speech Quantity Negative Symptom Assessment-16 - Restricted speech quantity. NSA-16 - Restricted Speech Quantity
C121092 NSA01-Slowed Movements NSA01-Slowed Movements Negative Symptom Assessment-16 - Slowed movements. NSA-16 - Slowed Movements

NSAA1TC (North Star Ambulatory Assessment Clinical Classification Test Code)

NCI Code: C132517, Codelist extensible: No
C132517 NSAA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132536 NSAA101 NSAA1-Stand North Star Ambulatory Assessment - Can you stand up tall for me for as long as you can and as still as you can. NSAA - Stand
C132537 NSAA102 NSAA1-Walk North Star Ambulatory Assessment - Can you walk from A to B (state to and where from) for me. NSAA - Walk
C132538 NSAA103 NSAA1-Stand Up From Chair North Star Ambulatory Assessment - Stand up from the chair keeping your arms folded if you can. NSAA - Stand Up From Chair
C132539 NSAA104 NSAA1-Stand on One Leg - Right North Star Ambulatory Assessment - Can you stand on your right leg for as long as you can? NSAA - Stand on One Leg - Right
C132540 NSAA105 NSAA1-Stand on One Leg - Left North Star Ambulatory Assessment - Can you stand on your left leg for as long as you can? NSAA - Stand on One Leg - Left
C132541 NSAA106 NSAA1-Climb Box Step - Right North Star Ambulatory Assessment - Can you step onto the top of the box using your right leg first? NSAA - Climb Box Step - Right
C132542 NSAA107 NSAA1-Climb Box Step - Left North Star Ambulatory Assessment - Can you step onto the top of the box using your left leg first? NSAA - Climb Box Step - Left
C132543 NSAA108 NSAA1-Descend Box Step - Right North Star Ambulatory Assessment - Can you step down from the box using your right leg first? NSAA - Descend Box Step - Right
C132544 NSAA109 NSAA1-Descend Box Step - Left North Star Ambulatory Assessment - Can you step down from the box using your left leg first? NSAA - Descend Box Step - Left
C132545 NSAA110 NSAA1-Gets to Sitting North Star Ambulatory Assessment - Can you get from lying to sitting? NSAA - Gets to Sitting
C132546 NSAA111 NSAA1-Rise From Floor North Star Ambulatory Assessment - Get up from the floor using as little support as possible and as fast as you can (from supine). NSAA - Rise From Floor
C132547 NSAA111A NSAA1-Rise From Floor Time North Star Ambulatory Assessment - Time to get up from the floor using as little support as possible and as fast as you can (from supine) (seconds). NSAA - Rise From Floor Time
C132548 NSAA112 NSAA1-Lifts Head North Star Ambulatory Assessment - Lift your head to look at your toes keeping your arms folded. NSAA - Lifts Head
C132549 NSAA113 NSAA1-Stands on Heels North Star Ambulatory Assessment - Can you stand on your heels? NSAA - Stands on Heels
C132550 NSAA114 NSAA1-Jump North Star Ambulatory Assessment - How high can you jump? NSAA - Jump
C132551 NSAA115 NSAA1-Hop Right Leg North Star Ambulatory Assessment - Can you hop on your right leg? NSAA - Hop Right Leg
C132552 NSAA116 NSAA1-Hop Left Leg North Star Ambulatory Assessment - Can you hop on your left leg? NSAA - Hop Left Leg
C132553 NSAA117 NSAA1-Run (10m) North Star Ambulatory Assessment - Run as fast as you can to...(give point). NSAA - Run (10m)
C132554 NSAA117A NSAA1-Run (10m) Time North Star Ambulatory Assessment - Time to run as fast as you can (seconds). NSAA - Run (10m) Time
C132555 NSAA118 NSAA1-Total North Star Ambulatory Assessment - Total. NSAA - Total

NSAA1TN (North Star Ambulatory Assessment Clinical Classification Test Name)

NCI Code: C132516, Codelist extensible: No
C132516 NSAA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132542 NSAA1-Climb Box Step - Left NSAA1-Climb Box Step - Left North Star Ambulatory Assessment - Can you step onto the top of the box using your left leg first? NSAA - Climb Box Step - Left
C132541 NSAA1-Climb Box Step - Right NSAA1-Climb Box Step - Right North Star Ambulatory Assessment - Can you step onto the top of the box using your right leg first? NSAA - Climb Box Step - Right
C132544 NSAA1-Descend Box Step - Left NSAA1-Descend Box Step - Left North Star Ambulatory Assessment - Can you step down from the box using your left leg first? NSAA - Descend Box Step - Left
C132543 NSAA1-Descend Box Step - Right NSAA1-Descend Box Step - Right North Star Ambulatory Assessment - Can you step down from the box using your right leg first? NSAA - Descend Box Step - Right
C132545 NSAA1-Gets to Sitting NSAA1-Gets to Sitting North Star Ambulatory Assessment - Can you get from lying to sitting? NSAA - Gets to Sitting
C132552 NSAA1-Hop Left Leg NSAA1-Hop Left Leg North Star Ambulatory Assessment - Can you hop on your left leg? NSAA - Hop Left Leg
C132551 NSAA1-Hop Right Leg NSAA1-Hop Right Leg North Star Ambulatory Assessment - Can you hop on your right leg? NSAA - Hop Right Leg
C132550 NSAA1-Jump NSAA1-Jump North Star Ambulatory Assessment - How high can you jump? NSAA - Jump
C132548 NSAA1-Lifts Head NSAA1-Lifts Head North Star Ambulatory Assessment - Lift your head to look at your toes keeping your arms folded. NSAA - Lifts Head
C132547 NSAA1-Rise From Floor Time NSAA1-Rise From Floor Time North Star Ambulatory Assessment - Time to get up from the floor using as little support as possible and as fast as you can (from supine) (seconds). NSAA - Rise From Floor Time
C132546 NSAA1-Rise From Floor NSAA1-Rise From Floor North Star Ambulatory Assessment - Get up from the floor using as little support as possible and as fast as you can (from supine). NSAA - Rise From Floor
C132554 NSAA1-Run (10m) Time NSAA1-Run (10m) Time North Star Ambulatory Assessment - Time to run as fast as you can (seconds). NSAA - Run (10m) Time
C132553 NSAA1-Run (10m) NSAA1-Run (10m) North Star Ambulatory Assessment - Run as fast as you can to...(give point). NSAA - Run (10m)
C132540 NSAA1-Stand on One Leg - Left NSAA1-Stand on One Leg - Left North Star Ambulatory Assessment - Can you stand on your left leg for as long as you can? NSAA - Stand on One Leg - Left
C132539 NSAA1-Stand on One Leg - Right NSAA1-Stand on One Leg - Right North Star Ambulatory Assessment - Can you stand on your right leg for as long as you can? NSAA - Stand on One Leg - Right
C132538 NSAA1-Stand Up From Chair NSAA1-Stand Up From Chair North Star Ambulatory Assessment - Stand up from the chair keeping your arms folded if you can. NSAA - Stand Up From Chair
C132536 NSAA1-Stand NSAA1-Stand North Star Ambulatory Assessment - Can you stand up tall for me for as long as you can and as still as you can. NSAA - Stand
C132549 NSAA1-Stands on Heels NSAA1-Stands on Heels North Star Ambulatory Assessment - Can you stand on your heels? NSAA - Stands on Heels
C132555 NSAA1-Total NSAA1-Total North Star Ambulatory Assessment - Total. NSAA - Total
C132537 NSAA1-Walk NSAA1-Walk North Star Ambulatory Assessment - Can you walk from A to B (state to and where from) for me. NSAA - Walk

NSCLC1TC (Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Code)

NCI Code: C154455, Codelist extensible: No
C154455 NSCLC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155621 NSCLC101 NSCLC1-Rate Coughing at Worst Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate your coughing at its worst over the last 7 days? NSCLC-SAQ Version 1.0 - Rate Coughing at Worst
C155622 NSCLC102 NSCLC1-Rate Worst Pain in Chest Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in your chest over the last 7 days? NSCLC-SAQ Version 1.0 - Rate Worst Pain in Chest
C155623 NSCLC103 NSCLC1-Rate Worst Pain Other Than Chest Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in areas other than your chest over the last 7 days? NSCLC-SAQ Version 1.0 - Rate Worst Pain Other Than Chest
C155624 NSCLC104 NSCLC1-Short of Breath Usual Activities Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you feel short of breath during usual activities over the last 7 days? NSCLC-SAQ Version 1.0 - Short of Breath Usual Activities
C155625 NSCLC105 NSCLC1-How Often Low Energy Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have low energy over the last 7 days? NSCLC-SAQ Version 1.0 - How Often Low Energy
C155626 NSCLC106 NSCLC1-How Often Tire Easily Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you tire easily over the last 7 days? NSCLC-SAQ Version 1.0 - How Often Tire Easily
C155627 NSCLC107 NSCLC1-How Often Poor Appetite Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have a poor appetite over the last 7 days? NSCLC-SAQ Version 1.0 - How Often Poor Appetite
C176206 NSCLC108 NSCLC1-Cough Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Cough domain subscore. NSCLC-SAQ Version 1.0 - Cough Domain Subscore
C176207 NSCLC109 NSCLC1-Fatigue Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Fatigue domain subscore. NSCLC-SAQ Version 1.0 - Fatigue Domain Subscore
C176208 NSCLC110 NSCLC1-Pain Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Pain domain subscore. NSCLC-SAQ Version 1.0 - Pain Domain Subscore
C176209 NSCLC111 NSCLC1-Dyspnea Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Dyspnea domain subscore. NSCLC-SAQ Version 1.0 - Dyspnea Domain Subscore
C176210 NSCLC112 NSCLC1-Appetite Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Appetite domain subscore. NSCLC-SAQ Version 1.0 - Appetite Domain Subscore
C155628 NSCLC113 NSCLC1-Total Score Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Total score. NSCLC-SAQ Version 1.0 - Total Score

NSCLC1TN (Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Name)

NCI Code: C154454, Codelist extensible: No
C154454 NSCLC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176210 NSCLC1-Appetite Domain Subscore NSCLC1-Appetite Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Appetite domain subscore. NSCLC-SAQ Version 1.0 - Appetite Domain Subscore
C176206 NSCLC1-Cough Domain Subscore NSCLC1-Cough Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Cough domain subscore. NSCLC-SAQ Version 1.0 - Cough Domain Subscore
C176209 NSCLC1-Dyspnea Domain Subscore NSCLC1-Dyspnea Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Dyspnea domain subscore. NSCLC-SAQ Version 1.0 - Dyspnea Domain Subscore
C176207 NSCLC1-Fatigue Domain Subscore NSCLC1-Fatigue Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Fatigue domain subscore. NSCLC-SAQ Version 1.0 - Fatigue Domain Subscore
C155625 NSCLC1-How Often Low Energy NSCLC1-How Often Low Energy Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have low energy over the last 7 days? NSCLC-SAQ Version 1.0 - How Often Low Energy
C155627 NSCLC1-How Often Poor Appetite NSCLC1-How Often Poor Appetite Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have a poor appetite over the last 7 days? NSCLC-SAQ Version 1.0 - How Often Poor Appetite
C155626 NSCLC1-How Often Tire Easily NSCLC1-How Often Tire Easily Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you tire easily over the last 7 days? NSCLC-SAQ Version 1.0 - How Often Tire Easily
C176208 NSCLC1-Pain Domain Subscore NSCLC1-Pain Domain Subscore Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Pain domain subscore. NSCLC-SAQ Version 1.0 - Pain Domain Subscore
C155621 NSCLC1-Rate Coughing at Worst NSCLC1-Rate Coughing at Worst Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate your coughing at its worst over the last 7 days? NSCLC-SAQ Version 1.0 - Rate Coughing at Worst
C155622 NSCLC1-Rate Worst Pain in Chest NSCLC1-Rate Worst Pain in Chest Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in your chest over the last 7 days? NSCLC-SAQ Version 1.0 - Rate Worst Pain in Chest
C155623 NSCLC1-Rate Worst Pain Other Than Chest NSCLC1-Rate Worst Pain Other Than Chest Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in areas other than your chest over the last 7 days? NSCLC-SAQ Version 1.0 - Rate Worst Pain Other Than Chest
C155624 NSCLC1-Short of Breath Usual Activities NSCLC1-Short of Breath Usual Activities Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you feel short of breath during usual activities over the last 7 days? NSCLC-SAQ Version 1.0 - Short of Breath Usual Activities
C155628 NSCLC1-Total Score NSCLC1-Total Score Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Total score. NSCLC-SAQ Version 1.0 - Total Score

OABQ01TC (The Overactive Bladder Questionnaire Questionnaire Test Code)

NCI Code: C103475, Codelist extensible: No
C103475 OABQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103653 OABQ0101 OABQ01-Frequent Urination During Daytime The Overactive Bladder Questionnaire - Frequent urination during the daytime hours? OAB-q - Frequent Urination During the Daytime
C103654 OABQ0102 OABQ01-Uncomfortable Urge to Urinate The Overactive Bladder Questionnaire - An uncomfortable urge to urinate? OAB-q - Uncomfortable Urge to Urinate
C103655 OABQ0103 OABQ01-Sudden Urge to Urinate No Warning The Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning? OAB-q - Sudden Urge to Urinate with Little or No Warning
C103656 OABQ0104 OABQ01-Accidental Loss of Urine The Overactive Bladder Questionnaire - Accidental loss of small amounts of urine? OAB-q - Accidental Loss of Urine
C103657 OABQ0105 OABQ01-Nighttime Urination The Overactive Bladder Questionnaire - Nighttime urination? OAB-q - Nighttime Urination
C103658 OABQ0106 OABQ01-Waking Up at Night had to Urinate The Overactive Bladder Questionnaire - Waking up at night because you had to urinate? OAB-q - Waking Up at Night Because You had to Urinate
C103659 OABQ0107 OABQ01-Uncontrollable Urge to Urinate The Overactive Bladder Questionnaire - An uncontrollable urge to urinate? OAB-q - Uncontrollable Urge to Urinate
C103660 OABQ0108 OABQ01-Urine Loss Strong Desire Urinate The Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate? OAB-q - Urine Loss Associated with a Strong Desire to Urinate
C103661 OABQ0109 OABQ01-Carefully Plan Your Commute The Overactive Bladder Questionnaire - Made you carefully plan your commute? OAB-q - Carefully Plan Your Commute
C103662 OABQ0110 OABQ01-Feel Drowsy or Sleepy During Day The Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day? OAB-q - Feel Drowsy or Sleepy During the Day
C103663 OABQ0111 OABQ01-Plan 'Escape Routes' to Restrooms The Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places? OAB-q - Plan 'Escape Routes' to Restrooms
C103664 OABQ0112 OABQ01-Caused You Distress The Overactive Bladder Questionnaire - Caused you distress? OAB-q - Caused You Distress
C103665 OABQ0113 OABQ01-Frustrated You The Overactive Bladder Questionnaire - Frustrated you? OAB-q - Frustrated You
C103666 OABQ0114 OABQ01-Feel Something Wrong with You The Overactive Bladder Questionnaire - Made you feel like there is something wrong with you? OAB-q - Feel Like There is Something Wrong with You
C103667 OABQ0115 OABQ01-Interfered with Good Night's Rest The Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest? OAB-q - Interfered with a Good Night's Rest
C103668 OABQ0116 OABQ01-Decrease Your Physical Activities The Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)? OAB-q - Decrease Your Physical Activities
C103669 OABQ0117 OABQ01-Prevented From Feeling Rested The Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning? OAB-q - Prevented You From Feeling Rested Upon Waking
C103670 OABQ0118 OABQ01-Frustrated Family and Friends The Overactive Bladder Questionnaire - Frustrated your family and friends? OAB-q - Frustrated Your Family and Friends
C103671 OABQ0119 OABQ01-Caused You Anxiety or Worry The Overactive Bladder Questionnaire - Caused you anxiety or worry? OAB-q - Caused You Anxiety or Worry
C103672 OABQ0120 OABQ01-Stay Home More Often Than Prefer The Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer? OAB-q - Stay Home More Often Than You Would Prefer
C103673 OABQ0121 OABQ01-Adjust Travel Plans Near Restroom The Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom? OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom
C103674 OABQ0122 OABQ01-Avoid Act Away From Restroom The Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? OAB-q - Avoid Activities Away From Restrooms
C103675 OABQ0123 OABQ01-Amount of Time Spend in Restroom The Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom? OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
C103676 OABQ0124 OABQ01-Awakened You During Sleep The Overactive Bladder Questionnaire - Awakened you during sleep? OAB-q - Awakened You During Sleep
C103677 OABQ0125 OABQ01-Worry About Odor or Hygiene The Overactive Bladder Questionnaire - Made you worry about odor or hygiene? OAB-q - Made You Worry About Odor or Hygiene
C103678 OABQ0126 OABQ01-Uncomfortable Travel with Others The Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom? OAB-q - Uncomfortable While Traveling With Others
C103679 OABQ0127 OABQ01-Affected Relationships The Overactive Bladder Questionnaire - Affected your relationships with family and friends? OAB-q - Affected Your Relationships with Family and Friends
C103680 OABQ0128 OABQ01-Decrease Participating Gatherings The Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends? OAB-q - Decrease Participating in Social Gatherings
C103681 OABQ0129 OABQ01-Caused You Embarrassment The Overactive Bladder Questionnaire - Caused you embarrassment? OAB-q - Caused You Embarrassment
C103682 OABQ0130 OABQ01-Interfered with Getting Sleep The Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed? OAB-q - Interfered with Getting Sleep
C103683 OABQ0131 OABQ01-Caused Problems Partner/Spouse The Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse? OAB-q - Caused Problems with Your Partner or Spouse
C103684 OABQ0132 OABQ01-Plan Activities More Carefully The Overactive Bladder Questionnaire - Caused you to plan activities more carefully? OAB-q - Plan Activities More Carefully
C103685 OABQ0133 OABQ01-Locate Closest Restroom The Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? OAB-q - Locate Closest Restroom as Soon as You Arrive

OABQ01TN (The Overactive Bladder Questionnaire Questionnaire Test Name)

NCI Code: C103474, Codelist extensible: No
C103474 OABQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103656 OABQ01-Accidental Loss of Urine OABQ01-Accidental Loss of Urine The Overactive Bladder Questionnaire - Accidental loss of small amounts of urine? OAB-q - Accidental Loss of Urine
C103673 OABQ01-Adjust Travel Plans Near Restroom OABQ01-Adjust Travel Plans Near Restroom The Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom? OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom
C103679 OABQ01-Affected Relationships OABQ01-Affected Relationships The Overactive Bladder Questionnaire - Affected your relationships with family and friends? OAB-q - Affected Your Relationships with Family and Friends
C103675 OABQ01-Amount of Time Spend in Restroom OABQ01-Amount of Time Spend in Restroom The Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom? OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
C103674 OABQ01-Avoid Act Away From Restroom OABQ01-Avoid Act Away From Restroom The Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? OAB-q - Avoid Activities Away From Restrooms
C103676 OABQ01-Awakened You During Sleep OABQ01-Awakened You During Sleep The Overactive Bladder Questionnaire - Awakened you during sleep? OAB-q - Awakened You During Sleep
C103661 OABQ01-Carefully Plan Your Commute OABQ01-Carefully Plan Your Commute The Overactive Bladder Questionnaire - Made you carefully plan your commute? OAB-q - Carefully Plan Your Commute
C103683 OABQ01-Caused Problems Partner/Spouse OABQ01-Caused Problems Partner/Spouse The Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse? OAB-q - Caused Problems with Your Partner or Spouse
C103671 OABQ01-Caused You Anxiety or Worry OABQ01-Caused You Anxiety or Worry The Overactive Bladder Questionnaire - Caused you anxiety or worry? OAB-q - Caused You Anxiety or Worry
C103664 OABQ01-Caused You Distress OABQ01-Caused You Distress The Overactive Bladder Questionnaire - Caused you distress? OAB-q - Caused You Distress
C103681 OABQ01-Caused You Embarrassment OABQ01-Caused You Embarrassment The Overactive Bladder Questionnaire - Caused you embarrassment? OAB-q - Caused You Embarrassment
C103680 OABQ01-Decrease Participating Gatherings OABQ01-Decrease Participating Gatherings The Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends? OAB-q - Decrease Participating in Social Gatherings
C103668 OABQ01-Decrease Your Physical Activities OABQ01-Decrease Your Physical Activities The Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)? OAB-q - Decrease Your Physical Activities
C103662 OABQ01-Feel Drowsy or Sleepy During Day OABQ01-Feel Drowsy or Sleepy During Day The Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day? OAB-q - Feel Drowsy or Sleepy During the Day
C103666 OABQ01-Feel Something Wrong with You OABQ01-Feel Something Wrong with You The Overactive Bladder Questionnaire - Made you feel like there is something wrong with you? OAB-q - Feel Like There is Something Wrong with You
C103653 OABQ01-Frequent Urination During Daytime OABQ01-Frequent Urination During Daytime The Overactive Bladder Questionnaire - Frequent urination during the daytime hours? OAB-q - Frequent Urination During the Daytime
C103670 OABQ01-Frustrated Family and Friends OABQ01-Frustrated Family and Friends The Overactive Bladder Questionnaire - Frustrated your family and friends? OAB-q - Frustrated Your Family and Friends
C103665 OABQ01-Frustrated You OABQ01-Frustrated You The Overactive Bladder Questionnaire - Frustrated you? OAB-q - Frustrated You
C103682 OABQ01-Interfered with Getting Sleep OABQ01-Interfered with Getting Sleep The Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed? OAB-q - Interfered with Getting Sleep
C103667 OABQ01-Interfered with Good Night's Rest OABQ01-Interfered with Good Night's Rest The Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest? OAB-q - Interfered with a Good Night's Rest
C103685 OABQ01-Locate Closest Restroom OABQ01-Locate Closest Restroom The Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? OAB-q - Locate Closest Restroom as Soon as You Arrive
C103657 OABQ01-Nighttime Urination OABQ01-Nighttime Urination The Overactive Bladder Questionnaire - Nighttime urination? OAB-q - Nighttime Urination
C103663 OABQ01-Plan 'Escape Routes' to Restrooms OABQ01-Plan 'Escape Routes' to Restrooms The Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places? OAB-q - Plan 'Escape Routes' to Restrooms
C103684 OABQ01-Plan Activities More Carefully OABQ01-Plan Activities More Carefully The Overactive Bladder Questionnaire - Caused you to plan activities more carefully? OAB-q - Plan Activities More Carefully
C103669 OABQ01-Prevented From Feeling Rested OABQ01-Prevented From Feeling Rested The Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning? OAB-q - Prevented You From Feeling Rested Upon Waking
C103672 OABQ01-Stay Home More Often Than Prefer OABQ01-Stay Home More Often Than Prefer The Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer? OAB-q - Stay Home More Often Than You Would Prefer
C103655 OABQ01-Sudden Urge to Urinate No Warning OABQ01-Sudden Urge to Urinate No Warning The Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning? OAB-q - Sudden Urge to Urinate with Little or No Warning
C103678 OABQ01-Uncomfortable Travel with Others OABQ01-Uncomfortable Travel with Others The Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom? OAB-q - Uncomfortable While Traveling With Others
C103654 OABQ01-Uncomfortable Urge to Urinate OABQ01-Uncomfortable Urge to Urinate The Overactive Bladder Questionnaire - An uncomfortable urge to urinate? OAB-q - Uncomfortable Urge to Urinate
C103659 OABQ01-Uncontrollable Urge to Urinate OABQ01-Uncontrollable Urge to Urinate The Overactive Bladder Questionnaire - An uncontrollable urge to urinate? OAB-q - Uncontrollable Urge to Urinate
C103660 OABQ01-Urine Loss Strong Desire Urinate OABQ01-Urine Loss Strong Desire Urinate The Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate? OAB-q - Urine Loss Associated with a Strong Desire to Urinate
C103658 OABQ01-Waking Up at Night had to Urinate OABQ01-Waking Up at Night had to Urinate The Overactive Bladder Questionnaire - Waking up at night because you had to urinate? OAB-q - Waking Up at Night Because You had to Urinate
C103677 OABQ01-Worry About Odor or Hygiene OABQ01-Worry About Odor or Hygiene The Overactive Bladder Questionnaire - Made you worry about odor or hygiene? OAB-q - Made You Worry About Odor or Hygiene

OABQ02TC (The Overactive Bladder Questionnaire Short Form Questionnaire Test Code)

NCI Code: C103477, Codelist extensible: No
C103477 OABQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103686 OABQ0201 OABQ02-Uncomfortable Urge to Urinate The Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate? OAB-q Short Form - Uncomfortable Urge to Urinate
C103687 OABQ0202 OABQ02-Sudden Urge to Urinate No Warning The Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning? OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning
C103688 OABQ0203 OABQ02-Accidental Loss of Urine The Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine? OAB-q Short Form - Accidental Loss of Urine
C103689 OABQ0204 OABQ02-Nighttime Urination The Overactive Bladder Questionnaire Short Form - Nighttime urination? OAB-q Short Form - Nighttime Urination
C103690 OABQ0205 OABQ02-Waking Up at Night had to Urinate The Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate? OAB-q Short Form - Waking Up at Night Because You had to Urinate
C103691 OABQ0206 OABQ02-Urine Loss Strong Desire Urinate The Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate? OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate
C103692 OABQ0207 OABQ02-Plan 'Escape Routes' to Restrooms The Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places? OAB-q Short Form - Plan 'Escape Routes' to Restrooms
C103693 OABQ0208 OABQ02-Feel Something is Wrong with You The Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you? OAB-q Short Form - Feel Like There is Something Wrong with You
C103694 OABQ0209 OABQ02-Interfered with Good Night's Rest The Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest? OAB-q Short Form - Interfered with a Good Night's Rest
C103695 OABQ0210 OABQ02-Frustrated about Time in Restroom The Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom? OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
C103696 OABQ0211 OABQ02-Avoid Activ Away From Restroom The Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? OAB-q Short Form - Avoid Activities Away From Restrooms
C103697 OABQ0212 OABQ02-Awakened You During Sleep The Overactive Bladder Questionnaire Short Form - Awakened you during sleep? OAB-q Short Form - Awakened You During Sleep
C103698 OABQ0213 OABQ02-Decrease Physical Activities The Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)? OAB-q Short Form - Decrease Your Physical Activities
C103699 OABQ0214 OABQ02-Caused Problems Partner/Spouse The Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse? OAB-q Short Form - Caused Problems with Your Partner or Spouse
C103700 OABQ0215 OABQ02-Uncomfortable Travel with Others The Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom? OAB-q Short Form - Uncomfortable While Traveling With Others
C103701 OABQ0216 OABQ02-Affected Relationships The Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends? OAB-q Short Form - Affected Your Relationships with Family and Friends
C103702 OABQ0217 OABQ02-Interfered with Getting Sleep The Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed? OAB-q Short Form - Interfered with Getting Sleep
C103703 OABQ0218 OABQ02-Caused You Embarrassment The Overactive Bladder Questionnaire Short Form - Caused you embarrassment? OAB-q Short Form - Caused You Embarrassment
C103704 OABQ0219 OABQ02-Locate Closest Restroom The Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive

OABQ02TN (The Overactive Bladder Questionnaire Short Form Questionnaire Test Name)

NCI Code: C103476, Codelist extensible: No
C103476 OABQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103688 OABQ02-Accidental Loss of Urine OABQ02-Accidental Loss of Urine The Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine? OAB-q Short Form - Accidental Loss of Urine
C103701 OABQ02-Affected Relationships OABQ02-Affected Relationships The Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends? OAB-q Short Form - Affected Your Relationships with Family and Friends
C103696 OABQ02-Avoid Activ Away From Restroom OABQ02-Avoid Activ Away From Restroom The Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? OAB-q Short Form - Avoid Activities Away From Restrooms
C103697 OABQ02-Awakened You During Sleep OABQ02-Awakened You During Sleep The Overactive Bladder Questionnaire Short Form - Awakened you during sleep? OAB-q Short Form - Awakened You During Sleep
C103699 OABQ02-Caused Problems Partner/Spouse OABQ02-Caused Problems Partner/Spouse The Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse? OAB-q Short Form - Caused Problems with Your Partner or Spouse
C103703 OABQ02-Caused You Embarrassment OABQ02-Caused You Embarrassment The Overactive Bladder Questionnaire Short Form - Caused you embarrassment? OAB-q Short Form - Caused You Embarrassment
C103698 OABQ02-Decrease Physical Activities OABQ02-Decrease Physical Activities The Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)? OAB-q Short Form - Decrease Your Physical Activities
C103693 OABQ02-Feel Something is Wrong with You OABQ02-Feel Something is Wrong with You The Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you? OAB-q Short Form - Feel Like There is Something Wrong with You
C103695 OABQ02-Frustrated about Time in Restroom OABQ02-Frustrated about Time in Restroom The Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom? OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
C103702 OABQ02-Interfered with Getting Sleep OABQ02-Interfered with Getting Sleep The Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed? OAB-q Short Form - Interfered with Getting Sleep
C103694 OABQ02-Interfered with Good Night's Rest OABQ02-Interfered with Good Night's Rest The Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest? OAB-q Short Form - Interfered with a Good Night's Rest
C103704 OABQ02-Locate Closest Restroom OABQ02-Locate Closest Restroom The Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive
C103689 OABQ02-Nighttime Urination OABQ02-Nighttime Urination The Overactive Bladder Questionnaire Short Form - Nighttime urination? OAB-q Short Form - Nighttime Urination
C103692 OABQ02-Plan 'Escape Routes' to Restrooms OABQ02-Plan 'Escape Routes' to Restrooms The Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places? OAB-q Short Form - Plan 'Escape Routes' to Restrooms
C103687 OABQ02-Sudden Urge to Urinate No Warning OABQ02-Sudden Urge to Urinate No Warning The Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning? OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning
C103700 OABQ02-Uncomfortable Travel with Others OABQ02-Uncomfortable Travel with Others The Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom? OAB-q Short Form - Uncomfortable While Traveling With Others
C103686 OABQ02-Uncomfortable Urge to Urinate OABQ02-Uncomfortable Urge to Urinate The Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate? OAB-q Short Form - Uncomfortable Urge to Urinate
C103691 OABQ02-Urine Loss Strong Desire Urinate OABQ02-Urine Loss Strong Desire Urinate The Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate? OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate
C103690 OABQ02-Waking Up at Night had to Urinate OABQ02-Waking Up at Night had to Urinate The Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate? OAB-q Short Form - Waking Up at Night Because You had to Urinate

ODI01TC (The Oswestry Disability Index Version 2.1a Questionnaire Test Code)

NCI Code: C103479, Codelist extensible: No
C103479 ODI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103762 ODI0101 ODI01-Pain Intensity The Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity. ODI v2.1a - Pain Intensity
C103763 ODI0102 ODI01-Personal Care The Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.). ODI v2.1a - Personal Care
C103764 ODI0103 ODI01-Lifting The Oswestry Disability Index Version 2.1a - Section 3 - Lifting. ODI v2.1a - Lifting
C103765 ODI0104 ODI01-Walking The Oswestry Disability Index Version 2.1a - Section 4 - Walking. ODI v2.1a - Walking
C103766 ODI0105 ODI01-Sitting The Oswestry Disability Index Version 2.1a - Section 5 - Sitting. ODI v2.1a - Sitting
C103767 ODI0106 ODI01-Standing The Oswestry Disability Index Version 2.1a - Section 6 - Standing. ODI v2.1a - Standing
C103768 ODI0107 ODI01-Sleeping The Oswestry Disability Index Version 2.1a - Section 7 - Sleeping. ODI v2.1a - Sleeping
C103769 ODI0108 ODI01-Sex Life The Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable). ODI v2.1a - Sex Life
C103770 ODI0109 ODI01-Social Life The Oswestry Disability Index Version 2.1a - Section 9 - Social life. ODI v2.1a - Social Life
C103771 ODI0110 ODI01-Travelling The Oswestry Disability Index Version 2.1a - Section 10 - Travelling. ODI v2.1a - Travelling
C125762 ODI0111 ODI01-Oswestry Disability Index The Oswestry Disability Index Version 2.1a - Your ODI. ODI v2.1a - Oswestry Disability Index

ODI01TN (The Oswestry Disability Index Version 2.1a Questionnaire Test Name)

NCI Code: C103478, Codelist extensible: No
C103478 ODI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103764 ODI01-Lifting ODI01-Lifting The Oswestry Disability Index Version 2.1a - Section 3 - Lifting. ODI v2.1a - Lifting
C125762 ODI01-Oswestry Disability Index ODI01-Oswestry Disability Index The Oswestry Disability Index Version 2.1a - Your ODI. ODI v2.1a - Oswestry Disability Index
C103762 ODI01-Pain Intensity ODI01-Pain Intensity The Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity. ODI v2.1a - Pain Intensity
C103763 ODI01-Personal Care ODI01-Personal Care The Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.). ODI v2.1a - Personal Care
C103769 ODI01-Sex Life ODI01-Sex Life The Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable). ODI v2.1a - Sex Life
C103766 ODI01-Sitting ODI01-Sitting The Oswestry Disability Index Version 2.1a - Section 5 - Sitting. ODI v2.1a - Sitting
C103768 ODI01-Sleeping ODI01-Sleeping The Oswestry Disability Index Version 2.1a - Section 7 - Sleeping. ODI v2.1a - Sleeping
C103770 ODI01-Social Life ODI01-Social Life The Oswestry Disability Index Version 2.1a - Section 9 - Social life. ODI v2.1a - Social Life
C103767 ODI01-Standing ODI01-Standing The Oswestry Disability Index Version 2.1a - Section 6 - Standing. ODI v2.1a - Standing
C103771 ODI01-Travelling ODI01-Travelling The Oswestry Disability Index Version 2.1a - Section 10 - Travelling. ODI v2.1a - Travelling
C103765 ODI01-Walking ODI01-Walking The Oswestry Disability Index Version 2.1a - Section 4 - Walking. ODI v2.1a - Walking

PANSS1TC (Positive and Negative Syndrome Scale Clinical Classification Test Code)

NCI Code: C124686, Codelist extensible: No
C124686 PANSS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124747 PANSS101 PANSS1-Delusions Positive and Negative Syndrome Scale - Delusions. PANSS - Delusions
C124748 PANSS102 PANSS1-Conceptual Disorganization Positive and Negative Syndrome Scale - Conceptual disorganization. PANSS - Conceptual Disorganization
C124749 PANSS103 PANSS1-Hallucinatory Behavior Positive and Negative Syndrome Scale - Hallucinatory behavior. PANSS - Hallucinatory Behavior
C124750 PANSS104 PANSS1-Excitement Positive and Negative Syndrome Scale - Excitement. PANSS - Excitement
C124751 PANSS105 PANSS1-Grandiosity Positive and Negative Syndrome Scale - Grandiosity. PANSS - Grandiosity
C124752 PANSS106 PANSS1-Suspiciousness/Persecution Positive and Negative Syndrome Scale - Suspiciousness/persecution. PANSS - Suspiciousness or Persecution
C124753 PANSS107 PANSS1-Hostility Positive and Negative Syndrome Scale - Hostility. PANSS - Hostility
C124754 PANSS108 PANSS1-Blunted Affect Positive and Negative Syndrome Scale - Blunted affect. PANSS - Blunted Affect
C124755 PANSS109 PANSS1-Emotional Withdrawal Positive and Negative Syndrome Scale - Emotional withdrawal. PANSS - Emotional Withdrawal
C124756 PANSS110 PANSS1-Poor Rapport Positive and Negative Syndrome Scale - Poor rapport. PANSS - Poor Rapport
C124757 PANSS111 PANSS1-Passive/Apathetic Social Withdraw Positive and Negative Syndrome Scale - Passive/apathetic social withdrawal. PANSS - Passive or Apathetic Social Withdrawal
C124758 PANSS112 PANSS1-Difficulty in Abstract Thinking Positive and Negative Syndrome Scale - Difficulty in abstract thinking. PANSS - Difficulty in Abstract Thinking
C124759 PANSS113 PANSS1-Lack of Spontaneity Positive and Negative Syndrome Scale - Lack of spontaneity and flow of conversation. PANSS - Lack of Spontaneity
C124760 PANSS114 PANSS1-Stereotyped Thinking Positive and Negative Syndrome Scale - Stereotyped thinking. PANSS - Stereotyped Thinking
C124761 PANSS115 PANSS1-Somatic Concern Positive and Negative Syndrome Scale - Somatic concern. PANSS - Somatic Concern
C124762 PANSS116 PANSS1-Anxiety Positive and Negative Syndrome Scale - Anxiety. PANSS - Anxiety
C124763 PANSS117 PANSS1-Guilt Feelings Positive and Negative Syndrome Scale - Guilt feelings. PANSS - Guilt Feelings
C124764 PANSS118 PANSS1-Tension Positive and Negative Syndrome Scale - Tension. PANSS - Tension
C124765 PANSS119 PANSS1-Mannerisms and Posturing Positive and Negative Syndrome Scale - Mannerisms and posturing. PANSS - Mannerisms and Posturing
C124766 PANSS120 PANSS1-Depression Positive and Negative Syndrome Scale - Depression. PANSS - Depression
C124767 PANSS121 PANSS1-Motor Retardation Positive and Negative Syndrome Scale - Motor retardation. PANSS - Motor Retardation
C124768 PANSS122 PANSS1-Uncooperativeness Positive and Negative Syndrome Scale - Uncooperativeness. PANSS - Uncooperativeness
C124769 PANSS123 PANSS1-Unusual Thought Content Positive and Negative Syndrome Scale - Unusual thought content. PANSS - Unusual Thought Content
C124770 PANSS124 PANSS1-Disorientation Positive and Negative Syndrome Scale - Disorientation. PANSS - Disorientation
C124771 PANSS125 PANSS1-Poor Attention Positive and Negative Syndrome Scale - Poor attention. PANSS - Poor Attention
C124772 PANSS126 PANSS1-Lack of Judgment and Insight Positive and Negative Syndrome Scale - Lack of judgment and insight. PANSS - Lack of Judgement
C124773 PANSS127 PANSS1-Disturbance of Volition Positive and Negative Syndrome Scale - Disturbance of volition. PANSS - Disturbance of Volition
C124774 PANSS128 PANSS1-Poor Impulse Control Positive and Negative Syndrome Scale - Poor impulse control. PANSS - Poor Impulse Control
C124775 PANSS129 PANSS1-Preoccupation Positive and Negative Syndrome Scale - Preoccupation. PANSS - Preoccupation
C124776 PANSS130 PANSS1-Active Social Avoidance Positive and Negative Syndrome Scale - Active social avoidance. PANSS - Active Social Avoidance

PANSS1TN (Positive and Negative Syndrome Scale Clinical Classification Test Name)

NCI Code: C124685, Codelist extensible: No
C124685 PANSS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124776 PANSS1-Active Social Avoidance PANSS1-Active Social Avoidance Positive and Negative Syndrome Scale - Active social avoidance. PANSS - Active Social Avoidance
C124762 PANSS1-Anxiety PANSS1-Anxiety Positive and Negative Syndrome Scale - Anxiety. PANSS - Anxiety
C124754 PANSS1-Blunted Affect PANSS1-Blunted Affect Positive and Negative Syndrome Scale - Blunted affect. PANSS - Blunted Affect
C124748 PANSS1-Conceptual Disorganization PANSS1-Conceptual Disorganization Positive and Negative Syndrome Scale - Conceptual disorganization. PANSS - Conceptual Disorganization
C124747 PANSS1-Delusions PANSS1-Delusions Positive and Negative Syndrome Scale - Delusions. PANSS - Delusions
C124766 PANSS1-Depression PANSS1-Depression Positive and Negative Syndrome Scale - Depression. PANSS - Depression
C124758 PANSS1-Difficulty in Abstract Thinking PANSS1-Difficulty in Abstract Thinking Positive and Negative Syndrome Scale - Difficulty in abstract thinking. PANSS - Difficulty in Abstract Thinking
C124770 PANSS1-Disorientation PANSS1-Disorientation Positive and Negative Syndrome Scale - Disorientation. PANSS - Disorientation
C124773 PANSS1-Disturbance of Volition PANSS1-Disturbance of Volition Positive and Negative Syndrome Scale - Disturbance of volition. PANSS - Disturbance of Volition
C124755 PANSS1-Emotional Withdrawal PANSS1-Emotional Withdrawal Positive and Negative Syndrome Scale - Emotional withdrawal. PANSS - Emotional Withdrawal
C124750 PANSS1-Excitement PANSS1-Excitement Positive and Negative Syndrome Scale - Excitement. PANSS - Excitement
C124751 PANSS1-Grandiosity PANSS1-Grandiosity Positive and Negative Syndrome Scale - Grandiosity. PANSS - Grandiosity
C124763 PANSS1-Guilt Feelings PANSS1-Guilt Feelings Positive and Negative Syndrome Scale - Guilt feelings. PANSS - Guilt Feelings
C124749 PANSS1-Hallucinatory Behavior PANSS1-Hallucinatory Behavior Positive and Negative Syndrome Scale - Hallucinatory behavior. PANSS - Hallucinatory Behavior
C124753 PANSS1-Hostility PANSS1-Hostility Positive and Negative Syndrome Scale - Hostility. PANSS - Hostility
C124772 PANSS1-Lack of Judgment and Insight PANSS1-Lack of Judgment and Insight Positive and Negative Syndrome Scale - Lack of judgment and insight. PANSS - Lack of Judgement
C124759 PANSS1-Lack of Spontaneity PANSS1-Lack of Spontaneity Positive and Negative Syndrome Scale - Lack of spontaneity and flow of conversation. PANSS - Lack of Spontaneity
C124765 PANSS1-Mannerisms and Posturing PANSS1-Mannerisms and Posturing Positive and Negative Syndrome Scale - Mannerisms and posturing. PANSS - Mannerisms and Posturing
C124767 PANSS1-Motor Retardation PANSS1-Motor Retardation Positive and Negative Syndrome Scale - Motor retardation. PANSS - Motor Retardation
C124757 PANSS1-Passive/Apathetic Social Withdraw PANSS1-Passive/Apathetic Social Withdraw Positive and Negative Syndrome Scale - Passive/apathetic social withdrawal. PANSS - Passive or Apathetic Social Withdrawal
C124771 PANSS1-Poor Attention PANSS1-Poor Attention Positive and Negative Syndrome Scale - Poor attention. PANSS - Poor Attention
C124774 PANSS1-Poor Impulse Control PANSS1-Poor Impulse Control Positive and Negative Syndrome Scale - Poor impulse control. PANSS - Poor Impulse Control
C124756 PANSS1-Poor Rapport PANSS1-Poor Rapport Positive and Negative Syndrome Scale - Poor rapport. PANSS - Poor Rapport
C124775 PANSS1-Preoccupation PANSS1-Preoccupation Positive and Negative Syndrome Scale - Preoccupation. PANSS - Preoccupation
C124761 PANSS1-Somatic Concern PANSS1-Somatic Concern Positive and Negative Syndrome Scale - Somatic concern. PANSS - Somatic Concern
C124760 PANSS1-Stereotyped Thinking PANSS1-Stereotyped Thinking Positive and Negative Syndrome Scale - Stereotyped thinking. PANSS - Stereotyped Thinking
C124752 PANSS1-Suspiciousness/Persecution PANSS1-Suspiciousness/Persecution Positive and Negative Syndrome Scale - Suspiciousness/persecution. PANSS - Suspiciousness or Persecution
C124764 PANSS1-Tension PANSS1-Tension Positive and Negative Syndrome Scale - Tension. PANSS - Tension
C124768 PANSS1-Uncooperativeness PANSS1-Uncooperativeness Positive and Negative Syndrome Scale - Uncooperativeness. PANSS - Uncooperativeness
C124769 PANSS1-Unusual Thought Content PANSS1-Unusual Thought Content Positive and Negative Syndrome Scale - Unusual thought content. PANSS - Unusual Thought Content

PASAT1TC (Paced Auditory Serial Addition Test Functional Test Test Code)

NCI Code: C115394, Codelist extensible: No
C115394 PASAT1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115809 PASAT101 PASAT1-Total Correct Paced Auditory Serial Addition Test - Total correct. PASAT - Total Correct
C115810 PASAT102 PASAT1-Percent Correct Paced Auditory Serial Addition Test - Percent correct. PASAT - Percent Correct
C115811 PASAT103 PASAT1-More Than One Attempt Paced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial? PASAT - More Than One Attempt
C115812 PASAT104 PASAT1-Total Correct in First Half Paced Auditory Serial Addition Test - Total correct in first half. PASAT - Total Correct in First Half
C115813 PASAT105 PASAT1-Total Correct in Second Half Paced Auditory Serial Addition Test - Total correct in second half. PASAT - Total Correct in Second Half
C115814 PASAT106 PASAT1-Total Commission Errors Paced Auditory Serial Addition Test - Total commission errors. PASAT - Total Commission Errors
C115815 PASAT107 PASAT1-Total Omission Errors Paced Auditory Serial Addition Test - Total omission errors. PASAT - Total Omission Errors

PASAT1TN (Paced Auditory Serial Addition Test Functional Test Test Name)

NCI Code: C115393, Codelist extensible: No
C115393 PASAT1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115811 PASAT1-More Than One Attempt PASAT1-More Than One Attempt Paced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial? PASAT - More Than One Attempt
C115810 PASAT1-Percent Correct PASAT1-Percent Correct Paced Auditory Serial Addition Test - Percent correct. PASAT - Percent Correct
C115814 PASAT1-Total Commission Errors PASAT1-Total Commission Errors Paced Auditory Serial Addition Test - Total commission errors. PASAT - Total Commission Errors
C115812 PASAT1-Total Correct in First Half PASAT1-Total Correct in First Half Paced Auditory Serial Addition Test - Total correct in first half. PASAT - Total Correct in First Half
C115813 PASAT1-Total Correct in Second Half PASAT1-Total Correct in Second Half Paced Auditory Serial Addition Test - Total correct in second half. PASAT - Total Correct in Second Half
C115809 PASAT1-Total Correct PASAT1-Total Correct Paced Auditory Serial Addition Test - Total correct. PASAT - Total Correct
C115815 PASAT1-Total Omission Errors PASAT1-Total Omission Errors Paced Auditory Serial Addition Test - Total omission errors. PASAT - Total Omission Errors

PASI01TC (Psoriasis Area and Severity Index Clinical Classification Test Code)

NCI Code: C135678, Codelist extensible: No
C135678 PASI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135746 PASI0101 PASI01-Head (H): Erythema (E) Psoriasis Area and Severity Index - Head (H): Erythema (E). PASI - Head (H): Erythema (E)
C135747 PASI0102 PASI01-Head (H): Infiltration (I) Psoriasis Area and Severity Index - Head (H): Infiltration (I). PASI - Head (H): Infiltration (I)
C135748 PASI0103 PASI01-Head (H): Desquamation (D) Psoriasis Area and Severity Index - Head (H): Desquamation (D). PASI - Head (H): Desquamation (D)
C135749 PASI0104 PASI01-Head (H): Sum = E+I+D Psoriasis Area and Severity Index - Head (H): Sum = E + I + D. PASI - Head (H): Sum = E+I+D
C135750 PASI0105 PASI01-Head (H): Area Score Psoriasis Area and Severity Index - Head (H): Area score. PASI - Head (H): Area Score
C135751 PASI0106 PASI01-Head (H): Sum X Area Psoriasis Area and Severity Index - Head (H): Sum x area. PASI - Head (H): Sum X Area
C135752 PASI0107 PASI01-Head (H): Sum X Area X 0.1 Psoriasis Area and Severity Index - Head (H): Sum x area x 0.1. PASI - Head (H): Sum X Area X 0.1
C135753 PASI0108 PASI01-Trunk (T): Erythema (E) Psoriasis Area and Severity Index - Trunk (T): Erythema (E). PASI - Trunk (T): Erythema (E)
C135754 PASI0109 PASI01-Trunk (T): Infiltration (I) Psoriasis Area and Severity Index - Trunk (T): Infiltration (I). PASI - Trunk (T): Infiltration (I)
C135755 PASI0110 PASI01-Trunk (T): Desquamation (D) Psoriasis Area and Severity Index - Trunk (T): Desquamation (D). PASI - Trunk (T): Desquamation (D)
C135756 PASI0111 PASI01-Trunk (T): Sum = E+I+D Psoriasis Area and Severity Index - Trunk (T): Sum = E + I + D. PASI - Trunk (T): Sum = E+I+D
C135757 PASI0112 PASI01-Trunk (T): Area Score Psoriasis Area and Severity Index - Trunk (T): Area score. PASI - Trunk (T): Area Score
C135758 PASI0113 PASI01-Trunk (T): Sum X Area Psoriasis Area and Severity Index - Trunk (T): Sum x area. PASI - Trunk (T): Sum X Area
C135759 PASI0114 PASI01-Trunk (T): Sum X Area X 0.3 Psoriasis Area and Severity Index - Trunk (T): Sum x area x 0.3. PASI - Trunk (T): Sum X Area X 0.3
C135760 PASI0115 PASI01-Up Extrem (U): Erythema (E) Psoriasis Area and Severity Index - Upper Extremities (U): Erythema (E). PASI - Upper Extremities (U): Erythema (E)
C135761 PASI0116 PASI01-Up Extrem (U): Infiltration (I) Psoriasis Area and Severity Index - Upper Extremities (U): Infiltration (I). PASI - Upper Extremities (U): Infiltration (I)
C135762 PASI0117 PASI01-Up Extrem (U): Desquamation (D) Psoriasis Area and Severity Index - Upper Extremities (U): Desquamation (D). PASI - Upper Extremities (U): Desquamation (D)
C135763 PASI0118 PASI01-Up Extrem (U): Sum = E+I+D Psoriasis Area and Severity Index - Upper Extremities (U): Sum = E + I + D. PASI - Upper Extremities (U): Sum = E+I+D
C135764 PASI0119 PASI01-Up Extrem (U): Area Score Psoriasis Area and Severity Index - Upper Extremities (U): Area score. PASI - Upper Extremities (U): Area Score
C135765 PASI0120 PASI01-Up Extrem (U): Sum X Area Psoriasis Area and Severity Index - Upper Extremities (U): Sum x area. PASI - Upper Extremities (U): Sum X Area
C135766 PASI0121 PASI01-Up Extrem (U): Sum X Area X 0.2 Psoriasis Area and Severity Index - Upper Extremities (U): Sum x area x 0.2. PASI - Upper Extremities (U): Sum X Area X 0.2
C135767 PASI0122 PASI01-Low Extrem (L): Erythema (E) Psoriasis Area and Severity Index - Lower Extremities (L): Erythema (E). PASI - Lower Extremities (L): Erythema (E)
C135768 PASI0123 PASI01-Low Extrem (L): Infiltration (I) Psoriasis Area and Severity Index - Lower Extremities (L): Infiltration (I). PASI - Lower Extremities (L): Infiltration (I)
C135769 PASI0124 PASI01-Low Extrem (L): Desquamation (D) Psoriasis Area and Severity Index - Lower Extremities (L): Desquamation (D). PASI - Lower Extremities (L): Desquamation (D)
C135770 PASI0125 PASI01-Low Extrem (L): Sum = E+I+D Psoriasis Area and Severity Index - Lower Extremities (L): Sum = E + I + D. PASI - Lower Extremities (L): Sum = E+I+D
C135771 PASI0126 PASI01-Low Extrem (L): Area Score Psoriasis Area and Severity Index - Lower Extremities (L): Area score. PASI - Lower Extremities (L): Area Score
C135772 PASI0127 PASI01-Low Extrem (L): Sum X Area Psoriasis Area and Severity Index - Lower Extremities (L): Sum x area. PASI - Lower Extremities (L): Sum X Area
C135773 PASI0128 PASI01-Low Extrem (L): Sum X Area X 0.4 Psoriasis Area and Severity Index - Lower Extremities (L): Sum x area x 0.4. PASI - Lower Extremities (L): Sum X Area X 0.4
C135774 PASI0129 PASI01-Total Sum Psoriasis Area and Severity Index - Total sum. PASI - Total Sum

PASI01TN (Psoriasis Area and Severity Index Clinical Classification Test Name)

NCI Code: C135677, Codelist extensible: No
C135677 PASI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135750 PASI01-Head (H): Area Score PASI01-Head (H): Area Score Psoriasis Area and Severity Index - Head (H): Area score. PASI - Head (H): Area Score
C135748 PASI01-Head (H): Desquamation (D) PASI01-Head (H): Desquamation (D) Psoriasis Area and Severity Index - Head (H): Desquamation (D). PASI - Head (H): Desquamation (D)
C135746 PASI01-Head (H): Erythema (E) PASI01-Head (H): Erythema (E) Psoriasis Area and Severity Index - Head (H): Erythema (E). PASI - Head (H): Erythema (E)
C135747 PASI01-Head (H): Infiltration (I) PASI01-Head (H): Infiltration (I) Psoriasis Area and Severity Index - Head (H): Infiltration (I). PASI - Head (H): Infiltration (I)
C135749 PASI01-Head (H): Sum = E+I+D PASI01-Head (H): Sum = E+I+D Psoriasis Area and Severity Index - Head (H): Sum = E + I + D. PASI - Head (H): Sum = E+I+D
C135752 PASI01-Head (H): Sum X Area X 0.1 PASI01-Head (H): Sum X Area X 0.1 Psoriasis Area and Severity Index - Head (H): Sum x area x 0.1. PASI - Head (H): Sum X Area X 0.1
C135751 PASI01-Head (H): Sum X Area PASI01-Head (H): Sum X Area Psoriasis Area and Severity Index - Head (H): Sum x area. PASI - Head (H): Sum X Area
C135771 PASI01-Low Extrem (L): Area Score PASI01-Low Extrem (L): Area Score Psoriasis Area and Severity Index - Lower Extremities (L): Area score. PASI - Lower Extremities (L): Area Score
C135769 PASI01-Low Extrem (L): Desquamation (D) PASI01-Low Extrem (L): Desquamation (D) Psoriasis Area and Severity Index - Lower Extremities (L): Desquamation (D). PASI - Lower Extremities (L): Desquamation (D)
C135767 PASI01-Low Extrem (L): Erythema (E) PASI01-Low Extrem (L): Erythema (E) Psoriasis Area and Severity Index - Lower Extremities (L): Erythema (E). PASI - Lower Extremities (L): Erythema (E)
C135768 PASI01-Low Extrem (L): Infiltration (I) PASI01-Low Extrem (L): Infiltration (I) Psoriasis Area and Severity Index - Lower Extremities (L): Infiltration (I). PASI - Lower Extremities (L): Infiltration (I)
C135770 PASI01-Low Extrem (L): Sum = E+I+D PASI01-Low Extrem (L): Sum = E+I+D Psoriasis Area and Severity Index - Lower Extremities (L): Sum = E + I + D. PASI - Lower Extremities (L): Sum = E+I+D
C135773 PASI01-Low Extrem (L): Sum X Area X 0.4 PASI01-Low Extrem (L): Sum X Area X 0.4 Psoriasis Area and Severity Index - Lower Extremities (L): Sum x area x 0.4. PASI - Lower Extremities (L): Sum X Area X 0.4
C135772 PASI01-Low Extrem (L): Sum X Area PASI01-Low Extrem (L): Sum X Area Psoriasis Area and Severity Index - Lower Extremities (L): Sum x area. PASI - Lower Extremities (L): Sum X Area
C135774 PASI01-Total Sum PASI01-Total Sum Psoriasis Area and Severity Index - Total sum. PASI - Total Sum
C135757 PASI01-Trunk (T): Area Score PASI01-Trunk (T): Area Score Psoriasis Area and Severity Index - Trunk (T): Area score. PASI - Trunk (T): Area Score
C135755 PASI01-Trunk (T): Desquamation (D) PASI01-Trunk (T): Desquamation (D) Psoriasis Area and Severity Index - Trunk (T): Desquamation (D). PASI - Trunk (T): Desquamation (D)
C135753 PASI01-Trunk (T): Erythema (E) PASI01-Trunk (T): Erythema (E) Psoriasis Area and Severity Index - Trunk (T): Erythema (E). PASI - Trunk (T): Erythema (E)
C135754 PASI01-Trunk (T): Infiltration (I) PASI01-Trunk (T): Infiltration (I) Psoriasis Area and Severity Index - Trunk (T): Infiltration (I). PASI - Trunk (T): Infiltration (I)
C135756 PASI01-Trunk (T): Sum = E+I+D PASI01-Trunk (T): Sum = E+I+D Psoriasis Area and Severity Index - Trunk (T): Sum = E + I + D. PASI - Trunk (T): Sum = E+I+D
C135759 PASI01-Trunk (T): Sum X Area X 0.3 PASI01-Trunk (T): Sum X Area X 0.3 Psoriasis Area and Severity Index - Trunk (T): Sum x area x 0.3. PASI - Trunk (T): Sum X Area X 0.3
C135758 PASI01-Trunk (T): Sum X Area PASI01-Trunk (T): Sum X Area Psoriasis Area and Severity Index - Trunk (T): Sum x area. PASI - Trunk (T): Sum X Area
C135764 PASI01-Up Extrem (U): Area Score PASI01-Up Extrem (U): Area Score Psoriasis Area and Severity Index - Upper Extremities (U): Area score. PASI - Upper Extremities (U): Area Score
C135762 PASI01-Up Extrem (U): Desquamation (D) PASI01-Up Extrem (U): Desquamation (D) Psoriasis Area and Severity Index - Upper Extremities (U): Desquamation (D). PASI - Upper Extremities (U): Desquamation (D)
C135760 PASI01-Up Extrem (U): Erythema (E) PASI01-Up Extrem (U): Erythema (E) Psoriasis Area and Severity Index - Upper Extremities (U): Erythema (E). PASI - Upper Extremities (U): Erythema (E)
C135761 PASI01-Up Extrem (U): Infiltration (I) PASI01-Up Extrem (U): Infiltration (I) Psoriasis Area and Severity Index - Upper Extremities (U): Infiltration (I). PASI - Upper Extremities (U): Infiltration (I)
C135763 PASI01-Up Extrem (U): Sum = E+I+D PASI01-Up Extrem (U): Sum = E+I+D Psoriasis Area and Severity Index - Upper Extremities (U): Sum = E + I + D. PASI - Upper Extremities (U): Sum = E+I+D
C135766 PASI01-Up Extrem (U): Sum X Area X 0.2 PASI01-Up Extrem (U): Sum X Area X 0.2 Psoriasis Area and Severity Index - Upper Extremities (U): Sum x area x 0.2. PASI - Upper Extremities (U): Sum X Area X 0.2
C135765 PASI01-Up Extrem (U): Sum X Area PASI01-Up Extrem (U): Sum X Area Psoriasis Area and Severity Index - Upper Extremities (U): Sum x area. PASI - Upper Extremities (U): Sum X Area

PASI02TC (Psoriasis Area and Severity Index Version 2 Clinical Classification Test Code)

NCI Code: C179936, Codelist extensible: No
C179936 PASI02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180218 PASI0201 PASI02-Head: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Head: Erythema/Redness symptom score. PASI Version 2 - Head: Erythema/Redness
C180219 PASI0202 PASI02-Head: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Head: Thickness/Induration symptom score. PASI Version 2 - Head: Thickness/Induration
C180220 PASI0203 PASI02-Head: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Head: Desquamation/Scaling symptom score. PASI Version 2 - Head: Desquamation/Scaling
C180221 PASI0204 PASI02-Head: Area Score Psoriasis Area and Severity Index Version 2 - Head: Area score. PASI Version 2 - Head: Area Score
C180222 PASI0205 PASI02-Up Extrem: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Upper Extremities: Erythema/Redness symptom score. PASI Version 2 - Upper Extremities: Erythema/Redness
C180223 PASI0206 PASI02-Up Extrem: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Upper Extremities: Thickness/Induration symptom score. PASI Version 2 - Upper Extremities: Thickness/Induration
C180224 PASI0207 PASI02-Up Extrem: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Upper Extremities: Desquamation/Scaling symptom score. PASI Version 2 - Upper Extremities: Desquamation/Scaling
C180225 PASI0208 PASI02-Up Extrem: Area Score Psoriasis Area and Severity Index Version 2 - Upper Extremities: Area score. PASI Version 2 - Upper Extremities: Area Score
C180226 PASI0209 PASI02-Trunk: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Trunk: Erythema/Redness symptom score. PASI Version 2 - Trunk: Erythema/Redness
C180227 PASI0210 PASI02-Trunk: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Trunk: Thickness/Induration symptom score. PASI Version 2 - Trunk: Thickness/Induration
C180228 PASI0211 PASI02-Trunk: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Trunk: Desquamation/Scaling symptom score. PASI Version 2 - Trunk: Desquamation/Scaling
C180229 PASI0212 PASI02-Trunk: Area Score Psoriasis Area and Severity Index Version 2 - Trunk: Area score. PASI Version 2 - Trunk: Area Score
C180230 PASI0213 PASI02-Low Extrem: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Lower Extremities: Erythema/Redness symptom score. PASI Version 2 - Lower Extremities: Erythema/Redness
C180231 PASI0214 PASI02-Low Extrem: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Lower Extremities: Thickness/Induration symptom score. PASI Version 2 - Lower Extremities: Thickness/Induration
C180232 PASI0215 PASI02-Low Extrem: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Lower Extremities: Desquamation/Scaling symptom score. PASI Version 2 - Lower Extremities: Desquamation/Scaling
C180233 PASI0216 PASI02-Low Extrem: Area Score Psoriasis Area and Severity Index Version 2 - Lower Extremities: Area score. PASI Version 2 - Lower Extremities: Area Score
C180234 PASI0217 PASI02-Head: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Head: Sum of symptoms scores. PASI Version 2 - Head: Sum of Symptom Scores
C180235 PASI0218 PASI02-Head: Sum X Area Psoriasis Area and Severity Index Version 2 - Head: Sum of symptom scores x area score. PASI Version 2 - Head: Sum X Area
C180236 PASI0219 PASI02-Head: Sum X Area X 0.1 Psoriasis Area and Severity Index Version 2 - Head: Sum x area x 0.1. PASI Version 2 - Head: Sum X Area X 0.1
C180237 PASI0220 PASI02-Up Extrem: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptoms scores. PASI Version 2 - Upper Extremities: Sum of Symptom Scores
C180238 PASI0221 PASI02-Up Extrem: Sum X Area Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptom scores x area score. PASI Version 2 - Upper Extremities: Sum X Area
C180239 PASI0222 PASI02-Up Extrem: Sum X Area X 0.2 Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum x area x 0.2. PASI Version 2 - Upper Extremities: Sum X Area X 0.2
C180240 PASI0223 PASI02-Trunk: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Trunk: Sum of symptoms scores. PASI Version 2 - Trunk: Sum of Symptom Scores
C180241 PASI0224 PASI02-Trunk: Sum X Area Psoriasis Area and Severity Index Version 2 - Trunk: Sum of symptom scores x area score. PASI Version 2 - Trunk: Sum X Area
C180242 PASI0225 PASI02-Trunk: Sum X Area X 0.3 Psoriasis Area and Severity Index Version 2 - Trunk: Sum x area x 0.3. PASI Version 2 - Trunk: Sum X Area X 0.3
C180243 PASI0226 PASI02-Low Extrem: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptoms scores. PASI Version 2 - Lower Extremities: Sum of Symptom Scores
C180244 PASI0227 PASI02-Low Extrem: Sum X Area Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptom scores x area score. PASI Version 2 - Lower Extremities: Sum X Area
C180245 PASI0228 PASI02-Low Extrem: Sum X Area X 0.4 Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum x area x 0.4. PASI Version 2 - Lower Extremities: Sum X Area X 0.4
C180246 PASI0229 PASI02-Total Sum Psoriasis Area and Severity Index Version 2 - Total sum. PASI Version 2 - Total Sum

PASI02TN (Psoriasis Area and Severity Index Version 2 Clinical Classification Test Name)

NCI Code: C179935, Codelist extensible: No
C179935 PASI02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180221 PASI02-Head: Area Score PASI02-Head: Area Score Psoriasis Area and Severity Index Version 2 - Head: Area score. PASI Version 2 - Head: Area Score
C180220 PASI02-Head: Desquamation/Scaling PASI02-Head: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Head: Desquamation/Scaling symptom score. PASI Version 2 - Head: Desquamation/Scaling
C180218 PASI02-Head: Erythema/Redness PASI02-Head: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Head: Erythema/Redness symptom score. PASI Version 2 - Head: Erythema/Redness
C180234 PASI02-Head: Sum of Symptom Scores PASI02-Head: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Head: Sum of symptoms scores. PASI Version 2 - Head: Sum of Symptom Scores
C180236 PASI02-Head: Sum X Area X 0.1 PASI02-Head: Sum X Area X 0.1 Psoriasis Area and Severity Index Version 2 - Head: Sum x area x 0.1. PASI Version 2 - Head: Sum X Area X 0.1
C180235 PASI02-Head: Sum X Area PASI02-Head: Sum X Area Psoriasis Area and Severity Index Version 2 - Head: Sum of symptom scores x area score. PASI Version 2 - Head: Sum X Area
C180219 PASI02-Head: Thickness/Induration PASI02-Head: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Head: Thickness/Induration symptom score. PASI Version 2 - Head: Thickness/Induration
C180233 PASI02-Low Extrem: Area Score PASI02-Low Extrem: Area Score Psoriasis Area and Severity Index Version 2 - Lower Extremities: Area score. PASI Version 2 - Lower Extremities: Area Score
C180232 PASI02-Low Extrem: Desquamation/Scaling PASI02-Low Extrem: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Lower Extremities: Desquamation/Scaling symptom score. PASI Version 2 - Lower Extremities: Desquamation/Scaling
C180230 PASI02-Low Extrem: Erythema/Redness PASI02-Low Extrem: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Lower Extremities: Erythema/Redness symptom score. PASI Version 2 - Lower Extremities: Erythema/Redness
C180243 PASI02-Low Extrem: Sum of Symptom Scores PASI02-Low Extrem: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptoms scores. PASI Version 2 - Lower Extremities: Sum of Symptom Scores
C180245 PASI02-Low Extrem: Sum X Area X 0.4 PASI02-Low Extrem: Sum X Area X 0.4 Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum x area x 0.4. PASI Version 2 - Lower Extremities: Sum X Area X 0.4
C180244 PASI02-Low Extrem: Sum X Area PASI02-Low Extrem: Sum X Area Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptom scores x area score. PASI Version 2 - Lower Extremities: Sum X Area
C180231 PASI02-Low Extrem: Thickness/Induration PASI02-Low Extrem: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Lower Extremities: Thickness/Induration symptom score. PASI Version 2 - Lower Extremities: Thickness/Induration
C180246 PASI02-Total Sum PASI02-Total Sum Psoriasis Area and Severity Index Version 2 - Total sum. PASI Version 2 - Total Sum
C180229 PASI02-Trunk: Area Score PASI02-Trunk: Area Score Psoriasis Area and Severity Index Version 2 - Trunk: Area score. PASI Version 2 - Trunk: Area Score
C180228 PASI02-Trunk: Desquamation/Scaling PASI02-Trunk: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Trunk: Desquamation/Scaling symptom score. PASI Version 2 - Trunk: Desquamation/Scaling
C180226 PASI02-Trunk: Erythema/Redness PASI02-Trunk: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Trunk: Erythema/Redness symptom score. PASI Version 2 - Trunk: Erythema/Redness
C180240 PASI02-Trunk: Sum of Symptom Scores PASI02-Trunk: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Trunk: Sum of symptoms scores. PASI Version 2 - Trunk: Sum of Symptom Scores
C180242 PASI02-Trunk: Sum X Area X 0.3 PASI02-Trunk: Sum X Area X 0.3 Psoriasis Area and Severity Index Version 2 - Trunk: Sum x area x 0.3. PASI Version 2 - Trunk: Sum X Area X 0.3
C180241 PASI02-Trunk: Sum X Area PASI02-Trunk: Sum X Area Psoriasis Area and Severity Index Version 2 - Trunk: Sum of symptom scores x area score. PASI Version 2 - Trunk: Sum X Area
C180227 PASI02-Trunk: Thickness/Induration PASI02-Trunk: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Trunk: Thickness/Induration symptom score. PASI Version 2 - Trunk: Thickness/Induration
C180225 PASI02-Up Extrem: Area Score PASI02-Up Extrem: Area Score Psoriasis Area and Severity Index Version 2 - Upper Extremities: Area score. PASI Version 2 - Upper Extremities: Area Score
C180224 PASI02-Up Extrem: Desquamation/Scaling PASI02-Up Extrem: Desquamation/Scaling Psoriasis Area and Severity Index Version 2 - Upper Extremities: Desquamation/Scaling symptom score. PASI Version 2 - Upper Extremities: Desquamation/Scaling
C180222 PASI02-Up Extrem: Erythema/Redness PASI02-Up Extrem: Erythema/Redness Psoriasis Area and Severity Index Version 2 - Upper Extremities: Erythema/Redness symptom score. PASI Version 2 - Upper Extremities: Erythema/Redness
C180237 PASI02-Up Extrem: Sum of Symptom Scores PASI02-Up Extrem: Sum of Symptom Scores Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptoms scores. PASI Version 2 - Upper Extremities: Sum of Symptom Scores
C180239 PASI02-Up Extrem: Sum X Area X 0.2 PASI02-Up Extrem: Sum X Area X 0.2 Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum x area x 0.2. PASI Version 2 - Upper Extremities: Sum X Area X 0.2
C180238 PASI02-Up Extrem: Sum X Area PASI02-Up Extrem: Sum X Area Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptom scores x area score. PASI Version 2 - Upper Extremities: Sum X Area
C180223 PASI02-Up Extrem: Thickness/Induration PASI02-Up Extrem: Thickness/Induration Psoriasis Area and Severity Index Version 2 - Upper Extremities: Thickness/Induration symptom score. PASI Version 2 - Upper Extremities: Thickness/Induration

PCL01TC (The PTSD Checklist for DSM-5 Questionnaire Test Code)

NCI Code: C135692, Codelist extensible: No
C135692 PCL01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135922 PCL0101 PCL01-Repeated Disturbing Memories The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing, and unwanted memories of the stressful experience? PCL-5 - Repeated Disturbing Memories
C135923 PCL0102 PCL01-Repeated Disturbing Dreams The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing dreams of the stressful experience? PCL-5 - Repeated Disturbing Dreams
C135924 PCL0103 PCL01-Suddenly Feeling Happening Again The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? PCL-5 - Suddenly Feeling Happening Again
C135925 PCL0104 PCL01-Feel Upset When Reminded The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling very upset when something reminded you of the stressful experience? PCL-5 - Feel Upset When Reminded
C135926 PCL0105 PCL01-Strong Physical Reactions The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? PCL-5 - Strong Physical Reactions
C135927 PCL0106 PCL01-Avoid Memories/Thoughts/Feelings The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding memories, thoughts, or feelings related to the stressful experience? PCL-5 - Avoid Memories, Thoughts or Feelings
C135928 PCL0107 PCL01-Avoid External Reminders The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? PCL-5 - Avoid External Reminders
C135929 PCL0108 PCL01-Trouble Remembering Important Part The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble remembering important parts of the stressful experience? PCL-5 - Trouble Remembering Important Parts
C135930 PCL0109 PCL01-Strong Negative Beliefs The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? PCL-5 - Strong Negative Beliefs
C135931 PCL0110 PCL01-Blaming Yourself/Someone Else The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Blaming yourself or someone else for the stressful experience or what happened after it? PCL-5 - Blaming Yourself or Someone Else
C135932 PCL0111 PCL01-Strong Negative Feelings The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative feelings such as fear, horror, anger, guilt, or shame? PCL-5 - Strong Negative Feelings
C135933 PCL0112 PCL01-Loss of Interest in Activities The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Loss of interest in activities that you used to enjoy? PCL-5 - Loss of Interest in Activities
C135934 PCL0113 PCL01-Feeling Distant From People The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling distant or cut off from other people? PCL-5 - Feeling Distant From People
C135935 PCL0114 PCL01-Trouble Experiencing Pos Feelings The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? PCL-5 - Trouble Experiencing Positive Feelings
C135936 PCL0115 PCL01-Irritable Behavior/Angry Outbursts The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Irritable behavior, angry outbursts, or acting aggressively? PCL-5 - Irritable Behavior or Angry Outbursts
C135937 PCL0116 PCL01-Taking Too Many Risks/Cause Harm The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Taking too many risks or doing things that could cause you harm? PCL-5 - Taking Too Many Risks or Cause Harm
C135938 PCL0117 PCL01-Being Superalert/Watchful/on Guard The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Being "superalert" or watchful or on guard? PCL-5 - Being Super Alert or Watchful
C135939 PCL0118 PCL01-Feeling Jumpy or Easily Startled The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling jumpy or easily startled? PCL-5 - Feeling Jumpy or Easily Startled
C135940 PCL0119 PCL01-Having Difficulty Concentrating The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having difficulty concentrating? PCL-5 - Having Difficulty Concentrating
C135941 PCL0120 PCL01-Trouble Falling or Staying Asleep The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble falling or staying asleep? PCL-5 - Trouble Falling or Staying Asleep

PCL01TN (The PTSD Checklist for DSM-5 Questionnaire Test Name)

NCI Code: C135691, Codelist extensible: No
C135691 PCL01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135928 PCL01-Avoid External Reminders PCL01-Avoid External Reminders The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? PCL-5 - Avoid External Reminders
C135927 PCL01-Avoid Memories/Thoughts/Feelings PCL01-Avoid Memories/Thoughts/Feelings The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding memories, thoughts, or feelings related to the stressful experience? PCL-5 - Avoid Memories, Thoughts or Feelings
C135938 PCL01-Being Superalert/Watchful/on Guard PCL01-Being Superalert/Watchful/on Guard The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Being "superalert" or watchful or on guard? PCL-5 - Being Super Alert or Watchful
C135931 PCL01-Blaming Yourself/Someone Else PCL01-Blaming Yourself/Someone Else The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Blaming yourself or someone else for the stressful experience or what happened after it? PCL-5 - Blaming Yourself or Someone Else
C135925 PCL01-Feel Upset When Reminded PCL01-Feel Upset When Reminded The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling very upset when something reminded you of the stressful experience? PCL-5 - Feel Upset When Reminded
C135934 PCL01-Feeling Distant From People PCL01-Feeling Distant From People The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling distant or cut off from other people? PCL-5 - Feeling Distant From People
C135939 PCL01-Feeling Jumpy or Easily Startled PCL01-Feeling Jumpy or Easily Startled The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling jumpy or easily startled? PCL-5 - Feeling Jumpy or Easily Startled
C135940 PCL01-Having Difficulty Concentrating PCL01-Having Difficulty Concentrating The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having difficulty concentrating? PCL-5 - Having Difficulty Concentrating
C135936 PCL01-Irritable Behavior/Angry Outbursts PCL01-Irritable Behavior/Angry Outbursts The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Irritable behavior, angry outbursts, or acting aggressively? PCL-5 - Irritable Behavior or Angry Outbursts
C135933 PCL01-Loss of Interest in Activities PCL01-Loss of Interest in Activities The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Loss of interest in activities that you used to enjoy? PCL-5 - Loss of Interest in Activities
C135923 PCL01-Repeated Disturbing Dreams PCL01-Repeated Disturbing Dreams The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing dreams of the stressful experience? PCL-5 - Repeated Disturbing Dreams
C135922 PCL01-Repeated Disturbing Memories PCL01-Repeated Disturbing Memories The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing, and unwanted memories of the stressful experience? PCL-5 - Repeated Disturbing Memories
C135930 PCL01-Strong Negative Beliefs PCL01-Strong Negative Beliefs The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? PCL-5 - Strong Negative Beliefs
C135932 PCL01-Strong Negative Feelings PCL01-Strong Negative Feelings The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative feelings such as fear, horror, anger, guilt, or shame? PCL-5 - Strong Negative Feelings
C135926 PCL01-Strong Physical Reactions PCL01-Strong Physical Reactions The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? PCL-5 - Strong Physical Reactions
C135924 PCL01-Suddenly Feeling Happening Again PCL01-Suddenly Feeling Happening Again The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? PCL-5 - Suddenly Feeling Happening Again
C135937 PCL01-Taking Too Many Risks/Cause Harm PCL01-Taking Too Many Risks/Cause Harm The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Taking too many risks or doing things that could cause you harm? PCL-5 - Taking Too Many Risks or Cause Harm
C135935 PCL01-Trouble Experiencing Pos Feelings PCL01-Trouble Experiencing Pos Feelings The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? PCL-5 - Trouble Experiencing Positive Feelings
C135941 PCL01-Trouble Falling or Staying Asleep PCL01-Trouble Falling or Staying Asleep The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble falling or staying asleep? PCL-5 - Trouble Falling or Staying Asleep
C135929 PCL01-Trouble Remembering Important Part PCL01-Trouble Remembering Important Part The PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble remembering important parts of the stressful experience? PCL-5 - Trouble Remembering Important Parts

PDDS01TC (Patient Determined Disease Steps Questionnaire Test Code)

NCI Code: C112447, Codelist extensible: No
C112447 PDDS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112626 PDDS0101 PDDS01-Category Describing Situation Patient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest. PDDS - Category Describing Situation

PDDS01TN (Patient Determined Disease Steps Questionnaire Test Name)

NCI Code: C112446, Codelist extensible: No
C112446 PDDS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112626 PDDS01-Category Describing Situation PDDS01-Category Describing Situation Patient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest. PDDS - Category Describing Situation

PGI01TC (Patient Global Impression Generic Modification Version Questionnaire Test Code)

NCI Code: C135688, Codelist extensible: No
C135688 PGI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135817 PGI0101 PGI01-Severity Patient Global Impression - Considering all the ways your condition impacts you, how severe is your condition at this time? PGI Generic Modification Version - Severity
C135818 PGI0102 PGI01-Change Patient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition changed? PGI Generic Modification Version - Change
C135819 PGI0103 PGI01-Improvement Patient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition improved? PGI Generic Modification Version - Improvement

PGI01TN (Patient Global Impression Generic Modification Version Questionnaire Test Name)

NCI Code: C135687, Codelist extensible: No
C135687 PGI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135818 PGI01-Change PGI01-Change Patient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition changed? PGI Generic Modification Version - Change
C135819 PGI01-Improvement PGI01-Improvement Patient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition improved? PGI Generic Modification Version - Improvement
C135817 PGI01-Severity PGI01-Severity Patient Global Impression - Considering all the ways your condition impacts you, how severe is your condition at this time? PGI Generic Modification Version - Severity

PHQ01TC (Patient Health Questionnaire - 9 Item Questionnaire Test Code)

NCI Code: C103481, Codelist extensible: No
C103481 PHQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103705 PHQ0101 PHQ01-Little Interest/Pleasure in Things Patient Health Questionnaire - 9 - Little interest or pleasure in doing things. PHQ-9 - Little Interest or Pleasure in Doing Things
C103706 PHQ0102 PHQ01-Feeling Down Depressed or Hopeless Patient Health Questionnaire - 9 - Feeling down, depressed, or hopeless. PHQ-9 - Feeling Down, Depressed, or Hopeless
C103707 PHQ0103 PHQ01-Trouble Falling or Staying Asleep Patient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much. PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
C103708 PHQ0104 PHQ01-Feeling Tired or Little Energy Patient Health Questionnaire - 9 - Feeling tired or having little energy. PHQ-9 - Feeling Tired or Having Little Energy
C103709 PHQ0105 PHQ01-Poor Appetite or Overeating Patient Health Questionnaire - 9 - Poor appetite or overeating. PHQ-9 - Poor Appetite or Overeating
C103710 PHQ0106 PHQ01-Feeling Bad About Yourself Patient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down. PHQ-9 - Feeling Bad About Yourself
C103711 PHQ0107 PHQ01-Trouble Concentrating on Things Patient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television. PHQ-9 - Trouble Concentrating on Things
C103712 PHQ0108 PHQ01-Moving Slowly or Fidgety/Restless Patient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual. PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless
C103713 PHQ0109 PHQ01-Thoughts You Be Better Off Dead Patient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way. PHQ-9 - Thoughts That You Would be Better Off Dead
C103714 PHQ0110 PHQ01-Difficult to Work/Take Care Things Patient Health Questionnaire - 9 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People
C113887 PHQ0111 PHQ01-Total Score Patient Health Questionnaire - 9 - Total score. PHQ-9 - Total Score

PHQ01TN (Patient Health Questionnaire - 9 Item Questionnaire Test Name)

NCI Code: C103480, Codelist extensible: No
C103480 PHQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103714 PHQ01-Difficult to Work/Take Care Things PHQ01-Difficult to Work/Take Care Things Patient Health Questionnaire - 9 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People
C103710 PHQ01-Feeling Bad About Yourself PHQ01-Feeling Bad About Yourself Patient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down. PHQ-9 - Feeling Bad About Yourself
C103706 PHQ01-Feeling Down Depressed or Hopeless PHQ01-Feeling Down Depressed or Hopeless Patient Health Questionnaire - 9 - Feeling down, depressed, or hopeless. PHQ-9 - Feeling Down, Depressed, or Hopeless
C103708 PHQ01-Feeling Tired or Little Energy PHQ01-Feeling Tired or Little Energy Patient Health Questionnaire - 9 - Feeling tired or having little energy. PHQ-9 - Feeling Tired or Having Little Energy
C103705 PHQ01-Little Interest/Pleasure in Things PHQ01-Little Interest/Pleasure in Things Patient Health Questionnaire - 9 - Little interest or pleasure in doing things. PHQ-9 - Little Interest or Pleasure in Doing Things
C103712 PHQ01-Moving Slowly or Fidgety/Restless PHQ01-Moving Slowly or Fidgety/Restless Patient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual. PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless
C103709 PHQ01-Poor Appetite or Overeating PHQ01-Poor Appetite or Overeating Patient Health Questionnaire - 9 - Poor appetite or overeating. PHQ-9 - Poor Appetite or Overeating
C103713 PHQ01-Thoughts You Be Better Off Dead PHQ01-Thoughts You Be Better Off Dead Patient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way. PHQ-9 - Thoughts That You Would be Better Off Dead
C113887 PHQ01-Total Score PHQ01-Total Score Patient Health Questionnaire - 9 - Total score. PHQ-9 - Total Score
C103711 PHQ01-Trouble Concentrating on Things PHQ01-Trouble Concentrating on Things Patient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television. PHQ-9 - Trouble Concentrating on Things
C103707 PHQ01-Trouble Falling or Staying Asleep PHQ01-Trouble Falling or Staying Asleep Patient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much. PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much

PHQ02TC (Patient Health Questionnaire - 15 Item Questionnaire Test Code)

NCI Code: C103483, Codelist extensible: No
C103483 PHQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103715 PHQ0201 PHQ02-Stomach Pain Patient Health Questionnaire - 15 - Stomach pain. PHQ-15 - Stomach Pain
C103716 PHQ0202 PHQ02-Back Pain Patient Health Questionnaire - 15 - Back pain. PHQ-15 - Back Pain
C103717 PHQ0203 PHQ02-Pain In Your Arms, Legs, or Joints Patient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.). PHQ-15 - Pain In Your Arms, Legs, or Joints
C103718 PHQ0204 PHQ02-Menstrual Cramp/Problem Periods Patient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only]. PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
C103719 PHQ0205 PHQ02-Headaches Patient Health Questionnaire - 15 - Headaches. PHQ-15 - Headaches
C103720 PHQ0206 PHQ02-Chest Pain Patient Health Questionnaire - 15 - Chest pain. PHQ-15 - Chest Pain
C103721 PHQ0207 PHQ02-Dizziness Patient Health Questionnaire - 15 - Dizziness. PHQ-15 - Dizziness
C103722 PHQ0208 PHQ02-Fainting Spells Patient Health Questionnaire - 15 - Fainting spells. PHQ-15 - Fainting Spells
C103723 PHQ0209 PHQ02-Feeling Your Heart Pound or Race Patient Health Questionnaire - 15 - Feeling your heart pound or race. PHQ-15 - Feeling Your Heart Pound or Race
C103724 PHQ0210 PHQ02-Shortness of Breath Patient Health Questionnaire - 15 - Shortness of breath. PHQ-15 - Shortness of Breath
C103725 PHQ0211 PHQ02-Pain/Problems During Intercourse Patient Health Questionnaire - 15 - Pain or problems during sexual intercourse. PHQ-15 - Pain or Problems During Sexual Intercourse
C103726 PHQ0212 PHQ02-Constipation/Loose Bowels/Diarrhea Patient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea. PHQ-15 - Constipation, Loose Bowels, or Diarrhea
C103727 PHQ0213 PHQ02-Nausea, Gas, or Indigestion Patient Health Questionnaire - 15 - Nausea, gas, or indigestion. PHQ-15 - Nausea, Gas, or Indigestion
C103728 PHQ0214 PHQ02-Feeling Tired or Having Low Energy Patient Health Questionnaire - 15 - Feeling tired or having low energy. PHQ-15 - Feeling Tired or Having Low Energy
C103729 PHQ0215 PHQ02-Trouble Sleeping Patient Health Questionnaire - 15 - Trouble sleeping. PHQ-15 - Trouble Sleeping
C124782 PHQ0216 PHQ02-Total Score Patient Health Questionnaire - 15 - Total score. PHQ-15 - Total Score

PHQ02TN (Patient Health Questionnaire - 15 Item Questionnaire Test Name)

NCI Code: C103482, Codelist extensible: No
C103482 PHQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103716 PHQ02-Back Pain PHQ02-Back Pain Patient Health Questionnaire - 15 - Back pain. PHQ-15 - Back Pain
C103720 PHQ02-Chest Pain PHQ02-Chest Pain Patient Health Questionnaire - 15 - Chest pain. PHQ-15 - Chest Pain
C103726 PHQ02-Constipation/Loose Bowels/Diarrhea PHQ02-Constipation/Loose Bowels/Diarrhea Patient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea. PHQ-15 - Constipation, Loose Bowels, or Diarrhea
C103721 PHQ02-Dizziness PHQ02-Dizziness Patient Health Questionnaire - 15 - Dizziness. PHQ-15 - Dizziness
C103722 PHQ02-Fainting Spells PHQ02-Fainting Spells Patient Health Questionnaire - 15 - Fainting spells. PHQ-15 - Fainting Spells
C103728 PHQ02-Feeling Tired or Having Low Energy PHQ02-Feeling Tired or Having Low Energy Patient Health Questionnaire - 15 - Feeling tired or having low energy. PHQ-15 - Feeling Tired or Having Low Energy
C103723 PHQ02-Feeling Your Heart Pound or Race PHQ02-Feeling Your Heart Pound or Race Patient Health Questionnaire - 15 - Feeling your heart pound or race. PHQ-15 - Feeling Your Heart Pound or Race
C103719 PHQ02-Headaches PHQ02-Headaches Patient Health Questionnaire - 15 - Headaches. PHQ-15 - Headaches
C103718 PHQ02-Menstrual Cramp/Problem Periods PHQ02-Menstrual Cramp/Problem Periods Patient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only]. PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
C103727 PHQ02-Nausea, Gas, or Indigestion PHQ02-Nausea, Gas, or Indigestion Patient Health Questionnaire - 15 - Nausea, gas, or indigestion. PHQ-15 - Nausea, Gas, or Indigestion
C103717 PHQ02-Pain In Your Arms, Legs, or Joints PHQ02-Pain In Your Arms, Legs, or Joints Patient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.). PHQ-15 - Pain In Your Arms, Legs, or Joints
C103725 PHQ02-Pain/Problems During Intercourse PHQ02-Pain/Problems During Intercourse Patient Health Questionnaire - 15 - Pain or problems during sexual intercourse. PHQ-15 - Pain or Problems During Sexual Intercourse
C103724 PHQ02-Shortness of Breath PHQ02-Shortness of Breath Patient Health Questionnaire - 15 - Shortness of breath. PHQ-15 - Shortness of Breath
C103715 PHQ02-Stomach Pain PHQ02-Stomach Pain Patient Health Questionnaire - 15 - Stomach pain. PHQ-15 - Stomach Pain
C124782 PHQ02-Total Score PHQ02-Total Score Patient Health Questionnaire - 15 - Total score. PHQ-15 - Total Score
C103729 PHQ02-Trouble Sleeping PHQ02-Trouble Sleeping Patient Health Questionnaire - 15 - Trouble sleeping. PHQ-15 - Trouble Sleeping

PHQ03TC (Patient Health Questionnaire Screener Version Questionnaire Test Code)

NCI Code: C125749, Codelist extensible: No
C125749 PHQ03TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125829 PHQ0301A PHQ03-Stomach Pain Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by stomach pain? PHQ Screener Version - Stomach Pain
C125830 PHQ0301B PHQ03-Back Pain Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by back pain? PHQ Screener Version - Back Pain
C125831 PHQ0301C PHQ03-Pain in Your Arms/Legs/Joints Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips, etc.)? PHQ Screener Version - Pain in Arms, Legs, Joints
C125832 PHQ0301D PHQ03-Menstrual Cramp/Problem Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by menstrual cramps or other problems with your periods? PHQ Screener Version - Menstrual Cramp or Other Problem
C125833 PHQ0301E PHQ03-Pain/Problems During Intercourse Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain or problems during sexual intercourse? PHQ Screener Version - Pain During Intercourse
C125834 PHQ0301F PHQ03-Headaches Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by headaches? PHQ Screener Version - Headaches
C125835 PHQ0301G PHQ03-Chest Pain Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by chest pain? PHQ Screener Version - Chest Pain
C125836 PHQ0301H PHQ03-Dizziness Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by dizziness? PHQ Screener Version - Dizziness
C125837 PHQ0301I PHQ03-Fainting Spells Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by fainting spells? PHQ Screener Version - Fainting Spells
C125838 PHQ0301J PHQ03-Feeling Your Heart Pound/Race Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by feeling your heart pound/race? PHQ Screener Version - Feeling Your Heart Pound or Race
C125839 PHQ0301K PHQ03-Shortness of Breath Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by shortness of breath? PHQ Screener Version - Shortness of Breath
C125840 PHQ0301L PHQ03-Constipation/Diarrhea Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea? PHQ Screener Version - Constipation or Diarrhea
C125841 PHQ0301M PHQ03-Nausea/Gas/Indigestion Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by nausea, gas, indigestion? PHQ Screener Version - Nausea, Gas or Indigestion
C125842 PHQ0302A PHQ03-Little Interest in Doing Things Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things? PHQ Screener Version - Little Interest in Doing Things
C125843 PHQ0302B PHQ03-Feeling Down/Depressed Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless? PHQ Screener Version - Feeling Down or Depressed
C125844 PHQ0302C PHQ03-Last 2 Week Trouble Falling Asleep Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble falling or staying asleep, or sleeping too much? PHQ Screener Version - Last 2 Weeks, Trouble Falling or Staying Asleep
C125845 PHQ0302D PHQ03-Feeling Tired/Little Energy Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling tired or having little energy? PHQ Screener Version - Feeling Tired or Little Energy
C125846 PHQ0302E PHQ03-Poor Appetite or Overeating Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by poor appetite or overeating? PHQ Screener Version - Poor Appetite or Overeating
C125847 PHQ0302F PHQ03-Feeling Bad About Yourself Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling bad about yourself - or that you are a failure or have let yourself or your family down? PHQ Screener Version - Feeling Bad About Yourself
C125848 PHQ0302G PHQ03-Last 2 Week Trouble Concentrating Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television? PHQ Screener Version - Last 2 Weeks, Trouble Concentrating
C125849 PHQ0302H PHQ03-Moving Slowly/Fidgety/Restless Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual? PHQ Screener Version - Moving Slowly or Moving More
C125850 PHQ0302I PHQ03-Thoughts Be Better Off Dead Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way? PHQ Screener Version - Thoughts Be Better Off Dead
C125851 PHQ0303A PHQ03-Anxiety Attack Patient Health Questionnaire Screener Version - In the last 4 weeks, have you had an anxiety attack - suddenly feeling fear or panic? PHQ Screener Version - Anxiety Attack
C125852 PHQ0303B PHQ03-Anxiety Attack Happened Before Patient Health Questionnaire Screener Version - Has this ever happened before? PHQ Screener Version - Anxiety Attack Happened Before
C125853 PHQ0303C PHQ03-Anxiety Attacks Come Suddenly Patient Health Questionnaire Screener Version - Do some of these attacks come suddenly out of the blue - that is, in situations where you don't expect to be nervous or uncomfortable? PHQ Screener Version - Anxiety Attacks Come Suddenly
C125854 PHQ0303D PHQ03-Anxiety Attacks Bother a Lot Patient Health Questionnaire Screener Version - Do these attacks bother you a lot or are you worried about having another attack? PHQ Screener Version - Anxiety Attacks Bother a Lot
C125855 PHQ0304A PHQ03-Anxiety Attack Short of Breath Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you short of breath? PHQ Screener Version - Anxiety Attack Short of Breath
C125856 PHQ0304B PHQ03-Anxiety Attack Heart Race/Pound Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did your heart race, pound, or skip? PHQ Screener Version - Anxiety Attack Heart Race or Pound
C125857 PHQ0304C PHQ03-Anxiety Attack Chest Pain Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have chest pain or pressure? PHQ Screener Version - Anxiety Attack Chest Pain
C125858 PHQ0304D PHQ03-Anxiety Attack Sweat Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you sweat? PHQ Screener Version - Anxiety Attack Sweat
C125859 PHQ0304E PHQ03-Anxiety Attack Choking Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel as if you were choking? PHQ Screener Version - Anxiety Attack Choking
C125860 PHQ0304F PHQ03-Anxiety Attack Hot Flash/Chill Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have hot flashes or chills? PHQ Screener Version - Anxiety Attack Hot Flash or Chill
C125861 PHQ0304G PHQ03-Anxiety Attack Nausea/Diarrhea Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea? PHQ Screener Version - Anxiety Attack Nausea or Diarrhea
C125862 PHQ0304H PHQ03-Anxiety Attack Dizzy/Faint Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel dizzy, unsteady, or faint? PHQ Screener Version - Anxiety Attack Dizzy or Faint
C125863 PHQ0304I PHQ03-Anxiety Attack Tingling/Numbness Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have tingling or numbness in parts of your body? PHQ Screener Version - Anxiety Attack Tingling or Numbness
C125864 PHQ0304J PHQ03-Anxiety Attack Tremble/Shake Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you tremble or shake? PHQ Screener Version - Anxiety Attack Tremble or Shake
C125865 PHQ0304K PHQ03-Anxiety Attack Afraid You Dying Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you afraid you were dying? PHQ Screener Version - Anxiety Attack Afraid You Were Dying
C125866 PHQ0305A PHQ03-Feeling Nervous/Anxious Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things? PHQ Screener Version - Feeling Nervous or Anxious
C125867 PHQ0305B PHQ03-Feeling Restless Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still? PHQ Screener Version - Feeling Restless
C125868 PHQ0305C PHQ03-Getting Tired Easily Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by getting tired very easily? PHQ Screener Version - Getting Tired Easily
C125869 PHQ0305D PHQ03-Muscle Tension/Aches/Soreness Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness? PHQ Screener Version - Muscle Tension
C125870 PHQ0305E PHQ03-Last 4 Week Trouble Falling Asleep Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep? PHQ Screener Version - Last 4 Weeks, Trouble Falling or Staying Asleep
C125871 PHQ0305F PHQ03-Last 4 Week Trouble Concentrating Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV? PHQ Screener Version - Last 4 Weeks, Trouble Concentrating
C125872 PHQ0305G PHQ03-Becoming Easily Annoyed Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable? PHQ Screener Version - Becoming Easily Annoyed
C125873 PHQ0306A PHQ03-No Control What/How Much Eat Patient Health Questionnaire Screener Version - Do you often feel that you can't control what or how much you eat? PHQ Screener Version - No Control What or How Much Eat
C125874 PHQ0306B PHQ03-Eat 2-Hours Large Amount Food Patient Health Questionnaire Screener Version - Do you often eat, within any 2 - hour period, what most people would regard as an unusually large amount of food? PHQ Screener Version - Often Eat Large Amount Food
C125875 PHQ0306C PHQ03-Eat a Lot Twice Week Patient Health Questionnaire Screener Version - Has this been as often, on average, as twice a week for the last 3 months? PHQ Screener Version - Eat a Lot Twice Week
C125876 PHQ0307A PHQ03-Made Yourself Vomit Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Made yourself vomit? PHQ Screener Version - Avoid Gaining Weight, Made Yourself Vomit
C125877 PHQ0307B PHQ03-Took Twice Dose of Laxatives Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Took more than twice the recommended dose of laxatives to avoid gaining weight? PHQ Screener Version - Avoid Gaining Weight, Took Twice Dose of Laxatives
C125878 PHQ0307C PHQ03-Fasted at Least 24 Hours Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Fasted - not eaten anything at all for at least 24 hours to avoid gaining weight? PHQ Screener Version - Avoid Gaining Weight, Fasted at Least 24 Hours
C125879 PHQ0307D PHQ03-Exercised Avoid Gaining Weight Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Exercised for more than an hour specifically to avoid gaining weight after binge eating? PHQ Screener Version - Avoid Gaining Weight, Exercise
C125880 PHQ0308 PHQ03-Avoid Gaining Weight Twice Week Patient Health Questionnaire Screener Version - If you checked "YES" to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week? PHQ Screener Version - Avoid Gaining Weight Twice Week
C125881 PHQ0309 PHQ03-Drink Alcohol Patient Health Questionnaire Screener Version - Do you ever drink alcohol (including beer or wine)? PHQ Screener Version - Drink Alcohol
C125882 PHQ0310A PHQ03-Drank Alcohol With Health Problem Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol even though a doctor suggested that you stop drinking because of a problem with your health? PHQ Screener Version - Drank Alcohol With Health Problem
C125883 PHQ0310B PHQ03-Alcohol at Work/School Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol, were high from alcohol, or hung over while you were working, or going to school, or taking care of children or other responsibilities? PHQ Screener Version - Drank Alcohol at Work or School
C125884 PHQ0310C PHQ03-Missed Work Because of Drinking Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You missed or were late for work, school, or other activities because you were drinking or hung over? PHQ Screener Version - Missed Work Because of Drinking
C125885 PHQ0310D PHQ03-Problem With People While Drinking Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You had a problem getting along with other people while you were drinking? PHQ Screener Version - Problem Getting Along With People While Drinking
C125886 PHQ0310E PHQ03-Drove After Several Drinks Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drove a car after having several drinks or after drinking too much? PHQ Screener Version - Drove Car After Several Drinks
C125887 PHQ0311 PHQ03-Problems Made It Difficult to Work Patient Health Questionnaire Screener Version - If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? PHQ Screener Version - Problems Made It Difficult to Work

PHQ03TN (Patient Health Questionnaire Screener Version Questionnaire Test Name)

NCI Code: C125748, Codelist extensible: No
C125748 PHQ03TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C125883 PHQ03-Alcohol at Work/School PHQ03-Alcohol at Work/School Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol, were high from alcohol, or hung over while you were working, or going to school, or taking care of children or other responsibilities? PHQ Screener Version - Drank Alcohol at Work or School
C125865 PHQ03-Anxiety Attack Afraid You Dying PHQ03-Anxiety Attack Afraid You Dying Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you afraid you were dying? PHQ Screener Version - Anxiety Attack Afraid You Were Dying
C125857 PHQ03-Anxiety Attack Chest Pain PHQ03-Anxiety Attack Chest Pain Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have chest pain or pressure? PHQ Screener Version - Anxiety Attack Chest Pain
C125859 PHQ03-Anxiety Attack Choking PHQ03-Anxiety Attack Choking Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel as if you were choking? PHQ Screener Version - Anxiety Attack Choking
C125862 PHQ03-Anxiety Attack Dizzy/Faint PHQ03-Anxiety Attack Dizzy/Faint Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel dizzy, unsteady, or faint? PHQ Screener Version - Anxiety Attack Dizzy or Faint
C125852 PHQ03-Anxiety Attack Happened Before PHQ03-Anxiety Attack Happened Before Patient Health Questionnaire Screener Version - Has this ever happened before? PHQ Screener Version - Anxiety Attack Happened Before
C125856 PHQ03-Anxiety Attack Heart Race/Pound PHQ03-Anxiety Attack Heart Race/Pound Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did your heart race, pound, or skip? PHQ Screener Version - Anxiety Attack Heart Race or Pound
C125860 PHQ03-Anxiety Attack Hot Flash/Chill PHQ03-Anxiety Attack Hot Flash/Chill Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have hot flashes or chills? PHQ Screener Version - Anxiety Attack Hot Flash or Chill
C125861 PHQ03-Anxiety Attack Nausea/Diarrhea PHQ03-Anxiety Attack Nausea/Diarrhea Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea? PHQ Screener Version - Anxiety Attack Nausea or Diarrhea
C125855 PHQ03-Anxiety Attack Short of Breath PHQ03-Anxiety Attack Short of Breath Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you short of breath? PHQ Screener Version - Anxiety Attack Short of Breath
C125858 PHQ03-Anxiety Attack Sweat PHQ03-Anxiety Attack Sweat Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you sweat? PHQ Screener Version - Anxiety Attack Sweat
C125863 PHQ03-Anxiety Attack Tingling/Numbness PHQ03-Anxiety Attack Tingling/Numbness Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have tingling or numbness in parts of your body? PHQ Screener Version - Anxiety Attack Tingling or Numbness
C125864 PHQ03-Anxiety Attack Tremble/Shake PHQ03-Anxiety Attack Tremble/Shake Patient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you tremble or shake? PHQ Screener Version - Anxiety Attack Tremble or Shake
C125851 PHQ03-Anxiety Attack PHQ03-Anxiety Attack Patient Health Questionnaire Screener Version - In the last 4 weeks, have you had an anxiety attack - suddenly feeling fear or panic? PHQ Screener Version - Anxiety Attack
C125854 PHQ03-Anxiety Attacks Bother a Lot PHQ03-Anxiety Attacks Bother a Lot Patient Health Questionnaire Screener Version - Do these attacks bother you a lot or are you worried about having another attack? PHQ Screener Version - Anxiety Attacks Bother a Lot
C125853 PHQ03-Anxiety Attacks Come Suddenly PHQ03-Anxiety Attacks Come Suddenly Patient Health Questionnaire Screener Version - Do some of these attacks come suddenly out of the blue - that is, in situations where you don't expect to be nervous or uncomfortable? PHQ Screener Version - Anxiety Attacks Come Suddenly
C125880 PHQ03-Avoid Gaining Weight Twice Week PHQ03-Avoid Gaining Weight Twice Week Patient Health Questionnaire Screener Version - If you checked "YES" to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week? PHQ Screener Version - Avoid Gaining Weight Twice Week
C125830 PHQ03-Back Pain PHQ03-Back Pain Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by back pain? PHQ Screener Version - Back Pain
C125872 PHQ03-Becoming Easily Annoyed PHQ03-Becoming Easily Annoyed Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable? PHQ Screener Version - Becoming Easily Annoyed
C125835 PHQ03-Chest Pain PHQ03-Chest Pain Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by chest pain? PHQ Screener Version - Chest Pain
C125840 PHQ03-Constipation/Diarrhea PHQ03-Constipation/Diarrhea Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea? PHQ Screener Version - Constipation or Diarrhea
C125836 PHQ03-Dizziness PHQ03-Dizziness Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by dizziness? PHQ Screener Version - Dizziness
C125882 PHQ03-Drank Alcohol With Health Problem PHQ03-Drank Alcohol With Health Problem Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol even though a doctor suggested that you stop drinking because of a problem with your health? PHQ Screener Version - Drank Alcohol With Health Problem
C125881 PHQ03-Drink Alcohol PHQ03-Drink Alcohol Patient Health Questionnaire Screener Version - Do you ever drink alcohol (including beer or wine)? PHQ Screener Version - Drink Alcohol
C125886 PHQ03-Drove After Several Drinks PHQ03-Drove After Several Drinks Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drove a car after having several drinks or after drinking too much? PHQ Screener Version - Drove Car After Several Drinks
C125874 PHQ03-Eat 2-Hours Large Amount Food PHQ03-Eat 2-Hours Large Amount Food Patient Health Questionnaire Screener Version - Do you often eat, within any 2 - hour period, what most people would regard as an unusually large amount of food? PHQ Screener Version - Often Eat Large Amount Food
C125875 PHQ03-Eat a Lot Twice Week PHQ03-Eat a Lot Twice Week Patient Health Questionnaire Screener Version - Has this been as often, on average, as twice a week for the last 3 months? PHQ Screener Version - Eat a Lot Twice Week
C125879 PHQ03-Exercised Avoid Gaining Weight PHQ03-Exercised Avoid Gaining Weight Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Exercised for more than an hour specifically to avoid gaining weight after binge eating? PHQ Screener Version - Avoid Gaining Weight, Exercise
C125837 PHQ03-Fainting Spells PHQ03-Fainting Spells Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by fainting spells? PHQ Screener Version - Fainting Spells
C125878 PHQ03-Fasted at Least 24 Hours PHQ03-Fasted at Least 24 Hours Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Fasted - not eaten anything at all for at least 24 hours to avoid gaining weight? PHQ Screener Version - Avoid Gaining Weight, Fasted at Least 24 Hours
C125847 PHQ03-Feeling Bad About Yourself PHQ03-Feeling Bad About Yourself Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling bad about yourself - or that you are a failure or have let yourself or your family down? PHQ Screener Version - Feeling Bad About Yourself
C125843 PHQ03-Feeling Down/Depressed PHQ03-Feeling Down/Depressed Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless? PHQ Screener Version - Feeling Down or Depressed
C125866 PHQ03-Feeling Nervous/Anxious PHQ03-Feeling Nervous/Anxious Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things? PHQ Screener Version - Feeling Nervous or Anxious
C125867 PHQ03-Feeling Restless PHQ03-Feeling Restless Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still? PHQ Screener Version - Feeling Restless
C125845 PHQ03-Feeling Tired/Little Energy PHQ03-Feeling Tired/Little Energy Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling tired or having little energy? PHQ Screener Version - Feeling Tired or Little Energy
C125838 PHQ03-Feeling Your Heart Pound/Race PHQ03-Feeling Your Heart Pound/Race Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by feeling your heart pound/race? PHQ Screener Version - Feeling Your Heart Pound or Race
C125868 PHQ03-Getting Tired Easily PHQ03-Getting Tired Easily Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by getting tired very easily? PHQ Screener Version - Getting Tired Easily
C125834 PHQ03-Headaches PHQ03-Headaches Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by headaches? PHQ Screener Version - Headaches
C125848 PHQ03-Last 2 Week Trouble Concentrating PHQ03-Last 2 Week Trouble Concentrating Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television? PHQ Screener Version - Last 2 Weeks, Trouble Concentrating
C125844 PHQ03-Last 2 Week Trouble Falling Asleep PHQ03-Last 2 Week Trouble Falling Asleep Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble falling or staying asleep, or sleeping too much? PHQ Screener Version - Last 2 Weeks, Trouble Falling or Staying Asleep
C125871 PHQ03-Last 4 Week Trouble Concentrating PHQ03-Last 4 Week Trouble Concentrating Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV? PHQ Screener Version - Last 4 Weeks, Trouble Concentrating
C125870 PHQ03-Last 4 Week Trouble Falling Asleep PHQ03-Last 4 Week Trouble Falling Asleep Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep? PHQ Screener Version - Last 4 Weeks, Trouble Falling or Staying Asleep
C125842 PHQ03-Little Interest in Doing Things PHQ03-Little Interest in Doing Things Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things? PHQ Screener Version - Little Interest in Doing Things
C125876 PHQ03-Made Yourself Vomit PHQ03-Made Yourself Vomit Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Made yourself vomit? PHQ Screener Version - Avoid Gaining Weight, Made Yourself Vomit
C125832 PHQ03-Menstrual Cramp/Problem PHQ03-Menstrual Cramp/Problem Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by menstrual cramps or other problems with your periods? PHQ Screener Version - Menstrual Cramp or Other Problem
C125884 PHQ03-Missed Work Because of Drinking PHQ03-Missed Work Because of Drinking Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You missed or were late for work, school, or other activities because you were drinking or hung over? PHQ Screener Version - Missed Work Because of Drinking
C125849 PHQ03-Moving Slowly/Fidgety/Restless PHQ03-Moving Slowly/Fidgety/Restless Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual? PHQ Screener Version - Moving Slowly or Moving More
C125869 PHQ03-Muscle Tension/Aches/Soreness PHQ03-Muscle Tension/Aches/Soreness Patient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness? PHQ Screener Version - Muscle Tension
C125841 PHQ03-Nausea/Gas/Indigestion PHQ03-Nausea/Gas/Indigestion Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by nausea, gas, indigestion? PHQ Screener Version - Nausea, Gas or Indigestion
C125873 PHQ03-No Control What/How Much Eat PHQ03-No Control What/How Much Eat Patient Health Questionnaire Screener Version - Do you often feel that you can't control what or how much you eat? PHQ Screener Version - No Control What or How Much Eat
C125831 PHQ03-Pain in Your Arms/Legs/Joints PHQ03-Pain in Your Arms/Legs/Joints Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips, etc.)? PHQ Screener Version - Pain in Arms, Legs, Joints
C125833 PHQ03-Pain/Problems During Intercourse PHQ03-Pain/Problems During Intercourse Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain or problems during sexual intercourse? PHQ Screener Version - Pain During Intercourse
C125846 PHQ03-Poor Appetite or Overeating PHQ03-Poor Appetite or Overeating Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by poor appetite or overeating? PHQ Screener Version - Poor Appetite or Overeating
C125885 PHQ03-Problem With People While Drinking PHQ03-Problem With People While Drinking Patient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You had a problem getting along with other people while you were drinking? PHQ Screener Version - Problem Getting Along With People While Drinking
C125887 PHQ03-Problems Made It Difficult to Work PHQ03-Problems Made It Difficult to Work Patient Health Questionnaire Screener Version - If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? PHQ Screener Version - Problems Made It Difficult to Work
C125839 PHQ03-Shortness of Breath PHQ03-Shortness of Breath Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by shortness of breath? PHQ Screener Version - Shortness of Breath
C125829 PHQ03-Stomach Pain PHQ03-Stomach Pain Patient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by stomach pain? PHQ Screener Version - Stomach Pain
C125850 PHQ03-Thoughts Be Better Off Dead PHQ03-Thoughts Be Better Off Dead Patient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way? PHQ Screener Version - Thoughts Be Better Off Dead
C125877 PHQ03-Took Twice Dose of Laxatives PHQ03-Took Twice Dose of Laxatives Patient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Took more than twice the recommended dose of laxatives to avoid gaining weight? PHQ Screener Version - Avoid Gaining Weight, Took Twice Dose of Laxatives

PHQ04TC (Patient Health Questionnaire - 2 Item Questionnaire Test Code)

NCI Code: C157727, Codelist extensible: No
C157727 PHQ04TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C157729 PHQ0401 PHQ04-Little Interest/Pleasure in Things The Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things. PHQ-2 - Little Interest or Pleasure in Doing Things
C157730 PHQ0402 PHQ04-Feeling Down Depressed or Hopeless The Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed or hopeless. PHQ-2 - Feeling Down, Depressed or Hopeless

PHQ04TN (Patient Health Questionnaire - 2 Item Questionnaire Test Name)

NCI Code: C157726, Codelist extensible: No
C157726 PHQ04TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C157730 PHQ04-Feeling Down Depressed or Hopeless PHQ04-Feeling Down Depressed or Hopeless The Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed or hopeless. PHQ-2 - Feeling Down, Depressed or Hopeless
C157729 PHQ04-Little Interest/Pleasure in Things PHQ04-Little Interest/Pleasure in Things The Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things. PHQ-2 - Little Interest or Pleasure in Doing Things

PI01TC (Pain Intensity Questionnaire Test Code)

NCI Code: C105134, Codelist extensible: No
C105134 PI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105261 PI0101 PI01-Pain Intensity Pain Intensity - Pain intensity for various time periods of evaluation. PI - Pain Intensity For Various Time Periods of Evaluation
C105262 PI0102 PI01-Average Pain Intensity Pain Intensity - Average pain intensity for various time periods of evaluation. PI - Average Pain Intensity For Various Time Periods of Evaluation
C105263 PI0103 PI01-Minimum Pain Intensity Pain Intensity - Minimum pain intensity for various time periods of evaluation. PI - Minimum Pain Intensity For Various Time Periods of Evaluation
C105264 PI0104 PI01-Maximum Pain Intensity Pain Intensity - Maximum pain intensity for various time periods of evaluation. PI - Maximum Pain Intensity For Various Time Periods of Evaluation
C105265 PI0105 PI01-Least Pain Intensity Pain Intensity - Least pain intensity for various time periods of evaluation. PI - Least Pain Intensity For Various Time Periods of Evaluation
C105266 PI0106 PI01-Worst Pain Intensity Pain Intensity - Worst pain intensity for various time periods of evaluation. PI - Worst Pain Intensity For Various Time Periods of Evaluation

PI01TN (Pain Intensity Questionnaire Test Name)

NCI Code: C105133, Codelist extensible: No
C105133 PI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105262 PI01-Average Pain Intensity PI01-Average Pain Intensity Pain Intensity - Average pain intensity for various time periods of evaluation. PI - Average Pain Intensity For Various Time Periods of Evaluation
C105265 PI01-Least Pain Intensity PI01-Least Pain Intensity Pain Intensity - Least pain intensity for various time periods of evaluation. PI - Least Pain Intensity For Various Time Periods of Evaluation
C105264 PI01-Maximum Pain Intensity PI01-Maximum Pain Intensity Pain Intensity - Maximum pain intensity for various time periods of evaluation. PI - Maximum Pain Intensity For Various Time Periods of Evaluation
C105263 PI01-Minimum Pain Intensity PI01-Minimum Pain Intensity Pain Intensity - Minimum pain intensity for various time periods of evaluation. PI - Minimum Pain Intensity For Various Time Periods of Evaluation
C105261 PI01-Pain Intensity PI01-Pain Intensity Pain Intensity - Pain intensity for various time periods of evaluation. PI - Pain Intensity For Various Time Periods of Evaluation
C105266 PI01-Worst Pain Intensity PI01-Worst Pain Intensity Pain Intensity - Worst pain intensity for various time periods of evaluation. PI - Worst Pain Intensity For Various Time Periods of Evaluation

PODCI1TC (Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Code)

NCI Code: C135694, Codelist extensible: No
C135694 PODCI1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135942 PODCI101 PODCI1-Lift Heavy Books Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books? PODCI Pediatric Parent-Reported Version - Lift Heavy Books
C135943 PODCI102 PODCI1-Pour a Half Gallon of Milk Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk? PODCI Pediatric Parent-Reported Version - Pour a Half Gallon of Milk
C135944 PODCI103 PODCI1-Open a Jar Been Opened Before Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before? PODCI Pediatric Parent-Reported Version - Open a Jar Been Opened Before
C135945 PODCI104 PODCI1-Use a Fork and Spoon Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon? PODCI Pediatric Parent-Reported Version - Use a Fork and Spoon
C135946 PODCI105 PODCI1-Comb His/Her Hair Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair? PODCI Pediatric Parent-Reported Version - Comb His or Her Hair
C135947 PODCI106 PODCI1-Button Buttons Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons? PODCI Pediatric Parent-Reported Version - Button Buttons
C135948 PODCI107 PODCI1-Put on His/Her Coat Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat? PODCI Pediatric Parent-Reported Version - Put on His or Her Coat
C135949 PODCI108 PODCI1-Write With a Pencil Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil? PODCI Pediatric Parent-Reported Version - Write With a Pencil
C135950 PODCI109 PODCI1-Miss School Because of Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - On average, over the last 12 months, how often did your child miss school (preschool, day care, camp, etc.) because of his/her health? PODCI Pediatric Parent-Reported Version - Miss School Because of Health
C135951 PODCI110 PODCI1-How He/She Looks Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: How he/she looks? PODCI Pediatric Parent-Reported Version - How He or She Looks
C135952 PODCI111 PODCI1-His/Her Body Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her body? PODCI Pediatric Parent-Reported Version - His or Her Body
C135953 PODCI112 PODCI1-What Clothes/Shoes He/She Wear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear? PODCI Pediatric Parent-Reported Version - What Clothes or Shoes He or She Wear
C135954 PODCI113 PODCI1-Ability Do Same Things Friends Do Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do? PODCI Pediatric Parent-Reported Version - Ability Do Same Things Friends Do
C135955 PODCI114 PODCI1-His/Her Health in General Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her health in general? PODCI Pediatric Parent-Reported Version - His or Her Health in General
C135956 PODCI115 PODCI1-Feel Sick and Tired Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired? PODCI Pediatric Parent-Reported Version - Feel Sick and Tired
C135957 PODCI116 PODCI1-Full of Pep and Energy Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy? PODCI Pediatric Parent-Reported Version - Full of Pep and Energy
C135958 PODCI117 PODCI1-Pain/Discom Inter With Activities Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities? PODCI Pediatric Parent-Reported Version - Pain or Discomfort Interfere With Activities
C135959 PODCI118 PODCI1-Run Short Distances Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances? PODCI Pediatric Parent-Reported Version - Run Short Distances
C135960 PODCI119 PODCI1-Bicycle or Tricycle Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle? PODCI Pediatric Parent-Reported Version - Bicycle or Tricycle
C135961 PODCI120 PODCI1-Climb Three Flights of Stairs Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs? PODCI Pediatric Parent-Reported Version - Climb Three Flights of Stairs
C135962 PODCI121 PODCI1-Climb One Flight of Stairs Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs? PODCI Pediatric Parent-Reported Version - Climb One Flight of Stairs
C135963 PODCI122 PODCI1-Walk More Than a Mile Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile? PODCI Pediatric Parent-Reported Version - Walk More Than a Mile
C135964 PODCI123 PODCI1-Walk Three Blocks Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks? PODCI Pediatric Parent-Reported Version - Walk Three Blocks
C135965 PODCI124 PODCI1-Walk One Block Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block? PODCI Pediatric Parent-Reported Version - Walk One Block
C135966 PODCI125 PODCI1-Get On and Off a Bus Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus? PODCI Pediatric Parent-Reported Version - Get On and Off a Bus
C135967 PODCI126 PODCI1-Need Help Walking and Climbing Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for walking and climbing? PODCI Pediatric Parent-Reported Version - Need Help Walking and Climbing
C135968 PODCI127 PODCI1-Use Assistive Devices for Walking Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing? PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Walking
C135969 PODCI128 PODCI1-Stand Washing Hands at a Sink Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink? PODCI Pediatric Parent-Reported Version - Stand Washing Hands at a Sink
C135970 PODCI129 PODCI1-Sit in Chair Without Holding On Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on? PODCI Pediatric Parent-Reported Version - Sit in Chair Without Holding On
C135971 PODCI130 PODCI1-Get On and Off a Toilet or Chair Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair? PODCI Pediatric Parent-Reported Version - Get On and Off a Toilet or Chair
C135972 PODCI131 PODCI1-Get In and Out of Bed Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed? PODCI Pediatric Parent-Reported Version - Get In and Out of Bed
C135973 PODCI132 PODCI1-Turn Door Knobs Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs? PODCI Pediatric Parent-Reported Version - Turn Door Knobs
C135974 PODCI133 PODCI1-Bend Over and Pick Up Something Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor? PODCI Pediatric Parent-Reported Version - Bend Over and Pick Up Something
C135975 PODCI134 PODCI1-Need Help Sitting and Standing Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for sitting and standing? PODCI Pediatric Parent-Reported Version - Need Help Sitting and Standing
C135976 PODCI135 PODCI1-Use Assistive Devices for Sitting Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing? PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Sitting
C135977 PODCI136 PODCI1-Participate in Outdoor Activities Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, tricycling, skating, hiking, jogging)? PODCI Pediatric Parent-Reported Version - Participate in Outdoor Activities
C135978 PODCI137 PODCI1-Outdoor Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Pain
C135979 PODCI138 PODCI1-Outdoor Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Health
C135980 PODCI139 PODCI1-Outdoor Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Instructions
C135981 PODCI140 PODCI1-Outdoor Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Fear
C135982 PODCI141 PODCI1-Outdoor Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Dislike
C135983 PODCI142 PODCI1-Outdoor Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Too Young
C135984 PODCI143 PODCI1-Outdoor Limited by: Season Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Season
C135985 PODCI144 PODCI1-Participate in Pickup Games Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, soccer, catch, jump rope, touch football, hop scotch)? PODCI Pediatric Parent-Reported Version - Participate in Pickup Games
C135986 PODCI145 PODCI1-Games Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Games Limited by: Pain
C135987 PODCI146 PODCI1-Games Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Games Limited by: Health
C135988 PODCI147 PODCI1-Games Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Games Limited by: Instructions
C135989 PODCI148 PODCI1-Games Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Games Limited by: Fear
C135990 PODCI149 PODCI1-Games Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Pediatric Parent-Reported Version - Games Limited by: Dislike
C135991 PODCI150 PODCI1-Games Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young? PODCI Pediatric Parent-Reported Version - Games Limited by: Too Young
C135992 PODCI151 PODCI1-Games Limited by: Season Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season? PODCI Pediatric Parent-Reported Version - Games Limited by: Season
C135993 PODCI152 PODCI1-Participate in Competitive Sports Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)? PODCI Pediatric Parent-Reported Version - Participate in Competitive Sports
C135994 PODCI153 PODCI1-Comp Sports Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Pain
C135995 PODCI154 PODCI1-Comp Sports Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Health
C135996 PODCI155 PODCI1-Comp Sports Limited by: Instruct Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Instruction
C135997 PODCI156 PODCI1-Comp Sports Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Fear
C135998 PODCI157 PODCI1-Comp Sports Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Dislike
C135999 PODCI158 PODCI1-Comp Sports Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Too Young
C136000 PODCI159 PODCI1-Comp Sports Limited by: Season Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Season
C136001 PODCI160 PODCI1-Get Together With Friends Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child get together and do things with friends? PODCI Pediatric Parent-Reported Version - Get Together With Friends
C136002 PODCI161 PODCI1-Friends Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Friends Limited by: Pain
C136003 PODCI162 PODCI1-Friends Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Friends Limited by: Health
C136004 PODCI163 PODCI1-Friends Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Friends Limited by: Instructions
C136005 PODCI164 PODCI1-Friends Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Friends Limited by: Fear
C136006 PODCI165 PODCI1-Friends Limited by: Not Around Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around? PODCI Pediatric Parent-Reported Version - Friends Limited by: Not Around
C136007 PODCI166 PODCI1-Participate in Gym/Recess Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child participate in gym/recess? PODCI Pediatric Parent-Reported Version - Participate in Gym or Recess
C136008 PODCI167 PODCI1-Gym Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Gym Limited by: Pain
C136009 PODCI168 PODCI1-Gym Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Gym Limited by: Health
C136010 PODCI169 PODCI1-Gym Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Gym Limited by: Instructions
C136011 PODCI170 PODCI1-Gym Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Gym Limited by: Fear
C136012 PODCI171 PODCI1-Gym Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess? PODCI Pediatric Parent-Reported Version - Gym Limited by: Dislike
C136013 PODCI172 PODCI1-Gym Limited by: Not in Session Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session? PODCI Pediatric Parent-Reported Version - Gym Limited by: Not in Session
C136014 PODCI173 PODCI1-Gym Limited by: Not Attend School Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school? PODCI Pediatric Parent-Reported Version - Gym Limited by: Not Attend School
C136015 PODCI174 PODCI1-Easy to Make Friends Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age? PODCI Pediatric Parent-Reported Version - Easy to Make Friends
C136016 PODCI175 PODCI1-Pain During the Last Week Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How much pain has your child had during the last week? PODCI Pediatric Parent-Reported Version - Pain During the Last Week
C136017 PODCI176 PODCI1-Pain Interfere With Activities Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)? PODCI Pediatric Parent-Reported Version - Pain Interfere With Activities
C136018 PODCI177 PODCI1-Have Pain Relief Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief. PODCI Pediatric Parent-Reported Version - Have Pain Relief
C136019 PODCI178 PODCI1-Look Better Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To look better. PODCI Pediatric Parent-Reported Version - Look Better
C136020 PODCI179 PODCI1-Feel Better Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself. PODCI Pediatric Parent-Reported Version - Feel Better
C136021 PODCI180 PODCI1-Sleep More Comfortably Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably. PODCI Pediatric Parent-Reported Version - Sleep More Comfortably
C136022 PODCI181 PODCI1-Able to Do Activities at Home Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home. PODCI Pediatric Parent-Reported Version - Able to Do Activities at Home
C136023 PODCI182 PODCI1-Able to Do More at School Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school. PODCI Pediatric Parent-Reported Version - Able to Do More at School
C136024 PODCI183 PODCI1-Able to Do More Play Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities (biking, walking, doing things with friends). PODCI Pediatric Parent-Reported Version - Able to Do More Play
C136025 PODCI184 PODCI1-Able to Do More Sports Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports. PODCI Pediatric Parent-Reported Version - Able to Do More Sports
C136026 PODCI185 PODCI1-Free From Pain as Adult Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult. PODCI Pediatric Parent-Reported Version - Free From Pain as Adult
C136027 PODCI186 PODCI1-Spend Rest of Life With Condition Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it? PODCI Pediatric Parent-Reported Version - Spend Rest of Life With Condition
C136028 PODCI187 PODCI1-Up Extremity/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Upper extremity and physical function core scale. PODCI Pediatric Parent-Reported Version - Upper Extremity and Physical Function Scale
C136029 PODCI188 PODCI1-Transfer/Basic Mobility Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Transfer and basic mobility core scale. PODCI Pediatric Parent-Reported Version - Transfer and Basic Mobility Scale
C136030 PODCI189 PODCI1-Sports/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Sports and physical functioning core scale. PODCI Pediatric Parent-Reported Version - Sports and Physical Function Scale
C136031 PODCI190 PODCI1-Pain/Comfort Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Pain/comfort core scale. PODCI Pediatric Parent-Reported Version - Pain or Comfort Scale
C136032 PODCI191 PODCI1-Happiness Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Happiness core scale. PODCI Pediatric Parent-Reported Version - Happiness Scale
C136033 PODCI192 PODCI1-Global Functioning Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Global functioning scale. PODCI Pediatric Parent-Reported Version - Global Functioning Scale

PODCI1TN (Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Name)

NCI Code: C135693, Codelist extensible: No
C135693 PODCI1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C135954 PODCI1-Ability Do Same Things Friends Do PODCI1-Ability Do Same Things Friends Do Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do? PODCI Pediatric Parent-Reported Version - Ability Do Same Things Friends Do
C136022 PODCI1-Able to Do Activities at Home PODCI1-Able to Do Activities at Home Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home. PODCI Pediatric Parent-Reported Version - Able to Do Activities at Home
C136023 PODCI1-Able to Do More at School PODCI1-Able to Do More at School Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school. PODCI Pediatric Parent-Reported Version - Able to Do More at School
C136024 PODCI1-Able to Do More Play PODCI1-Able to Do More Play Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities (biking, walking, doing things with friends). PODCI Pediatric Parent-Reported Version - Able to Do More Play
C136025 PODCI1-Able to Do More Sports PODCI1-Able to Do More Sports Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports. PODCI Pediatric Parent-Reported Version - Able to Do More Sports
C135974 PODCI1-Bend Over and Pick Up Something PODCI1-Bend Over and Pick Up Something Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor? PODCI Pediatric Parent-Reported Version - Bend Over and Pick Up Something
C135960 PODCI1-Bicycle or Tricycle PODCI1-Bicycle or Tricycle Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle? PODCI Pediatric Parent-Reported Version - Bicycle or Tricycle
C135947 PODCI1-Button Buttons PODCI1-Button Buttons Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons? PODCI Pediatric Parent-Reported Version - Button Buttons
C135962 PODCI1-Climb One Flight of Stairs PODCI1-Climb One Flight of Stairs Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs? PODCI Pediatric Parent-Reported Version - Climb One Flight of Stairs
C135961 PODCI1-Climb Three Flights of Stairs PODCI1-Climb Three Flights of Stairs Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs? PODCI Pediatric Parent-Reported Version - Climb Three Flights of Stairs
C135946 PODCI1-Comb His/Her Hair PODCI1-Comb His/Her Hair Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair? PODCI Pediatric Parent-Reported Version - Comb His or Her Hair
C135998 PODCI1-Comp Sports Limited by: Dislike PODCI1-Comp Sports Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Dislike
C135997 PODCI1-Comp Sports Limited by: Fear PODCI1-Comp Sports Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Fear
C135995 PODCI1-Comp Sports Limited by: Health PODCI1-Comp Sports Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Health
C135996 PODCI1-Comp Sports Limited by: Instruct PODCI1-Comp Sports Limited by: Instruct Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Instruction
C135994 PODCI1-Comp Sports Limited by: Pain PODCI1-Comp Sports Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Pain
C136000 PODCI1-Comp Sports Limited by: Season PODCI1-Comp Sports Limited by: Season Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Season
C135999 PODCI1-Comp Sports Limited by: Too Young PODCI1-Comp Sports Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young? PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Too Young
C136015 PODCI1-Easy to Make Friends PODCI1-Easy to Make Friends Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age? PODCI Pediatric Parent-Reported Version - Easy to Make Friends
C136020 PODCI1-Feel Better PODCI1-Feel Better Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself. PODCI Pediatric Parent-Reported Version - Feel Better
C135956 PODCI1-Feel Sick and Tired PODCI1-Feel Sick and Tired Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired? PODCI Pediatric Parent-Reported Version - Feel Sick and Tired
C136026 PODCI1-Free From Pain as Adult PODCI1-Free From Pain as Adult Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult. PODCI Pediatric Parent-Reported Version - Free From Pain as Adult
C136005 PODCI1-Friends Limited by: Fear PODCI1-Friends Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Friends Limited by: Fear
C136003 PODCI1-Friends Limited by: Health PODCI1-Friends Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Friends Limited by: Health
C136004 PODCI1-Friends Limited by: Instructions PODCI1-Friends Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Friends Limited by: Instructions
C136006 PODCI1-Friends Limited by: Not Around PODCI1-Friends Limited by: Not Around Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around? PODCI Pediatric Parent-Reported Version - Friends Limited by: Not Around
C136002 PODCI1-Friends Limited by: Pain PODCI1-Friends Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Friends Limited by: Pain
C135957 PODCI1-Full of Pep and Energy PODCI1-Full of Pep and Energy Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy? PODCI Pediatric Parent-Reported Version - Full of Pep and Energy
C135990 PODCI1-Games Limited by: Dislike PODCI1-Games Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Pediatric Parent-Reported Version - Games Limited by: Dislike
C135989 PODCI1-Games Limited by: Fear PODCI1-Games Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Games Limited by: Fear
C135987 PODCI1-Games Limited by: Health PODCI1-Games Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Games Limited by: Health
C135988 PODCI1-Games Limited by: Instructions PODCI1-Games Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Games Limited by: Instructions
C135986 PODCI1-Games Limited by: Pain PODCI1-Games Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Games Limited by: Pain
C135992 PODCI1-Games Limited by: Season PODCI1-Games Limited by: Season Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season? PODCI Pediatric Parent-Reported Version - Games Limited by: Season
C135991 PODCI1-Games Limited by: Too Young PODCI1-Games Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young? PODCI Pediatric Parent-Reported Version - Games Limited by: Too Young
C135972 PODCI1-Get In and Out of Bed PODCI1-Get In and Out of Bed Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed? PODCI Pediatric Parent-Reported Version - Get In and Out of Bed
C135966 PODCI1-Get On and Off a Bus PODCI1-Get On and Off a Bus Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus? PODCI Pediatric Parent-Reported Version - Get On and Off a Bus
C135971 PODCI1-Get On and Off a Toilet or Chair PODCI1-Get On and Off a Toilet or Chair Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair? PODCI Pediatric Parent-Reported Version - Get On and Off a Toilet or Chair
C136001 PODCI1-Get Together With Friends PODCI1-Get Together With Friends Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child get together and do things with friends? PODCI Pediatric Parent-Reported Version - Get Together With Friends
C136033 PODCI1-Global Functioning Scale PODCI1-Global Functioning Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Global functioning scale. PODCI Pediatric Parent-Reported Version - Global Functioning Scale
C136012 PODCI1-Gym Limited by: Dislike PODCI1-Gym Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess? PODCI Pediatric Parent-Reported Version - Gym Limited by: Dislike
C136011 PODCI1-Gym Limited by: Fear PODCI1-Gym Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Gym Limited by: Fear
C136009 PODCI1-Gym Limited by: Health PODCI1-Gym Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Gym Limited by: Health
C136010 PODCI1-Gym Limited by: Instructions PODCI1-Gym Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Gym Limited by: Instructions
C136014 PODCI1-Gym Limited by: Not Attend School PODCI1-Gym Limited by: Not Attend School Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school? PODCI Pediatric Parent-Reported Version - Gym Limited by: Not Attend School
C136013 PODCI1-Gym Limited by: Not in Session PODCI1-Gym Limited by: Not in Session Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session? PODCI Pediatric Parent-Reported Version - Gym Limited by: Not in Session
C136008 PODCI1-Gym Limited by: Pain PODCI1-Gym Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Gym Limited by: Pain
C136032 PODCI1-Happiness Scale PODCI1-Happiness Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Happiness core scale. PODCI Pediatric Parent-Reported Version - Happiness Scale
C136018 PODCI1-Have Pain Relief PODCI1-Have Pain Relief Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief. PODCI Pediatric Parent-Reported Version - Have Pain Relief
C135952 PODCI1-His/Her Body PODCI1-His/Her Body Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her body? PODCI Pediatric Parent-Reported Version - His or Her Body
C135955 PODCI1-His/Her Health in General PODCI1-His/Her Health in General Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her health in general? PODCI Pediatric Parent-Reported Version - His or Her Health in General
C135951 PODCI1-How He/She Looks PODCI1-How He/She Looks Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: How he/she looks? PODCI Pediatric Parent-Reported Version - How He or She Looks
C135942 PODCI1-Lift Heavy Books PODCI1-Lift Heavy Books Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books? PODCI Pediatric Parent-Reported Version - Lift Heavy Books
C136019 PODCI1-Look Better PODCI1-Look Better Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To look better. PODCI Pediatric Parent-Reported Version - Look Better
C135950 PODCI1-Miss School Because of Health PODCI1-Miss School Because of Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - On average, over the last 12 months, how often did your child miss school (preschool, day care, camp, etc.) because of his/her health? PODCI Pediatric Parent-Reported Version - Miss School Because of Health
C135975 PODCI1-Need Help Sitting and Standing PODCI1-Need Help Sitting and Standing Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for sitting and standing? PODCI Pediatric Parent-Reported Version - Need Help Sitting and Standing
C135967 PODCI1-Need Help Walking and Climbing PODCI1-Need Help Walking and Climbing Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for walking and climbing? PODCI Pediatric Parent-Reported Version - Need Help Walking and Climbing
C135944 PODCI1-Open a Jar Been Opened Before PODCI1-Open a Jar Been Opened Before Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before? PODCI Pediatric Parent-Reported Version - Open a Jar Been Opened Before
C135982 PODCI1-Outdoor Limited by: Dislike PODCI1-Outdoor Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Dislike
C135981 PODCI1-Outdoor Limited by: Fear PODCI1-Outdoor Limited by: Fear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Fear
C135979 PODCI1-Outdoor Limited by: Health PODCI1-Outdoor Limited by: Health Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Health
C135980 PODCI1-Outdoor Limited by: Instructions PODCI1-Outdoor Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Instructions
C135978 PODCI1-Outdoor Limited by: Pain PODCI1-Outdoor Limited by: Pain Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Pain
C135984 PODCI1-Outdoor Limited by: Season PODCI1-Outdoor Limited by: Season Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Season
C135983 PODCI1-Outdoor Limited by: Too Young PODCI1-Outdoor Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young? PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Too Young
C136016 PODCI1-Pain During the Last Week PODCI1-Pain During the Last Week Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How much pain has your child had during the last week? PODCI Pediatric Parent-Reported Version - Pain During the Last Week
C136017 PODCI1-Pain Interfere With Activities PODCI1-Pain Interfere With Activities Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)? PODCI Pediatric Parent-Reported Version - Pain Interfere With Activities
C136031 PODCI1-Pain/Comfort Scale PODCI1-Pain/Comfort Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Pain/comfort core scale. PODCI Pediatric Parent-Reported Version - Pain or Comfort Scale
C135958 PODCI1-Pain/Discom Inter With Activities PODCI1-Pain/Discom Inter With Activities Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities? PODCI Pediatric Parent-Reported Version - Pain or Discomfort Interfere With Activities
C135993 PODCI1-Participate in Competitive Sports PODCI1-Participate in Competitive Sports Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)? PODCI Pediatric Parent-Reported Version - Participate in Competitive Sports
C136007 PODCI1-Participate in Gym/Recess PODCI1-Participate in Gym/Recess Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child participate in gym/recess? PODCI Pediatric Parent-Reported Version - Participate in Gym or Recess
C135977 PODCI1-Participate in Outdoor Activities PODCI1-Participate in Outdoor Activities Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, tricycling, skating, hiking, jogging)? PODCI Pediatric Parent-Reported Version - Participate in Outdoor Activities
C135985 PODCI1-Participate in Pickup Games PODCI1-Participate in Pickup Games Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, soccer, catch, jump rope, touch football, hop scotch)? PODCI Pediatric Parent-Reported Version - Participate in Pickup Games
C135943 PODCI1-Pour a Half Gallon of Milk PODCI1-Pour a Half Gallon of Milk Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk? PODCI Pediatric Parent-Reported Version - Pour a Half Gallon of Milk
C135948 PODCI1-Put on His/Her Coat PODCI1-Put on His/Her Coat Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat? PODCI Pediatric Parent-Reported Version - Put on His or Her Coat
C135959 PODCI1-Run Short Distances PODCI1-Run Short Distances Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances? PODCI Pediatric Parent-Reported Version - Run Short Distances
C135970 PODCI1-Sit in Chair Without Holding On PODCI1-Sit in Chair Without Holding On Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on? PODCI Pediatric Parent-Reported Version - Sit in Chair Without Holding On
C136021 PODCI1-Sleep More Comfortably PODCI1-Sleep More Comfortably Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably. PODCI Pediatric Parent-Reported Version - Sleep More Comfortably
C136027 PODCI1-Spend Rest of Life With Condition PODCI1-Spend Rest of Life With Condition Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it? PODCI Pediatric Parent-Reported Version - Spend Rest of Life With Condition
C136030 PODCI1-Sports/Phys Function Scale PODCI1-Sports/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Sports and physical functioning core scale. PODCI Pediatric Parent-Reported Version - Sports and Physical Function Scale
C135969 PODCI1-Stand Washing Hands at a Sink PODCI1-Stand Washing Hands at a Sink Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink? PODCI Pediatric Parent-Reported Version - Stand Washing Hands at a Sink
C136029 PODCI1-Transfer/Basic Mobility Scale PODCI1-Transfer/Basic Mobility Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Transfer and basic mobility core scale. PODCI Pediatric Parent-Reported Version - Transfer and Basic Mobility Scale
C135973 PODCI1-Turn Door Knobs PODCI1-Turn Door Knobs Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs? PODCI Pediatric Parent-Reported Version - Turn Door Knobs
C136028 PODCI1-Up Extremity/Phys Function Scale PODCI1-Up Extremity/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Upper extremity and physical function core scale. PODCI Pediatric Parent-Reported Version - Upper Extremity and Physical Function Scale
C135945 PODCI1-Use a Fork and Spoon PODCI1-Use a Fork and Spoon Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon? PODCI Pediatric Parent-Reported Version - Use a Fork and Spoon
C135976 PODCI1-Use Assistive Devices for Sitting PODCI1-Use Assistive Devices for Sitting Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing? PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Sitting
C135968 PODCI1-Use Assistive Devices for Walking PODCI1-Use Assistive Devices for Walking Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing? PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Walking
C135963 PODCI1-Walk More Than a Mile PODCI1-Walk More Than a Mile Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile? PODCI Pediatric Parent-Reported Version - Walk More Than a Mile
C135965 PODCI1-Walk One Block PODCI1-Walk One Block Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block? PODCI Pediatric Parent-Reported Version - Walk One Block
C135964 PODCI1-Walk Three Blocks PODCI1-Walk Three Blocks Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks? PODCI Pediatric Parent-Reported Version - Walk Three Blocks
C135953 PODCI1-What Clothes/Shoes He/She Wear PODCI1-What Clothes/Shoes He/She Wear Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear? PODCI Pediatric Parent-Reported Version - What Clothes or Shoes He or She Wear
C135949 PODCI1-Write With a Pencil PODCI1-Write With a Pencil Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil? PODCI Pediatric Parent-Reported Version - Write With a Pencil

PODCI2TC (Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Code)

NCI Code: C135696, Codelist extensible: No
C135696 PODCI2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C136034 PODCI201 PODCI2-Lift Heavy Books Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books? PODCI Adolescent Parent-Reported Version - Lift Heavy Books
C136035 PODCI202 PODCI2-Pour a Half Gallon of Milk Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk? PODCI Adolescent Parent-Reported Version - Pour a Half Gallon of Milk
C136036 PODCI203 PODCI2-Open a Jar Been Opened Before Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before? PODCI Adolescent Parent-Reported Version - Open a Jar Been Opened Before
C136037 PODCI204 PODCI2-Use a Fork and Spoon Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon? PODCI Adolescent Parent-Reported Version - Use a Fork and Spoon
C136038 PODCI205 PODCI2-Comb His/Her Hair Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair? PODCI Adolescent Parent-Reported Version - Comb His or Her Hair
C136039 PODCI206 PODCI2-Button Buttons Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons? PODCI Adolescent Parent-Reported Version - Button Buttons
C136040 PODCI207 PODCI2-Put on His/Her Coat Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat? PODCI Adolescent Parent-Reported Version - Put on His or Her Coat
C136041 PODCI208 PODCI2-Write With a Pencil Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil? PODCI Adolescent Parent-Reported Version - Write With a Pencil
C136042 PODCI209 PODCI2-Miss School Because of Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - On average, over the last 12 months, how often did your child miss school (camp, etc.) because of his/her health? PODCI Adolescent Parent-Reported Version - Miss School Because of Health
C136043 PODCI210 PODCI2-How He/She Looks Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: How he/she looks? PODCI Adolescent Parent-Reported Version - How He or She Looks
C136044 PODCI211 PODCI2-His/Her Body Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her body? PODCI Adolescent Parent-Reported Version - His or Her Body
C136045 PODCI212 PODCI2-What Clothes/Shoes He/She Wear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear? PODCI Adolescent Parent-Reported Version - What Clothes or Shoes He or She Wear
C136046 PODCI213 PODCI2-Ability Do Same Things Friends Do Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do? PODCI Adolescent Parent-Reported Version - Ability Do Same Things Friends Do
C136047 PODCI214 PODCI2-His/Her Health in General Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her health in general? PODCI Adolescent Parent-Reported Version - His or Her Health in General
C136048 PODCI215 PODCI2-Feel Sick and Tired Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired? PODCI Adolescent Parent-Reported Version - Feel Sick and Tired
C136049 PODCI216 PODCI2-Full of Pep and Energy Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy? PODCI Adolescent Parent-Reported Version - Full of Pep and Energy
C136050 PODCI217 PODCI2-Pain/Discom Inter With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities? PODCI Adolescent Parent-Reported Version - Pain or Discomfort Interfere With Activities
C136051 PODCI218 PODCI2-Run Short Distances Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances? PODCI Adolescent Parent-Reported Version - Run Short Distances
C136052 PODCI219 PODCI2-Bicycle or Tricycle Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle? PODCI Adolescent Parent-Reported Version - Bicycle or Tricycle
C136053 PODCI220 PODCI2-Climb Three Flights of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs? PODCI Adolescent Parent-Reported Version - Climb Three Flights of Stairs
C136054 PODCI221 PODCI2-Climb One Flight of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs? PODCI Adolescent Parent-Reported Version - Climb One Flight of Stairs
C136055 PODCI222 PODCI2-Walk More Than a Mile Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile? PODCI Adolescent Parent-Reported Version - Walk More Than a Mile
C136056 PODCI223 PODCI2-Walk Three Blocks Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks? PODCI Adolescent Parent-Reported Version - Walk Three Blocks
C136057 PODCI224 PODCI2-Walk One Block Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block? PODCI Adolescent Parent-Reported Version - Walk One Block
C136058 PODCI225 PODCI2-Get On and Off a Bus Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus? PODCI Adolescent Parent-Reported Version - Get On and Off a Bus
C136059 PODCI226 PODCI2-Need Help Walking and Climbing Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for walking and climbing? PODCI Adolescent Parent-Reported Version - Need Help Walking and Climbing
C136060 PODCI227 PODCI2-Use Assistive Devices for Walking Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing? PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Walking
C136061 PODCI228 PODCI2-Stand Washing Hands at a Sink Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink? PODCI Adolescent Parent-Reported Version - Stand Washing Hands at a Sink
C136062 PODCI229 PODCI2-Sit in Chair Without Holding On Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on? PODCI Adolescent Parent-Reported Version - Sit in Chair Without Holding On
C136063 PODCI230 PODCI2-Get On and Off a Toilet or Chair Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair? PODCI Adolescent Parent-Reported Version - Get On and Off a Toilet or Chair
C136064 PODCI231 PODCI2-Get In and Out of Bed Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed? PODCI Adolescent Parent-Reported Version - Get In and Out of Bed
C136065 PODCI232 PODCI2-Turn Door Knobs Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs? PODCI Adolescent Parent-Reported Version - Turn Door Knobs
C136066 PODCI233 PODCI2-Bend Over and Pick Up Something Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor? PODCI Adolescent Parent-Reported Version - Bend Over and Pick Up Something
C136067 PODCI234 PODCI2-Need Help Sitting and Standing Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for sitting and standing? PODCI Adolescent Parent-Reported Version - Need Help Sitting and Standing
C136068 PODCI235 PODCI2-Use Assistive Devices for Sitting Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing? PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Sitting
C136069 PODCI236 PODCI2-Participate in Outdoor Activities Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, skating, hiking, jogging)? PODCI Adolescent Parent-Reported Version - Participate in Outdoor Activities
C136070 PODCI237 PODCI2-Outdoor Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Pain
C136071 PODCI238 PODCI2-Outdoor Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Health
C136072 PODCI239 PODCI2-Outdoor Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Instructions
C136073 PODCI240 PODCI2-Outdoor Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Fear
C136074 PODCI241 PODCI2-Outdoor Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Dislike
C136075 PODCI242 PODCI2-Outdoor Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Too Young
C136076 PODCI243 PODCI2-Outdoor Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Season
C136077 PODCI244 PODCI2-Participate in Pickup Games Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)? PODCI Adolescent Parent-Reported Version - Participate in Pickup Games
C136078 PODCI245 PODCI2-Games Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Games Limited by: Pain
C136079 PODCI246 PODCI2-Games Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Games Limited by: Health
C136080 PODCI247 PODCI2-Games Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Games Limited by: Instructions
C136081 PODCI248 PODCI2-Games Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Games Limited by: Fear
C136082 PODCI249 PODCI2-Games Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Adolescent Parent-Reported Version - Games Limited by: Dislike
C136083 PODCI250 PODCI2-Games Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young? PODCI Adolescent Parent-Reported Version - Games Limited by: Too Young
C136084 PODCI251 PODCI2-Games Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season? PODCI Adolescent Parent-Reported Version - Games Limited by: Season
C136085 PODCI252 PODCI2-Participate in Competitive Sports Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)? PODCI Adolescent Parent-Reported Version - Participate in Competitive Sports
C136086 PODCI253 PODCI2-Comp Sports Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Pain
C136087 PODCI254 PODCI2-Comp Sports Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Health
C136088 PODCI255 PODCI2-Comp Sports Limited by: Instruct Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Instructions
C136089 PODCI256 PODCI2-Comp Sports Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Fear
C136090 PODCI257 PODCI2-Comp Sports Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Dislike
C136091 PODCI258 PODCI2-Comp Sports Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Too Young
C136092 PODCI259 PODCI2-Comp Sports Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Season
C136093 PODCI260 PODCI2-Get Together With Friends Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child get together and do things with friends? PODCI Adolescent Parent-Reported Version - Get Together With Friends
C136094 PODCI261 PODCI2-Friends Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Friends Limited by: Pain
C136095 PODCI262 PODCI2-Friends Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Friends Limited by: Health
C136096 PODCI263 PODCI2-Friends Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Friends Limited by: Instructions
C136097 PODCI264 PODCI2-Friends Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Friends Limited by: Fear
C136098 PODCI265 PODCI2-Friends Limited by: Not Around Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around? PODCI Adolescent Parent-Reported Version - Friends Limited by: Not Around
C136099 PODCI266 PODCI2-Participate in Gym/Recess Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child participate in gym/recess? PODCI Adolescent Parent-Reported Version - Participate in Gym or Recess
C136100 PODCI267 PODCI2-Gym Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Gym Limited by: Pain
C136101 PODCI268 PODCI2-Gym Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Gym Limited by: Health
C136102 PODCI269 PODCI2-Gym Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Gym Limited by: Instructions
C136103 PODCI270 PODCI2-Gym Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Gym Limited by: Fear
C136104 PODCI271 PODCI2-Gym Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess? PODCI Adolescent Parent-Reported Version - Gym Limited by: Dislike
C136105 PODCI272 PODCI2-Gym Limited by: Not in Session Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session? PODCI Adolescent Parent-Reported Version - Gym Limited by: Not in Session
C136106 PODCI273 PODCI2-Gym Limited by: Not Attend School Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school? PODCI Adolescent Parent-Reported Version - Gym Limited by: Not Attend School
C136107 PODCI274 PODCI2-Easy to Make Friends Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age? PODCI Adolescent Parent-Reported Version - Easy to Make Friends
C136108 PODCI275 PODCI2-Pain During the Last Week Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How much pain has your child had during the last week? PODCI Adolescent Parent-Reported Version - Pain During the Last Week
C136109 PODCI276 PODCI2-Pain Interfere With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)? PODCI Adolescent Parent-Reported Version - Pain Interfere With Activities
C136110 PODCI277 PODCI2-Have Pain Relief Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief. PODCI Adolescent Parent-Reported Version - Have Pain Relief
C136111 PODCI278 PODCI2-Look Better Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To look better. PODCI Adolescent Parent-Reported Version - Look Better
C136112 PODCI279 PODCI2-Feel Better Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself. PODCI Adolescent Parent-Reported Version - Feel Better
C136113 PODCI280 PODCI2-Sleep More Comfortably Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably. PODCI Adolescent Parent-Reported Version - Sleep More Comfortably
C136114 PODCI281 PODCI2-Able to Do Activities at Home Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home. PODCI Adolescent Parent-Reported Version - Able to Do Activities at Home
C136115 PODCI282 PODCI2-Able to Do More at School Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school. PODCI Adolescent Parent-Reported Version - Able to Do More at School
C136116 PODCI283 PODCI2-Able to Do More Play Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities. PODCI Adolescent Parent-Reported Version - Able to Do More Play
C136117 PODCI284 PODCI2-Able to Do More Sports Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports. PODCI Adolescent Parent-Reported Version - Able to Do More Sports
C136118 PODCI285 PODCI2-Free From Pain as Adult Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult. PODCI Adolescent Parent-Reported Version - Free From Pain as Adult
C136119 PODCI286 PODCI2-Spend Rest of Life With Condition Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it? PODCI Adolescent Parent-Reported Version - Spend Rest of Life With Condition
C136120 PODCI287 PODCI2-Up Extremity/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Upper extremity and physical function core scale. PODCI Adolescent Parent-Reported Version - Upper Extremity and Physical Function Scale
C136121 PODCI288 PODCI2-Transfer/Basic Mobility Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Transfer and basic mobility core scale. PODCI Adolescent Parent-Reported Version - Transfer and Basic Mobility Scale
C136122 PODCI289 PODCI2-Sports/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Sports and physical functioning core scale. PODCI Adolescent Parent-Reported Version - Sports and Physical Function Scale
C136123 PODCI290 PODCI2-Pain/Comfort Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Pain/comfort core scale. PODCI Adolescent Parent-Reported Version - Pain or Comfort Scale
C136124 PODCI291 PODCI2-Happiness Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Happiness core scale. PODCI Adolescent Parent-Reported Version - Happiness Scale
C136125 PODCI292 PODCI2-Global Functioning Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Global functioning scale. PODCI Adolescent Parent-Reported Version - Global Functioning Scale

PODCI2TN (Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Name)

NCI Code: C135695, Codelist extensible: No
C135695 PODCI2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C136046 PODCI2-Ability Do Same Things Friends Do PODCI2-Ability Do Same Things Friends Do Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do? PODCI Adolescent Parent-Reported Version - Ability Do Same Things Friends Do
C136114 PODCI2-Able to Do Activities at Home PODCI2-Able to Do Activities at Home Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home. PODCI Adolescent Parent-Reported Version - Able to Do Activities at Home
C136115 PODCI2-Able to Do More at School PODCI2-Able to Do More at School Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school. PODCI Adolescent Parent-Reported Version - Able to Do More at School
C136116 PODCI2-Able to Do More Play PODCI2-Able to Do More Play Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities. PODCI Adolescent Parent-Reported Version - Able to Do More Play
C136117 PODCI2-Able to Do More Sports PODCI2-Able to Do More Sports Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports. PODCI Adolescent Parent-Reported Version - Able to Do More Sports
C136066 PODCI2-Bend Over and Pick Up Something PODCI2-Bend Over and Pick Up Something Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor? PODCI Adolescent Parent-Reported Version - Bend Over and Pick Up Something
C136052 PODCI2-Bicycle or Tricycle PODCI2-Bicycle or Tricycle Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle? PODCI Adolescent Parent-Reported Version - Bicycle or Tricycle
C136039 PODCI2-Button Buttons PODCI2-Button Buttons Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons? PODCI Adolescent Parent-Reported Version - Button Buttons
C136054 PODCI2-Climb One Flight of Stairs PODCI2-Climb One Flight of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs? PODCI Adolescent Parent-Reported Version - Climb One Flight of Stairs
C136053 PODCI2-Climb Three Flights of Stairs PODCI2-Climb Three Flights of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs? PODCI Adolescent Parent-Reported Version - Climb Three Flights of Stairs
C136038 PODCI2-Comb His/Her Hair PODCI2-Comb His/Her Hair Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair? PODCI Adolescent Parent-Reported Version - Comb His or Her Hair
C136090 PODCI2-Comp Sports Limited by: Dislike PODCI2-Comp Sports Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Dislike
C136089 PODCI2-Comp Sports Limited by: Fear PODCI2-Comp Sports Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Fear
C136087 PODCI2-Comp Sports Limited by: Health PODCI2-Comp Sports Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Health
C136088 PODCI2-Comp Sports Limited by: Instruct PODCI2-Comp Sports Limited by: Instruct Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Instructions
C136086 PODCI2-Comp Sports Limited by: Pain PODCI2-Comp Sports Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Pain
C136092 PODCI2-Comp Sports Limited by: Season PODCI2-Comp Sports Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Season
C136091 PODCI2-Comp Sports Limited by: Too Young PODCI2-Comp Sports Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young? PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Too Young
C136107 PODCI2-Easy to Make Friends PODCI2-Easy to Make Friends Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age? PODCI Adolescent Parent-Reported Version - Easy to Make Friends
C136112 PODCI2-Feel Better PODCI2-Feel Better Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself. PODCI Adolescent Parent-Reported Version - Feel Better
C136048 PODCI2-Feel Sick and Tired PODCI2-Feel Sick and Tired Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired? PODCI Adolescent Parent-Reported Version - Feel Sick and Tired
C136118 PODCI2-Free From Pain as Adult PODCI2-Free From Pain as Adult Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult. PODCI Adolescent Parent-Reported Version - Free From Pain as Adult
C136097 PODCI2-Friends Limited by: Fear PODCI2-Friends Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Friends Limited by: Fear
C136095 PODCI2-Friends Limited by: Health PODCI2-Friends Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Friends Limited by: Health
C136096 PODCI2-Friends Limited by: Instructions PODCI2-Friends Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Friends Limited by: Instructions
C136098 PODCI2-Friends Limited by: Not Around PODCI2-Friends Limited by: Not Around Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around? PODCI Adolescent Parent-Reported Version - Friends Limited by: Not Around
C136094 PODCI2-Friends Limited by: Pain PODCI2-Friends Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Friends Limited by: Pain
C136049 PODCI2-Full of Pep and Energy PODCI2-Full of Pep and Energy Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy? PODCI Adolescent Parent-Reported Version - Full of Pep and Energy
C136082 PODCI2-Games Limited by: Dislike PODCI2-Games Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports? PODCI Adolescent Parent-Reported Version - Games Limited by: Dislike
C136081 PODCI2-Games Limited by: Fear PODCI2-Games Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Games Limited by: Fear
C136079 PODCI2-Games Limited by: Health PODCI2-Games Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Games Limited by: Health
C136080 PODCI2-Games Limited by: Instructions PODCI2-Games Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Games Limited by: Instructions
C136078 PODCI2-Games Limited by: Pain PODCI2-Games Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Games Limited by: Pain
C136084 PODCI2-Games Limited by: Season PODCI2-Games Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season? PODCI Adolescent Parent-Reported Version - Games Limited by: Season
C136083 PODCI2-Games Limited by: Too Young PODCI2-Games Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young? PODCI Adolescent Parent-Reported Version - Games Limited by: Too Young
C136064 PODCI2-Get In and Out of Bed PODCI2-Get In and Out of Bed Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed? PODCI Adolescent Parent-Reported Version - Get In and Out of Bed
C136058 PODCI2-Get On and Off a Bus PODCI2-Get On and Off a Bus Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus? PODCI Adolescent Parent-Reported Version - Get On and Off a Bus
C136063 PODCI2-Get On and Off a Toilet or Chair PODCI2-Get On and Off a Toilet or Chair Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair? PODCI Adolescent Parent-Reported Version - Get On and Off a Toilet or Chair
C136093 PODCI2-Get Together With Friends PODCI2-Get Together With Friends Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child get together and do things with friends? PODCI Adolescent Parent-Reported Version - Get Together With Friends
C136125 PODCI2-Global Functioning Scale PODCI2-Global Functioning Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Global functioning scale. PODCI Adolescent Parent-Reported Version - Global Functioning Scale
C136104 PODCI2-Gym Limited by: Dislike PODCI2-Gym Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess? PODCI Adolescent Parent-Reported Version - Gym Limited by: Dislike
C136103 PODCI2-Gym Limited by: Fear PODCI2-Gym Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Gym Limited by: Fear
C136101 PODCI2-Gym Limited by: Health PODCI2-Gym Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Gym Limited by: Health
C136102 PODCI2-Gym Limited by: Instructions PODCI2-Gym Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Gym Limited by: Instructions
C136106 PODCI2-Gym Limited by: Not Attend School PODCI2-Gym Limited by: Not Attend School Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school? PODCI Adolescent Parent-Reported Version - Gym Limited by: Not Attend School
C136105 PODCI2-Gym Limited by: Not in Session PODCI2-Gym Limited by: Not in Session Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session? PODCI Adolescent Parent-Reported Version - Gym Limited by: Not in Session
C136100 PODCI2-Gym Limited by: Pain PODCI2-Gym Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Gym Limited by: Pain
C136124 PODCI2-Happiness Scale PODCI2-Happiness Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Happiness core scale. PODCI Adolescent Parent-Reported Version - Happiness Scale
C136110 PODCI2-Have Pain Relief PODCI2-Have Pain Relief Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief. PODCI Adolescent Parent-Reported Version - Have Pain Relief
C136044 PODCI2-His/Her Body PODCI2-His/Her Body Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her body? PODCI Adolescent Parent-Reported Version - His or Her Body
C136047 PODCI2-His/Her Health in General PODCI2-His/Her Health in General Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her health in general? PODCI Adolescent Parent-Reported Version - His or Her Health in General
C136043 PODCI2-How He/She Looks PODCI2-How He/She Looks Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: How he/she looks? PODCI Adolescent Parent-Reported Version - How He or She Looks
C136034 PODCI2-Lift Heavy Books PODCI2-Lift Heavy Books Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books? PODCI Adolescent Parent-Reported Version - Lift Heavy Books
C136111 PODCI2-Look Better PODCI2-Look Better Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To look better. PODCI Adolescent Parent-Reported Version - Look Better
C136042 PODCI2-Miss School Because of Health PODCI2-Miss School Because of Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - On average, over the last 12 months, how often did your child miss school (camp, etc.) because of his/her health? PODCI Adolescent Parent-Reported Version - Miss School Because of Health
C136067 PODCI2-Need Help Sitting and Standing PODCI2-Need Help Sitting and Standing Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for sitting and standing? PODCI Adolescent Parent-Reported Version - Need Help Sitting and Standing
C136059 PODCI2-Need Help Walking and Climbing PODCI2-Need Help Walking and Climbing Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for walking and climbing? PODCI Adolescent Parent-Reported Version - Need Help Walking and Climbing
C136036 PODCI2-Open a Jar Been Opened Before PODCI2-Open a Jar Been Opened Before Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before? PODCI Adolescent Parent-Reported Version - Open a Jar Been Opened Before
C136074 PODCI2-Outdoor Limited by: Dislike PODCI2-Outdoor Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Dislike
C136073 PODCI2-Outdoor Limited by: Fear PODCI2-Outdoor Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Fear
C136071 PODCI2-Outdoor Limited by: Health PODCI2-Outdoor Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Health
C136072 PODCI2-Outdoor Limited by: Instructions PODCI2-Outdoor Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Instructions
C136070 PODCI2-Outdoor Limited by: Pain PODCI2-Outdoor Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Pain
C136076 PODCI2-Outdoor Limited by: Season PODCI2-Outdoor Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Season
C136075 PODCI2-Outdoor Limited by: Too Young PODCI2-Outdoor Limited by: Too Young Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young? PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Too Young
C136108 PODCI2-Pain During the Last Week PODCI2-Pain During the Last Week Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How much pain has your child had during the last week? PODCI Adolescent Parent-Reported Version - Pain During the Last Week
C136109 PODCI2-Pain Interfere With Activities PODCI2-Pain Interfere With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)? PODCI Adolescent Parent-Reported Version - Pain Interfere With Activities
C136123 PODCI2-Pain/Comfort Scale PODCI2-Pain/Comfort Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Pain/comfort core scale. PODCI Adolescent Parent-Reported Version - Pain or Comfort Scale
C136050 PODCI2-Pain/Discom Inter With Activities PODCI2-Pain/Discom Inter With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities? PODCI Adolescent Parent-Reported Version - Pain or Discomfort Interfere With Activities
C136085 PODCI2-Participate in Competitive Sports PODCI2-Participate in Competitive Sports Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)? PODCI Adolescent Parent-Reported Version - Participate in Competitive Sports
C136099 PODCI2-Participate in Gym/Recess PODCI2-Participate in Gym/Recess Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child participate in gym/recess? PODCI Adolescent Parent-Reported Version - Participate in Gym or Recess
C136069 PODCI2-Participate in Outdoor Activities PODCI2-Participate in Outdoor Activities Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, skating, hiking, jogging)? PODCI Adolescent Parent-Reported Version - Participate in Outdoor Activities
C136077 PODCI2-Participate in Pickup Games PODCI2-Participate in Pickup Games Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)? PODCI Adolescent Parent-Reported Version - Participate in Pickup Games
C136035 PODCI2-Pour a Half Gallon of Milk PODCI2-Pour a Half Gallon of Milk Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk? PODCI Adolescent Parent-Reported Version - Pour a Half Gallon of Milk
C136040 PODCI2-Put on His/Her Coat PODCI2-Put on His/Her Coat Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat? PODCI Adolescent Parent-Reported Version - Put on His or Her Coat
C136051 PODCI2-Run Short Distances PODCI2-Run Short Distances Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances? PODCI Adolescent Parent-Reported Version - Run Short Distances
C136062 PODCI2-Sit in Chair Without Holding On PODCI2-Sit in Chair Without Holding On Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on? PODCI Adolescent Parent-Reported Version - Sit in Chair Without Holding On
C136113 PODCI2-Sleep More Comfortably PODCI2-Sleep More Comfortably Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably. PODCI Adolescent Parent-Reported Version - Sleep More Comfortably
C136119 PODCI2-Spend Rest of Life With Condition PODCI2-Spend Rest of Life With Condition Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it? PODCI Adolescent Parent-Reported Version - Spend Rest of Life With Condition
C136122 PODCI2-Sports/Phys Function Scale PODCI2-Sports/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Sports and physical functioning core scale. PODCI Adolescent Parent-Reported Version - Sports and Physical Function Scale
C136061 PODCI2-Stand Washing Hands at a Sink PODCI2-Stand Washing Hands at a Sink Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink? PODCI Adolescent Parent-Reported Version - Stand Washing Hands at a Sink
C136121 PODCI2-Transfer/Basic Mobility Scale PODCI2-Transfer/Basic Mobility Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Transfer and basic mobility core scale. PODCI Adolescent Parent-Reported Version - Transfer and Basic Mobility Scale
C136065 PODCI2-Turn Door Knobs PODCI2-Turn Door Knobs Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs? PODCI Adolescent Parent-Reported Version - Turn Door Knobs
C136120 PODCI2-Up Extremity/Phys Function Scale PODCI2-Up Extremity/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Upper extremity and physical function core scale. PODCI Adolescent Parent-Reported Version - Upper Extremity and Physical Function Scale
C136037 PODCI2-Use a Fork and Spoon PODCI2-Use a Fork and Spoon Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon? PODCI Adolescent Parent-Reported Version - Use a Fork and Spoon
C136068 PODCI2-Use Assistive Devices for Sitting PODCI2-Use Assistive Devices for Sitting Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing? PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Sitting
C136060 PODCI2-Use Assistive Devices for Walking PODCI2-Use Assistive Devices for Walking Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing? PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Walking
C136055 PODCI2-Walk More Than a Mile PODCI2-Walk More Than a Mile Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile? PODCI Adolescent Parent-Reported Version - Walk More Than a Mile
C136057 PODCI2-Walk One Block PODCI2-Walk One Block Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block? PODCI Adolescent Parent-Reported Version - Walk One Block
C136056 PODCI2-Walk Three Blocks PODCI2-Walk Three Blocks Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks? PODCI Adolescent Parent-Reported Version - Walk Three Blocks
C136045 PODCI2-What Clothes/Shoes He/She Wear PODCI2-What Clothes/Shoes He/She Wear Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear? PODCI Adolescent Parent-Reported Version - What Clothes or Shoes He or She Wear
C136041 PODCI2-Write With a Pencil PODCI2-Write With a Pencil Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil? PODCI Adolescent Parent-Reported Version - Write With a Pencil

PODCI3TC (Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Code)

NCI Code: C135698, Codelist extensible: No
C135698 PODCI3TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C136126 PODCI301 PODCI3-Lift Heavy Books Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Lift heavy books? PODCI Adolescent Self-Reported Version - Lift Heavy Books
C136127 PODCI302 PODCI3-Pour a Half Gallon of Milk Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Pour a half gallon of milk? PODCI Adolescent Self-Reported Version - Pour a Half Gallon of Milk
C136128 PODCI303 PODCI3-Open a Jar Been Opened Before Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Open a jar that has been opened before? PODCI Adolescent Self-Reported Version - Open a Jar Been Opened Before
C136129 PODCI304 PODCI3-Use a Fork and Spoon Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Use a fork and spoon? PODCI Adolescent Self-Reported Version - Use a Fork and Spoon
C136130 PODCI305 PODCI3-Comb Your Hair Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Comb your hair? PODCI Adolescent Self-Reported Version - Comb Your Hair
C136131 PODCI306 PODCI3-Button Buttons Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Button buttons? PODCI Adolescent Self-Reported Version - Button Buttons
C136132 PODCI307 PODCI3-Put on Your Coat Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Put on your coat? PODCI Adolescent Self-Reported Version - Put on Your Coat
C136133 PODCI308 PODCI3-Write With a Pencil Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Write with a pencil? PODCI Adolescent Self-Reported Version - Write With a Pencil
C136134 PODCI309 PODCI3-Miss School Because of Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - On average, over the last 12 months, how often did you miss school (camp, etc.) because of your health? PODCI Adolescent Self-Reported Version - Miss School Because of Health
C136135 PODCI310 PODCI3-How You Look Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: How you look? PODCI Adolescent Self-Reported Version - How You Look
C136136 PODCI311 PODCI3-Your Body Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your body? PODCI Adolescent Self-Reported Version - Your Body
C136137 PODCI312 PODCI3-What Clothes/Shoes You Can Wear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: What clothes or shoes you can wear? PODCI Adolescent Self-Reported Version - What Clothes or Shoes You Can Wear
C136138 PODCI313 PODCI3-Ability Do Same Things Friends Do Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your ability to do the same things your friends do? PODCI Adolescent Self-Reported Version - Ability Do Same Things Friends Do
C136139 PODCI314 PODCI3-Your Health in General Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your health in general? PODCI Adolescent Self-Reported Version - Your Health in General
C136140 PODCI315 PODCI3-Feel Sick and Tired Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did you feel sick and tired? PODCI Adolescent Self-Reported Version - Feel Sick and Tired
C136141 PODCI316 PODCI3-Full of Pep and Energy Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Were you full of pep and energy? PODCI Adolescent Self-Reported Version - Full of Pep and Energy
C136142 PODCI317 PODCI3-Pain/Discom Inter With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your activities? PODCI Adolescent Self-Reported Version - Pain or Discomfort Interfere With Activities
C136143 PODCI318 PODCI3-Run Short Distances Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Run short distances? PODCI Adolescent Self-Reported Version - Run Short Distances
C136144 PODCI319 PODCI3-Bicycle or Tricycle Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bicycle or tricycle? PODCI Adolescent Self-Reported Version - Bicycle or Tricycle
C136145 PODCI320 PODCI3-Climb Three Flights of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb three flights of stairs? PODCI Adolescent Self-Reported Version - Climb Three Flights of Stairs
C136146 PODCI321 PODCI3-Climb One Flight of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb one flight of stairs? PODCI Adolescent Self-Reported Version - Climb One Flight of Stairs
C136147 PODCI322 PODCI3-Walk More Than a Mile Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk more than a mile? PODCI Adolescent Self-Reported Version - Walk More Than a Mile
C136148 PODCI323 PODCI3-Walk Three Blocks Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk three blocks? PODCI Adolescent Self-Reported Version - Walk Three Blocks
C136149 PODCI324 PODCI3-Walk One Block Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk one block? PODCI Adolescent Self-Reported Version - Walk One Block
C136150 PODCI325 PODCI3-Get On and Off a Bus Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a bus? PODCI Adolescent Self-Reported Version - Get On and Off a Bus
C136151 PODCI326 PODCI3-Need Help Walking and Climbing Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for walking and climbing? PODCI Adolescent Self-Reported Version - Need Help Walking and Climbing
C136152 PODCI327 PODCI3-Use Assistive Devices for Walking Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing? PODCI Adolescent Self-Reported Version - Use Assistive Devices for Walking
C136153 PODCI328 PODCI3-Stand Washing Hands at a Sink Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Stand while washing your hands and face at a sink? PODCI Adolescent Self-Reported Version - Stand Washing Hands at a Sink
C136154 PODCI329 PODCI3-Sit in Chair Without Holding On Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Sit in a regular chair without holding on? PODCI Adolescent Self-Reported Version - Sit in Chair Without Holding On
C136155 PODCI330 PODCI3-Get On and Off a Toilet or Chair Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a toilet or chair? PODCI Adolescent Self-Reported Version - Get On and Off a Toilet or Chair
C136156 PODCI331 PODCI3-Get In and Out of Bed Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get in and out of bed? PODCI Adolescent Self-Reported Version - Get In and Out of Bed
C136157 PODCI332 PODCI3-Turn Door Knobs Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Turn door knobs? PODCI Adolescent Self-Reported Version - Turn Door Knobs
C136158 PODCI333 PODCI3-Bend Over and Pick Up Something Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bend over from a standing position and pick up something off the floor? PODCI Adolescent Self-Reported Version - Bend Over and Pick Up Something
C136159 PODCI334 PODCI3-Need Help Sitting and Standing Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for sitting and standing? PODCI Adolescent Self-Reported Version - Need Help Sitting and Standing
C136160 PODCI335 PODCI3-Use Assistive Devices for Sitting Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing? PODCI Adolescent Self-Reported Version - Use Assistive Devices for Sitting
C136161 PODCI336 PODCI3-Participate in Outdoor Activities Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in recreational outdoor activities with other kids the same age (For example: bicycling, skating, hiking, jogging)? PODCI Adolescent Self-Reported Version - Participate in Outdoor Activities
C136162 PODCI337 PODCI3-Outdoor Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Pain
C136163 PODCI338 PODCI3-Outdoor Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Health
C136164 PODCI339 PODCI3-Outdoor Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Instructions
C136165 PODCI340 PODCI3-Outdoor Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Fear
C136166 PODCI341 PODCI3-Outdoor Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Dislike of recreational outdoor activities? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Dislike
C136167 PODCI342 PODCI3-Outdoor Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Activity not in season? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Season
C136168 PODCI343 PODCI3-Participate in Pickup Games Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in pickup games or sports with other kids the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)? PODCI Adolescent Self-Reported Version - Participate in Pickup Games
C136169 PODCI344 PODCI3-Games Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Games Limited by: Pain
C136170 PODCI345 PODCI3-Games Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Games Limited by: Health
C136171 PODCI346 PODCI3-Games Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Games Limited by: Instructions
C136172 PODCI347 PODCI3-Games Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Games Limited by: Fear
C136173 PODCI348 PODCI3-Games Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Dislike of pickup games or sports? PODCI Adolescent Self-Reported Version - Games Limited by: Dislike
C136174 PODCI349 PODCI3-Games Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Activity not in season? PODCI Adolescent Self-Reported Version - Games Limited by: Season
C136175 PODCI350 PODCI3-Participate in Competitive Sports Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in competitive level sports with other kids the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)? PODCI Adolescent Self-Reported Version - Participate in Competitive Sports
C136176 PODCI351 PODCI3-Comp Sports Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Pain
C136177 PODCI352 PODCI3-Comp Sports Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Health
C136178 PODCI353 PODCI3-Comp Sports Limited by: Instruct Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Instructions
C136179 PODCI354 PODCI3-Comp Sports Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Fear
C136180 PODCI355 PODCI3-Comp Sports Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Dislike of pickup games or sports? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Dislike
C136181 PODCI356 PODCI3-Comp Sports Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Activity not in season? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Season
C136182 PODCI357 PODCI3-Get Together With Friends Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you get together and do things with friends? PODCI Adolescent Self-Reported Version - Get Together With Friends
C136183 PODCI358 PODCI3-Friends Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Friends Limited by: Pain
C136184 PODCI359 PODCI3-Friends Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Friends Limited by: Health
C136185 PODCI360 PODCI3-Friends Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Friends Limited by: Instructions
C136186 PODCI361 PODCI3-Friends Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Friends Limited by: Fear
C136187 PODCI362 PODCI3-Friends Limited by: Not Around Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Friends not around? PODCI Adolescent Self-Reported Version - Friends Limited by: Not Around
C136188 PODCI363 PODCI3-Participate in Gym/Recess Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you participate in gym/recess? PODCI Adolescent Self-Reported Version - Participate in Gym or Recess
C136189 PODCI364 PODCI3-Gym Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Gym Limited by: Pain
C136190 PODCI365 PODCI3-Gym Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Gym Limited by: Health
C136191 PODCI366 PODCI3-Gym Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Gym Limited by: Instructions
C136192 PODCI367 PODCI3-Gym Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Gym Limited by: Fear
C136193 PODCI368 PODCI3-Gym Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Dislike of gym/recess? PODCI Adolescent Self-Reported Version - Gym Limited by: Dislike
C136194 PODCI369 PODCI3-Gym Limited by: Not in Session Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: School not in session? PODCI Adolescent Self-Reported Version - Gym Limited by: Not in Session
C136195 PODCI370 PODCI3-Gym Limited by: Not Attend School Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: I don't attend school? PODCI Adolescent Self-Reported Version - Gym Limited by: Not Attend School
C136196 PODCI371 PODCI3-Easy to Make Friends Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Is it easy or hard for you to make friends with kids your own age? PODCI Adolescent Self-Reported Version - Easy to Make Friends
C136197 PODCI372 PODCI3-Pain During the Last Week Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How much pain have you had during the last week? PODCI Adolescent Self-Reported Version - Pain During the Last Week
C136198 PODCI373 PODCI3-Pain Interfere With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much did pain interfere with your normal activities (including at home, outside of the home, and at school)? PODCI Adolescent Self-Reported Version - Pain Interfere With Activities
C136199 PODCI374 PODCI3-Have Pain Relief Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To have pain relief. PODCI Adolescent Self-Reported Version - Have Pain Relief
C136200 PODCI375 PODCI3-Look Better Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To look better. PODCI Adolescent Self-Reported Version - Look Better
C136201 PODCI376 PODCI3-Feel Better Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To feel better about myself. PODCI Adolescent Self-Reported Version - Feel Better
C136202 PODCI377 PODCI3-Sleep More Comfortably Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To sleep more comfortably. PODCI Adolescent Self-Reported Version - Sleep More Comfortably
C136203 PODCI378 PODCI3-Able to Do Activities at Home Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do activities at home. PODCI Adolescent Self-Reported Version - Able to Do Activities at Home
C136204 PODCI379 PODCI3-Able to Do More at School Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more at school. PODCI Adolescent Self-Reported Version - Able to Do More at School
C136205 PODCI380 PODCI3-Able to Do More Play Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more play or recreational activities. PODCI Adolescent Self-Reported Version - Able to Do More Play
C136206 PODCI381 PODCI3-Able to Do More Sports Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more sports. PODCI Adolescent Self-Reported Version - Able to Do More Sports
C136207 PODCI382 PODCI3-Free From Pain as Adult Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be free from pain or disability as an adult. PODCI Adolescent Self-Reported Version - Free From Pain as Adult
C136208 PODCI383 PODCI3-Spend Rest of Life With Condition Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you had to spend the rest of your life with your bone and muscle condition as it is right now, how would you feel about it? PODCI Adolescent Self-Reported Version - Spend Rest of Life With Condition
C136209 PODCI384 PODCI3-Up Extremity/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Upper extremity and physical function core scale. PODCI Adolescent Self-Reported Version - Upper Extremity and Physical Function Scale
C136210 PODCI385 PODCI3-Transfer/Basic Mobility Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Transfer and basic mobility core scale. PODCI Adolescent Self-Reported Version - Transfer and Basic Mobility Scale
C136211 PODCI386 PODCI3-Sports/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Sports and physical functioning core scale. PODCI Adolescent Self-Reported Version - Sports and Physical Function Scale
C136212 PODCI387 PODCI3-Pain/Comfort Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Pain/comfort core scale. PODCI Adolescent Self-Reported Version - Pain or Comfort Scale
C136213 PODCI388 PODCI3-Happiness Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Happiness core scale. PODCI Adolescent Self-Reported Version - Happiness Scale
C136214 PODCI389 PODCI3-Global Functioning Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Global functioning scale. PODCI Adolescent Self-Reported Version - Global Functioning Scale

PODCI3TN (Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Name)

NCI Code: C135697, Codelist extensible: No
C135697 PODCI3TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C136138 PODCI3-Ability Do Same Things Friends Do PODCI3-Ability Do Same Things Friends Do Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your ability to do the same things your friends do? PODCI Adolescent Self-Reported Version - Ability Do Same Things Friends Do
C136203 PODCI3-Able to Do Activities at Home PODCI3-Able to Do Activities at Home Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do activities at home. PODCI Adolescent Self-Reported Version - Able to Do Activities at Home
C136204 PODCI3-Able to Do More at School PODCI3-Able to Do More at School Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more at school. PODCI Adolescent Self-Reported Version - Able to Do More at School
C136205 PODCI3-Able to Do More Play PODCI3-Able to Do More Play Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more play or recreational activities. PODCI Adolescent Self-Reported Version - Able to Do More Play
C136206 PODCI3-Able to Do More Sports PODCI3-Able to Do More Sports Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more sports. PODCI Adolescent Self-Reported Version - Able to Do More Sports
C136158 PODCI3-Bend Over and Pick Up Something PODCI3-Bend Over and Pick Up Something Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bend over from a standing position and pick up something off the floor? PODCI Adolescent Self-Reported Version - Bend Over and Pick Up Something
C136144 PODCI3-Bicycle or Tricycle PODCI3-Bicycle or Tricycle Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bicycle or tricycle? PODCI Adolescent Self-Reported Version - Bicycle or Tricycle
C136131 PODCI3-Button Buttons PODCI3-Button Buttons Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Button buttons? PODCI Adolescent Self-Reported Version - Button Buttons
C136146 PODCI3-Climb One Flight of Stairs PODCI3-Climb One Flight of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb one flight of stairs? PODCI Adolescent Self-Reported Version - Climb One Flight of Stairs
C136145 PODCI3-Climb Three Flights of Stairs PODCI3-Climb Three Flights of Stairs Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb three flights of stairs? PODCI Adolescent Self-Reported Version - Climb Three Flights of Stairs
C136130 PODCI3-Comb Your Hair PODCI3-Comb Your Hair Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Comb your hair? PODCI Adolescent Self-Reported Version - Comb Your Hair
C136180 PODCI3-Comp Sports Limited by: Dislike PODCI3-Comp Sports Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Dislike of pickup games or sports? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Dislike
C136179 PODCI3-Comp Sports Limited by: Fear PODCI3-Comp Sports Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Fear
C136177 PODCI3-Comp Sports Limited by: Health PODCI3-Comp Sports Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Health
C136178 PODCI3-Comp Sports Limited by: Instruct PODCI3-Comp Sports Limited by: Instruct Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Instructions
C136176 PODCI3-Comp Sports Limited by: Pain PODCI3-Comp Sports Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Pain
C136181 PODCI3-Comp Sports Limited by: Season PODCI3-Comp Sports Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Activity not in season? PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Season
C136196 PODCI3-Easy to Make Friends PODCI3-Easy to Make Friends Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Is it easy or hard for you to make friends with kids your own age? PODCI Adolescent Self-Reported Version - Easy to Make Friends
C136201 PODCI3-Feel Better PODCI3-Feel Better Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To feel better about myself. PODCI Adolescent Self-Reported Version - Feel Better
C136140 PODCI3-Feel Sick and Tired PODCI3-Feel Sick and Tired Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did you feel sick and tired? PODCI Adolescent Self-Reported Version - Feel Sick and Tired
C136207 PODCI3-Free From Pain as Adult PODCI3-Free From Pain as Adult Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be free from pain or disability as an adult. PODCI Adolescent Self-Reported Version - Free From Pain as Adult
C136186 PODCI3-Friends Limited by: Fear PODCI3-Friends Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Friends Limited by: Fear
C136184 PODCI3-Friends Limited by: Health PODCI3-Friends Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Friends Limited by: Health
C136185 PODCI3-Friends Limited by: Instructions PODCI3-Friends Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Friends Limited by: Instructions
C136187 PODCI3-Friends Limited by: Not Around PODCI3-Friends Limited by: Not Around Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Friends not around? PODCI Adolescent Self-Reported Version - Friends Limited by: Not Around
C136183 PODCI3-Friends Limited by: Pain PODCI3-Friends Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Friends Limited by: Pain
C136141 PODCI3-Full of Pep and Energy PODCI3-Full of Pep and Energy Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Were you full of pep and energy? PODCI Adolescent Self-Reported Version - Full of Pep and Energy
C136173 PODCI3-Games Limited by: Dislike PODCI3-Games Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Dislike of pickup games or sports? PODCI Adolescent Self-Reported Version - Games Limited by: Dislike
C136172 PODCI3-Games Limited by: Fear PODCI3-Games Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Games Limited by: Fear
C136170 PODCI3-Games Limited by: Health PODCI3-Games Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Games Limited by: Health
C136171 PODCI3-Games Limited by: Instructions PODCI3-Games Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Games Limited by: Instructions
C136169 PODCI3-Games Limited by: Pain PODCI3-Games Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Games Limited by: Pain
C136174 PODCI3-Games Limited by: Season PODCI3-Games Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Activity not in season? PODCI Adolescent Self-Reported Version - Games Limited by: Season
C136156 PODCI3-Get In and Out of Bed PODCI3-Get In and Out of Bed Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get in and out of bed? PODCI Adolescent Self-Reported Version - Get In and Out of Bed
C136150 PODCI3-Get On and Off a Bus PODCI3-Get On and Off a Bus Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a bus? PODCI Adolescent Self-Reported Version - Get On and Off a Bus
C136155 PODCI3-Get On and Off a Toilet or Chair PODCI3-Get On and Off a Toilet or Chair Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a toilet or chair? PODCI Adolescent Self-Reported Version - Get On and Off a Toilet or Chair
C136182 PODCI3-Get Together With Friends PODCI3-Get Together With Friends Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you get together and do things with friends? PODCI Adolescent Self-Reported Version - Get Together With Friends
C136214 PODCI3-Global Functioning Scale PODCI3-Global Functioning Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Global functioning scale. PODCI Adolescent Self-Reported Version - Global Functioning Scale
C136193 PODCI3-Gym Limited by: Dislike PODCI3-Gym Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Dislike of gym/recess? PODCI Adolescent Self-Reported Version - Gym Limited by: Dislike
C136192 PODCI3-Gym Limited by: Fear PODCI3-Gym Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Gym Limited by: Fear
C136190 PODCI3-Gym Limited by: Health PODCI3-Gym Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Gym Limited by: Health
C136191 PODCI3-Gym Limited by: Instructions PODCI3-Gym Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Gym Limited by: Instructions
C136195 PODCI3-Gym Limited by: Not Attend School PODCI3-Gym Limited by: Not Attend School Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: I don't attend school? PODCI Adolescent Self-Reported Version - Gym Limited by: Not Attend School
C136194 PODCI3-Gym Limited by: Not in Session PODCI3-Gym Limited by: Not in Session Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: School not in session? PODCI Adolescent Self-Reported Version - Gym Limited by: Not in Session
C136189 PODCI3-Gym Limited by: Pain PODCI3-Gym Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Gym Limited by: Pain
C136213 PODCI3-Happiness Scale PODCI3-Happiness Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Happiness core scale. PODCI Adolescent Self-Reported Version - Happiness Scale
C136199 PODCI3-Have Pain Relief PODCI3-Have Pain Relief Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To have pain relief. PODCI Adolescent Self-Reported Version - Have Pain Relief
C136135 PODCI3-How You Look PODCI3-How You Look Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: How you look? PODCI Adolescent Self-Reported Version - How You Look
C136126 PODCI3-Lift Heavy Books PODCI3-Lift Heavy Books Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Lift heavy books? PODCI Adolescent Self-Reported Version - Lift Heavy Books
C136200 PODCI3-Look Better PODCI3-Look Better Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To look better. PODCI Adolescent Self-Reported Version - Look Better
C136134 PODCI3-Miss School Because of Health PODCI3-Miss School Because of Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - On average, over the last 12 months, how often did you miss school (camp, etc.) because of your health? PODCI Adolescent Self-Reported Version - Miss School Because of Health
C136159 PODCI3-Need Help Sitting and Standing PODCI3-Need Help Sitting and Standing Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for sitting and standing? PODCI Adolescent Self-Reported Version - Need Help Sitting and Standing
C136151 PODCI3-Need Help Walking and Climbing PODCI3-Need Help Walking and Climbing Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for walking and climbing? PODCI Adolescent Self-Reported Version - Need Help Walking and Climbing
C136128 PODCI3-Open a Jar Been Opened Before PODCI3-Open a Jar Been Opened Before Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Open a jar that has been opened before? PODCI Adolescent Self-Reported Version - Open a Jar Been Opened Before
C136166 PODCI3-Outdoor Limited by: Dislike PODCI3-Outdoor Limited by: Dislike Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Dislike of recreational outdoor activities? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Dislike
C136165 PODCI3-Outdoor Limited by: Fear PODCI3-Outdoor Limited by: Fear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Fear the other kids won't like you? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Fear
C136163 PODCI3-Outdoor Limited by: Health PODCI3-Outdoor Limited by: Health Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: General health? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Health
C136164 PODCI3-Outdoor Limited by: Instructions PODCI3-Outdoor Limited by: Instructions Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Doctor or parent instructions? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Instructions
C136162 PODCI3-Outdoor Limited by: Pain PODCI3-Outdoor Limited by: Pain Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Pain? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Pain
C136167 PODCI3-Outdoor Limited by: Season PODCI3-Outdoor Limited by: Season Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Activity not in season? PODCI Adolescent Self-Reported Version - Outdoor Limited by: Season
C136197 PODCI3-Pain During the Last Week PODCI3-Pain During the Last Week Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How much pain have you had during the last week? PODCI Adolescent Self-Reported Version - Pain During the Last Week
C136198 PODCI3-Pain Interfere With Activities PODCI3-Pain Interfere With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much did pain interfere with your normal activities (including at home, outside of the home, and at school)? PODCI Adolescent Self-Reported Version - Pain Interfere With Activities
C136212 PODCI3-Pain/Comfort Scale PODCI3-Pain/Comfort Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Pain/comfort core scale. PODCI Adolescent Self-Reported Version - Pain or Comfort Scale
C136142 PODCI3-Pain/Discom Inter With Activities PODCI3-Pain/Discom Inter With Activities Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your activities? PODCI Adolescent Self-Reported Version - Pain or Discomfort Interfere With Activities
C136175 PODCI3-Participate in Competitive Sports PODCI3-Participate in Competitive Sports Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in competitive level sports with other kids the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)? PODCI Adolescent Self-Reported Version - Participate in Competitive Sports
C136188 PODCI3-Participate in Gym/Recess PODCI3-Participate in Gym/Recess Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you participate in gym/recess? PODCI Adolescent Self-Reported Version - Participate in Gym or Recess
C136161 PODCI3-Participate in Outdoor Activities PODCI3-Participate in Outdoor Activities Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in recreational outdoor activities with other kids the same age (For example: bicycling, skating, hiking, jogging)? PODCI Adolescent Self-Reported Version - Participate in Outdoor Activities
C136168 PODCI3-Participate in Pickup Games PODCI3-Participate in Pickup Games Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in pickup games or sports with other kids the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)? PODCI Adolescent Self-Reported Version - Participate in Pickup Games
C136127 PODCI3-Pour a Half Gallon of Milk PODCI3-Pour a Half Gallon of Milk Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Pour a half gallon of milk? PODCI Adolescent Self-Reported Version - Pour a Half Gallon of Milk
C136132 PODCI3-Put on Your Coat PODCI3-Put on Your Coat Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Put on your coat? PODCI Adolescent Self-Reported Version - Put on Your Coat
C136143 PODCI3-Run Short Distances PODCI3-Run Short Distances Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Run short distances? PODCI Adolescent Self-Reported Version - Run Short Distances
C136154 PODCI3-Sit in Chair Without Holding On PODCI3-Sit in Chair Without Holding On Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Sit in a regular chair without holding on? PODCI Adolescent Self-Reported Version - Sit in Chair Without Holding On
C136202 PODCI3-Sleep More Comfortably PODCI3-Sleep More Comfortably Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To sleep more comfortably. PODCI Adolescent Self-Reported Version - Sleep More Comfortably
C136208 PODCI3-Spend Rest of Life With Condition PODCI3-Spend Rest of Life With Condition Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you had to spend the rest of your life with your bone and muscle condition as it is right now, how would you feel about it? PODCI Adolescent Self-Reported Version - Spend Rest of Life With Condition
C136211 PODCI3-Sports/Phys Function Scale PODCI3-Sports/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Sports and physical functioning core scale. PODCI Adolescent Self-Reported Version - Sports and Physical Function Scale
C136153 PODCI3-Stand Washing Hands at a Sink PODCI3-Stand Washing Hands at a Sink Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Stand while washing your hands and face at a sink? PODCI Adolescent Self-Reported Version - Stand Washing Hands at a Sink
C136210 PODCI3-Transfer/Basic Mobility Scale PODCI3-Transfer/Basic Mobility Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Transfer and basic mobility core scale. PODCI Adolescent Self-Reported Version - Transfer and Basic Mobility Scale
C136157 PODCI3-Turn Door Knobs PODCI3-Turn Door Knobs Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Turn door knobs? PODCI Adolescent Self-Reported Version - Turn Door Knobs
C136209 PODCI3-Up Extremity/Phys Function Scale PODCI3-Up Extremity/Phys Function Scale Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Upper extremity and physical function core scale. PODCI Adolescent Self-Reported Version - Upper Extremity and Physical Function Scale
C136129 PODCI3-Use a Fork and Spoon PODCI3-Use a Fork and Spoon Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Use a fork and spoon? PODCI Adolescent Self-Reported Version - Use a Fork and Spoon
C136160 PODCI3-Use Assistive Devices for Sitting PODCI3-Use Assistive Devices for Sitting Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing? PODCI Adolescent Self-Reported Version - Use Assistive Devices for Sitting
C136152 PODCI3-Use Assistive Devices for Walking PODCI3-Use Assistive Devices for Walking Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing? PODCI Adolescent Self-Reported Version - Use Assistive Devices for Walking
C136147 PODCI3-Walk More Than a Mile PODCI3-Walk More Than a Mile Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk more than a mile? PODCI Adolescent Self-Reported Version - Walk More Than a Mile
C136149 PODCI3-Walk One Block PODCI3-Walk One Block Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk one block? PODCI Adolescent Self-Reported Version - Walk One Block
C136148 PODCI3-Walk Three Blocks PODCI3-Walk Three Blocks Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk three blocks? PODCI Adolescent Self-Reported Version - Walk Three Blocks
C136137 PODCI3-What Clothes/Shoes You Can Wear PODCI3-What Clothes/Shoes You Can Wear Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: What clothes or shoes you can wear? PODCI Adolescent Self-Reported Version - What Clothes or Shoes You Can Wear
C136133 PODCI3-Write With a Pencil PODCI3-Write With a Pencil Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Write with a pencil? PODCI Adolescent Self-Reported Version - Write With a Pencil
C136136 PODCI3-Your Body PODCI3-Your Body Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your body? PODCI Adolescent Self-Reported Version - Your Body
C136139 PODCI3-Your Health in General PODCI3-Your Health in General Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your health in general? PODCI Adolescent Self-Reported Version - Your Health in General

PQL01TC (Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Code)

NCI Code: C138259, Codelist extensible: No
C138259 PQL01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138857 PQL0101 PQL01-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Breathe
C138858 PQL0102 PQL01-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sick Easily
C138859 PQL0103 PQL01-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sores and/or Rashes
C138860 PQL0104 PQL01-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Legs Hurt
C138861 PQL0105 PQL01-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Feel Tired
C138862 PQL0106 PQL01-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Back Feels Stiff
C138863 PQL0107 PQL01-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Wake Up Tired
C138864 PQL0108 PQL01-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hands Are Weak
C138865 PQL0109 PQL01-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Bathroom
C138866 PQL0110 PQL01-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
C138867 PQL0111 PQL01-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Hands
C138868 PQL0112 PQL01-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Swallow Food
C138869 PQL0113 PQL01-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Long Time to Bathe or Shower
C138870 PQL0114 PQL01-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Hurt Accidentally
C138871 PQL0115 PQL01-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Take Long Time to Eat
C138872 PQL0116 PQL01-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Turn During Night
C138873 PQL0117 PQL01-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Go Places With Equipment
C138874 PQL0118 PQL01-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
C138875 PQL0119 PQL01-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
C138876 PQL0120 PQL01-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Explain Illness to People
C138877 PQL0121 PQL01-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Plan Activities
C138878 PQL0122 PQL01-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Rest
C138879 PQL0123 PQL01-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Money Problem in Our Family
C138880 PQL0124 PQL01-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Family Has Lot of Problems
C138881 PQL0125 PQL01-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Do Not Have Equipment Need

PQL01TN (Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Name)

NCI Code: C138258, Codelist extensible: No
C138258 PQL01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138862 PQL01-Back Feels Stiff PQL01-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Back Feels Stiff
C138881 PQL01-Do Not Have Equipment Need PQL01-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Do Not Have Equipment Need
C138880 PQL01-Family Has Lot of Problems PQL01-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Family Has Lot of Problems
C138861 PQL01-Feel Tired PQL01-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Feel Tired
C138870 PQL01-Get Hurt Accidentally PQL01-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Hurt Accidentally
C138858 PQL01-Get Sick Easily PQL01-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sick Easily
C138859 PQL01-Get Sores and/or Rashes PQL01-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sores and/or Rashes
C138864 PQL01-Hands Are Weak PQL01-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hands Are Weak
C138875 PQL01-Hard Ask Doctors/Nurses Questions PQL01-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
C138876 PQL01-Hard Explain Illness to People PQL01-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Explain Illness to People
C138877 PQL01-Hard for Family to Plan Activities PQL01-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Plan Activities
C138878 PQL01-Hard for Family to Rest PQL01-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Rest
C138874 PQL01-Hard Tell Doctors/Nurses How Feel PQL01-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
C138857 PQL01-Hard to Breathe PQL01-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Breathe
C138866 PQL01-Hard to Gain/Lose Weight PQL01-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
C138873 PQL01-Hard to Go Places With Equipment PQL01-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Go Places With Equipment
C138868 PQL01-Hard to Swallow Food PQL01-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Swallow Food
C138872 PQL01-Hard to Turn During Night PQL01-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Turn During Night
C138865 PQL01-Hard to Use Bathroom PQL01-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Bathroom
C138867 PQL01-Hard to Use Hands PQL01-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Hands
C138860 PQL01-Legs Hurt PQL01-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Legs Hurt
C138869 PQL01-Long Time to Bathe/Shower PQL01-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Long Time to Bathe or Shower
C138879 PQL01-Money Problem in Our Family PQL01-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Money Problem in Our Family
C138871 PQL01-Take Long Time to Eat PQL01-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Take Long Time to Eat
C138863 PQL01-Wake Up Tired PQL01-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Wake Up Tired

PQL02TC (Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Code)

NCI Code: C138253, Codelist extensible: No
C138253 PQL02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138782 PQL0201 PQL02-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Breathe
C138783 PQL0202 PQL02-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sick Easily
C138784 PQL0203 PQL02-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sores and/or Rashes
C138785 PQL0204 PQL02-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Legs Hurt
C138786 PQL0205 PQL02-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Feel Tired
C138787 PQL0206 PQL02-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Back Feels Stiff
C138788 PQL0207 PQL02-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Wake Up Tired
C138789 PQL0208 PQL02-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hands Are Weak
C138790 PQL0209 PQL02-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Bathroom
C138791 PQL0210 PQL02-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Gain or Lose Weight
C138792 PQL0211 PQL02-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Hands
C138793 PQL0212 PQL02-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Swallow Food
C138794 PQL0213 PQL02-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Long Time to Bathe or Shower
C138795 PQL0214 PQL02-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Hurt Accidentally
C138796 PQL0215 PQL02-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Take Long Time to Eat
C138797 PQL0216 PQL02-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Turn During Night
C138798 PQL0217 PQL02-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Go Places With Equipment
C138799 PQL0218 PQL02-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Tell Doctors and Nurses How Feel
C138800 PQL0219 PQL02-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Ask Doctors and Nurses Questions
C138801 PQL0220 PQL02-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Explain Illness to People
C138802 PQL0221 PQL02-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Plan Activities
C138803 PQL0222 PQL02-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Rest
C138804 PQL0223 PQL02-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Money Problem in Our Family
C138805 PQL0224 PQL02-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Family Has Lot of Problems
C138806 PQL0225 PQL02-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Do Not Have Equipment Need

PQL02TN (Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Name)

NCI Code: C138252, Codelist extensible: No
C138252 PQL02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138787 PQL02-Back Feels Stiff PQL02-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Back Feels Stiff
C138806 PQL02-Do Not Have Equipment Need PQL02-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Do Not Have Equipment Need
C138805 PQL02-Family Has Lot of Problems PQL02-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Family Has Lot of Problems
C138786 PQL02-Feel Tired PQL02-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Feel Tired
C138795 PQL02-Get Hurt Accidentally PQL02-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Hurt Accidentally
C138783 PQL02-Get Sick Easily PQL02-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sick Easily
C138784 PQL02-Get Sores and/or Rashes PQL02-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sores and/or Rashes
C138789 PQL02-Hands Are Weak PQL02-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hands Are Weak
C138800 PQL02-Hard Ask Doctors/Nurses Questions PQL02-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Ask Doctors and Nurses Questions
C138801 PQL02-Hard Explain Illness to People PQL02-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Explain Illness to People
C138802 PQL02-Hard for Family to Plan Activities PQL02-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Plan Activities
C138803 PQL02-Hard for Family to Rest PQL02-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Rest
C138799 PQL02-Hard Tell Doctors/Nurses How Feel PQL02-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Tell Doctors and Nurses How Feel
C138782 PQL02-Hard to Breathe PQL02-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Breathe
C138791 PQL02-Hard to Gain/Lose Weight PQL02-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Gain or Lose Weight
C138798 PQL02-Hard to Go Places With Equipment PQL02-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Go Places With Equipment
C138793 PQL02-Hard to Swallow Food PQL02-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Swallow Food
C138797 PQL02-Hard to Turn During Night PQL02-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Turn During Night
C138790 PQL02-Hard to Use Bathroom PQL02-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Bathroom
C138792 PQL02-Hard to Use Hands PQL02-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Hands
C138785 PQL02-Legs Hurt PQL02-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Legs Hurt
C138794 PQL02-Long Time to Bathe/Shower PQL02-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Long Time to Bathe or Shower
C138804 PQL02-Money Problem in Our Family PQL02-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Money Problem in Our Family
C138796 PQL02-Take Long Time to Eat PQL02-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Take Long Time to Eat
C138788 PQL02-Wake Up Tired PQL02-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Wake Up Tired

PQL03TC (Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Code)

NCI Code: C138257, Codelist extensible: No
C138257 PQL03TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138832 PQL0301 PQL03-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Breathe
C138833 PQL0302 PQL03-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sick Easily
C138834 PQL0303 PQL03-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sores and/or Rashes
C138835 PQL0304 PQL03-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Teen Report - Legs Hurt
C138836 PQL0305 PQL03-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Teen Report - Feel Tired
C138837 PQL0306 PQL03-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Teen Report - Back Feels Stiff
C138838 PQL0307 PQL03-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Teen Report - Wake Up Tired
C138839 PQL0308 PQL03-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hands Are Weak
C138840 PQL0309 PQL03-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Bathroom
C138841 PQL0310 PQL03-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Gain or Lose Weight
C138842 PQL0311 PQL03-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Hands
C138843 PQL0312 PQL03-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Swallow Food
C138844 PQL0313 PQL03-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Teen Report - Long Time to Bathe or Shower
C138845 PQL0314 PQL03-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Hurt Accidentally
C138846 PQL0315 PQL03-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Teen Report - Take Long Time to Eat
C138847 PQL0316 PQL03-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Turn During Night
C138848 PQL0317 PQL03-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Go Places With Equipment
C138849 PQL0318 PQL03-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
C138850 PQL0319 PQL03-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
C138851 PQL0320 PQL03-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Explain Illness to People
C138852 PQL0321 PQL03-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Plan Activities
C138853 PQL0322 PQL03-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Rest
C138854 PQL0323 PQL03-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Teen Report - Money Problem in Our Family
C138855 PQL0324 PQL03-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Teen Report - Family Has Lot of Problems
C138856 PQL0325 PQL03-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Version 3.0 Teen Report - Do Not Have Equipment Need

PQL03TN (Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Name)

NCI Code: C138256, Codelist extensible: No
C138256 PQL03TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138837 PQL03-Back Feels Stiff PQL03-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Teen Report - Back Feels Stiff
C138856 PQL03-Do Not Have Equipment Need PQL03-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Version 3.0 Teen Report - Do Not Have Equipment Need
C138855 PQL03-Family Has Lot of Problems PQL03-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Teen Report - Family Has Lot of Problems
C138836 PQL03-Feel Tired PQL03-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Teen Report - Feel Tired
C138845 PQL03-Get Hurt Accidentally PQL03-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Hurt Accidentally
C138833 PQL03-Get Sick Easily PQL03-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sick Easily
C138834 PQL03-Get Sores and/or Rashes PQL03-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sores and/or Rashes
C138839 PQL03-Hands Are Weak PQL03-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hands Are Weak
C138850 PQL03-Hard Ask Doctors/Nurses Questions PQL03-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
C138851 PQL03-Hard Explain Illness to People PQL03-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Explain Illness to People
C138852 PQL03-Hard for Family to Plan Activities PQL03-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Plan Activities
C138853 PQL03-Hard for Family to Rest PQL03-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Rest
C138849 PQL03-Hard Tell Doctors/Nurses How Feel PQL03-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
C138832 PQL03-Hard to Breathe PQL03-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Breathe
C138841 PQL03-Hard to Gain/Lose Weight PQL03-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Gain or Lose Weight
C138848 PQL03-Hard to Go Places With Equipment PQL03-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Go Places With Equipment
C138843 PQL03-Hard to Swallow Food PQL03-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Swallow Food
C138847 PQL03-Hard to Turn During Night PQL03-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Turn During Night
C138840 PQL03-Hard to Use Bathroom PQL03-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Bathroom
C138842 PQL03-Hard to Use Hands PQL03-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Hands
C138835 PQL03-Legs Hurt PQL03-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Teen Report - Legs Hurt
C138844 PQL03-Long Time to Bathe/Shower PQL03-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Teen Report - Long Time to Bathe or Shower
C138854 PQL03-Money Problem in Our Family PQL03-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Teen Report - Money Problem in Our Family
C138846 PQL03-Take Long Time to Eat PQL03-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Teen Report - Take Long Time to Eat
C138838 PQL03-Wake Up Tired PQL03-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Teen Report - Wake Up Tired

PQL04TC (Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Code)

NCI Code: C138251, Codelist extensible: No
C138251 PQL04TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138757 PQL0401 PQL04-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Breathe
C138758 PQL0402 PQL04-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sick Easily
C138759 PQL0403 PQL04-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
C138760 PQL0404 PQL04-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Legs Hurt
C138761 PQL0405 PQL04-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Feel Tired
C138762 PQL0406 PQL04-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Back Feels Stiff
C138763 PQL0407 PQL04-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Wake Up Tired
C138764 PQL0408 PQL04-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hands Are Weak
C138765 PQL0409 PQL04-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Bathroom
C138766 PQL0410 PQL04-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
C138767 PQL0411 PQL04-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Hands
C138768 PQL0412 PQL04-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Swallow Food
C138769 PQL0413 PQL04-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
C138770 PQL0414 PQL04-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Hurt Accidentally
C138771 PQL0415 PQL04-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Take Long Time to Eat
C138772 PQL0416 PQL04-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Turn During Night
C138773 PQL0417 PQL04-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
C138774 PQL0418 PQL04-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
C138775 PQL0419 PQL04-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
C138776 PQL0420 PQL04-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Explain Illness to People
C138777 PQL0421 PQL04-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
C138778 PQL0422 PQL04-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Rest
C138779 PQL0423 PQL04-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Money Problem in Our Family
C138780 PQL0424 PQL04-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Family Has Lot of Problems
C138781 PQL0425 PQL04-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Do Not Have Equipment Need

PQL04TN (Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Name)

NCI Code: C138250, Codelist extensible: No
C138250 PQL04TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138762 PQL04-Back Feels Stiff PQL04-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Back Feels Stiff
C138781 PQL04-Do Not Have Equipment Need PQL04-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Do Not Have Equipment Need
C138780 PQL04-Family Has Lot of Problems PQL04-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Family Has Lot of Problems
C138761 PQL04-Feel Tired PQL04-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Feel Tired
C138770 PQL04-Get Hurt Accidentally PQL04-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Hurt Accidentally
C138758 PQL04-Get Sick Easily PQL04-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sick Easily
C138759 PQL04-Get Sores and/or Rashes PQL04-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
C138764 PQL04-Hands Are Weak PQL04-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hands Are Weak
C138775 PQL04-Hard Ask Doctors/Nurses Questions PQL04-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
C138776 PQL04-Hard Explain Illness to People PQL04-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Explain Illness to People
C138777 PQL04-Hard for Family to Plan Activities PQL04-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
C138778 PQL04-Hard for Family to Rest PQL04-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Rest
C138774 PQL04-Hard Tell Doctors/Nurses How Feel PQL04-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
C138757 PQL04-Hard to Breathe PQL04-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Breathe
C138766 PQL04-Hard to Gain/Lose Weight PQL04-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
C138773 PQL04-Hard to Go Places With Equipment PQL04-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
C138768 PQL04-Hard to Swallow Food PQL04-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Swallow Food
C138772 PQL04-Hard to Turn During Night PQL04-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Turn During Night
C138765 PQL04-Hard to Use Bathroom PQL04-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Bathroom
C138767 PQL04-Hard to Use Hands PQL04-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Hands
C138760 PQL04-Legs Hurt PQL04-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Legs Hurt
C138769 PQL04-Long Time to Bathe/Shower PQL04-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
C138779 PQL04-Money Problem in Our Family PQL04-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Money Problem in Our Family
C138771 PQL04-Take Long Time to Eat PQL04-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Take Long Time to Eat
C138763 PQL04-Wake Up Tired PQL04-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Wake Up Tired

PQL05TC (Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Code)

NCI Code: C138245, Codelist extensible: No
C138245 PQL05TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138682 PQL0501 PQL05-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Breathe
C138683 PQL0502 PQL05-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sick Easily
C138684 PQL0503 PQL05-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sores and/or Rashes
C138685 PQL0504 PQL05-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Child Report - Legs Hurt
C138686 PQL0505 PQL05-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Child Report - Feel Tired
C138687 PQL0506 PQL05-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Child Report - Back Feels Stiff
C138688 PQL0507 PQL05-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Child Report - Wake Up Tired
C138689 PQL0508 PQL05-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Child Report - Hands Are Weak
C138690 PQL0509 PQL05-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Bathroom
C138691 PQL0510 PQL05-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Gain or Lose Weight
C138692 PQL0511 PQL05-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Hands
C138693 PQL0512 PQL05-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Swallow Food
C138694 PQL0513 PQL05-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Child Report - Long Time to Bathe or Shower
C138695 PQL0514 PQL05-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Child Report - Get Hurt Accidentally
C138696 PQL0515 PQL05-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Child Report - Take Long Time to Eat
C138697 PQL0516 PQL05-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Turn During Night
C138698 PQL0517 PQL05-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Go Places With Equipment
C138699 PQL0518 PQL05-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
C138700 PQL0519 PQL05-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
C138701 PQL0520 PQL05-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Explain Illness to People
C138702 PQL0521 PQL05-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Plan Activities
C138703 PQL0522 PQL05-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Rest
C138704 PQL0523 PQL05-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Child Report - Money Problem in Our Family
C138705 PQL0524 PQL05-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Child Report - Family Has Lot of Problems
C138706 PQL0525 PQL05-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Version 3.0 Child Report - Do Not Have Equipment Need

PQL05TN (Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Name)

NCI Code: C138244, Codelist extensible: No
C138244 PQL05TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138687 PQL05-Back Feels Stiff PQL05-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Child Report - Back Feels Stiff
C138706 PQL05-Do Not Have Equipment Need PQL05-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Version 3.0 Child Report - Do Not Have Equipment Need
C138705 PQL05-Family Has Lot of Problems PQL05-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Child Report - Family Has Lot of Problems
C138686 PQL05-Feel Tired PQL05-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Child Report - Feel Tired
C138695 PQL05-Get Hurt Accidentally PQL05-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Child Report - Get Hurt Accidentally
C138683 PQL05-Get Sick Easily PQL05-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sick Easily
C138684 PQL05-Get Sores and/or Rashes PQL05-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sores and/or Rashes
C138689 PQL05-Hands Are Weak PQL05-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Child Report - Hands Are Weak
C138700 PQL05-Hard Ask Doctors/Nurses Questions PQL05-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
C138701 PQL05-Hard Explain Illness to People PQL05-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Explain Illness to People
C138702 PQL05-Hard for Family to Plan Activities PQL05-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Plan Activities
C138703 PQL05-Hard for Family to Rest PQL05-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Rest
C138699 PQL05-Hard Tell Doctors/Nurses How Feel PQL05-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
C138682 PQL05-Hard to Breathe PQL05-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Breathe
C138691 PQL05-Hard to Gain/Lose Weight PQL05-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Gain or Lose Weight
C138698 PQL05-Hard to Go Places With Equipment PQL05-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Go Places With Equipment
C138693 PQL05-Hard to Swallow Food PQL05-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Swallow Food
C138697 PQL05-Hard to Turn During Night PQL05-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Turn During Night
C138690 PQL05-Hard to Use Bathroom PQL05-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Bathroom
C138692 PQL05-Hard to Use Hands PQL05-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Hands
C138685 PQL05-Legs Hurt PQL05-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Child Report - Legs Hurt
C138694 PQL05-Long Time to Bathe/Shower PQL05-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Child Report - Long Time to Bathe or Shower
C138704 PQL05-Money Problem in Our Family PQL05-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Child Report - Money Problem in Our Family
C138696 PQL05-Take Long Time to Eat PQL05-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Child Report - Take Long Time to Eat
C138688 PQL05-Wake Up Tired PQL05-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Child Report - Wake Up Tired

PQL06TC (Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Code)

NCI Code: C138249, Codelist extensible: No
C138249 PQL06TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138732 PQL0601 PQL06-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Breathe
C138733 PQL0602 PQL06-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sick Easily
C138734 PQL0603 PQL06-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sores and/or Rashes
C138735 PQL0604 PQL06-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Legs Hurt
C138736 PQL0605 PQL06-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Feel Tired
C138737 PQL0606 PQL06-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Back Feels Stiff
C138738 PQL0607 PQL06-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Wake Up Tired
C138739 PQL0608 PQL06-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hands Are Weak
C138740 PQL0609 PQL06-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Bathroom
C138741 PQL0610 PQL06-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
C138742 PQL0611 PQL06-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Hands
C138743 PQL0612 PQL06-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Swallow Food
C138744 PQL0613 PQL06-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
C138745 PQL0614 PQL06-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Hurt Accidentally
C138746 PQL0615 PQL06-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Take Long Time to Eat
C138747 PQL0616 PQL06-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Turn During Night
C138748 PQL0617 PQL06-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
C138749 PQL0618 PQL06-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
C138750 PQL0619 PQL06-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
C138751 PQL0620 PQL06-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Explain Illness to People
C138752 PQL0621 PQL06-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
C138753 PQL0622 PQL06-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Rest
C138754 PQL0623 PQL06-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Money Problem in Our Family
C138755 PQL0624 PQL06-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Family Has Lot of Problems
C138756 PQL0625 PQL06-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Do Not Have Equipment Need

PQL06TN (Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Name)

NCI Code: C138248, Codelist extensible: No
C138248 PQL06TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138737 PQL06-Back Feels Stiff PQL06-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Back Feels Stiff
C138756 PQL06-Do Not Have Equipment Need PQL06-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Do Not Have Equipment Need
C138755 PQL06-Family Has Lot of Problems PQL06-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Family Has Lot of Problems
C138736 PQL06-Feel Tired PQL06-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Feel Tired
C138745 PQL06-Get Hurt Accidentally PQL06-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Hurt Accidentally
C138733 PQL06-Get Sick Easily PQL06-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sick Easily
C138734 PQL06-Get Sores and/or Rashes PQL06-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sores and/or Rashes
C138739 PQL06-Hands Are Weak PQL06-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hands Are Weak
C138750 PQL06-Hard Ask Doctors/Nurses Questions PQL06-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
C138751 PQL06-Hard Explain Illness to People PQL06-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Explain Illness to People
C138752 PQL06-Hard for Family to Plan Activities PQL06-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
C138753 PQL06-Hard for Family to Rest PQL06-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Rest
C138749 PQL06-Hard Tell Doctors/Nurses How Feel PQL06-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
C138732 PQL06-Hard to Breathe PQL06-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Breathe
C138741 PQL06-Hard to Gain/Lose Weight PQL06-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
C138748 PQL06-Hard to Go Places With Equipment PQL06-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
C138743 PQL06-Hard to Swallow Food PQL06-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Swallow Food
C138747 PQL06-Hard to Turn During Night PQL06-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Turn During Night
C138740 PQL06-Hard to Use Bathroom PQL06-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Bathroom
C138742 PQL06-Hard to Use Hands PQL06-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Hands
C138735 PQL06-Legs Hurt PQL06-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Legs Hurt
C138744 PQL06-Long Time to Bathe/Shower PQL06-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
C138754 PQL06-Money Problem in Our Family PQL06-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Money Problem in Our Family
C138746 PQL06-Take Long Time to Eat PQL06-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Take Long Time to Eat
C138738 PQL06-Wake Up Tired PQL06-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Wake Up Tired

PQL07TC (Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Code)

NCI Code: C138261, Codelist extensible: No
C138261 PQL07TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138882 PQL0701 PQL07-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Breathe
C138883 PQL0702 PQL07-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sick Easily
C138884 PQL0703 PQL07-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sores and/or Rashes
C138885 PQL0704 PQL07-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Legs Hurt
C138886 PQL0705 PQL07-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Feel Tired
C138887 PQL0706 PQL07-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Back Feels Stiff
C138888 PQL0707 PQL07-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Wake Up Tired
C138889 PQL0708 PQL07-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hands Are Weak
C138890 PQL0709 PQL07-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Bathroom
C138891 PQL0710 PQL07-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Gain or Lose Weight
C138892 PQL0711 PQL07-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Hands
C138893 PQL0712 PQL07-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Swallow Food
C138894 PQL0713 PQL07-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Long Time to Bathe or Shower
C138895 PQL0714 PQL07-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Hurt Accidentally
C138896 PQL0715 PQL07-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Take Long Time to Eat
C138897 PQL0716 PQL07-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Turn During Night
C138898 PQL0717 PQL07-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Go Places With Equipment

PQL07TN (Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Name)

NCI Code: C138260, Codelist extensible: No
C138260 PQL07TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138887 PQL07-Back Feels Stiff PQL07-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Back Feels Stiff
C138886 PQL07-Feel Tired PQL07-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Feel Tired
C138895 PQL07-Get Hurt Accidentally PQL07-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Hurt Accidentally
C138883 PQL07-Get Sick Easily PQL07-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sick Easily
C138884 PQL07-Get Sores and/or Rashes PQL07-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sores and/or Rashes
C138889 PQL07-Hands Are Weak PQL07-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hands Are Weak
C138882 PQL07-Hard to Breathe PQL07-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Breathe
C138891 PQL07-Hard to Gain/Lose Weight PQL07-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Gain or Lose Weight
C138898 PQL07-Hard to Go Places With Equipment PQL07-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Go Places With Equipment
C138893 PQL07-Hard to Swallow Food PQL07-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Swallow Food
C138897 PQL07-Hard to Turn During Night PQL07-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Turn During Night
C138890 PQL07-Hard to Use Bathroom PQL07-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Bathroom
C138892 PQL07-Hard to Use Hands PQL07-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Hands
C138885 PQL07-Legs Hurt PQL07-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Legs Hurt
C138894 PQL07-Long Time to Bathe/Shower PQL07-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Long Time to Bathe or Shower
C138896 PQL07-Take Long Time to Eat PQL07-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Take Long Time to Eat
C138888 PQL07-Wake Up Tired PQL07-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired. PedsQL Neuromuscular Module Version 3.0 Young Child Report - Wake Up Tired

PQL08TC (Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Code)

NCI Code: C138255, Codelist extensible: No
C138255 PQL08TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138807 PQL0801 PQL08-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Breathe
C138808 PQL0802 PQL08-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sick Easily
C138809 PQL0803 PQL08-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
C138810 PQL0804 PQL08-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Legs Hurt
C138811 PQL0805 PQL08-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Feel Tired
C138812 PQL0806 PQL08-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Back Feels Stiff
C138813 PQL0807 PQL08-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Wake Up Tired
C138814 PQL0808 PQL08-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hands Are Weak
C138815 PQL0809 PQL08-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
C138816 PQL0810 PQL08-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
C138817 PQL0811 PQL08-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Hands
C138818 PQL0812 PQL08-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Swallow Food
C138819 PQL0813 PQL08-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
C138820 PQL0814 PQL08-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
C138821 PQL0815 PQL08-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Take Long Time to Eat
C138822 PQL0816 PQL08-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Turn During Night
C138823 PQL0817 PQL08-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
C138824 PQL0818 PQL08-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
C138825 PQL0819 PQL08-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
C138826 PQL0820 PQL08-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
C138827 PQL0821 PQL08-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
C138828 PQL0822 PQL08-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Rest
C138829 PQL0823 PQL08-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Money Problem in Our Family
C138830 PQL0824 PQL08-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
C138831 PQL0825 PQL08-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need

PQL08TN (Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Name)

NCI Code: C138254, Codelist extensible: No
C138254 PQL08TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138812 PQL08-Back Feels Stiff PQL08-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Back Feels Stiff
C138831 PQL08-Do Not Have Equipment Need PQL08-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need
C138830 PQL08-Family Has Lot of Problems PQL08-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
C138811 PQL08-Feel Tired PQL08-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Feel Tired
C138820 PQL08-Get Hurt Accidentally PQL08-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
C138808 PQL08-Get Sick Easily PQL08-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sick Easily
C138809 PQL08-Get Sores and/or Rashes PQL08-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
C138814 PQL08-Hands Are Weak PQL08-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hands Are Weak
C138825 PQL08-Hard Ask Doctors/Nurses Questions PQL08-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
C138826 PQL08-Hard Explain Illness to People PQL08-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
C138827 PQL08-Hard for Family to Plan Activities PQL08-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
C138828 PQL08-Hard for Family to Rest PQL08-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Rest
C138824 PQL08-Hard Tell Doctors/Nurses How Feel PQL08-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
C138807 PQL08-Hard to Breathe PQL08-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Breathe
C138816 PQL08-Hard to Gain/Lose Weight PQL08-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
C138823 PQL08-Hard to Go Places With Equipment PQL08-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
C138818 PQL08-Hard to Swallow Food PQL08-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Swallow Food
C138822 PQL08-Hard to Turn During Night PQL08-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Turn During Night
C138815 PQL08-Hard to Use Bathroom PQL08-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
C138817 PQL08-Hard to Use Hands PQL08-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Hands
C138810 PQL08-Legs Hurt PQL08-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Legs Hurt
C138819 PQL08-Long Time to Bathe/Shower PQL08-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
C138829 PQL08-Money Problem in Our Family PQL08-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Money Problem in Our Family
C138821 PQL08-Take Long Time to Eat PQL08-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Take Long Time to Eat
C138813 PQL08-Wake Up Tired PQL08-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Wake Up Tired

PQL09TC (Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Code)

NCI Code: C138247, Codelist extensible: No
C138247 PQL09TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138707 PQL0901 PQL09-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Breathe
C138708 PQL0902 PQL09-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sick Easily
C138709 PQL0903 PQL09-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sores and/or Rashes
C138710 PQL0904 PQL09-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Legs Hurt
C138711 PQL0905 PQL09-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Feel Tired
C138712 PQL0906 PQL09-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Back Feels Stiff
C138713 PQL0907 PQL09-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Wake Up Tired
C138714 PQL0908 PQL09-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hands Are Weak
C138715 PQL0909 PQL09-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Bathroom
C138716 PQL0910 PQL09-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
C138717 PQL0911 PQL09-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Hands
C138718 PQL0912 PQL09-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Swallow Food
C138719 PQL0913 PQL09-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
C138720 PQL0914 PQL09-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Hurt Accidentally
C138721 PQL0915 PQL09-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Take Long Time to Eat
C138722 PQL0916 PQL09-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Turn During Night
C138723 PQL0917 PQL09-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
C138724 PQL0918 PQL09-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
C138725 PQL0919 PQL09-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
C138726 PQL0920 PQL09-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Explain Illness to People
C138727 PQL0921 PQL09-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
C138728 PQL0922 PQL09-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Rest
C138729 PQL0923 PQL09-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Money Problem in Our Family
C138730 PQL0924 PQL09-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Family Has Lot of Problems
C138731 PQL0925 PQL09-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Do Not Have Equipment Need

PQL09TN (Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Name)

NCI Code: C138246, Codelist extensible: No
C138246 PQL09TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138712 PQL09-Back Feels Stiff PQL09-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Back Feels Stiff
C138731 PQL09-Do Not Have Equipment Need PQL09-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Do Not Have Equipment Need
C138730 PQL09-Family Has Lot of Problems PQL09-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Family Has Lot of Problems
C138711 PQL09-Feel Tired PQL09-Feel Tired Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Feel Tired
C138720 PQL09-Get Hurt Accidentally PQL09-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Hurt Accidentally
C138708 PQL09-Get Sick Easily PQL09-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sick Easily
C138709 PQL09-Get Sores and/or Rashes PQL09-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sores and/or Rashes
C138714 PQL09-Hands Are Weak PQL09-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hands Are Weak
C138725 PQL09-Hard Ask Doctors/Nurses Questions PQL09-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
C138726 PQL09-Hard Explain Illness to People PQL09-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Explain Illness to People
C138727 PQL09-Hard for Family to Plan Activities PQL09-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
C138728 PQL09-Hard for Family to Rest PQL09-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Rest
C138724 PQL09-Hard Tell Doctors/Nurses How Feel PQL09-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
C138707 PQL09-Hard to Breathe PQL09-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Breathe
C138716 PQL09-Hard to Gain/Lose Weight PQL09-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
C138723 PQL09-Hard to Go Places With Equipment PQL09-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
C138718 PQL09-Hard to Swallow Food PQL09-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Swallow Food
C138722 PQL09-Hard to Turn During Night PQL09-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Turn During Night
C138715 PQL09-Hard to Use Bathroom PQL09-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Bathroom
C138717 PQL09-Hard to Use Hands PQL09-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Hands
C138710 PQL09-Legs Hurt PQL09-Legs Hurt Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Legs Hurt
C138719 PQL09-Long Time to Bathe/Shower PQL09-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
C138729 PQL09-Money Problem in Our Family PQL09-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Money Problem in Our Family
C138721 PQL09-Take Long Time to Eat PQL09-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Take Long Time to Eat
C138713 PQL09-Wake Up Tired PQL09-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Wake Up Tired

PQL10TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Code)

NCI Code: C138241, Codelist extensible: No
C138241 PQL10TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138640 PQL1001 PQL10-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Breathe
C138641 PQL1002 PQL10-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sick Easily
C138642 PQL1003 PQL10-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sores and/or Rashes
C138643 PQL1004 PQL10-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Legs Hurt
C138644 PQL1005 PQL10-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Feel Tired
C138645 PQL1006 PQL10-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Back Feels Stiff
C138646 PQL1007 PQL10-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Wake Up Tired
C138647 PQL1008 PQL10-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hands Are Weak
C138648 PQL1009 PQL10-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Bathroom
C138649 PQL1010 PQL10-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
C138650 PQL1011 PQL10-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Hands
C138651 PQL1012 PQL10-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Swallow Food
C138652 PQL1013 PQL10-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Long Time to Bathe or Shower
C138653 PQL1014 PQL10-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Hurt Accidentally
C138654 PQL1015 PQL10-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Take Long Time to Eat
C138655 PQL1016 PQL10-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Turn During Night
C138656 PQL1017 PQL10-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Go Places With Equipment
C138657 PQL1018 PQL10-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
C138658 PQL1019 PQL10-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
C138659 PQL1020 PQL10-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Explain Illness to People
C138660 PQL1021 PQL10-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Plan Activities
C138661 PQL1022 PQL10-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Rest
C138662 PQL1023 PQL10-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Money Problem in Our Family
C138663 PQL1024 PQL10-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Family Has Lot of Problems
C138664 PQL1025 PQL10-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Do Not Have Equipment Need

PQL10TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Name)

NCI Code: C138240, Codelist extensible: No
C138240 PQL10TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138645 PQL10-Back Feels Stiff PQL10-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Back Feels Stiff
C138664 PQL10-Do Not Have Equipment Need PQL10-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Do Not Have Equipment Need
C138663 PQL10-Family Has Lot of Problems PQL10-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Family Has Lot of Problems
C138644 PQL10-Feel Tired PQL10-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Feel Tired
C138653 PQL10-Get Hurt Accidentally PQL10-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Hurt Accidentally
C138641 PQL10-Get Sick Easily PQL10-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sick Easily
C138642 PQL10-Get Sores and/or Rashes PQL10-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sores and/or Rashes
C138647 PQL10-Hands Are Weak PQL10-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hands Are Weak
C138658 PQL10-Hard Ask Doctors/Nurses Questions PQL10-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
C138659 PQL10-Hard Explain Illness to People PQL10-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Explain Illness to People
C138660 PQL10-Hard for Family to Plan Activities PQL10-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Plan Activities
C138661 PQL10-Hard for Family to Rest PQL10-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Rest
C138657 PQL10-Hard Tell Doctors/Nurses How Feel PQL10-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
C138640 PQL10-Hard to Breathe PQL10-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Breathe
C138649 PQL10-Hard to Gain/Lose Weight PQL10-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
C138656 PQL10-Hard to Go Places With Equipment PQL10-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Go Places With Equipment
C138651 PQL10-Hard to Swallow Food PQL10-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Swallow Food
C138655 PQL10-Hard to Turn During Night PQL10-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Turn During Night
C138648 PQL10-Hard to Use Bathroom PQL10-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Bathroom
C138650 PQL10-Hard to Use Hands PQL10-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Hands
C138643 PQL10-Legs Hurt PQL10-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Legs Hurt
C138652 PQL10-Long Time to Bathe/Shower PQL10-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Long Time to Bathe or Shower
C138662 PQL10-Money Problem in Our Family PQL10-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Money Problem in Our Family
C138654 PQL10-Take Long Time to Eat PQL10-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Take Long Time to Eat
C138646 PQL10-Wake Up Tired PQL10-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Wake Up Tired

PQL11TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Code)

NCI Code: C138235, Codelist extensible: No
C138235 PQL11TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138565 PQL1101 PQL11-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Breathe
C138566 PQL1102 PQL11-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sick Easily
C138567 PQL1103 PQL11-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sores and/or Rashes
C138568 PQL1104 PQL11-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Legs Hurt
C138569 PQL1105 PQL11-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Feel Tired
C138570 PQL1106 PQL11-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Back Feels Stiff
C138571 PQL1107 PQL11-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Wake Up Tired
C138572 PQL1108 PQL11-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hands Are Weak
C138573 PQL1109 PQL11-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Bathroom
C138574 PQL1110 PQL11-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Gain or Lose Weight
C138575 PQL1111 PQL11-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Hands
C138576 PQL1112 PQL11-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Swallow Food
C138577 PQL1113 PQL11-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Long Time to Bathe or Shower
C138578 PQL1114 PQL11-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Hurt Accidentally
C138579 PQL1115 PQL11-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Take Long Time to Eat
C138580 PQL1116 PQL11-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Turn During Night
C138581 PQL1117 PQL11-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Go Places With Equipment
C138582 PQL1118 PQL11-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Tell Doctors and Nurses How Feel
C138583 PQL1119 PQL11-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Ask Doctors and Nurses Questions
C138584 PQL1120 PQL11-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Explain Illness to People
C138585 PQL1121 PQL11-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Plan Activities
C138586 PQL1122 PQL11-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Rest
C138587 PQL1123 PQL11-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Money Problem in Our Family
C138588 PQL1124 PQL11-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Family Has Lot of Problems
C138589 PQL1125 PQL11-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Do Not Have Equipment Need

PQL11TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Name)

NCI Code: C138234, Codelist extensible: No
C138234 PQL11TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138570 PQL11-Back Feels Stiff PQL11-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Back Feels Stiff
C138589 PQL11-Do Not Have Equipment Need PQL11-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Do Not Have Equipment Need
C138588 PQL11-Family Has Lot of Problems PQL11-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Family Has Lot of Problems
C138569 PQL11-Feel Tired PQL11-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Feel Tired
C138578 PQL11-Get Hurt Accidentally PQL11-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Hurt Accidentally
C138566 PQL11-Get Sick Easily PQL11-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sick Easily
C138567 PQL11-Get Sores and/or Rashes PQL11-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sores and/or Rashes
C138572 PQL11-Hands Are Weak PQL11-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hands Are Weak
C138583 PQL11-Hard Ask Doctors/Nurses Questions PQL11-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Ask Doctors and Nurses Questions
C138584 PQL11-Hard Explain Illness to People PQL11-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Explain Illness to People
C138585 PQL11-Hard for Family to Plan Activities PQL11-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Plan Activities
C138586 PQL11-Hard for Family to Rest PQL11-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Rest
C138582 PQL11-Hard Tell Doctors/Nurses How Feel PQL11-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Tell Doctors and Nurses How Feel
C138565 PQL11-Hard to Breathe PQL11-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Breathe
C138574 PQL11-Hard to Gain/Lose Weight PQL11-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Gain or Lose Weight
C138581 PQL11-Hard to Go Places With Equipment PQL11-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Go Places With Equipment
C138576 PQL11-Hard to Swallow Food PQL11-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Swallow Food
C138580 PQL11-Hard to Turn During Night PQL11-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Turn During Night
C138573 PQL11-Hard to Use Bathroom PQL11-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Bathroom
C138575 PQL11-Hard to Use Hands PQL11-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Hands
C138568 PQL11-Legs Hurt PQL11-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Legs Hurt
C138577 PQL11-Long Time to Bathe/Shower PQL11-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Long Time to Bathe or Shower
C138587 PQL11-Money Problem in Our Family PQL11-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Money Problem in Our Family
C138579 PQL11-Take Long Time to Eat PQL11-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Take Long Time to Eat
C138571 PQL11-Wake Up Tired PQL11-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Wake Up Tired

PQL12TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Code)

NCI Code: C138239, Codelist extensible: No
C138239 PQL12TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138615 PQL1201 PQL12-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Breathe
C138616 PQL1202 PQL12-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sick Easily
C138617 PQL1203 PQL12-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sores and/or Rashes
C138618 PQL1204 PQL12-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Legs Hurt
C138619 PQL1205 PQL12-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Feel Tired
C138620 PQL1206 PQL12-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Back Feels Stiff
C138621 PQL1207 PQL12-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Wake Up Tired
C138622 PQL1208 PQL12-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hands Are Weak
C138623 PQL1209 PQL12-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Bathroom
C138624 PQL1210 PQL12-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Gain or Lose Weight
C138625 PQL1211 PQL12-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Hands
C138626 PQL1212 PQL12-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Swallow Food
C138627 PQL1213 PQL12-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Long Time to Bathe or Shower
C138628 PQL1214 PQL12-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Hurt Accidentally
C138629 PQL1215 PQL12-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Take Long Time to Eat
C138630 PQL1216 PQL12-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Turn During Night
C138631 PQL1217 PQL12-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Go Places With Equipment
C138632 PQL1218 PQL12-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
C138633 PQL1219 PQL12-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
C138634 PQL1220 PQL12-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Explain Illness to People
C138635 PQL1221 PQL12-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Plan Activities
C138636 PQL1222 PQL12-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Rest
C138637 PQL1223 PQL12-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Money Problem in Our Family
C138638 PQL1224 PQL12-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Family Has Lot of Problems
C138639 PQL1225 PQL12-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Do Not Have Equipment Need

PQL12TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Name)

NCI Code: C138238, Codelist extensible: No
C138238 PQL12TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138620 PQL12-Back Feels Stiff PQL12-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Back Feels Stiff
C138639 PQL12-Do Not Have Equipment Need PQL12-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Do Not Have Equipment Need
C138638 PQL12-Family Has Lot of Problems PQL12-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Family Has Lot of Problems
C138619 PQL12-Feel Tired PQL12-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Feel Tired
C138628 PQL12-Get Hurt Accidentally PQL12-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Hurt Accidentally
C138616 PQL12-Get Sick Easily PQL12-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sick Easily
C138617 PQL12-Get Sores and/or Rashes PQL12-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sores and/or Rashes
C138622 PQL12-Hands Are Weak PQL12-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hands Are Weak
C138633 PQL12-Hard Ask Doctors/Nurses Questions PQL12-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
C138634 PQL12-Hard Explain Illness to People PQL12-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Explain Illness to People
C138635 PQL12-Hard for Family to Plan Activities PQL12-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Plan Activities
C138636 PQL12-Hard for Family to Rest PQL12-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Rest
C138632 PQL12-Hard Tell Doctors/Nurses How Feel PQL12-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
C138615 PQL12-Hard to Breathe PQL12-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Breathe
C138624 PQL12-Hard to Gain/Lose Weight PQL12-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Gain or Lose Weight
C138631 PQL12-Hard to Go Places With Equipment PQL12-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Go Places With Equipment
C138626 PQL12-Hard to Swallow Food PQL12-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Swallow Food
C138630 PQL12-Hard to Turn During Night PQL12-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Turn During Night
C138623 PQL12-Hard to Use Bathroom PQL12-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Bathroom
C138625 PQL12-Hard to Use Hands PQL12-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Hands
C138618 PQL12-Legs Hurt PQL12-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Legs Hurt
C138627 PQL12-Long Time to Bathe/Shower PQL12-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Long Time to Bathe or Shower
C138637 PQL12-Money Problem in Our Family PQL12-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Money Problem in Our Family
C138629 PQL12-Take Long Time to Eat PQL12-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Take Long Time to Eat
C138621 PQL12-Wake Up Tired PQL12-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Wake Up Tired

PQL13TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Code)

NCI Code: C138233, Codelist extensible: No
C138233 PQL13TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138540 PQL1301 PQL13-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Breathe
C138541 PQL1302 PQL13-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sick Easily
C138542 PQL1303 PQL13-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
C138543 PQL1304 PQL13-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Legs Hurt
C138544 PQL1305 PQL13-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Feel Tired
C138545 PQL1306 PQL13-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Back Feels Stiff
C138546 PQL1307 PQL13-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Wake Up Tired
C138547 PQL1308 PQL13-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hands Are Weak
C138548 PQL1309 PQL13-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Bathroom
C138549 PQL1310 PQL13-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
C138550 PQL1311 PQL13-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Hands
C138551 PQL1312 PQL13-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Swallow Food
C138552 PQL1313 PQL13-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
C138553 PQL1314 PQL13-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Hurt Accidentally
C138554 PQL1315 PQL13-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Take Long Time to Eat
C138555 PQL1316 PQL13-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Turn During Night
C138556 PQL1317 PQL13-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
C138557 PQL1318 PQL13-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
C138558 PQL1319 PQL13-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
C138559 PQL1320 PQL13-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Explain Illness to People
C138560 PQL1321 PQL13-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
C138561 PQL1322 PQL13-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Rest
C138562 PQL1323 PQL13-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Money Problem in Our Family
C138563 PQL1324 PQL13-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Family Has Lot of Problems
C138564 PQL1325 PQL13-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Do Not Have Equipment Need

PQL13TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Name)

NCI Code: C138232, Codelist extensible: No
C138232 PQL13TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138545 PQL13-Back Feels Stiff PQL13-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Back Feels Stiff
C138564 PQL13-Do Not Have Equipment Need PQL13-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Do Not Have Equipment Need
C138563 PQL13-Family Has Lot of Problems PQL13-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Family Has Lot of Problems
C138544 PQL13-Feel Tired PQL13-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Feel Tired
C138553 PQL13-Get Hurt Accidentally PQL13-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Hurt Accidentally
C138541 PQL13-Get Sick Easily PQL13-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sick Easily
C138542 PQL13-Get Sores and/or Rashes PQL13-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
C138547 PQL13-Hands Are Weak PQL13-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hands Are Weak
C138558 PQL13-Hard Ask Doctors/Nurses Questions PQL13-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
C138559 PQL13-Hard Explain Illness to People PQL13-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Explain Illness to People
C138560 PQL13-Hard for Family to Plan Activities PQL13-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
C138561 PQL13-Hard for Family to Rest PQL13-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Rest
C138557 PQL13-Hard Tell Doctors/Nurses How Feel PQL13-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
C138540 PQL13-Hard to Breathe PQL13-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Breathe
C138549 PQL13-Hard to Gain/Lose Weight PQL13-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
C138556 PQL13-Hard to Go Places With Equipment PQL13-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
C138551 PQL13-Hard to Swallow Food PQL13-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Swallow Food
C138555 PQL13-Hard to Turn During Night PQL13-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Turn During Night
C138548 PQL13-Hard to Use Bathroom PQL13-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Bathroom
C138550 PQL13-Hard to Use Hands PQL13-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Hands
C138543 PQL13-Legs Hurt PQL13-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Legs Hurt
C138552 PQL13-Long Time to Bathe/Shower PQL13-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
C138562 PQL13-Money Problem in Our Family PQL13-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Money Problem in Our Family
C138554 PQL13-Take Long Time to Eat PQL13-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Take Long Time to Eat
C138546 PQL13-Wake Up Tired PQL13-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Wake Up Tired

PQL14TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Code)

NCI Code: C138227, Codelist extensible: No
C138227 PQL14TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138465 PQL1401 PQL14-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Breathe
C138466 PQL1402 PQL14-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sick Easily
C138467 PQL1403 PQL14-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sores and/or Rashes
C138468 PQL1404 PQL14-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Legs Hurt
C138469 PQL1405 PQL14-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Feel Tired
C138470 PQL1406 PQL14-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Back Feels Stiff
C138471 PQL1407 PQL14-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Wake Up Tired
C138472 PQL1408 PQL14-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hands Are Weak
C138473 PQL1409 PQL14-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Bathroom
C138474 PQL1410 PQL14-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Gain or Lose Weight
C138475 PQL1411 PQL14-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Hands
C138476 PQL1412 PQL14-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Swallow Food
C138477 PQL1413 PQL14-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Long Time to Bathe or Shower
C138478 PQL1414 PQL14-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Hurt Accidentally
C138479 PQL1415 PQL14-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Take Long Time to Eat
C138480 PQL1416 PQL14-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Turn During Night
C138481 PQL1417 PQL14-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Go Places With Equipment
C138482 PQL1418 PQL14-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
C138483 PQL1419 PQL14-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
C138484 PQL1420 PQL14-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Explain Illness to People
C138485 PQL1421 PQL14-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Plan Activities
C138486 PQL1422 PQL14-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Rest
C138487 PQL1423 PQL14-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Money Problem in Our Family
C138488 PQL1424 PQL14-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Family Has Lot of Problems
C138489 PQL1425 PQL14-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Do Not Have Equipment Need

PQL14TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Name)

NCI Code: C138226, Codelist extensible: No
C138226 PQL14TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138470 PQL14-Back Feels Stiff PQL14-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Back Feels Stiff
C138489 PQL14-Do Not Have Equipment Need PQL14-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Do Not Have Equipment Need
C138488 PQL14-Family Has Lot of Problems PQL14-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Family Has Lot of Problems
C138469 PQL14-Feel Tired PQL14-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Feel Tired
C138478 PQL14-Get Hurt Accidentally PQL14-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Hurt Accidentally
C138466 PQL14-Get Sick Easily PQL14-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sick Easily
C138467 PQL14-Get Sores and/or Rashes PQL14-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sores and/or Rashes
C138472 PQL14-Hands Are Weak PQL14-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hands Are Weak
C138483 PQL14-Hard Ask Doctors/Nurses Questions PQL14-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
C138484 PQL14-Hard Explain Illness to People PQL14-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Explain Illness to People
C138485 PQL14-Hard for Family to Plan Activities PQL14-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Plan Activities
C138486 PQL14-Hard for Family to Rest PQL14-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Rest
C138482 PQL14-Hard Tell Doctors/Nurses How Feel PQL14-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
C138465 PQL14-Hard to Breathe PQL14-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Breathe
C138474 PQL14-Hard to Gain/Lose Weight PQL14-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Gain or Lose Weight
C138481 PQL14-Hard to Go Places With Equipment PQL14-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Go Places With Equipment
C138476 PQL14-Hard to Swallow Food PQL14-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Swallow Food
C138480 PQL14-Hard to Turn During Night PQL14-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Turn During Night
C138473 PQL14-Hard to Use Bathroom PQL14-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Bathroom
C138475 PQL14-Hard to Use Hands PQL14-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Hands
C138468 PQL14-Legs Hurt PQL14-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Legs Hurt
C138477 PQL14-Long Time to Bathe/Shower PQL14-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Long Time to Bathe or Shower
C138487 PQL14-Money Problem in Our Family PQL14-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Money Problem in Our Family
C138479 PQL14-Take Long Time to Eat PQL14-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Take Long Time to Eat
C138471 PQL14-Wake Up Tired PQL14-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Wake Up Tired

PQL15TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Code)

NCI Code: C138231, Codelist extensible: No
C138231 PQL15TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138515 PQL1501 PQL15-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Breathe
C138516 PQL1502 PQL15-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sick Easily
C138517 PQL1503 PQL15-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sores and/or Rashes
C138518 PQL1504 PQL15-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Legs Hurt
C138519 PQL1505 PQL15-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Feel Tired
C138520 PQL1506 PQL15-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Back Feels Stiff
C138521 PQL1507 PQL15-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Wake Up Tired
C138522 PQL1508 PQL15-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hands Are Weak
C138523 PQL1509 PQL15-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Bathroom
C138524 PQL1510 PQL15-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
C138525 PQL1511 PQL15-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Hands
C138526 PQL1512 PQL15-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Swallow Food
C138527 PQL1513 PQL15-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
C138528 PQL1514 PQL15-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Hurt Accidentally
C138529 PQL1515 PQL15-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Take Long Time to Eat
C138530 PQL1516 PQL15-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Turn During Night
C138531 PQL1517 PQL15-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
C138532 PQL1518 PQL15-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
C138533 PQL1519 PQL15-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
C138534 PQL1520 PQL15-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Explain Illness to People
C138535 PQL1521 PQL15-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
C138536 PQL1522 PQL15-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Rest
C138537 PQL1523 PQL15-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Money Problem in Our Family
C138538 PQL1524 PQL15-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Family Has Lot of Problems
C138539 PQL1525 PQL15-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Do Not Have Equipment Need

PQL15TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Name)

NCI Code: C138230, Codelist extensible: No
C138230 PQL15TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138520 PQL15-Back Feels Stiff PQL15-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Back Feels Stiff
C138539 PQL15-Do Not Have Equipment Need PQL15-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Do Not Have Equipment Need
C138538 PQL15-Family Has Lot of Problems PQL15-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Family Has Lot of Problems
C138519 PQL15-Feel Tired PQL15-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Feel Tired
C138528 PQL15-Get Hurt Accidentally PQL15-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Hurt Accidentally
C138516 PQL15-Get Sick Easily PQL15-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sick Easily
C138517 PQL15-Get Sores and/or Rashes PQL15-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sores and/or Rashes
C138522 PQL15-Hands Are Weak PQL15-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hands Are Weak
C138533 PQL15-Hard Ask Doctors/Nurses Questions PQL15-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
C138534 PQL15-Hard Explain Illness to People PQL15-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Explain Illness to People
C138535 PQL15-Hard for Family to Plan Activities PQL15-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
C138536 PQL15-Hard for Family to Rest PQL15-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Rest
C138532 PQL15-Hard Tell Doctors/Nurses How Feel PQL15-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
C138515 PQL15-Hard to Breathe PQL15-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Breathe
C138524 PQL15-Hard to Gain/Lose Weight PQL15-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
C138531 PQL15-Hard to Go Places With Equipment PQL15-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
C138526 PQL15-Hard to Swallow Food PQL15-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Swallow Food
C138530 PQL15-Hard to Turn During Night PQL15-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Turn During Night
C138523 PQL15-Hard to Use Bathroom PQL15-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Bathroom
C138525 PQL15-Hard to Use Hands PQL15-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Hands
C138518 PQL15-Legs Hurt PQL15-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Legs Hurt
C138527 PQL15-Long Time to Bathe/Shower PQL15-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
C138537 PQL15-Money Problem in Our Family PQL15-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Money Problem in Our Family
C138529 PQL15-Take Long Time to Eat PQL15-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Take Long Time to Eat
C138521 PQL15-Wake Up Tired PQL15-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Wake Up Tired

PQL16TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Code)

NCI Code: C138243, Codelist extensible: No
C138243 PQL16TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138665 PQL1601 PQL16-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Breathe
C138666 PQL1602 PQL16-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sick Easily
C138667 PQL1603 PQL16-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sores and/or Rashes
C138668 PQL1604 PQL16-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Legs Hurt
C138669 PQL1605 PQL16-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Feel Tired
C138670 PQL1606 PQL16-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Back Feels Stiff
C138671 PQL1607 PQL16-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Wake Up Tired
C138672 PQL1608 PQL16-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hands Are Weak
C138673 PQL1609 PQL16-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Bathroom
C138674 PQL1610 PQL16-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Gain or Lose Weight
C138675 PQL1611 PQL16-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Hands
C138676 PQL1612 PQL16-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Swallow Food
C138677 PQL1613 PQL16-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Long Time to Bathe or Shower
C138678 PQL1614 PQL16-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Hurt Accidentally
C138679 PQL1615 PQL16-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Take Long Time to Eat
C138680 PQL1616 PQL16-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Turn During Night
C138681 PQL1617 PQL16-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Go Places With Equipment

PQL16TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Name)

NCI Code: C138242, Codelist extensible: No
C138242 PQL16TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138670 PQL16-Back Feels Stiff PQL16-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Back Feels Stiff
C138669 PQL16-Feel Tired PQL16-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Feel Tired
C138678 PQL16-Get Hurt Accidentally PQL16-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Hurt Accidentally
C138666 PQL16-Get Sick Easily PQL16-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sick Easily
C138667 PQL16-Get Sores and/or Rashes PQL16-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sores and/or Rashes
C138672 PQL16-Hands Are Weak PQL16-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hands Are Weak
C138665 PQL16-Hard to Breathe PQL16-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Breathe
C138674 PQL16-Hard to Gain/Lose Weight PQL16-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Gain or Lose Weight
C138681 PQL16-Hard to Go Places With Equipment PQL16-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Go Places With Equipment
C138676 PQL16-Hard to Swallow Food PQL16-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Swallow Food
C138680 PQL16-Hard to Turn During Night PQL16-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Turn During Night
C138673 PQL16-Hard to Use Bathroom PQL16-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Bathroom
C138675 PQL16-Hard to Use Hands PQL16-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Hands
C138668 PQL16-Legs Hurt PQL16-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Legs Hurt
C138677 PQL16-Long Time to Bathe/Shower PQL16-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Long Time to Bathe or Shower
C138679 PQL16-Take Long Time to Eat PQL16-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Take Long Time to Eat
C138671 PQL16-Wake Up Tired PQL16-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired. PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Wake Up Tired

PQL17TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Code)

NCI Code: C138237, Codelist extensible: No
C138237 PQL17TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138590 PQL1701 PQL17-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Breathe
C138591 PQL1702 PQL17-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sick Easily
C138592 PQL1703 PQL17-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
C138593 PQL1704 PQL17-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Legs Hurt
C138594 PQL1705 PQL17-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Feel Tired
C138595 PQL1706 PQL17-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Back Feels Stiff
C138596 PQL1707 PQL17-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Wake Up Tired
C138597 PQL1708 PQL17-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hands Are Weak
C138598 PQL1709 PQL17-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
C138599 PQL1710 PQL17-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
C138600 PQL1711 PQL17-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Hands
C138601 PQL1712 PQL17-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Swallow Food
C138602 PQL1713 PQL17-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
C138603 PQL1714 PQL17-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
C138604 PQL1715 PQL17-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Take Long Time to Eat
C138605 PQL1716 PQL17-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Turn During Night
C138606 PQL1717 PQL17-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
C138607 PQL1718 PQL17-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
C138608 PQL1719 PQL17-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
C138609 PQL1720 PQL17-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
C138610 PQL1721 PQL17-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
C138611 PQL1722 PQL17-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Rest
C138612 PQL1723 PQL17-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Money Problem in Our Family
C138613 PQL1724 PQL17-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
C138614 PQL1725 PQL17-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need

PQL17TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Name)

NCI Code: C138236, Codelist extensible: No
C138236 PQL17TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138595 PQL17-Back Feels Stiff PQL17-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Back Feels Stiff
C138614 PQL17-Do Not Have Equipment Need PQL17-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need
C138613 PQL17-Family Has Lot of Problems PQL17-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
C138594 PQL17-Feel Tired PQL17-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Feel Tired
C138603 PQL17-Get Hurt Accidentally PQL17-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
C138591 PQL17-Get Sick Easily PQL17-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sick Easily
C138592 PQL17-Get Sores and/or Rashes PQL17-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
C138597 PQL17-Hands Are Weak PQL17-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hands Are Weak
C138608 PQL17-Hard Ask Doctors/Nurses Questions PQL17-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
C138609 PQL17-Hard Explain Illness to People PQL17-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
C138610 PQL17-Hard for Family to Plan Activities PQL17-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
C138611 PQL17-Hard for Family to Rest PQL17-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Rest
C138607 PQL17-Hard Tell Doctors/Nurses How Feel PQL17-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
C138590 PQL17-Hard to Breathe PQL17-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Breathe
C138599 PQL17-Hard to Gain/Lose Weight PQL17-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
C138606 PQL17-Hard to Go Places With Equipment PQL17-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
C138601 PQL17-Hard to Swallow Food PQL17-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Swallow Food
C138605 PQL17-Hard to Turn During Night PQL17-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Turn During Night
C138598 PQL17-Hard to Use Bathroom PQL17-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
C138600 PQL17-Hard to Use Hands PQL17-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Hands
C138593 PQL17-Legs Hurt PQL17-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Legs Hurt
C138602 PQL17-Long Time to Bathe/Shower PQL17-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
C138612 PQL17-Money Problem in Our Family PQL17-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Money Problem in Our Family
C138604 PQL17-Take Long Time to Eat PQL17-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Take Long Time to Eat
C138596 PQL17-Wake Up Tired PQL17-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Wake Up Tired

PQL18TC (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Code)

NCI Code: C138229, Codelist extensible: No
C138229 PQL18TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138490 PQL1801 PQL18-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Breathe
C138491 PQL1802 PQL18-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sick Easily
C138492 PQL1803 PQL18-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sores and/or Rashes
C138493 PQL1804 PQL18-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Legs Hurt
C138494 PQL1805 PQL18-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Feel Tired
C138495 PQL1806 PQL18-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Back Feels Stiff
C138496 PQL1807 PQL18-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Wake Up Tired
C138497 PQL1808 PQL18-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hands Are Weak
C138498 PQL1809 PQL18-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Bathroom
C138499 PQL1810 PQL18-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
C138500 PQL1811 PQL18-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Hands
C138501 PQL1812 PQL18-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Swallow Food
C138502 PQL1813 PQL18-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
C138503 PQL1814 PQL18-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Hurt Accidentally
C138504 PQL1815 PQL18-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Take Long Time to Eat
C138505 PQL1816 PQL18-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Turn During Night
C138506 PQL1817 PQL18-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
C138507 PQL1818 PQL18-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
C138508 PQL1819 PQL18-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
C138509 PQL1820 PQL18-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Explain Illness to People
C138510 PQL1821 PQL18-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
C138511 PQL1822 PQL18-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Rest
C138512 PQL1823 PQL18-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Money Problem in Our Family
C138513 PQL1824 PQL18-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Family Has Lot of Problems
C138514 PQL1825 PQL18-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Do Not Have Equipment Need

PQL18TN (Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Name)

NCI Code: C138228, Codelist extensible: No
C138228 PQL18TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138495 PQL18-Back Feels Stiff PQL18-Back Feels Stiff Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Back Feels Stiff
C138514 PQL18-Do Not Have Equipment Need PQL18-Do Not Have Equipment Need Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Do Not Have Equipment Need
C138513 PQL18-Family Has Lot of Problems PQL18-Family Has Lot of Problems Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Family Has Lot of Problems
C138494 PQL18-Feel Tired PQL18-Feel Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Feel Tired
C138503 PQL18-Get Hurt Accidentally PQL18-Get Hurt Accidentally Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Hurt Accidentally
C138491 PQL18-Get Sick Easily PQL18-Get Sick Easily Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sick Easily
C138492 PQL18-Get Sores and/or Rashes PQL18-Get Sores and/or Rashes Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sores and/or Rashes
C138497 PQL18-Hands Are Weak PQL18-Hands Are Weak Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hands Are Weak
C138508 PQL18-Hard Ask Doctors/Nurses Questions PQL18-Hard Ask Doctors/Nurses Questions Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
C138509 PQL18-Hard Explain Illness to People PQL18-Hard Explain Illness to People Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Explain Illness to People
C138510 PQL18-Hard for Family to Plan Activities PQL18-Hard for Family to Plan Activities Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
C138511 PQL18-Hard for Family to Rest PQL18-Hard for Family to Rest Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Rest
C138507 PQL18-Hard Tell Doctors/Nurses How Feel PQL18-Hard Tell Doctors/Nurses How Feel Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
C138490 PQL18-Hard to Breathe PQL18-Hard to Breathe Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Breathe
C138499 PQL18-Hard to Gain/Lose Weight PQL18-Hard to Gain/Lose Weight Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
C138506 PQL18-Hard to Go Places With Equipment PQL18-Hard to Go Places With Equipment Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
C138501 PQL18-Hard to Swallow Food PQL18-Hard to Swallow Food Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Swallow Food
C138505 PQL18-Hard to Turn During Night PQL18-Hard to Turn During Night Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Turn During Night
C138498 PQL18-Hard to Use Bathroom PQL18-Hard to Use Bathroom Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Bathroom
C138500 PQL18-Hard to Use Hands PQL18-Hard to Use Hands Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Hands
C138493 PQL18-Legs Hurt PQL18-Legs Hurt Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Legs Hurt
C138502 PQL18-Long Time to Bathe/Shower PQL18-Long Time to Bathe/Shower Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
C138512 PQL18-Money Problem in Our Family PQL18-Money Problem in Our Family Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Money Problem in Our Family
C138504 PQL18-Take Long Time to Eat PQL18-Take Long Time to Eat Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Take Long Time to Eat
C138496 PQL18-Wake Up Tired PQL18-Wake Up Tired Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired. PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Wake Up Tired

PR01TC (Pain Relief Questionnaire Test Code)

NCI Code: C105136, Codelist extensible: No
C105136 PR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105267 PR0101 PR01-Pain Relief Pain Relief - Pain relief for various time periods of evaluation. PR - Pain Relief For Various Time Periods of Evaluation
C105268 PR0102 PR01-Average Pain Relief Pain Relief - Average pain relief for various time periods of evaluation. PR - Average Pain Relief For Various Time Periods of Evaluation
C105269 PR0103 PR01-Minimum Pain Relief Pain Relief - Minimum pain relief for various time periods of evaluation. PR - Minimum Pain Relief For Various Time Periods of Evaluation
C105270 PR0104 PR01-Maximum Pain Relief Pain Relief - Maximum pain relief for various time periods of evaluation. PR - Maximum Pain Relief For Various Time Periods of Evaluation
C105271 PR0105 PR01-Least Pain Relief Pain Relief - Least pain relief for various time periods of evaluation. PR - Least Pain Relief For Various Time Periods of Evaluation
C105272 PR0106 PR01-Worst Pain Relief Pain Relief - Worst pain relief for various time periods of evaluation. PR - Worst Pain Relief For Various Time Periods of Evaluation
C105273 PR0107 PR01-Starting Pain at Least 1/2 Gone Pain Relief - Starting pain at least 1/2 Gone? PR - Starting Pain Half Gone
C105274 PR0108 PR01-Was there Perceptible Pain Relief Pain Relief - Was there perceptible pain relief? PR - Was There Perceptible Pain Relief
C105275 PR0109 PR01-Time to Perceptible Pain Relief Pain Relief - Time to perceptible pain relief. PR - Time to Perceptible Pain Relief
C105276 PR0110 PR01-Was there Meaningful Pain Relief Pain Relief - Was there meaningful pain relief? PR - Was There Meaningful Pain Relief
C105277 PR0111 PR01-Time to Meaningful Pain Relief Pain Relief - Time to meaningful pain relief. PR - Time to Meaningful Pain Relief

PR01TN (Pain Relief Questionnaire Test Name)

NCI Code: C105135, Codelist extensible: No
C105135 PR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C105268 PR01-Average Pain Relief PR01-Average Pain Relief Pain Relief - Average pain relief for various time periods of evaluation. PR - Average Pain Relief For Various Time Periods of Evaluation
C105271 PR01-Least Pain Relief PR01-Least Pain Relief Pain Relief - Least pain relief for various time periods of evaluation. PR - Least Pain Relief For Various Time Periods of Evaluation
C105270 PR01-Maximum Pain Relief PR01-Maximum Pain Relief Pain Relief - Maximum pain relief for various time periods of evaluation. PR - Maximum Pain Relief For Various Time Periods of Evaluation
C105269 PR01-Minimum Pain Relief PR01-Minimum Pain Relief Pain Relief - Minimum pain relief for various time periods of evaluation. PR - Minimum Pain Relief For Various Time Periods of Evaluation
C105267 PR01-Pain Relief PR01-Pain Relief Pain Relief - Pain relief for various time periods of evaluation. PR - Pain Relief For Various Time Periods of Evaluation
C105273 PR01-Starting Pain at Least 1/2 Gone PR01-Starting Pain at Least 1/2 Gone Pain Relief - Starting pain at least 1/2 Gone? PR - Starting Pain Half Gone
C105277 PR01-Time to Meaningful Pain Relief PR01-Time to Meaningful Pain Relief Pain Relief - Time to meaningful pain relief. PR - Time to Meaningful Pain Relief
C105275 PR01-Time to Perceptible Pain Relief PR01-Time to Perceptible Pain Relief Pain Relief - Time to perceptible pain relief. PR - Time to Perceptible Pain Relief
C105276 PR01-Was there Meaningful Pain Relief PR01-Was there Meaningful Pain Relief Pain Relief - Was there meaningful pain relief? PR - Was There Meaningful Pain Relief
C105274 PR01-Was there Perceptible Pain Relief PR01-Was there Perceptible Pain Relief Pain Relief - Was there perceptible pain relief? PR - Was There Perceptible Pain Relief
C105272 PR01-Worst Pain Relief PR01-Worst Pain Relief Pain Relief - Worst pain relief for various time periods of evaluation. PR - Worst Pain Relief For Various Time Periods of Evaluation

PROS01TC (The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Code)

NCI Code: C127360, Codelist extensible: No
C127360 PROS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127504 PROS0101 PROS01-Pain Prostate Cancer Specific Quality of Life Instrument - Pain. PROSQOLI - Pain
C127505 PROS0102 PROS01-Physical Activity Prostate Cancer Specific Quality of Life Instrument - Physical activity. PROSQOLI - Physical Activity
C127506 PROS0103 PROS01-Fatigue Prostate Cancer Specific Quality of Life Instrument - Fatigue. PROSQOLI - Fatigue
C127507 PROS0104 PROS01-Appetite Prostate Cancer Specific Quality of Life Instrument - Appetite. PROSQOLI - Appetite
C127508 PROS0105 PROS01-Constipation Prostate Cancer Specific Quality of Life Instrument - Constipation. PROSQOLI - Constipation
C127509 PROS0106 PROS01-Urinary Problems Prostate Cancer Specific Quality of Life Instrument - Urinary problems. PROSQOLI - Urinary Problems
C127510 PROS0107 PROS01-Enjoying Time Friends/Family Prostate Cancer Specific Quality of Life Instrument - Enjoying time with friends and family. PROSQOLI - Enjoying Time with Friends and Family
C127511 PROS0108 PROS01-Mood Prostate Cancer Specific Quality of Life Instrument - Mood. PROSQOLI - Mood
C127512 PROS0109 PROS01-Overall Well-Being Prostate Cancer Specific Quality of Life Instrument - Overall Well-Being (How do you feel?). PROSQOLI - Overall Well-Being
C127513 PROS0110 PROS01-Present Pain Intensity Prostate Cancer Specific Quality of Life Instrument - Present pain intensity: Please circle the appropriate number according to how much pain you felt on average during the past 24 hours. PROSQOLI - Present Pain Intensity

PROS01TN (The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Name)

NCI Code: C127359, Codelist extensible: No
C127359 PROS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C127507 PROS01-Appetite PROS01-Appetite Prostate Cancer Specific Quality of Life Instrument - Appetite. PROSQOLI - Appetite
C127508 PROS01-Constipation PROS01-Constipation Prostate Cancer Specific Quality of Life Instrument - Constipation. PROSQOLI - Constipation
C127510 PROS01-Enjoying Time Friends/Family PROS01-Enjoying Time Friends/Family Prostate Cancer Specific Quality of Life Instrument - Enjoying time with friends and family. PROSQOLI - Enjoying Time with Friends and Family
C127506 PROS01-Fatigue PROS01-Fatigue Prostate Cancer Specific Quality of Life Instrument - Fatigue. PROSQOLI - Fatigue
C127511 PROS01-Mood PROS01-Mood Prostate Cancer Specific Quality of Life Instrument - Mood. PROSQOLI - Mood
C127512 PROS01-Overall Well-Being PROS01-Overall Well-Being Prostate Cancer Specific Quality of Life Instrument - Overall Well-Being (How do you feel?). PROSQOLI - Overall Well-Being
C127504 PROS01-Pain PROS01-Pain Prostate Cancer Specific Quality of Life Instrument - Pain. PROSQOLI - Pain
C127505 PROS01-Physical Activity PROS01-Physical Activity Prostate Cancer Specific Quality of Life Instrument - Physical activity. PROSQOLI - Physical Activity
C127513 PROS01-Present Pain Intensity PROS01-Present Pain Intensity Prostate Cancer Specific Quality of Life Instrument - Present pain intensity: Please circle the appropriate number according to how much pain you felt on average during the past 24 hours. PROSQOLI - Present Pain Intensity
C127509 PROS01-Urinary Problems PROS01-Urinary Problems Prostate Cancer Specific Quality of Life Instrument - Urinary problems. PROSQOLI - Urinary Problems

PT01TC (Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Code)

NCI Code: C179942, Codelist extensible: No
C179942 PT01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180044 PT01001A PT01-Dry Mouth Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry mouth at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Dry Mouth Severity
C180045 PT01002A PT01-Difficulty Swallowing Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty swallowing at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Difficulty Swallowing Severity
C180046 PT01003A PT01-Mouth/Throat Sores Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your mouth or throat sores at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Severity
C180047 PT01003B PT01-Mouth/Throat Sores Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did mouth or throat sores interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Interference
C180048 PT01004A PT01-Cracking Corners of Mouth Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of skin cracking at the corners of your mouth at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Cracking Corners of Mouth Severity
C180049 PT01005A PT01-Voice Quality Changes Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any voice changes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Voice Quality Changes Presence
C180050 PT01006A PT01-Hoarseness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hoarse voice at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hoarseness Severity
C180051 PT01007A PT01-Taste Changes Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with tasting food or drink at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Taste Changes Severity
C180052 PT01008A PT01-Decreased Appetite Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased appetite at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Severity
C180053 PT01008B PT01-Decreased Appetite Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did decreased appetite interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Interference
C180054 PT01009A PT01-Nausea Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nausea? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Frequency
C180055 PT01009B PT01-Nausea Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nausea at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Severity
C180056 PT01010A PT01-Vomiting Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have vomiting? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Frequency
C180057 PT01010B PT01-Vomiting Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vomiting at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Severity
C180058 PT01011A PT01-Heartburn Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have heartburn? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Frequency
C180059 PT01011B PT01-Heartburn Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your heartburn at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Severity
C180060 PT01012A PT01-Gas Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased passing of gas (flatulence)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Gas Presence
C180061 PT01013A PT01-Bloating Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have bloating of the abdomen (belly)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Frequency
C180062 PT01013B PT01-Bloating Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your bloating of the abdomen (belly) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Severity
C180063 PT01014A PT01-Hiccups Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hiccups? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Frequency
C180064 PT01014B PT01-Hiccups Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hiccups at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Severity
C180065 PT01015A PT01-Constipation Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your constipation at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Constipation Severity
C180066 PT01016A PT01-Diarrhea Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loose or watery stools (diarrhea/diarrhoea)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Diarrhea Frequency
C180067 PT01017A PT01-Abdominal Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain in the abdomen (belly area)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Frequency
C180068 PT01017B PT01-Abdominal Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain in the abdomen (belly area) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Severity
C180069 PT01017C PT01-Abdominal Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain in the abdomen (belly area) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Interference
C180070 PT01018A PT01-Fecal Incontinence Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you lose control of bowel movements? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Frequency
C180071 PT01018B PT01-Fecal Incontinence Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of bowel movements interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Interference
C180072 PT01019A PT01-Shortness of Breath Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shortness of breath at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Severity
C180073 PT01019B PT01-Shortness of Breath Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your shortness of breath interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Interference
C180074 PT01020A PT01-Cough Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your cough at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Severity
C180075 PT01020B PT01-Cough Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did cough interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Interference
C180076 PT01021A PT01-Wheezing Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your wheezing (whistling noise in the chest with breathing) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Wheezing Severity
C180077 PT01022A PT01-Swelling Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have arm or leg swelling? PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Frequency
C180078 PT01022B PT01-Swelling Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your arm or leg swelling at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Severity
C180079 PT01022C PT01-Swelling Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did arm or leg swelling interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Interference
C180080 PT01023A PT01-Heart Palpitations Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel a pounding or racing heartbeat (palpitations)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Frequency
C180081 PT01023B PT01-Heart Palpitations Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pounding or racing heartbeat (palpitations) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Severity
C180082 PT01024A PT01-Rash Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any rash? PRO-CTCAE V1.0 Version Date 4/26/2020 - Rash Presence
C180083 PT01025A PT01-Skin Dryness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry skin at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Dryness Severity
C180084 PT01026A PT01-Acne Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your acne or pimples on the face or chest at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Acne Severity
C180085 PT01027A PT01-Hair Loss Amount Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hair loss? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hair Loss Amount
C180086 PT01028A PT01-Itching Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your itchy skin at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Itching Severity
C180087 PT01029A PT01-Hives Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hives (itchy red bumps on the skin)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hives Presence
C180088 PT01030A PT01-Hand-Foot Syndrome Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hand-foot syndrome (a rash of the hands or feet that can cause cracking, peeling, redness or pain) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hand-Foot Syndrome Severity
C180089 PT01031A PT01-Nail Loss Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you lose any fingernails or toenails? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Loss Presence
C180090 PT01032A PT01-Nail Ridging Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any ridges or bumps on your fingernails or toenails? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Ridging Presence
C180091 PT01033A PT01-Nail Discoloration Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any change in the color of your fingernails or toenails? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Discoloration Presence
C180092 PT01034A PT01-Sensitivity to Sunlight Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased skin sensitivity to sunlight? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sensitivity to Sunlight Presence
C180093 PT01035A PT01-Bed/Pressure Sores Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any bed sores? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bed/Pressure Sores Presence
C180094 PT01036A PT01-Radiation Skin Reaction Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your skin burns from radiation at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Radiation Skin Reaction Severity
C180095 PT01037A PT01-Skin Darkening Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual darkening of the skin? PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Darkening Presence
C180096 PT01038A PT01-Stretch Marks Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any stretch marks? PRO-CTCAE V1.0 Version Date 4/26/2020 - Stretch Marks Presence
C180097 PT01039A PT01-Numbness & Tingling Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your numbness or tingling in your hands or feet at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Severity
C180098 PT01039B PT01-Numbness & Tingling Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did numbness or tingling in your hands or feet interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Interference
C180099 PT01040A PT01-Dizziness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dizziness at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Severity
C180100 PT01040B PT01-Dizziness Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did dizziness interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Interference
C180101 PT01041A PT01-Blurred Vision Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your blurry vision at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Severity
C180102 PT01041B PT01-Blurred Vision Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did blurry vision interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Interference
C180103 PT01042A PT01-Flashing Lights in Eyes Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any flashing lights in front of your eyes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Flashing Lights in Eyes Presence
C180104 PT01043A PT01-Visual Floaters Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any spots or lines (floaters) that drift in front of your eyes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Visual Floaters Presence
C180105 PT01044A PT01-Watery Eyes Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your watery eyes (tearing) at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Severity
C180106 PT01044B PT01-Watery Eyes Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did watery eyes (tearing) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Interference
C180107 PT01045A PT01-Ringing in Ears Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of ringing in your ears at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Ringing in Ears Severity
C180108 PT01046A PT01-Concentration Problems Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with concentration at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Severity
C180109 PT01046B PT01-Concentration Problems Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with concentration interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Interference
C180110 PT01047A PT01-Memory Problems Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with memory at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Severity
C180111 PT01047B PT01-Memory Problems Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with memory interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Interference
C180112 PT01048A PT01-General Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain? PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Frequency
C180113 PT01048B PT01-General Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Severity
C180114 PT01048C PT01-General Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Interference
C180115 PT01049A PT01-Headache Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have a headache? PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Frequency
C180116 PT01049B PT01-Headache Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your headache at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Severity
C180117 PT01049C PT01-Headache Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your headache interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Interference
C180118 PT01050A PT01-Muscle Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching muscles? PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Frequency
C180119 PT01050B PT01-Muscle Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching muscles at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Severity
C180120 PT01050C PT01-Muscle Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching muscles interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Interference
C180121 PT01051A PT01-Joint Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching joints (such as elbows, knees, shoulders)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Frequency
C180122 PT01051B PT01-Joint Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching joints (such as elbows, knees, shoulders) at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Severity
C180123 PT01051C PT01-Joint Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching joints (such as elbows, knees, shoulders) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Interference
C180124 PT01052A PT01-Insomnia Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your insomnia (including difficulty falling asleep, staying asleep, or waking up early) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Severity
C180125 PT01052B PT01-Insomnia Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did insomnia (including difficulty falling asleep, staying asleep, or waking up early) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Interference
C180126 PT01053A PT01-Fatigue Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your fatigue, tiredness, or lack of energy at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Severity
C180127 PT01053B PT01-Fatigue Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did fatigue, tiredness, or lack of energy interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Interference
C180128 PT01054A PT01-Anxious Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel anxiety? PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Frequency
C180129 PT01054B PT01-Anxious Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your anxiety at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Severity
C180130 PT01054C PT01-Anxious Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did anxiety interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Interference
C180131 PT01055A PT01-Discouraged Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel that nothing could cheer you up? PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Frequency
C180132 PT01055B PT01-Discouraged Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your feelings that nothing could cheer you up at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Severity
C180133 PT01055C PT01-Discouraged Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did feeling that nothing could cheer you up interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Interference
C180134 PT01056A PT01-Sad Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have sad or unhappy feelings? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Frequency
C180135 PT01056B PT01-Sad Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your sad or unhappy feelings at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Severity
C180136 PT01056C PT01-Sad Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sad or unhappy feelings interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Interference
C180137 PT01057A PT01-Irregular Menstrual Period Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any irregular menstrual periods? PRO-CTCAE V1.0 Version Date 4/26/2020 - Irregular Menstrual Period Presence
C180138 PT01058A PT01-Missed Menstrual Period Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you miss an expected menstrual period? PRO-CTCAE V1.0 Version Date 4/26/2020 - Missed Menstrual Period Presence
C180139 PT01059A PT01-Vaginal Discharge Amount Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual vaginal discharge? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Discharge Amount
C180140 PT01060A PT01-Vaginal Dryness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vaginal dryness at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Dryness Severity
C180141 PT01061A PT01-Painful Urination Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain or burning with urination at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Painful Urination Severity
C180142 PT01062A PT01-Urinary Urgency Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel an urge to urinate all of a sudden? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Frequency
C180143 PT01062B PT01-Urinary Urgency Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sudden urges to urinate interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Interference
C180144 PT01063A PT01-Urinary Frequency Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were there times when you had to urinate frequently? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Frequency
C180145 PT01063B PT01-Urinary Frequency Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did frequent urination interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Interference
C180146 PT01064A PT01-Urine Color Change Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any urine color change? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urine Color Change Presence
C180147 PT01065A PT01-Urinary Incontinence Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loss of control of urine (leakage)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Frequency
C180148 PT01065B PT01-Urinary Incontinence Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of urine (leakage) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Interference
C180149 PT01066A PT01-Achieve&Maintain Erection Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty getting or keeping an erection at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Achieve&Maintain Erection Severity
C180150 PT01067A PT01-Ejaculation Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have ejaculation problems? PRO-CTCAE V1.0 Version Date 4/26/2020 - Ejaculation Frequency
C180151 PT01068A PT01-Decreased Libido Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased sexual interest at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Libido Severity
C180152 PT01069A PT01-Delayed Orgasm Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you feel that it took too long to have an orgasm or climax? PRO-CTCAE V1.0 Version Date 4/26/2020 - Delayed Orgasm Presence
C180153 PT01070A PT01-Unable to Have Orgasm Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were you unable to have an orgasm or climax? PRO-CTCAE V1.0 Version Date 4/26/2020 - Unable to Have Orgasm Presence
C180154 PT01071A PT01-Pain w/Sexual Intercourse Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain during vaginal sex at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain w/Sexual Intercourse Severity
C180155 PT01072A PT01-Breast Swelling&Tenderness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your breast area enlargement or tenderness at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Breast Swelling&Tenderness Severity
C180156 PT01073A PT01-Bruising Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you bruise easily (black and blue marks)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bruising Presence
C180157 PT01074A PT01-Chills Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have shivering or shaking chills? PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Frequency
C180158 PT01074B PT01-Chills Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shivering or shaking chills at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Severity
C180159 PT01075A PT01-Increased Sweating Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Frequency
C180160 PT01075B PT01-Increased Sweating Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Severity
C180161 PT01076A PT01-Decreased Sweating Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have an unexpected decrease in sweating? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Sweating Presence
C180162 PT01077A PT01-Hot Flashes Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hot flashes/flushes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Frequency
C180163 PT01077B PT01-Hot Flashes Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hot flashes/flushes at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Severity
C180164 PT01078A PT01-Nosebleed Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nosebleeds? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Frequency
C180165 PT01078B PT01-Nosebleed Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nosebleeds at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Severity
C180166 PT01079A PT01-Pain&Swelling at Inj Site Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any pain, swelling, or redness at a site of drug injection or IV? PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain&Swelling at Inj Site Presence
C180167 PT01080A PT01-Body Odor Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your body odor at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Body Odor Severity
C180168 PT01081 PT01-Any Other Symptoms Reported Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Do you have any other symptoms that you wish to report? PRO-CTCAE V1.0 Version Date 4/26/2020 - Any Other Symptoms Reported
C180169 PT01082A PT01-Other Symptom 1 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 1? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1
C180170 PT01082B PT01-Other Symptom 1 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 1 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1 Severity
C180171 PT01083A PT01-Other Symptom 2 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 2? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2
C180172 PT01083B PT01-Other Symptom 2 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 2 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2 Severity
C180173 PT01084A PT01-Other Symptom 3 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 3? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3
C180174 PT01084B PT01-Other Symptom 3 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 3 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3 Severity
C180175 PT01085A PT01-Other Symptom 4 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 4? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4
C180176 PT01085B PT01-Other Symptom 4 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 4 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4 Severity
C180177 PT01086A PT01-Other Symptom 5 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 5? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5
C180178 PT01086B PT01-Other Symptom 5 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 5 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5 Severity
C180179 PT01087A PT01-Other Symptom 6 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 6? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6
C180180 PT01087B PT01-Other Symptom 6 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 6 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6 Severity
C180181 PT01088A PT01-Other Symptom 7 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 7? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7
C180182 PT01088B PT01-Other Symptom 7 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 7 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7 Severity
C180183 PT01089A PT01-Other Symptom 8 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 8? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8
C180184 PT01089B PT01-Other Symptom 8 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 8 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8 Severity
C180185 PT01090A PT01-Other Symptom 9 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 9? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9
C180186 PT01090B PT01-Other Symptom 9 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 9 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9 Severity
C180187 PT01091A PT01-Other Symptom 10 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 10? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10
C180188 PT01091B PT01-Other Symptom 10 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 10 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10 Severity

PT01TN (Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Name)

NCI Code: C179941, Codelist extensible: No
C179941 PT01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180067 PT01-Abdominal Pain Frequency PT01-Abdominal Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain in the abdomen (belly area)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Frequency
C180069 PT01-Abdominal Pain Interference PT01-Abdominal Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain in the abdomen (belly area) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Interference
C180068 PT01-Abdominal Pain Severity PT01-Abdominal Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain in the abdomen (belly area) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Severity
C180149 PT01-Achieve&Maintain Erection Severity PT01-Achieve&Maintain Erection Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty getting or keeping an erection at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Achieve&Maintain Erection Severity
C180084 PT01-Acne Severity PT01-Acne Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your acne or pimples on the face or chest at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Acne Severity
C180128 PT01-Anxious Frequency PT01-Anxious Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel anxiety? PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Frequency
C180130 PT01-Anxious Interference PT01-Anxious Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did anxiety interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Interference
C180129 PT01-Anxious Severity PT01-Anxious Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your anxiety at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Severity
C180168 PT01-Any Other Symptoms Reported PT01-Any Other Symptoms Reported Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Do you have any other symptoms that you wish to report? PRO-CTCAE V1.0 Version Date 4/26/2020 - Any Other Symptoms Reported
C180093 PT01-Bed/Pressure Sores Presence PT01-Bed/Pressure Sores Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any bed sores? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bed/Pressure Sores Presence
C180061 PT01-Bloating Frequency PT01-Bloating Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have bloating of the abdomen (belly)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Frequency
C180062 PT01-Bloating Severity PT01-Bloating Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your bloating of the abdomen (belly) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Severity
C180102 PT01-Blurred Vision Interference PT01-Blurred Vision Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did blurry vision interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Interference
C180101 PT01-Blurred Vision Severity PT01-Blurred Vision Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your blurry vision at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Severity
C180167 PT01-Body Odor Severity PT01-Body Odor Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your body odor at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Body Odor Severity
C180155 PT01-Breast Swelling&Tenderness Severity PT01-Breast Swelling&Tenderness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your breast area enlargement or tenderness at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Breast Swelling&Tenderness Severity
C180156 PT01-Bruising Presence PT01-Bruising Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you bruise easily (black and blue marks)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Bruising Presence
C180157 PT01-Chills Frequency PT01-Chills Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have shivering or shaking chills? PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Frequency
C180158 PT01-Chills Severity PT01-Chills Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shivering or shaking chills at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Severity
C180109 PT01-Concentration Problems Interference PT01-Concentration Problems Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with concentration interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Interference
C180108 PT01-Concentration Problems Severity PT01-Concentration Problems Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with concentration at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Severity
C180065 PT01-Constipation Severity PT01-Constipation Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your constipation at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Constipation Severity
C180075 PT01-Cough Interference PT01-Cough Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did cough interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Interference
C180074 PT01-Cough Severity PT01-Cough Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your cough at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Severity
C180048 PT01-Cracking Corners of Mouth Severity PT01-Cracking Corners of Mouth Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of skin cracking at the corners of your mouth at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Cracking Corners of Mouth Severity
C180053 PT01-Decreased Appetite Interference PT01-Decreased Appetite Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did decreased appetite interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Interference
C180052 PT01-Decreased Appetite Severity PT01-Decreased Appetite Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased appetite at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Severity
C180151 PT01-Decreased Libido Severity PT01-Decreased Libido Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased sexual interest at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Libido Severity
C180161 PT01-Decreased Sweating Presence PT01-Decreased Sweating Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have an unexpected decrease in sweating? PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Sweating Presence
C180152 PT01-Delayed Orgasm Presence PT01-Delayed Orgasm Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you feel that it took too long to have an orgasm or climax? PRO-CTCAE V1.0 Version Date 4/26/2020 - Delayed Orgasm Presence
C180066 PT01-Diarrhea Frequency PT01-Diarrhea Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loose or watery stools (diarrhea/diarrhoea)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Diarrhea Frequency
C180045 PT01-Difficulty Swallowing Severity PT01-Difficulty Swallowing Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty swallowing at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Difficulty Swallowing Severity
C180131 PT01-Discouraged Frequency PT01-Discouraged Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel that nothing could cheer you up? PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Frequency
C180133 PT01-Discouraged Interference PT01-Discouraged Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did feeling that nothing could cheer you up interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Interference
C180132 PT01-Discouraged Severity PT01-Discouraged Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your feelings that nothing could cheer you up at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Severity
C180100 PT01-Dizziness Interference PT01-Dizziness Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did dizziness interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Interference
C180099 PT01-Dizziness Severity PT01-Dizziness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dizziness at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Severity
C180044 PT01-Dry Mouth Severity PT01-Dry Mouth Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry mouth at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Dry Mouth Severity
C180150 PT01-Ejaculation Frequency PT01-Ejaculation Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have ejaculation problems? PRO-CTCAE V1.0 Version Date 4/26/2020 - Ejaculation Frequency
C180127 PT01-Fatigue Interference PT01-Fatigue Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did fatigue, tiredness, or lack of energy interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Interference
C180126 PT01-Fatigue Severity PT01-Fatigue Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your fatigue, tiredness, or lack of energy at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Severity
C180070 PT01-Fecal Incontinence Frequency PT01-Fecal Incontinence Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you lose control of bowel movements? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Frequency
C180071 PT01-Fecal Incontinence Interference PT01-Fecal Incontinence Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of bowel movements interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Interference
C180103 PT01-Flashing Lights in Eyes Presence PT01-Flashing Lights in Eyes Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any flashing lights in front of your eyes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Flashing Lights in Eyes Presence
C180060 PT01-Gas Presence PT01-Gas Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased passing of gas (flatulence)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Gas Presence
C180112 PT01-General Pain Frequency PT01-General Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain? PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Frequency
C180114 PT01-General Pain Interference PT01-General Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Interference
C180113 PT01-General Pain Severity PT01-General Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Severity
C180085 PT01-Hair Loss Amount PT01-Hair Loss Amount Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hair loss? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hair Loss Amount
C180088 PT01-Hand-Foot Syndrome Severity PT01-Hand-Foot Syndrome Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hand-foot syndrome (a rash of the hands or feet that can cause cracking, peeling, redness or pain) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hand-Foot Syndrome Severity
C180115 PT01-Headache Frequency PT01-Headache Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have a headache? PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Frequency
C180117 PT01-Headache Interference PT01-Headache Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your headache interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Interference
C180116 PT01-Headache Severity PT01-Headache Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your headache at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Severity
C180080 PT01-Heart Palpitations Frequency PT01-Heart Palpitations Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel a pounding or racing heartbeat (palpitations)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Frequency
C180081 PT01-Heart Palpitations Severity PT01-Heart Palpitations Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pounding or racing heartbeat (palpitations) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Severity
C180058 PT01-Heartburn Frequency PT01-Heartburn Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have heartburn? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Frequency
C180059 PT01-Heartburn Severity PT01-Heartburn Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your heartburn at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Severity
C180063 PT01-Hiccups Frequency PT01-Hiccups Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hiccups? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Frequency
C180064 PT01-Hiccups Severity PT01-Hiccups Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hiccups at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Severity
C180087 PT01-Hives Presence PT01-Hives Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hives (itchy red bumps on the skin)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hives Presence
C180050 PT01-Hoarseness Severity PT01-Hoarseness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hoarse voice at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hoarseness Severity
C180162 PT01-Hot Flashes Frequency PT01-Hot Flashes Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hot flashes/flushes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Frequency
C180163 PT01-Hot Flashes Severity PT01-Hot Flashes Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hot flashes/flushes at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Severity
C180159 PT01-Increased Sweating Frequency PT01-Increased Sweating Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Frequency
C180160 PT01-Increased Sweating Severity PT01-Increased Sweating Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Severity
C180125 PT01-Insomnia Interference PT01-Insomnia Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did insomnia (including difficulty falling asleep, staying asleep, or waking up early) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Interference
C180124 PT01-Insomnia Severity PT01-Insomnia Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your insomnia (including difficulty falling asleep, staying asleep, or waking up early) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Severity
C180137 PT01-Irregular Menstrual Period Presence PT01-Irregular Menstrual Period Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any irregular menstrual periods? PRO-CTCAE V1.0 Version Date 4/26/2020 - Irregular Menstrual Period Presence
C180086 PT01-Itching Severity PT01-Itching Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your itchy skin at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Itching Severity
C180121 PT01-Joint Pain Frequency PT01-Joint Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching joints (such as elbows, knees, shoulders)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Frequency
C180123 PT01-Joint Pain Interference PT01-Joint Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching joints (such as elbows, knees, shoulders) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Interference
C180122 PT01-Joint Pain Severity PT01-Joint Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching joints (such as elbows, knees, shoulders) at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Severity
C180111 PT01-Memory Problems Interference PT01-Memory Problems Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with memory interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Interference
C180110 PT01-Memory Problems Severity PT01-Memory Problems Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with memory at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Severity
C180138 PT01-Missed Menstrual Period Presence PT01-Missed Menstrual Period Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you miss an expected menstrual period? PRO-CTCAE V1.0 Version Date 4/26/2020 - Missed Menstrual Period Presence
C180047 PT01-Mouth/Throat Sores Interference PT01-Mouth/Throat Sores Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did mouth or throat sores interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Interference
C180046 PT01-Mouth/Throat Sores Severity PT01-Mouth/Throat Sores Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your mouth or throat sores at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Severity
C180118 PT01-Muscle Pain Frequency PT01-Muscle Pain Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching muscles? PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Frequency
C180120 PT01-Muscle Pain Interference PT01-Muscle Pain Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching muscles interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Interference
C180119 PT01-Muscle Pain Severity PT01-Muscle Pain Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching muscles at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Severity
C180091 PT01-Nail Discoloration Presence PT01-Nail Discoloration Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any change in the color of your fingernails or toenails? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Discoloration Presence
C180089 PT01-Nail Loss Presence PT01-Nail Loss Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you lose any fingernails or toenails? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Loss Presence
C180090 PT01-Nail Ridging Presence PT01-Nail Ridging Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any ridges or bumps on your fingernails or toenails? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Ridging Presence
C180054 PT01-Nausea Frequency PT01-Nausea Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nausea? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Frequency
C180055 PT01-Nausea Severity PT01-Nausea Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nausea at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Severity
C180164 PT01-Nosebleed Frequency PT01-Nosebleed Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nosebleeds? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Frequency
C180165 PT01-Nosebleed Severity PT01-Nosebleed Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nosebleeds at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Severity
C180098 PT01-Numbness & Tingling Interference PT01-Numbness & Tingling Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did numbness or tingling in your hands or feet interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Interference
C180097 PT01-Numbness & Tingling Severity PT01-Numbness & Tingling Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your numbness or tingling in your hands or feet at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Severity
C180170 PT01-Other Symptom 1 Severity PT01-Other Symptom 1 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 1 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1 Severity
C180169 PT01-Other Symptom 1 PT01-Other Symptom 1 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 1? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1
C180188 PT01-Other Symptom 10 Severity PT01-Other Symptom 10 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 10 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10 Severity
C180187 PT01-Other Symptom 10 PT01-Other Symptom 10 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 10? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10
C180172 PT01-Other Symptom 2 Severity PT01-Other Symptom 2 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 2 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2 Severity
C180171 PT01-Other Symptom 2 PT01-Other Symptom 2 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 2? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2
C180174 PT01-Other Symptom 3 Severity PT01-Other Symptom 3 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 3 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3 Severity
C180173 PT01-Other Symptom 3 PT01-Other Symptom 3 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 3? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3
C180176 PT01-Other Symptom 4 Severity PT01-Other Symptom 4 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 4 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4 Severity
C180175 PT01-Other Symptom 4 PT01-Other Symptom 4 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 4? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4
C180178 PT01-Other Symptom 5 Severity PT01-Other Symptom 5 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 5 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5 Severity
C180177 PT01-Other Symptom 5 PT01-Other Symptom 5 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 5? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5
C180180 PT01-Other Symptom 6 Severity PT01-Other Symptom 6 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 6 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6 Severity
C180179 PT01-Other Symptom 6 PT01-Other Symptom 6 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 6? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6
C180182 PT01-Other Symptom 7 Severity PT01-Other Symptom 7 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 7 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7 Severity
C180181 PT01-Other Symptom 7 PT01-Other Symptom 7 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 7? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7
C180184 PT01-Other Symptom 8 Severity PT01-Other Symptom 8 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 8 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8 Severity
C180183 PT01-Other Symptom 8 PT01-Other Symptom 8 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 8? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8
C180186 PT01-Other Symptom 9 Severity PT01-Other Symptom 9 Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 9 at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9 Severity
C180185 PT01-Other Symptom 9 PT01-Other Symptom 9 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 9? PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9
C180154 PT01-Pain w/Sexual Intercourse Severity PT01-Pain w/Sexual Intercourse Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain during vaginal sex at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain w/Sexual Intercourse Severity
C180166 PT01-Pain&Swelling at Inj Site Presence PT01-Pain&Swelling at Inj Site Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any pain, swelling, or redness at a site of drug injection or IV? PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain&Swelling at Inj Site Presence
C180141 PT01-Painful Urination Severity PT01-Painful Urination Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain or burning with urination at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Painful Urination Severity
C180094 PT01-Radiation Skin Reaction Severity PT01-Radiation Skin Reaction Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your skin burns from radiation at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Radiation Skin Reaction Severity
C180082 PT01-Rash Presence PT01-Rash Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any rash? PRO-CTCAE V1.0 Version Date 4/26/2020 - Rash Presence
C180107 PT01-Ringing in Ears Severity PT01-Ringing in Ears Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of ringing in your ears at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Ringing in Ears Severity
C180134 PT01-Sad Frequency PT01-Sad Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have sad or unhappy feelings? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Frequency
C180136 PT01-Sad Interference PT01-Sad Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sad or unhappy feelings interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Interference
C180135 PT01-Sad Severity PT01-Sad Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your sad or unhappy feelings at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Severity
C180092 PT01-Sensitivity to Sunlight Presence PT01-Sensitivity to Sunlight Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased skin sensitivity to sunlight? PRO-CTCAE V1.0 Version Date 4/26/2020 - Sensitivity to Sunlight Presence
C180073 PT01-Shortness of Breath Interference PT01-Shortness of Breath Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your shortness of breath interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Interference
C180072 PT01-Shortness of Breath Severity PT01-Shortness of Breath Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shortness of breath at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Severity
C180095 PT01-Skin Darkening Presence PT01-Skin Darkening Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual darkening of the skin? PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Darkening Presence
C180083 PT01-Skin Dryness Severity PT01-Skin Dryness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry skin at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Dryness Severity
C180096 PT01-Stretch Marks Presence PT01-Stretch Marks Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any stretch marks? PRO-CTCAE V1.0 Version Date 4/26/2020 - Stretch Marks Presence
C180077 PT01-Swelling Frequency PT01-Swelling Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have arm or leg swelling? PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Frequency
C180079 PT01-Swelling Interference PT01-Swelling Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did arm or leg swelling interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Interference
C180078 PT01-Swelling Severity PT01-Swelling Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your arm or leg swelling at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Severity
C180051 PT01-Taste Changes Severity PT01-Taste Changes Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with tasting food or drink at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Taste Changes Severity
C180153 PT01-Unable to Have Orgasm Presence PT01-Unable to Have Orgasm Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were you unable to have an orgasm or climax? PRO-CTCAE V1.0 Version Date 4/26/2020 - Unable to Have Orgasm Presence
C180144 PT01-Urinary Frequency Frequency PT01-Urinary Frequency Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were there times when you had to urinate frequently? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Frequency
C180145 PT01-Urinary Frequency Interference PT01-Urinary Frequency Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did frequent urination interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Interference
C180147 PT01-Urinary Incontinence Frequency PT01-Urinary Incontinence Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loss of control of urine (leakage)? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Frequency
C180148 PT01-Urinary Incontinence Interference PT01-Urinary Incontinence Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of urine (leakage) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Interference
C180142 PT01-Urinary Urgency Frequency PT01-Urinary Urgency Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel an urge to urinate all of a sudden? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Frequency
C180143 PT01-Urinary Urgency Interference PT01-Urinary Urgency Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sudden urges to urinate interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Interference
C180146 PT01-Urine Color Change Presence PT01-Urine Color Change Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any urine color change? PRO-CTCAE V1.0 Version Date 4/26/2020 - Urine Color Change Presence
C180139 PT01-Vaginal Discharge Amount PT01-Vaginal Discharge Amount Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual vaginal discharge? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Discharge Amount
C180140 PT01-Vaginal Dryness Severity PT01-Vaginal Dryness Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vaginal dryness at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Dryness Severity
C180104 PT01-Visual Floaters Presence PT01-Visual Floaters Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any spots or lines (floaters) that drift in front of your eyes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Visual Floaters Presence
C180049 PT01-Voice Quality Changes Presence PT01-Voice Quality Changes Presence Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any voice changes? PRO-CTCAE V1.0 Version Date 4/26/2020 - Voice Quality Changes Presence
C180056 PT01-Vomiting Frequency PT01-Vomiting Frequency Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have vomiting? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Frequency
C180057 PT01-Vomiting Severity PT01-Vomiting Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vomiting at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Severity
C180106 PT01-Watery Eyes Interference PT01-Watery Eyes Interference Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did watery eyes (tearing) interfere with your usual or daily activities? PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Interference
C180105 PT01-Watery Eyes Severity PT01-Watery Eyes Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your watery eyes (tearing) at their worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Severity
C180076 PT01-Wheezing Severity PT01-Wheezing Severity Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your wheezing (whistling noise in the chest with breathing) at its worst? PRO-CTCAE V1.0 Version Date 4/26/2020 - Wheezing Severity

PTAP1TC (Paced Tapping Functional Test Test Code)

NCI Code: C150772, Codelist extensible: No
C150772 PTAP1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151027 PTAP101 PTAP1-Total Trials Expected Paced Tapping - Total number of trials expected to be administered in the task. Paced Tapping - Total Trials Expected
C151028 PTAP102 PTAP1-Total Trials Administered Paced Tapping - Total number of trials actually administered in the task. Paced Tapping - Total Trials Administered
C151029 PTAP103 PTAP1-Total Trials Completed Paced Tapping - Total number of trials actually completed in the task. Paced Tapping - Total Trials Completed
C151030 PTAP104 PTAP1-Total Interval Tone Admin All Paced Tapping - Total number of intertap intervals across all 4 toned tapping phases of each trial administered. Paced Tapping - Total Interval Tone Admin All
C151031 PTAP105 PTAP1-Total Interval Tone Trim All Paced Tapping - Total number of intertap intervals across the 4 toned tapping phases of each trial, that were trimmed before analysis. Paced Tapping - Total Interval Tone Trim All
C151032 PTAP105A PTAP1-Minimum Interval Tone All Paced Tapping - The minimum intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Minimum Interval Tone All
C151033 PTAP105B PTAP1-Maximum Interval Tone All Paced Tapping - The maximum intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Maximum Interval Tone All
C151034 PTAP105C PTAP1-Mean Interval Tone All Paced Tapping - The mean intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Mean Interval Tone All
C151035 PTAP105D PTAP1-Median Interval Tone All Paced Tapping - The median intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Median Interval Tone All
C151036 PTAP105E PTAP1-Variance Interval Tone All Paced Tapping - The variance of the intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Variance Interval Tone All
C151037 PTAP105F PTAP1-Deviation Interval Tone All Paced Tapping - The standard deviation of the intertap intervals within the tone-paced tapping phase across all trials. Paced Tapping - Deviation Interval Tone All
C151038 PTAP105G PTAP1-Reciprocal Interval Tone All Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-paced tapping phase across all trials. Paced Tapping - Reciprocal Interval Tone All
C151039 PTAP105H PTAP1-Avg Sign Dev Interval Tone All Paced Tapping - The average signed deviation of the intertap intervals within the tone-paced tapping phase across all trials. Paced Tapping - Avg Sign Dev Interval Tone All
C151040 PTAP106 PTAP1-Total Interval Self Admin All Paced Tapping - Total number of interlap intervals across all 4 trials administered (self-paced tapping phases). Paced Tapping - Total Interval Self Admin All
C151041 PTAP107 PTAP1-Total Interval Self Trim All Paced Tapping - Total number of intertap intervals across all 4 trials that were trimmed before analysis (self-paced tapping phases). Paced Tapping - Total Interval Self Trim All
C151042 PTAP107A PTAP1-Minimum Interval Self All Paced Tapping - The minimum intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Minimum Interval Self All
C151043 PTAP107B PTAP1-Maximum Interval Self All Paced Tapping - The maximum intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Maximum Interval Self All
C151044 PTAP107C PTAP1-Mean Interval Self All Paced Tapping - The mean intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Mean Interval Self All
C151045 PTAP107D PTAP1-Median Interval Self All Paced Tapping - The median intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Median Interval Self All
C151046 PTAP107E PTAP1-Variance Interval Self All Paced Tapping - The variance of the intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Variance Interval Self All
C151047 PTAP107F PTAP1-Deviation Interval Self All Paced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase across all trials. Paced Tapping - Deviation Interval Self All
C151048 PTAP107G PTAP1-Reciprocal Interval Self All Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase across all trials. Paced Tapping - Reciprocal Interval Self All
C151049 PTAP107H PTAP1-Avg Sign Dev Interval Self All Paced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase across all trials. Paced Tapping - Avg Sign Dev Interval Self All
C151050 PTAP108 PTAP1-Trials Expected in Trial Paced Tapping - Number of trials expected to be administered in Trial n. Paced Tapping - Trials Expected in Trial
C151051 PTAP109 PTAP1-Trials Administered in Trial Paced Tapping - Number of trials actually administered in Trial n. Paced Tapping - Trials Administered in Trial
C151052 PTAP110 PTAP1-Trials Completed in Trial Paced Tapping - Number of trials actually completed in Trial n. Paced Tapping - Trials Completed in Trial
C151053 PTAP111 PTAP1-Num Intervals Expected Tone Trial Paced Tapping - Total number of intertap intervals expected for the tone-tapping phase of Trial n. Paced Tapping - Num Intervals Expected Tone Trial
C151054 PTAP112 PTAP1-Num Intervals Trim Tone Trial Paced Tapping - Total number of intertap intervals within the tone-tapping phase of Trial n, that were trimmed before analysis. Paced Tapping - Num Intervals Trim Tone Trial
C151055 PTAP112A PTAP1-Minimum Interval Tone Trial Paced Tapping - The minimum intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Minimum Interval Tone Trial
C151056 PTAP112B PTAP1-Maximum Interval Tone Trial Paced Tapping - The maximum intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Maximum Interval Tone Trial
C151057 PTAP112C PTAP1-Mean Interval Tone Trial Paced Tapping - The mean intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Mean Interval Tone Trial
C151058 PTAP112D PTAP1-Median Interval Tone Trial Paced Tapping - The median intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Median Interval Tone Trial
C151059 PTAP112E PTAP1-Variance Interval Tone Trial Paced Tapping - The variance of the intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Variance Interval Tone Trial
C151060 PTAP112F PTAP1-Deviation Interval Tone Trial Paced Tapping - The standard deviation of the intertap intervals within the tone-tapping phase of Trial n. Paced Tapping - Deviation Interval Tone Trial
C151061 PTAP112G PTAP1-Reciprocal Interval ToneTrial Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-tapping phase of Trial n. Paced Tapping - Reciprocal Interval ToneTrial
C151062 PTAP112H PTAP1-Avg Sign Dev Interval Tone Trial Paced Tapping - The average signed deviation of the intertap intervals within the tone-tapping phase of Trial n. Paced Tapping - Avg Sign Dev Interval Tone Trial
C151063 PTAP113 PTAP1-Num Intervals Expected Self Trial Paced Tapping - Total number of intertap intervals expected for the self-paced tapping phase of Trial n. Paced Tapping - Num Intervals Expected Self Trial
C151064 PTAP114 PTAP1-Num Intervals Trim Self Trial Paced Tapping - Total number of intertap intervals within the self-paced tapping phase of Trial n, that were trimmed before analysis. Paced Tapping - Num Intervals Trim Self Trial
C151065 PTAP114A PTAP1-Minimum Interval Self Trial Paced Tapping - The minimum intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Minimum Interval Self Trial
C151066 PTAP114B PTAP1-Maximum Interval Self Trial Paced Tapping - The maximum intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Maximum Interval Self Trial
C151067 PTAP114C PTAP1-Mean Interval Self Trial Paced Tapping - The mean intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Mean Interval Self Trial
C151068 PTAP114D PTAP1-Median Interval Self Trial Paced Tapping - The median intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Median Interval Self Trial
C151069 PTAP114E PTAP1-Variance Interval Self Trial Paced Tapping - The variance of the intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Variance Interval Self Trial
C151070 PTAP114F PTAP1-Deviation Interval Self Trial Paced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase of Trial n. Paced Tapping - Deviation Interval Self Trial
C151071 PTAP114G PTAP1-Reciprocal Interval Self Trial Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase of Trial n. Paced Tapping - Reciprocal Interval Self Trial
C151072 PTAP114H PTAP1-Avg Sign Dev Interval Self Trial Paced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase of Trial n. Paced Tapping - Avg Sign Dev Interval Self Trial

PTAP1TN (Paced Tapping Functional Test Test Name)

NCI Code: C150771, Codelist extensible: No
C150771 PTAP1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151049 PTAP1-Avg Sign Dev Interval Self All PTAP1-Avg Sign Dev Interval Self All Paced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase across all trials. Paced Tapping - Avg Sign Dev Interval Self All
C151072 PTAP1-Avg Sign Dev Interval Self Trial PTAP1-Avg Sign Dev Interval Self Trial Paced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase of Trial n. Paced Tapping - Avg Sign Dev Interval Self Trial
C151039 PTAP1-Avg Sign Dev Interval Tone All PTAP1-Avg Sign Dev Interval Tone All Paced Tapping - The average signed deviation of the intertap intervals within the tone-paced tapping phase across all trials. Paced Tapping - Avg Sign Dev Interval Tone All
C151062 PTAP1-Avg Sign Dev Interval Tone Trial PTAP1-Avg Sign Dev Interval Tone Trial Paced Tapping - The average signed deviation of the intertap intervals within the tone-tapping phase of Trial n. Paced Tapping - Avg Sign Dev Interval Tone Trial
C151047 PTAP1-Deviation Interval Self All PTAP1-Deviation Interval Self All Paced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase across all trials. Paced Tapping - Deviation Interval Self All
C151070 PTAP1-Deviation Interval Self Trial PTAP1-Deviation Interval Self Trial Paced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase of Trial n. Paced Tapping - Deviation Interval Self Trial
C151037 PTAP1-Deviation Interval Tone All PTAP1-Deviation Interval Tone All Paced Tapping - The standard deviation of the intertap intervals within the tone-paced tapping phase across all trials. Paced Tapping - Deviation Interval Tone All
C151060 PTAP1-Deviation Interval Tone Trial PTAP1-Deviation Interval Tone Trial Paced Tapping - The standard deviation of the intertap intervals within the tone-tapping phase of Trial n. Paced Tapping - Deviation Interval Tone Trial
C151043 PTAP1-Maximum Interval Self All PTAP1-Maximum Interval Self All Paced Tapping - The maximum intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Maximum Interval Self All
C151066 PTAP1-Maximum Interval Self Trial PTAP1-Maximum Interval Self Trial Paced Tapping - The maximum intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Maximum Interval Self Trial
C151033 PTAP1-Maximum Interval Tone All PTAP1-Maximum Interval Tone All Paced Tapping - The maximum intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Maximum Interval Tone All
C151056 PTAP1-Maximum Interval Tone Trial PTAP1-Maximum Interval Tone Trial Paced Tapping - The maximum intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Maximum Interval Tone Trial
C151044 PTAP1-Mean Interval Self All PTAP1-Mean Interval Self All Paced Tapping - The mean intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Mean Interval Self All
C151067 PTAP1-Mean Interval Self Trial PTAP1-Mean Interval Self Trial Paced Tapping - The mean intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Mean Interval Self Trial
C151034 PTAP1-Mean Interval Tone All PTAP1-Mean Interval Tone All Paced Tapping - The mean intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Mean Interval Tone All
C151057 PTAP1-Mean Interval Tone Trial PTAP1-Mean Interval Tone Trial Paced Tapping - The mean intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Mean Interval Tone Trial
C151045 PTAP1-Median Interval Self All PTAP1-Median Interval Self All Paced Tapping - The median intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Median Interval Self All
C151068 PTAP1-Median Interval Self Trial PTAP1-Median Interval Self Trial Paced Tapping - The median intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Median Interval Self Trial
C151035 PTAP1-Median Interval Tone All PTAP1-Median Interval Tone All Paced Tapping - The median intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Median Interval Tone All
C151058 PTAP1-Median Interval Tone Trial PTAP1-Median Interval Tone Trial Paced Tapping - The median intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Median Interval Tone Trial
C151042 PTAP1-Minimum Interval Self All PTAP1-Minimum Interval Self All Paced Tapping - The minimum intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Minimum Interval Self All
C151065 PTAP1-Minimum Interval Self Trial PTAP1-Minimum Interval Self Trial Paced Tapping - The minimum intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Minimum Interval Self Trial
C151032 PTAP1-Minimum Interval Tone All PTAP1-Minimum Interval Tone All Paced Tapping - The minimum intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Minimum Interval Tone All
C151055 PTAP1-Minimum Interval Tone Trial PTAP1-Minimum Interval Tone Trial Paced Tapping - The minimum intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Minimum Interval Tone Trial
C151063 PTAP1-Num Intervals Expected Self Trial PTAP1-Num Intervals Expected Self Trial Paced Tapping - Total number of intertap intervals expected for the self-paced tapping phase of Trial n. Paced Tapping - Num Intervals Expected Self Trial
C151053 PTAP1-Num Intervals Expected Tone Trial PTAP1-Num Intervals Expected Tone Trial Paced Tapping - Total number of intertap intervals expected for the tone-tapping phase of Trial n. Paced Tapping - Num Intervals Expected Tone Trial
C151064 PTAP1-Num Intervals Trim Self Trial PTAP1-Num Intervals Trim Self Trial Paced Tapping - Total number of intertap intervals within the self-paced tapping phase of Trial n, that were trimmed before analysis. Paced Tapping - Num Intervals Trim Self Trial
C151054 PTAP1-Num Intervals Trim Tone Trial PTAP1-Num Intervals Trim Tone Trial Paced Tapping - Total number of intertap intervals within the tone-tapping phase of Trial n, that were trimmed before analysis. Paced Tapping - Num Intervals Trim Tone Trial
C151048 PTAP1-Reciprocal Interval Self All PTAP1-Reciprocal Interval Self All Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase across all trials. Paced Tapping - Reciprocal Interval Self All
C151071 PTAP1-Reciprocal Interval Self Trial PTAP1-Reciprocal Interval Self Trial Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase of Trial n. Paced Tapping - Reciprocal Interval Self Trial
C151038 PTAP1-Reciprocal Interval Tone All PTAP1-Reciprocal Interval Tone All Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-paced tapping phase across all trials. Paced Tapping - Reciprocal Interval Tone All
C151061 PTAP1-Reciprocal Interval ToneTrial PTAP1-Reciprocal Interval ToneTrial Paced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-tapping phase of Trial n. Paced Tapping - Reciprocal Interval ToneTrial
C151040 PTAP1-Total Interval Self Admin All PTAP1-Total Interval Self Admin All Paced Tapping - Total number of interlap intervals across all 4 trials administered (self-paced tapping phases). Paced Tapping - Total Interval Self Admin All
C151041 PTAP1-Total Interval Self Trim All PTAP1-Total Interval Self Trim All Paced Tapping - Total number of intertap intervals across all 4 trials that were trimmed before analysis (self-paced tapping phases). Paced Tapping - Total Interval Self Trim All
C151030 PTAP1-Total Interval Tone Admin All PTAP1-Total Interval Tone Admin All Paced Tapping - Total number of intertap intervals across all 4 toned tapping phases of each trial administered. Paced Tapping - Total Interval Tone Admin All
C151031 PTAP1-Total Interval Tone Trim All PTAP1-Total Interval Tone Trim All Paced Tapping - Total number of intertap intervals across the 4 toned tapping phases of each trial, that were trimmed before analysis. Paced Tapping - Total Interval Tone Trim All
C151028 PTAP1-Total Trials Administered PTAP1-Total Trials Administered Paced Tapping - Total number of trials actually administered in the task. Paced Tapping - Total Trials Administered
C151029 PTAP1-Total Trials Completed PTAP1-Total Trials Completed Paced Tapping - Total number of trials actually completed in the task. Paced Tapping - Total Trials Completed
C151027 PTAP1-Total Trials Expected PTAP1-Total Trials Expected Paced Tapping - Total number of trials expected to be administered in the task. Paced Tapping - Total Trials Expected
C151051 PTAP1-Trials Administered in Trial PTAP1-Trials Administered in Trial Paced Tapping - Number of trials actually administered in Trial n. Paced Tapping - Trials Administered in Trial
C151052 PTAP1-Trials Completed in Trial PTAP1-Trials Completed in Trial Paced Tapping - Number of trials actually completed in Trial n. Paced Tapping - Trials Completed in Trial
C151050 PTAP1-Trials Expected in Trial PTAP1-Trials Expected in Trial Paced Tapping - Number of trials expected to be administered in Trial n. Paced Tapping - Trials Expected in Trial
C151046 PTAP1-Variance Interval Self All PTAP1-Variance Interval Self All Paced Tapping - The variance of the intertap interval within the self-paced tapping phase across all trials (in milliseconds). Paced Tapping - Variance Interval Self All
C151069 PTAP1-Variance Interval Self Trial PTAP1-Variance Interval Self Trial Paced Tapping - The variance of the intertap interval within the self-paced tapping phase of Trial n (in milliseconds). Paced Tapping - Variance Interval Self Trial
C151036 PTAP1-Variance Interval Tone All PTAP1-Variance Interval Tone All Paced Tapping - The variance of the intertap interval within the tone-paced tapping phase across all trials (in milliseconds). Paced Tapping - Variance Interval Tone All
C151059 PTAP1-Variance Interval Tone Trial PTAP1-Variance Interval Tone Trial Paced Tapping - The variance of the intertap interval within the tone-tapping phase of Trial n (in milliseconds). Paced Tapping - Variance Interval Tone Trial

PUL01TC (Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Code)

NCI Code: C138217, Codelist extensible: No
C138217 PUL01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138365 PUL0101 PUL01-Preferred Arm Performance of the Upper Limb Module for DMD Version 1.2 - Preferred arm. PUL 1.2 - Preferred Arm
C138366 PUL0102 PUL01-Elbow Contractures Performance of the Upper Limb Module for DMD Version 1.2 - Elbow contractures of the preferred arm. PUL 1.2 - Elbow Contractures
C138393 PUL0103 PUL01-High Level Shoulder Dimension Performance of the Upper Limb Module for DMD Version 1.2 - High level shoulder dimension score. PUL 1.2 - High Level Shoulder Dimension
C138394 PUL0104 PUL01-Mid Level Elbow Dimension Performance of the Upper Limb Module for DMD Version 1.2 - Mid level elbow dimension score. PUL 1.2 - Mid Level Elbow Dimension
C138395 PUL0105 PUL01-Distal Wrist/Hand Dimension Performance of the Upper Limb Module for DMD Version 1.2 - Distal wrist and hand dimension score. PUL 1.2 - Distal Wrist or Hand Dimension
C138396 PUL0106 PUL01-Total Score Performance of the Upper Limb Module for DMD Version 1.2 - Total Score. PUL 1.2 - Total Score
C138367 PUL01A PUL01-Entry Item Performance of the Upper Limb Module for DMD Version 1.2 - Entry item. PUL 1.2 - Entry Item
C138368 PUL01B PUL01-Shoulder Abduction to Shldr Hgt Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction to shoulder height. PUL 1.2 - Shoulder Abduction to Height
C138369 PUL01C PUL01-Shoulder Abduction Above Shldr Hgt Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction above shoulder height. PUL 1.2 - Shoulder Abduction Above Height
C138370 PUL01D PUL01-Shoulder Flexion to Shldr Height Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion to shoulder height. PUL 1.2 - Shoulder Flexion to Height
C138371 PUL01E PUL01-Shoulder Flexion Above Shldr Hgt Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion above shoulder height. PUL 1.2 - Shoulder Flexion Above Height
C138372 PUL01F PUL01-Hand(s) to Mouth Performance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to mouth. PUL 1.2 - Hand(s) to Mouth
C138373 PUL01G PUL01-Hand(s) to Table From Lap Performance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to table from lap. PUL 1.2 - Hand(s) to Table From Lap
C138374 PUL01H PUL01-Move Weight on Table Performance of the Upper Limb Module for DMD Version 1.2 - Move weight on table. PUL 1.2 - Move Weight on Table
C138375 PUL01I PUL01-Lifting Light Cans Performance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans. PUL 1.2 - Lifting Light Cans
C138376 PUL01I1 PUL01-Lifting Light Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans, time. PUL 1.2 - Lifting Light Cans Time
C138377 PUL01J PUL01-Lifting Heavy Cans Performance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans. PUL 1.2 - Lifting Heavy Cans
C138378 PUL01J1 PUL01-Lifting Heavy Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans, time. PUL 1.2 - Lifting Heavy Cans Time
C138379 PUL01K PUL01-Stacking Light Cans Performance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans. PUL 1.2 - Stacking Light Cans
C138380 PUL01K1 PUL01-Stacking Light Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans, time. PUL 1.2 - Stacking Light Cans Time
C138381 PUL01L PUL01-Stacking Heavy Cans Performance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans. PUL 1.2 - Stacking Heavy Cans
C138382 PUL01L1 PUL01-Stacking Heavy Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans, time. PUL 1.2 - Stacking Heavy Cans Time
C138383 PUL01M PUL01-Remove Lid From Container Performance of the Upper Limb Module for DMD Version 1.2 - Remove lid from container. PUL 1.2 - Remove Lid From Container
C138384 PUL01N PUL01-Tearing Paper Performance of the Upper Limb Module for DMD Version 1.2 - Tearing paper. PUL 1.2 - Tearing Paper
C138385 PUL01O PUL01-Tracing Path Performance of the Upper Limb Module for DMD Version 1.2 - Tracing path. PUL 1.2 - Tracing Path
C138386 PUL01P PUL01-Push on The Light Performance of the Upper Limb Module for DMD Version 1.2 - Push on the light. PUL 1.2 - Push on The Light
C138387 PUL01Q PUL01-Supination Performance of the Upper Limb Module for DMD Version 1.2 - Supination. PUL 1.2 - Supination
C138388 PUL01R PUL01-Picking Up Coins Performance of the Upper Limb Module for DMD Version 1.2 - Picking up coins. PUL 1.2 - Picking Up Coins
C138389 PUL01S PUL01-Placing Finger on Number Diagram Performance of the Upper Limb Module for DMD Version 1.2 - Placing finger on number diagram. PUL 1.2 - Placing Finger on Number Diagram
C138390 PUL01T PUL01-Finger Pinch Grip Performance of the Upper Limb Module for DMD Version 1.2 - Finger pinch grip. PUL 1.2 - Finger Pinch Grip
C138391 PUL01U PUL01-3 Point Grip Performance of the Upper Limb Module for DMD Version 1.2 - 3 point grip. PUL 1.2 - 3 Point Grip
C138392 PUL01V PUL01-Thumb (Key) Grip Performance of the Upper Limb Module for DMD Version 1.2 - Thumb (key) grip. PUL 1.2 - Thumb (Key) Grip

PUL01TN (Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Name)

NCI Code: C138216, Codelist extensible: No
C138216 PUL01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138391 PUL01-3 Point Grip PUL01-3 Point Grip Performance of the Upper Limb Module for DMD Version 1.2 - 3 point grip. PUL 1.2 - 3 Point Grip
C138395 PUL01-Distal Wrist/Hand Dimension PUL01-Distal Wrist/Hand Dimension Performance of the Upper Limb Module for DMD Version 1.2 - Distal wrist and hand dimension score. PUL 1.2 - Distal Wrist or Hand Dimension
C138366 PUL01-Elbow Contractures PUL01-Elbow Contractures Performance of the Upper Limb Module for DMD Version 1.2 - Elbow contractures of the preferred arm. PUL 1.2 - Elbow Contractures
C138367 PUL01-Entry Item PUL01-Entry Item Performance of the Upper Limb Module for DMD Version 1.2 - Entry item. PUL 1.2 - Entry Item
C138390 PUL01-Finger Pinch Grip PUL01-Finger Pinch Grip Performance of the Upper Limb Module for DMD Version 1.2 - Finger pinch grip. PUL 1.2 - Finger Pinch Grip
C138372 PUL01-Hand(s) to Mouth PUL01-Hand(s) to Mouth Performance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to mouth. PUL 1.2 - Hand(s) to Mouth
C138373 PUL01-Hand(s) to Table From Lap PUL01-Hand(s) to Table From Lap Performance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to table from lap. PUL 1.2 - Hand(s) to Table From Lap
C138393 PUL01-High Level Shoulder Dimension PUL01-High Level Shoulder Dimension Performance of the Upper Limb Module for DMD Version 1.2 - High level shoulder dimension score. PUL 1.2 - High Level Shoulder Dimension
C138378 PUL01-Lifting Heavy Cans Time PUL01-Lifting Heavy Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans, time. PUL 1.2 - Lifting Heavy Cans Time
C138377 PUL01-Lifting Heavy Cans PUL01-Lifting Heavy Cans Performance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans. PUL 1.2 - Lifting Heavy Cans
C138376 PUL01-Lifting Light Cans Time PUL01-Lifting Light Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans, time. PUL 1.2 - Lifting Light Cans Time
C138375 PUL01-Lifting Light Cans PUL01-Lifting Light Cans Performance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans. PUL 1.2 - Lifting Light Cans
C138394 PUL01-Mid Level Elbow Dimension PUL01-Mid Level Elbow Dimension Performance of the Upper Limb Module for DMD Version 1.2 - Mid level elbow dimension score. PUL 1.2 - Mid Level Elbow Dimension
C138374 PUL01-Move Weight on Table PUL01-Move Weight on Table Performance of the Upper Limb Module for DMD Version 1.2 - Move weight on table. PUL 1.2 - Move Weight on Table
C138388 PUL01-Picking Up Coins PUL01-Picking Up Coins Performance of the Upper Limb Module for DMD Version 1.2 - Picking up coins. PUL 1.2 - Picking Up Coins
C138389 PUL01-Placing Finger on Number Diagram PUL01-Placing Finger on Number Diagram Performance of the Upper Limb Module for DMD Version 1.2 - Placing finger on number diagram. PUL 1.2 - Placing Finger on Number Diagram
C138365 PUL01-Preferred Arm PUL01-Preferred Arm Performance of the Upper Limb Module for DMD Version 1.2 - Preferred arm. PUL 1.2 - Preferred Arm
C138386 PUL01-Push on The Light PUL01-Push on The Light Performance of the Upper Limb Module for DMD Version 1.2 - Push on the light. PUL 1.2 - Push on The Light
C138383 PUL01-Remove Lid From Container PUL01-Remove Lid From Container Performance of the Upper Limb Module for DMD Version 1.2 - Remove lid from container. PUL 1.2 - Remove Lid From Container
C138369 PUL01-Shoulder Abduction Above Shldr Hgt PUL01-Shoulder Abduction Above Shldr Hgt Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction above shoulder height. PUL 1.2 - Shoulder Abduction Above Height
C138368 PUL01-Shoulder Abduction to Shldr Hgt PUL01-Shoulder Abduction to Shldr Hgt Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction to shoulder height. PUL 1.2 - Shoulder Abduction to Height
C138371 PUL01-Shoulder Flexion Above Shldr Hgt PUL01-Shoulder Flexion Above Shldr Hgt Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion above shoulder height. PUL 1.2 - Shoulder Flexion Above Height
C138370 PUL01-Shoulder Flexion to Shldr Height PUL01-Shoulder Flexion to Shldr Height Performance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion to shoulder height. PUL 1.2 - Shoulder Flexion to Height
C138382 PUL01-Stacking Heavy Cans Time PUL01-Stacking Heavy Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans, time. PUL 1.2 - Stacking Heavy Cans Time
C138381 PUL01-Stacking Heavy Cans PUL01-Stacking Heavy Cans Performance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans. PUL 1.2 - Stacking Heavy Cans
C138380 PUL01-Stacking Light Cans Time PUL01-Stacking Light Cans Time Performance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans, time. PUL 1.2 - Stacking Light Cans Time
C138379 PUL01-Stacking Light Cans PUL01-Stacking Light Cans Performance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans. PUL 1.2 - Stacking Light Cans
C138387 PUL01-Supination PUL01-Supination Performance of the Upper Limb Module for DMD Version 1.2 - Supination. PUL 1.2 - Supination
C138384 PUL01-Tearing Paper PUL01-Tearing Paper Performance of the Upper Limb Module for DMD Version 1.2 - Tearing paper. PUL 1.2 - Tearing Paper
C138392 PUL01-Thumb (Key) Grip PUL01-Thumb (Key) Grip Performance of the Upper Limb Module for DMD Version 1.2 - Thumb (key) grip. PUL 1.2 - Thumb (Key) Grip
C138396 PUL01-Total Score PUL01-Total Score Performance of the Upper Limb Module for DMD Version 1.2 - Total Score. PUL 1.2 - Total Score
C138385 PUL01-Tracing Path PUL01-Tracing Path Performance of the Upper Limb Module for DMD Version 1.2 - Tracing path. PUL 1.2 - Tracing Path

PUL02TC (Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Code)

NCI Code: C138219, Codelist extensible: No
C138219 PUL02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138398 PUL0201 PUL02-Shoulder Abduction Arms Above Head Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder abduction both arms above head. PUL 2.0 - Shoulder Abduction Arms Above Head
C138399 PUL0202 PUL02-Raise Both Arms to Shoulder Height Performance of the Upper Limb Module for DMD Version 2.0 - Raise both arms to shoulder height (elbows at shoulder height). PUL 2.0 - Raise Both Arms to Shoulder Height
C138400 PUL0203 PUL02-Flexion Shoulder Height No Weights Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height (no weights). PUL 2.0 - Flexion Shoulder Height No Weights
C138401 PUL0204 PUL02-Flexion to Shoulder Height 500g Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height with 500g weight. PUL 2.0 - Flexion to Shoulder Height 500g
C138402 PUL0205 PUL02-Flexion Above Shoulder Height 500g Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder height with 500g weight. PUL 2.0 - Flexion Above Shoulder Height 500g
C138403 PUL0206 PUL02-Flexion Above Shoulder Height 1kg Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder with 1 kg weight. PUL 2.0 - Flexion Above Shoulder Height 1kg
C138404 PUL0207 PUL02-Hand(s) to Mouth Performance of the Upper Limb Module for DMD Version 2.0 - Hand(s) to mouth. PUL 2.0 - Hand(s) to Mouth
C138405 PUL0208 PUL02-Hands to Table From Lap Performance of the Upper Limb Module for DMD Version 2.0 - Hands to table from lap. PUL 2.0 - Hands to Table From Lap
C138406 PUL0209 PUL02-Move Weight on Table 100g Performance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 100g. PUL 2.0 - Move Weight On Table 100g
C138407 PUL0210 PUL02-Move Weight on Table 500g Performance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 500g. PUL 2.0 - Move Weight On Table 500g
C138408 PUL0211 PUL02-Move Weight on Table 1kg Performance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 1kg. PUL 2.0 - Move Weight On Table 1kg
C138409 PUL0212 PUL02-Lift Heavy Can Diagonally Performance of the Upper Limb Module for DMD Version 2.0 - Lift heavy can diagonally. PUL 2.0 - Lift Heavy Can Diagonally
C138410 PUL0213 PUL02-Stack of Three Cans Performance of the Upper Limb Module for DMD Version 2.0 - Stack of three cans. PUL 2.0 - Stack of Three Cans
C138411 PUL0214 PUL02-Stack of Five Cans Performance of the Upper Limb Module for DMD Version 2.0 - Stack of five cans. PUL 2.0 - Stack of Five Cans
C138412 PUL0215 PUL02-Remove Lid From Container Performance of the Upper Limb Module for DMD Version 2.0 - Remove lid from container. PUL 2.0 - Remove Lid From Container
C138413 PUL0216 PUL02-Tearing Paper Performance of the Upper Limb Module for DMD Version 2.0 - Tearing paper. PUL 2.0 - Tearing Paper
C138414 PUL0217 PUL02-Tracing Path Performance of the Upper Limb Module for DMD Version 2.0 - Tracing path. PUL 2.0 - Tracing Path
C138415 PUL0218 PUL02-Push on Light Performance of the Upper Limb Module for DMD Version 2.0 - Push on light. PUL 2.0 - Push on Light
C138416 PUL0219 PUL02-Supination Performance of the Upper Limb Module for DMD Version 2.0 - Supination. PUL 2.0 - Supination
C138417 PUL0220 PUL02-Picking Up Coins Performance of the Upper Limb Module for DMD Version 2.0 - Picking up coins. PUL 2.0 - Picking Up Coins
C138418 PUL0221 PUL02-Placing Finger on Number Diagram Performance of the Upper Limb Module for DMD Version 2.0 - Placing finger on number diagram. PUL 2.0 - Placing Finger on Number Diagram
C138419 PUL0222 PUL02-Pick Up 10g Weight Finger Pinch Performance of the Upper Limb Module for DMD Version 2.0 - Pick up 10g weight finger pinch. PUL 2.0 - Pick Up 10g Weight Finger Pinch
C138420 PUL0223 PUL02-Preferred Arm Performance of the Upper Limb Module for DMD Version 2.0 - Preferred arm. PUL 2.0 - Preferred Arm
C138421 PUL0224 PUL02-Right Elbow Extension ROM Performance of the Upper Limb Module for DMD Version 2.0 - Right elbow extension ROM. PUL 2.0 - Right Elbow Extension ROM
C138422 PUL0225 PUL02-Left Elbow Extension ROM Performance of the Upper Limb Module for DMD Version 2.0 - Left elbow extension ROM. PUL 2.0 - Left Elbow Extension ROM
C138423 PUL0226 PUL02-Right Available Supination ROM Performance of the Upper Limb Module for DMD Version 2.0 - Right available supination ROM. PUL 2.0 - Right Available Supination ROM
C138424 PUL0227 PUL02-Left Available Supination ROM Performance of the Upper Limb Module for DMD Version 2.0 - Left available supination ROM. PUL 2.0 - Left Available Supination ROM
C138425 PUL0228 PUL02-High Level Shoulder Dimension Performance of the Upper Limb Module for DMD Version 2.0 - High level shoulder dimension score. PUL 2.0 - High Level Shoulder Dimension
C138426 PUL0229 PUL02-Mid Level Elbow Dimension Performance of the Upper Limb Module for DMD Version 2.0 - Mid level elbow dimension score. PUL 2.0 - Mid Level Elbow Dimension
C138427 PUL0230 PUL02-Distal Wrist/Hand Dimension Performance of the Upper Limb Module for DMD Version 2.0 - Distal wrist and hand dimension score. PUL 2.0 - Distal Wrist or Hand Dimension
C138428 PUL0231 PUL02-Total Score Performance of the Upper Limb Module for DMD Version 2.0 - Total score. PUL 2.0 - Total Score
C138397 PUL02A PUL02-Entry Item Performance of the Upper Limb Module for DMD Version 2.0 - Entry item. PUL 2.0 - Entry Item

PUL02TN (Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Name)

NCI Code: C138218, Codelist extensible: No
C138218 PUL02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C138427 PUL02-Distal Wrist/Hand Dimension PUL02-Distal Wrist/Hand Dimension Performance of the Upper Limb Module for DMD Version 2.0 - Distal wrist and hand dimension score. PUL 2.0 - Distal Wrist or Hand Dimension
C138397 PUL02-Entry Item PUL02-Entry Item Performance of the Upper Limb Module for DMD Version 2.0 - Entry item. PUL 2.0 - Entry Item
C138403 PUL02-Flexion Above Shoulder Height 1kg PUL02-Flexion Above Shoulder Height 1kg Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder with 1 kg weight. PUL 2.0 - Flexion Above Shoulder Height 1kg
C138402 PUL02-Flexion Above Shoulder Height 500g PUL02-Flexion Above Shoulder Height 500g Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder height with 500g weight. PUL 2.0 - Flexion Above Shoulder Height 500g
C138400 PUL02-Flexion Shoulder Height No Weights PUL02-Flexion Shoulder Height No Weights Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height (no weights). PUL 2.0 - Flexion Shoulder Height No Weights
C138401 PUL02-Flexion to Shoulder Height 500g PUL02-Flexion to Shoulder Height 500g Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height with 500g weight. PUL 2.0 - Flexion to Shoulder Height 500g
C138404 PUL02-Hand(s) to Mouth PUL02-Hand(s) to Mouth Performance of the Upper Limb Module for DMD Version 2.0 - Hand(s) to mouth. PUL 2.0 - Hand(s) to Mouth
C138405 PUL02-Hands to Table From Lap PUL02-Hands to Table From Lap Performance of the Upper Limb Module for DMD Version 2.0 - Hands to table from lap. PUL 2.0 - Hands to Table From Lap
C138425 PUL02-High Level Shoulder Dimension PUL02-High Level Shoulder Dimension Performance of the Upper Limb Module for DMD Version 2.0 - High level shoulder dimension score. PUL 2.0 - High Level Shoulder Dimension
C138424 PUL02-Left Available Supination ROM PUL02-Left Available Supination ROM Performance of the Upper Limb Module for DMD Version 2.0 - Left available supination ROM. PUL 2.0 - Left Available Supination ROM
C138422 PUL02-Left Elbow Extension ROM PUL02-Left Elbow Extension ROM Performance of the Upper Limb Module for DMD Version 2.0 - Left elbow extension ROM. PUL 2.0 - Left Elbow Extension ROM
C138409 PUL02-Lift Heavy Can Diagonally PUL02-Lift Heavy Can Diagonally Performance of the Upper Limb Module for DMD Version 2.0 - Lift heavy can diagonally. PUL 2.0 - Lift Heavy Can Diagonally
C138426 PUL02-Mid Level Elbow Dimension PUL02-Mid Level Elbow Dimension Performance of the Upper Limb Module for DMD Version 2.0 - Mid level elbow dimension score. PUL 2.0 - Mid Level Elbow Dimension
C138406 PUL02-Move Weight on Table 100g PUL02-Move Weight on Table 100g Performance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 100g. PUL 2.0 - Move Weight On Table 100g
C138408 PUL02-Move Weight on Table 1kg PUL02-Move Weight on Table 1kg Performance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 1kg. PUL 2.0 - Move Weight On Table 1kg
C138407 PUL02-Move Weight on Table 500g PUL02-Move Weight on Table 500g Performance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 500g. PUL 2.0 - Move Weight On Table 500g
C138419 PUL02-Pick Up 10g Weight Finger Pinch PUL02-Pick Up 10g Weight Finger Pinch Performance of the Upper Limb Module for DMD Version 2.0 - Pick up 10g weight finger pinch. PUL 2.0 - Pick Up 10g Weight Finger Pinch
C138417 PUL02-Picking Up Coins PUL02-Picking Up Coins Performance of the Upper Limb Module for DMD Version 2.0 - Picking up coins. PUL 2.0 - Picking Up Coins
C138418 PUL02-Placing Finger on Number Diagram PUL02-Placing Finger on Number Diagram Performance of the Upper Limb Module for DMD Version 2.0 - Placing finger on number diagram. PUL 2.0 - Placing Finger on Number Diagram
C138420 PUL02-Preferred Arm PUL02-Preferred Arm Performance of the Upper Limb Module for DMD Version 2.0 - Preferred arm. PUL 2.0 - Preferred Arm
C138415 PUL02-Push on Light PUL02-Push on Light Performance of the Upper Limb Module for DMD Version 2.0 - Push on light. PUL 2.0 - Push on Light
C138399 PUL02-Raise Both Arms to Shoulder Height PUL02-Raise Both Arms to Shoulder Height Performance of the Upper Limb Module for DMD Version 2.0 - Raise both arms to shoulder height (elbows at shoulder height). PUL 2.0 - Raise Both Arms to Shoulder Height
C138412 PUL02-Remove Lid From Container PUL02-Remove Lid From Container Performance of the Upper Limb Module for DMD Version 2.0 - Remove lid from container. PUL 2.0 - Remove Lid From Container
C138423 PUL02-Right Available Supination ROM PUL02-Right Available Supination ROM Performance of the Upper Limb Module for DMD Version 2.0 - Right available supination ROM. PUL 2.0 - Right Available Supination ROM
C138421 PUL02-Right Elbow Extension ROM PUL02-Right Elbow Extension ROM Performance of the Upper Limb Module for DMD Version 2.0 - Right elbow extension ROM. PUL 2.0 - Right Elbow Extension ROM
C138398 PUL02-Shoulder Abduction Arms Above Head PUL02-Shoulder Abduction Arms Above Head Performance of the Upper Limb Module for DMD Version 2.0 - Shoulder abduction both arms above head. PUL 2.0 - Shoulder Abduction Arms Above Head
C138411 PUL02-Stack of Five Cans PUL02-Stack of Five Cans Performance of the Upper Limb Module for DMD Version 2.0 - Stack of five cans. PUL 2.0 - Stack of Five Cans
C138410 PUL02-Stack of Three Cans PUL02-Stack of Three Cans Performance of the Upper Limb Module for DMD Version 2.0 - Stack of three cans. PUL 2.0 - Stack of Three Cans
C138416 PUL02-Supination PUL02-Supination Performance of the Upper Limb Module for DMD Version 2.0 - Supination. PUL 2.0 - Supination
C138413 PUL02-Tearing Paper PUL02-Tearing Paper Performance of the Upper Limb Module for DMD Version 2.0 - Tearing paper. PUL 2.0 - Tearing Paper
C138428 PUL02-Total Score PUL02-Total Score Performance of the Upper Limb Module for DMD Version 2.0 - Total score. PUL 2.0 - Total Score
C138414 PUL02-Tracing Path PUL02-Tracing Path Performance of the Upper Limb Module for DMD Version 2.0 - Tracing path. PUL 2.0 - Tracing Path

QIDSC1TC (Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code)

NCI Code: C130249, Codelist extensible: No
C130249 QIDSC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130394 QIDSC101 QIDSC1-Sleep Onset Insomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia. QIDS-C - Sleep Onset Insomnia
C130395 QIDSC102 QIDSC1-Mid-Nocturnal Insomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia. QIDS-C - Mid-Nocturnal Insomnia
C130396 QIDSC103 QIDSC1-Early Morning Insomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia. QIDS-C - Early Morning Insomnia
C130397 QIDSC104 QIDSC1-Hypersomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia. QIDS-C - Hypersomnia
C130398 QIDSC105 QIDSC1-Mood (Sad) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad). QIDS-C - Mood (Sad)
C130399 QIDSC106 QIDSC1-Appetite (Decreased) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased). QIDS-C - Appetite (Decreased)
C130400 QIDSC107 QIDSC1-Appetite (Increased) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased). QIDS-C - Appetite (Increased)
C130401 QIDSC108 QIDSC1-Weight (Decrease) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks. QIDS-C - Weight (Decrease)
C130402 QIDSC109 QIDSC1-Weight (Increase) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks. QIDS-C - Weight (Increase)
C130403 QIDSC110 QIDSC1-Concentration/Decision Making Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making. QIDS-C - Concentration or Decision Making
C130404 QIDSC111 QIDSC1-Outlook (Self) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self). QIDS-C - Outlook (Self)
C130405 QIDSC112 QIDSC1-Suicidal Ideation Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation. QIDS-C - Suicidal Ideation
C130406 QIDSC113 QIDSC1-Involvement Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement. QIDS-C - Involvement
C130407 QIDSC114 QIDSC1-Energy/Fatiguability Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability. QIDS-C - Energy or Fatiguability
C130408 QIDSC115 QIDSC1-Psychomotor Slowing Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing. QIDS-C - Psychomotor Slowing
C130409 QIDSC116 QIDSC1-Psychomotor Agitation Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation. QIDS-C - Psychomotor Agitation
C130410 QIDSC117 QIDSC1-Highest Score Sleep Items Quick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 sleep items. QIDS-C - Highest Score Sleep Items
C130411 QIDSC118 QIDSC1-High Score Appetite/Weight Items Quick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 appetite/weight change items. QIDS-C - High Score Appetite or Weight Items
C130412 QIDSC119 QIDSC1-Highest Score Psychomotor Items Quick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on either of the 2 psychomotor items. QIDS-C - Highest Score Psychomotor Items
C130413 QIDSC120 QIDSC1-Total Score Quick Inventory of Depressive Symptomatology - Clinician-Rated - Total score. QIDS-C - Total Score

QIDSC1TN (Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name)

NCI Code: C130248, Codelist extensible: No
C130248 QIDSC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130399 QIDSC1-Appetite (Decreased) QIDSC1-Appetite (Decreased) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased). QIDS-C - Appetite (Decreased)
C130400 QIDSC1-Appetite (Increased) QIDSC1-Appetite (Increased) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased). QIDS-C - Appetite (Increased)
C130403 QIDSC1-Concentration/Decision Making QIDSC1-Concentration/Decision Making Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making. QIDS-C - Concentration or Decision Making
C130396 QIDSC1-Early Morning Insomnia QIDSC1-Early Morning Insomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia. QIDS-C - Early Morning Insomnia
C130407 QIDSC1-Energy/Fatiguability QIDSC1-Energy/Fatiguability Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability. QIDS-C - Energy or Fatiguability
C130411 QIDSC1-High Score Appetite/Weight Items QIDSC1-High Score Appetite/Weight Items Quick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 appetite/weight change items. QIDS-C - High Score Appetite or Weight Items
C130412 QIDSC1-Highest Score Psychomotor Items QIDSC1-Highest Score Psychomotor Items Quick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on either of the 2 psychomotor items. QIDS-C - Highest Score Psychomotor Items
C130410 QIDSC1-Highest Score Sleep Items QIDSC1-Highest Score Sleep Items Quick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 sleep items. QIDS-C - Highest Score Sleep Items
C130397 QIDSC1-Hypersomnia QIDSC1-Hypersomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia. QIDS-C - Hypersomnia
C130406 QIDSC1-Involvement QIDSC1-Involvement Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement. QIDS-C - Involvement
C130395 QIDSC1-Mid-Nocturnal Insomnia QIDSC1-Mid-Nocturnal Insomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia. QIDS-C - Mid-Nocturnal Insomnia
C130398 QIDSC1-Mood (Sad) QIDSC1-Mood (Sad) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad). QIDS-C - Mood (Sad)
C130404 QIDSC1-Outlook (Self) QIDSC1-Outlook (Self) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self). QIDS-C - Outlook (Self)
C130409 QIDSC1-Psychomotor Agitation QIDSC1-Psychomotor Agitation Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation. QIDS-C - Psychomotor Agitation
C130408 QIDSC1-Psychomotor Slowing QIDSC1-Psychomotor Slowing Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing. QIDS-C - Psychomotor Slowing
C130394 QIDSC1-Sleep Onset Insomnia QIDSC1-Sleep Onset Insomnia Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia. QIDS-C - Sleep Onset Insomnia
C130405 QIDSC1-Suicidal Ideation QIDSC1-Suicidal Ideation Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation. QIDS-C - Suicidal Ideation
C130413 QIDSC1-Total Score QIDSC1-Total Score Quick Inventory of Depressive Symptomatology - Clinician-Rated - Total score. QIDS-C - Total Score
C130401 QIDSC1-Weight (Decrease) QIDSC1-Weight (Decrease) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks. QIDS-C - Weight (Decrease)
C130402 QIDSC1-Weight (Increase) QIDSC1-Weight (Increase) Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks. QIDS-C - Weight (Increase)

QIDSR1TC (Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code)

NCI Code: C130263, Codelist extensible: No
C130263 QIDSR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130584 QIDSR101 QIDSR1-Falling Asleep Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep. QIDS-SR - Falling Asleep
C130585 QIDSR102 QIDSR1-Sleep During the Night Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night. QIDS-SR - Sleep During the Night
C130586 QIDSR103 QIDSR1-Waking Up Too Early Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early. QIDS-SR - Waking Up Too Early
C130587 QIDSR104 QIDSR1-Sleeping Too Much Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much. QIDS-SR - Sleeping Too Much
C130588 QIDSR105 QIDSR1-Feeling Sad Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad. QIDS-SR - Feeling Sad
C130589 QIDSR106 QIDSR1-Decreased Appetite Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite. QIDS-SR - Decreased Appetite
C130590 QIDSR107 QIDSR1-Increased Appetite Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite. QIDS-SR - Increased Appetite
C130591 QIDSR108 QIDSR1-Decreased Weight Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Decreased weight. QIDS-SR - Decreased Weight
C130592 QIDSR109 QIDSR1-Increased Weight Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Increased weight. QIDS-SR - Increased Weight
C130593 QIDSR110 QIDSR1-Concentration/Decision Making Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making. QIDS-SR - Concentration or Decision Making
C130594 QIDSR111 QIDSR1-View of Myself Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself. QIDS-SR - View of Myself
C130595 QIDSR112 QIDSR1-Thoughts of Death or Suicide Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide. QIDS-SR - Thoughts of Death or Suicide
C130596 QIDSR113 QIDSR1-General Interest Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest. QIDS-SR - General Interest
C130597 QIDSR114 QIDSR1-Energy Level Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level. QIDS-SR - Energy Level
C130598 QIDSR115 QIDSR1-Feeling Slowed Down Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down. QIDS-SR - Feeling Slowed Down
C130599 QIDSR116 QIDSR1-Feeling Restless Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless. QIDS-SR - Feeling Restless
C130600 QIDSR117 QIDSR1-Highest Score Sleep Items Quick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 sleep items. QIDS-SR - Highest Score Sleep Items
C130601 QIDSR118 QIDSR1-High Score Appetite/Weight Items Quick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 appetite/weight change items. QIDS-SR - High Score Appetite or Weight Items
C130602 QIDSR119 QIDSR1-Highest Score Psychomotor Items Quick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on either of the 2 psychomotor items. QIDS-SR - Highest Score Psychomotor Items
C130603 QIDSR120 QIDSR1-Total Score Quick Inventory of Depressive Symptomatology - Self-Report - Total score. QIDS-SR - Total Score

QIDSR1TN (Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name)

NCI Code: C130262, Codelist extensible: No
C130262 QIDSR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130593 QIDSR1-Concentration/Decision Making QIDSR1-Concentration/Decision Making Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making. QIDS-SR - Concentration or Decision Making
C130589 QIDSR1-Decreased Appetite QIDSR1-Decreased Appetite Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite. QIDS-SR - Decreased Appetite
C130591 QIDSR1-Decreased Weight QIDSR1-Decreased Weight Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Decreased weight. QIDS-SR - Decreased Weight
C130597 QIDSR1-Energy Level QIDSR1-Energy Level Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level. QIDS-SR - Energy Level
C130584 QIDSR1-Falling Asleep QIDSR1-Falling Asleep Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep. QIDS-SR - Falling Asleep
C130599 QIDSR1-Feeling Restless QIDSR1-Feeling Restless Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless. QIDS-SR - Feeling Restless
C130588 QIDSR1-Feeling Sad QIDSR1-Feeling Sad Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad. QIDS-SR - Feeling Sad
C130598 QIDSR1-Feeling Slowed Down QIDSR1-Feeling Slowed Down Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down. QIDS-SR - Feeling Slowed Down
C130596 QIDSR1-General Interest QIDSR1-General Interest Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest. QIDS-SR - General Interest
C130601 QIDSR1-High Score Appetite/Weight Items QIDSR1-High Score Appetite/Weight Items Quick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 appetite/weight change items. QIDS-SR - High Score Appetite or Weight Items
C130602 QIDSR1-Highest Score Psychomotor Items QIDSR1-Highest Score Psychomotor Items Quick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on either of the 2 psychomotor items. QIDS-SR - Highest Score Psychomotor Items
C130600 QIDSR1-Highest Score Sleep Items QIDSR1-Highest Score Sleep Items Quick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 sleep items. QIDS-SR - Highest Score Sleep Items
C130590 QIDSR1-Increased Appetite QIDSR1-Increased Appetite Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite. QIDS-SR - Increased Appetite
C130592 QIDSR1-Increased Weight QIDSR1-Increased Weight Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Increased weight. QIDS-SR - Increased Weight
C130585 QIDSR1-Sleep During the Night QIDSR1-Sleep During the Night Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night. QIDS-SR - Sleep During the Night
C130587 QIDSR1-Sleeping Too Much QIDSR1-Sleeping Too Much Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much. QIDS-SR - Sleeping Too Much
C130595 QIDSR1-Thoughts of Death or Suicide QIDSR1-Thoughts of Death or Suicide Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide. QIDS-SR - Thoughts of Death or Suicide
C130603 QIDSR1-Total Score QIDSR1-Total Score Quick Inventory of Depressive Symptomatology - Self-Report - Total score. QIDS-SR - Total Score
C130594 QIDSR1-View of Myself QIDSR1-View of Myself Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself. QIDS-SR - View of Myself
C130586 QIDSR1-Waking Up Too Early QIDSR1-Waking Up Too Early Quick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early. QIDS-SR - Waking Up Too Early

QLES1TC (Quality Of Life Enjoyment And Satisfaction Questionnaire Test Code)

NCI Code: C130265, Codelist extensible: No
C130265 QLES1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130604 QLES101 QLES1-Free of Aches, Pains, Discomfort Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been completely free of aches, pains, or discomfort? Q-LES-Q - Free of Aches, Pains, Discomfort
C130605 QLES102 QLES1-Felt Rested Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt rested? Q-LES-Q - Felt Rested
C130606 QLES103 QLES1-Felt Energetic Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt energetic? Q-LES-Q - Felt Energetic
C130607 QLES104 QLES1-Felt in Excellent Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in excellent physical health? Q-LES-Q - Felt in Excellent Physical Health
C130608 QLES105 QLES1-At Least Very Good Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in at least very good physical health? Q-LES-Q - At Least Very Good Physical Health
C130609 QLES106 QLES1-Free of Worry of Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of worry about your physical health? Q-LES-Q - Free of Worry of Physical Health
C130610 QLES107 QLES1-Felt You Got Enough Sleep Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt you got enough sleep? Q-LES-Q - Felt You Got Enough Sleep
C130611 QLES108 QLES1-Be as Physically Active as Needed Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt able to be as physically active as needed? Q-LES-Q - Be as Physically Active as Needed
C130612 QLES109 QLES1-Felt Well Coordinated Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt well coordinated? Q-LES-Q - Felt Well Coordinated
C130613 QLES110 QLES1-Felt Memory Was Functioning Well Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt your memory was functioning well? Q-LES-Q - Felt Memory Was Functioning Well
C130614 QLES111 QLES1-Felt Good Physically Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt good physically? Q-LES-Q - Felt Good Physically
C130615 QLES112 QLES1-Felt Full of Pep and Vitality Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt full of pep and vitality? Q-LES-Q - Felt Full of Pep and Vitality
C130616 QLES113 QLES1-Free of Visual Problems Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of visual problems? Q-LES-Q - Free of Visual Problems
C130617 QLES114 QLES1-Felt Clearheaded Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt clearheaded? Q-LES-Q - Felt Clearheaded
C130618 QLES115 QLES1-Felt Satisfied With Your Life Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt satisfied with your life? Q-LES-Q - Felt Satisfied With Your Life
C130619 QLES116 QLES1-Felt Good About Your Appearance Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your appearance? Q-LES-Q - Felt Good About Your Appearance
C130620 QLES117 QLES1-Felt Happy or Cheerful Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt happy or cheerful? Q-LES-Q - Felt Happy or Cheerful
C130621 QLES118 QLES1-Felt Independent Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt independent? Q-LES-Q - Felt Independent
C130622 QLES119 QLES1-Felt Content Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt content? Q-LES-Q - Felt Content
C130623 QLES120 QLES1-Able to Communicate With Others Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to communicate with others? Q-LES-Q - Able to Communicate With Others
C130624 QLES121 QLES1-Taking Care of Your Appearance Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt interested in taking care of your appearance (hair, clothing) and personal hygiene (bathing, dressing)? Q-LES-Q - Taking Care of Your Appearance
C130625 QLES122 QLES1-Felt Able to Make Decisions Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to make decisions? Q-LES-Q - Felt Able to Make Decisions
C130626 QLES123 QLES1-Felt Relaxed Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt relaxed? Q-LES-Q - Felt Relaxed
C130627 QLES124 QLES1-Felt Good About Your Life Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your life? Q-LES-Q - Felt Good About Your Life
C130628 QLES125 QLES1-Able to Travel About When Needed Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to travel about to get things done when needed (walk, use car, bus, train, or whatever is available as needed)? Q-LES-Q - Able to Travel About to Get Things Done When Needed
C130629 QLES126 QLES1-Able to Deal With Life's Problems Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to deal with life's problems? Q-LES-Q - Able to Deal With Life's Problems
C130630 QLES127 QLES1-Able to Take Care of Yourself Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to take care of yourself? Q-LES-Q - Able to Take Care of Yourself
C130631 QLES128A QLES1-Have a Job Quality Of Life Enjoyment And Satisfaction Questionnaire - Do you have a job? Q-LES-Q - Have a Job
C130632 QLES128B QLES1-Work for Yourself Quality Of Life Enjoyment And Satisfaction Questionnaire - Do you work for yourself? Q-LES-Q - Work for Yourself
C130633 QLES128C QLES1-Do Volunteer Work Quality Of Life Enjoyment And Satisfaction Questionnaire - Do you do volunteer work? Q-LES-Q - Do Volunteer Work
C130634 QLES128D QLES1-Reason for Not Working Quality Of Life Enjoyment And Satisfaction Questionnaire - Reason not having a job, working for yourself, and not doing volunteer work? Q-LES-Q - Reason for Not Working
C130635 QLES129 QLES1-Enjoyed Your Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Enjoyed your work? Q-LES-Q - Enjoyed Your Work
C130636 QLES130 QLES1-Solved Work Problem Without Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved work problems or dealt with them without undue stress? Q-LES-Q - Solved Work Problem Without Stress
C130637 QLES131 QLES1-Thought Clearly About Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Thought clearly about work? Q-LES-Q - Thought Clearly About Work
C130638 QLES132 QLES1-Decisive About Work/Made Decisions Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive about work, or made decisions when needed? Q-LES-Q - Decisive About Work or Made Decisions
C130639 QLES133 QLES1-Accomplished What You Wanted to Do Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Accomplished what you wanted to do? Q-LES-Q - Accomplished What You Wanted to Do
C130640 QLES134 QLES1-Pleased With Work Accomplishments Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been pleased with your work accomplishments? Q-LES-Q - Pleased With Work Accomplishments
C130641 QLES135 QLES1-Worked Well Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked well? Q-LES-Q - Worked Well
C130642 QLES136 QLES1-Been Interested in Your Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been interested in your work? Q-LES-Q - Been Interested in Your Work
C130643 QLES137 QLES1-Concentrated on Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated on work? Q-LES-Q - Concentrated on Work
C130644 QLES138 QLES1-Worked Carefully Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked carefully? Q-LES-Q - Worked Carefully
C130645 QLES139 QLES1-Kept Up With Expected Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept up with expected work? Q-LES-Q - Kept Up With Expected Work
C130646 QLES140 QLES1-Taken Care of Work by Yourself Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of work by yourself when it was necessary? Q-LES-Q - Taken Care of Work by Yourself
C130647 QLES141 QLES1-Communicated/Interacted With Ease Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Communicated and interacted with ease with others while working? Q-LES-Q - Communicated and Interacted With Ease
C130648 QLES142 QLES1-Responsible for Household Quality Of Life Enjoyment And Satisfaction Questionnaire - Are you responsible for any household duties/housework/homemaker activities (e.g., cleaning, shopping, doing dishes, food shopping or preparation) for your-self or for other people? Q-LES-Q - Responsible for Household
C130649 QLES142A QLES1-Reason for No Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Reason for no household duties/housework/homemaker activities (e.g., cleaning, shopping doing dishes, food shopping or preparation) for your-self or for other people? Q-LES-Q - Reason for No Household Activities
C130650 QLES143 QLES1-Kept Room Clean to Satisfaction Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept your room/apartment/house cleaned to your satisfaction? Q-LES-Q - Kept Room Clean to Satisfaction
C130651 QLES144 QLES1-Paid Bills, Done Banking Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Paid the bills, done the banking to your satisfaction? Q-LES-Q - Paid Bills, Done Banking
C130652 QLES145 QLES1-Shopped for Food/Household Items Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Shopped for food or other household items to your satisfaction? Q-LES-Q - Shopped for Food or Household Items
C130653 QLES146 QLES1-Prepared Food or Obtained Food Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Prepared food or obtained food to your satisfaction? Q-LES-Q - Prepared Food or Obtained Food
C130654 QLES147 QLES1-Taken Care of Laundry/Cleaning Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of the laundry/cleaning to your satisfaction? Q-LES-Q - Taken Care of Laundry or Cleaning
C130655 QLES148 QLES1-Accomplish Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Had a feeling of accomplishment with regard to household activities? Q-LES-Q - Accomplish Household Activities
C130656 QLES149 QLES1-Thought Clearly Household Activ Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated and thought clearly about what household activities needed to be done? Q-LES-Q - Thought Clearly Household Activities to be Done
C130657 QLES150 QLES1-Solved House Problems w/o Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved household problems or dealt with them without undue stress? Q-LES-Q - Solved House Problems Without Stress
C130658 QLES151 QLES1-Decisive Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive or made decisions when needed with regard to household activities? Q-LES-Q - Decisive With Regard to Household Activities
C130659 QLES152 QLES1-Made Repairs Household Maintenance Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Made repairs or taken care of household maintenance as needed? Q-LES-Q - Made Repairs or Household Maintenance
C130660 QLES153 QLES1-Taken Courses/Going to Class Quality Of Life Enjoyment And Satisfaction Questionnaire - Have you been taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week? Q-LES-Q - Taken Courses or Going to Class
C130661 QLES153A QLES1-Reason for No Courses Quality Of Life Enjoyment And Satisfaction Questionnaire - Reason not taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week. Q-LES-Q - Reason for No Courses
C130662 QLES154 QLES1-Enjoyed Course/Class Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Enjoyed the course/class work? Q-LES-Q - Enjoyed Course or Class Work
C130663 QLES155 QLES1-Looked Forward to Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Looked forward to getting to work on the course/class work? Q-LES-Q - Looked Forward to Course Work
C130664 QLES156 QLES1-Course/Class Work Without Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Dealt with the course/class work without undue stress? Q-LES-Q - Dealt With Course or Class Work Without Stress
C130665 QLES157 QLES1-Thought Clearly About Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Thought clearly about the course/class work? Q-LES-Q - Thought Clearly About Course Work
C130666 QLES158 QLES1-Decisive About Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been decisive about the course/class work when needed? Q-LES-Q - Decisive About Course Work
C130667 QLES159 QLES1-Pleased With Course Accomplishment Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been pleased with your course/class work accomplishments? Q-LES-Q - Pleased With Course Accomplishment
C130668 QLES160 QLES1-Interested in Your Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been interested in your course/class work? Q-LES-Q - Interested in Your Course Work
C130669 QLES161 QLES1-Concentrated on Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Concentrated on the course/class work? Q-LES-Q - Concentrated on Course Work
C130670 QLES162 QLES1-Felt Good Doing Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good while doing your course/class work? Q-LES-Q - Felt Good Doing Course Work
C130671 QLES163 QLES1-Communicated With Ease at Course Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Communicated and interacted with ease with others at your course/class? Q-LES-Q - Communicated With Ease at Course
C130672 QLES164 QLES1-Use Time for a Leisure Activity Quality Of Life Enjoyment And Satisfaction Questionnaire - When you had time, how often did you use that time for a leisure time activity? Q-LES-Q - Use Time for a Leisure Activity
C130673 QLES165 QLES1-Enjoy the Leisure Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did you enjoy the leisure activities? Q-LES-Q - Enjoy the Leisure Activities
C130674 QLES166 QLES1-Look Forward to Leisure Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did you look forward to the leisure activities before spending time at them? Q-LES-Q - Look Forward to Leisure Activities
C130675 QLES167 QLES1-Concentrate on Leisure Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did you concentrate on the leisure activities and pay attention to them? Q-LES-Q - Concentrate on Leisure Activities
C130676 QLES168 QLES1-Solve or Deal Without Undue Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - If a problem arose in your leisure activities, how often did you solve it or deal with it without undue stress? Q-LES-Q - Solve or Deal Without Undue Stress
C130677 QLES169 QLES1-Leisure Activity Sustain Interest Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did the leisure activities sustain your interest? Q-LES-Q - Leisure Activity Sustain Interest
C130678 QLES170 QLES1-Enjoyed Being With Friends Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with or being with friends or relatives? Q-LES-Q - Enjoyed Being With Friends
C130679 QLES171 QLES1-Getting Together With Friends Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Looked forward to getting together with friends or relatives? Q-LES-Q - Getting Together With Friends
C130680 QLES172 QLES1-Made Social Plans With Friends Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Made social plans with friends or relatives for future activities? Q-LES-Q - Made Social Plans With Friends
C130681 QLES173 QLES1-Enjoyed Talking With Co-workers Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with co-workers or neighbors? Q-LES-Q - Enjoyed Talking With Co-workers
C130682 QLES174 QLES1-Patient With Others Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been patient with others when others were irritating in their actions or words? Q-LES-Q - Patient With Others
C130683 QLES175 QLES1-Interested in Problems of People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been interested in the problems of other people? Q-LES-Q - Interested in Problems of People
C130684 QLES176 QLES1-Felt Affection Toward People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt affection toward one or more people? Q-LES-Q - Felt Affection Toward People
C130685 QLES177 QLES1-Gotten Along Well With People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Gotten along well with other people? Q-LES-Q - Gotten Along Well With People
C130686 QLES178 QLES1-Joked or Laughed With Other People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Joked or laughed with other people? Q-LES-Q - Joked or Laughed With Other People
C130687 QLES179 QLES1-Met Needs of Friends or Relatives Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt you met the needs of friends or relatives? Q-LES-Q - Met Needs of Friends or Relatives
C130688 QLES180 QLES1-Relationships Without Problems Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt your relationships with your friends or relatives were without major problems or conflicts? Q-LES-Q - Relationships Without Problems
C130689 QLES181 QLES1-Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health? Q-LES-Q - Physical Health
C130690 QLES182 QLES1-Mood Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Mood? Q-LES-Q - Mood
C130691 QLES183 QLES1-Work Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Work? Q-LES-Q - Work
C130692 QLES184 QLES1-Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities? Q-LES-Q - Household Activities
C130693 QLES185 QLES1-Social Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships? Q-LES-Q - Social Relationships
C130694 QLES186 QLES1-Family Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships? Q-LES-Q - Family Relationships
C130695 QLES187 QLES1-Leisure Time Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities? Q-LES-Q - Leisure Time Activities
C130696 QLES188 QLES1-Ability to Function in Daily Life Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life? Q-LES-Q - Ability to Function in Daily Life
C130697 QLES189 QLES1-Sex Drive, Interest, Performance Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance? Q-LES-Q - Sex Drive, Interest, Performance
C130698 QLES190 QLES1-Economic Status Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status? Q-LES-Q - Economic Status
C130699 QLES191 QLES1-Living/Housing Situation Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation? Q-LES-Q - Living or Housing Situation
C130700 QLES192 QLES1-Ability to Get Around Physically Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling? Q-LES-Q - Ability to Get Around Physically
C130701 QLES193 QLES1-Vision Ability to Do Work/Hobbies Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: your vision in terms of ability to do work or hobbies? Q-LES-Q - Vision Ability to Do Work or Hobbies
C130702 QLES194 QLES1-Overall Sense of Well Being Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being? Q-LES-Q - Overall Sense of Well Being
C130703 QLES195 QLES1-Medication Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Medication? Q-LES-Q - Medication
C130704 QLES196 QLES1-Rate Overall Life Satisfaction Quality Of Life Enjoyment And Satisfaction Questionnaire - How would you rate your overall life satisfaction and contentment during the past week? Q-LES-Q - Rate Overall Life Satisfaction

QLES1TN (Quality Of Life Enjoyment And Satisfaction Questionnaire Test Name)

NCI Code: C130264, Codelist extensible: No
C130264 QLES1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130696 QLES1-Ability to Function in Daily Life QLES1-Ability to Function in Daily Life Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life? Q-LES-Q - Ability to Function in Daily Life
C130700 QLES1-Ability to Get Around Physically QLES1-Ability to Get Around Physically Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling? Q-LES-Q - Ability to Get Around Physically
C130623 QLES1-Able to Communicate With Others QLES1-Able to Communicate With Others Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to communicate with others? Q-LES-Q - Able to Communicate With Others
C130629 QLES1-Able to Deal With Life's Problems QLES1-Able to Deal With Life's Problems Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to deal with life's problems? Q-LES-Q - Able to Deal With Life's Problems
C130630 QLES1-Able to Take Care of Yourself QLES1-Able to Take Care of Yourself Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to take care of yourself? Q-LES-Q - Able to Take Care of Yourself
C130628 QLES1-Able to Travel About When Needed QLES1-Able to Travel About When Needed Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to travel about to get things done when needed (walk, use car, bus, train, or whatever is available as needed)? Q-LES-Q - Able to Travel About to Get Things Done When Needed
C130655 QLES1-Accomplish Household Activities QLES1-Accomplish Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Had a feeling of accomplishment with regard to household activities? Q-LES-Q - Accomplish Household Activities
C130639 QLES1-Accomplished What You Wanted to Do QLES1-Accomplished What You Wanted to Do Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Accomplished what you wanted to do? Q-LES-Q - Accomplished What You Wanted to Do
C130608 QLES1-At Least Very Good Physical Health QLES1-At Least Very Good Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in at least very good physical health? Q-LES-Q - At Least Very Good Physical Health
C130611 QLES1-Be as Physically Active as Needed QLES1-Be as Physically Active as Needed Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt able to be as physically active as needed? Q-LES-Q - Be as Physically Active as Needed
C130642 QLES1-Been Interested in Your Work QLES1-Been Interested in Your Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been interested in your work? Q-LES-Q - Been Interested in Your Work
C130671 QLES1-Communicated With Ease at Course QLES1-Communicated With Ease at Course Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Communicated and interacted with ease with others at your course/class? Q-LES-Q - Communicated With Ease at Course
C130647 QLES1-Communicated/Interacted With Ease QLES1-Communicated/Interacted With Ease Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Communicated and interacted with ease with others while working? Q-LES-Q - Communicated and Interacted With Ease
C130675 QLES1-Concentrate on Leisure Activities QLES1-Concentrate on Leisure Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did you concentrate on the leisure activities and pay attention to them? Q-LES-Q - Concentrate on Leisure Activities
C130669 QLES1-Concentrated on Course Work QLES1-Concentrated on Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Concentrated on the course/class work? Q-LES-Q - Concentrated on Course Work
C130643 QLES1-Concentrated on Work QLES1-Concentrated on Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated on work? Q-LES-Q - Concentrated on Work
C130664 QLES1-Course/Class Work Without Stress QLES1-Course/Class Work Without Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Dealt with the course/class work without undue stress? Q-LES-Q - Dealt With Course or Class Work Without Stress
C130666 QLES1-Decisive About Course Work QLES1-Decisive About Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been decisive about the course/class work when needed? Q-LES-Q - Decisive About Course Work
C130638 QLES1-Decisive About Work/Made Decisions QLES1-Decisive About Work/Made Decisions Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive about work, or made decisions when needed? Q-LES-Q - Decisive About Work or Made Decisions
C130658 QLES1-Decisive Household Activities QLES1-Decisive Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive or made decisions when needed with regard to household activities? Q-LES-Q - Decisive With Regard to Household Activities
C130633 QLES1-Do Volunteer Work QLES1-Do Volunteer Work Quality Of Life Enjoyment And Satisfaction Questionnaire - Do you do volunteer work? Q-LES-Q - Do Volunteer Work
C130698 QLES1-Economic Status QLES1-Economic Status Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status? Q-LES-Q - Economic Status
C130673 QLES1-Enjoy the Leisure Activities QLES1-Enjoy the Leisure Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did you enjoy the leisure activities? Q-LES-Q - Enjoy the Leisure Activities
C130678 QLES1-Enjoyed Being With Friends QLES1-Enjoyed Being With Friends Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with or being with friends or relatives? Q-LES-Q - Enjoyed Being With Friends
C130662 QLES1-Enjoyed Course/Class Work QLES1-Enjoyed Course/Class Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Enjoyed the course/class work? Q-LES-Q - Enjoyed Course or Class Work
C130681 QLES1-Enjoyed Talking With Co-workers QLES1-Enjoyed Talking With Co-workers Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with co-workers or neighbors? Q-LES-Q - Enjoyed Talking With Co-workers
C130635 QLES1-Enjoyed Your Work QLES1-Enjoyed Your Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Enjoyed your work? Q-LES-Q - Enjoyed Your Work
C130694 QLES1-Family Relationships QLES1-Family Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships? Q-LES-Q - Family Relationships
C130625 QLES1-Felt Able to Make Decisions QLES1-Felt Able to Make Decisions Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to make decisions? Q-LES-Q - Felt Able to Make Decisions
C130684 QLES1-Felt Affection Toward People QLES1-Felt Affection Toward People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt affection toward one or more people? Q-LES-Q - Felt Affection Toward People
C130617 QLES1-Felt Clearheaded QLES1-Felt Clearheaded Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt clearheaded? Q-LES-Q - Felt Clearheaded
C130622 QLES1-Felt Content QLES1-Felt Content Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt content? Q-LES-Q - Felt Content
C130606 QLES1-Felt Energetic QLES1-Felt Energetic Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt energetic? Q-LES-Q - Felt Energetic
C130615 QLES1-Felt Full of Pep and Vitality QLES1-Felt Full of Pep and Vitality Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt full of pep and vitality? Q-LES-Q - Felt Full of Pep and Vitality
C130619 QLES1-Felt Good About Your Appearance QLES1-Felt Good About Your Appearance Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your appearance? Q-LES-Q - Felt Good About Your Appearance
C130627 QLES1-Felt Good About Your Life QLES1-Felt Good About Your Life Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your life? Q-LES-Q - Felt Good About Your Life
C130670 QLES1-Felt Good Doing Course Work QLES1-Felt Good Doing Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good while doing your course/class work? Q-LES-Q - Felt Good Doing Course Work
C130614 QLES1-Felt Good Physically QLES1-Felt Good Physically Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt good physically? Q-LES-Q - Felt Good Physically
C130620 QLES1-Felt Happy or Cheerful QLES1-Felt Happy or Cheerful Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt happy or cheerful? Q-LES-Q - Felt Happy or Cheerful
C130607 QLES1-Felt in Excellent Physical Health QLES1-Felt in Excellent Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in excellent physical health? Q-LES-Q - Felt in Excellent Physical Health
C130621 QLES1-Felt Independent QLES1-Felt Independent Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt independent? Q-LES-Q - Felt Independent
C130613 QLES1-Felt Memory Was Functioning Well QLES1-Felt Memory Was Functioning Well Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt your memory was functioning well? Q-LES-Q - Felt Memory Was Functioning Well
C130626 QLES1-Felt Relaxed QLES1-Felt Relaxed Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt relaxed? Q-LES-Q - Felt Relaxed
C130605 QLES1-Felt Rested QLES1-Felt Rested Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt rested? Q-LES-Q - Felt Rested
C130618 QLES1-Felt Satisfied With Your Life QLES1-Felt Satisfied With Your Life Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt satisfied with your life? Q-LES-Q - Felt Satisfied With Your Life
C130612 QLES1-Felt Well Coordinated QLES1-Felt Well Coordinated Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt well coordinated? Q-LES-Q - Felt Well Coordinated
C130610 QLES1-Felt You Got Enough Sleep QLES1-Felt You Got Enough Sleep Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt you got enough sleep? Q-LES-Q - Felt You Got Enough Sleep
C130604 QLES1-Free of Aches, Pains, Discomfort QLES1-Free of Aches, Pains, Discomfort Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been completely free of aches, pains, or discomfort? Q-LES-Q - Free of Aches, Pains, Discomfort
C130616 QLES1-Free of Visual Problems QLES1-Free of Visual Problems Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of visual problems? Q-LES-Q - Free of Visual Problems
C130609 QLES1-Free of Worry of Physical Health QLES1-Free of Worry of Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of worry about your physical health? Q-LES-Q - Free of Worry of Physical Health
C130679 QLES1-Getting Together With Friends QLES1-Getting Together With Friends Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Looked forward to getting together with friends or relatives? Q-LES-Q - Getting Together With Friends
C130685 QLES1-Gotten Along Well With People QLES1-Gotten Along Well With People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Gotten along well with other people? Q-LES-Q - Gotten Along Well With People
C130631 QLES1-Have a Job QLES1-Have a Job Quality Of Life Enjoyment And Satisfaction Questionnaire - Do you have a job? Q-LES-Q - Have a Job
C130692 QLES1-Household Activities QLES1-Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities? Q-LES-Q - Household Activities
C130683 QLES1-Interested in Problems of People QLES1-Interested in Problems of People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been interested in the problems of other people? Q-LES-Q - Interested in Problems of People
C130668 QLES1-Interested in Your Course Work QLES1-Interested in Your Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been interested in your course/class work? Q-LES-Q - Interested in Your Course Work
C130686 QLES1-Joked or Laughed With Other People QLES1-Joked or Laughed With Other People Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Joked or laughed with other people? Q-LES-Q - Joked or Laughed With Other People
C130650 QLES1-Kept Room Clean to Satisfaction QLES1-Kept Room Clean to Satisfaction Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept your room/apartment/house cleaned to your satisfaction? Q-LES-Q - Kept Room Clean to Satisfaction
C130645 QLES1-Kept Up With Expected Work QLES1-Kept Up With Expected Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept up with expected work? Q-LES-Q - Kept Up With Expected Work
C130677 QLES1-Leisure Activity Sustain Interest QLES1-Leisure Activity Sustain Interest Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did the leisure activities sustain your interest? Q-LES-Q - Leisure Activity Sustain Interest
C130695 QLES1-Leisure Time Activities QLES1-Leisure Time Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities? Q-LES-Q - Leisure Time Activities
C130699 QLES1-Living/Housing Situation QLES1-Living/Housing Situation Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation? Q-LES-Q - Living or Housing Situation
C130674 QLES1-Look Forward to Leisure Activities QLES1-Look Forward to Leisure Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - How often did you look forward to the leisure activities before spending time at them? Q-LES-Q - Look Forward to Leisure Activities
C130663 QLES1-Looked Forward to Course Work QLES1-Looked Forward to Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Looked forward to getting to work on the course/class work? Q-LES-Q - Looked Forward to Course Work
C130659 QLES1-Made Repairs Household Maintenance QLES1-Made Repairs Household Maintenance Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Made repairs or taken care of household maintenance as needed? Q-LES-Q - Made Repairs or Household Maintenance
C130680 QLES1-Made Social Plans With Friends QLES1-Made Social Plans With Friends Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Made social plans with friends or relatives for future activities? Q-LES-Q - Made Social Plans With Friends
C130703 QLES1-Medication QLES1-Medication Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Medication? Q-LES-Q - Medication
C130687 QLES1-Met Needs of Friends or Relatives QLES1-Met Needs of Friends or Relatives Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt you met the needs of friends or relatives? Q-LES-Q - Met Needs of Friends or Relatives
C130690 QLES1-Mood QLES1-Mood Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Mood? Q-LES-Q - Mood
C130702 QLES1-Overall Sense of Well Being QLES1-Overall Sense of Well Being Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being? Q-LES-Q - Overall Sense of Well Being
C130651 QLES1-Paid Bills, Done Banking QLES1-Paid Bills, Done Banking Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Paid the bills, done the banking to your satisfaction? Q-LES-Q - Paid Bills, Done Banking
C130682 QLES1-Patient With Others QLES1-Patient With Others Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been patient with others when others were irritating in their actions or words? Q-LES-Q - Patient With Others
C130689 QLES1-Physical Health QLES1-Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health? Q-LES-Q - Physical Health
C130667 QLES1-Pleased With Course Accomplishment QLES1-Pleased With Course Accomplishment Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been pleased with your course/class work accomplishments? Q-LES-Q - Pleased With Course Accomplishment
C130640 QLES1-Pleased With Work Accomplishments QLES1-Pleased With Work Accomplishments Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been pleased with your work accomplishments? Q-LES-Q - Pleased With Work Accomplishments
C130653 QLES1-Prepared Food or Obtained Food QLES1-Prepared Food or Obtained Food Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Prepared food or obtained food to your satisfaction? Q-LES-Q - Prepared Food or Obtained Food
C130704 QLES1-Rate Overall Life Satisfaction QLES1-Rate Overall Life Satisfaction Quality Of Life Enjoyment And Satisfaction Questionnaire - How would you rate your overall life satisfaction and contentment during the past week? Q-LES-Q - Rate Overall Life Satisfaction
C130661 QLES1-Reason for No Courses QLES1-Reason for No Courses Quality Of Life Enjoyment And Satisfaction Questionnaire - Reason not taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week. Q-LES-Q - Reason for No Courses
C130649 QLES1-Reason for No Household Activities QLES1-Reason for No Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Reason for no household duties/housework/homemaker activities (e.g., cleaning, shopping doing dishes, food shopping or preparation) for your-self or for other people? Q-LES-Q - Reason for No Household Activities
C130634 QLES1-Reason for Not Working QLES1-Reason for Not Working Quality Of Life Enjoyment And Satisfaction Questionnaire - Reason not having a job, working for yourself, and not doing volunteer work? Q-LES-Q - Reason for Not Working
C130688 QLES1-Relationships Without Problems QLES1-Relationships Without Problems Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt your relationships with your friends or relatives were without major problems or conflicts? Q-LES-Q - Relationships Without Problems
C130648 QLES1-Responsible for Household QLES1-Responsible for Household Quality Of Life Enjoyment And Satisfaction Questionnaire - Are you responsible for any household duties/housework/homemaker activities (e.g., cleaning, shopping, doing dishes, food shopping or preparation) for your-self or for other people? Q-LES-Q - Responsible for Household
C130697 QLES1-Sex Drive, Interest, Performance QLES1-Sex Drive, Interest, Performance Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance? Q-LES-Q - Sex Drive, Interest, Performance
C130652 QLES1-Shopped for Food/Household Items QLES1-Shopped for Food/Household Items Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Shopped for food or other household items to your satisfaction? Q-LES-Q - Shopped for Food or Household Items
C130693 QLES1-Social Relationships QLES1-Social Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships? Q-LES-Q - Social Relationships
C130676 QLES1-Solve or Deal Without Undue Stress QLES1-Solve or Deal Without Undue Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - If a problem arose in your leisure activities, how often did you solve it or deal with it without undue stress? Q-LES-Q - Solve or Deal Without Undue Stress
C130657 QLES1-Solved House Problems w/o Stress QLES1-Solved House Problems w/o Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved household problems or dealt with them without undue stress? Q-LES-Q - Solved House Problems Without Stress
C130636 QLES1-Solved Work Problem Without Stress QLES1-Solved Work Problem Without Stress Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved work problems or dealt with them without undue stress? Q-LES-Q - Solved Work Problem Without Stress
C130654 QLES1-Taken Care of Laundry/Cleaning QLES1-Taken Care of Laundry/Cleaning Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of the laundry/cleaning to your satisfaction? Q-LES-Q - Taken Care of Laundry or Cleaning
C130646 QLES1-Taken Care of Work by Yourself QLES1-Taken Care of Work by Yourself Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of work by yourself when it was necessary? Q-LES-Q - Taken Care of Work by Yourself
C130660 QLES1-Taken Courses/Going to Class QLES1-Taken Courses/Going to Class Quality Of Life Enjoyment And Satisfaction Questionnaire - Have you been taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week? Q-LES-Q - Taken Courses or Going to Class
C130624 QLES1-Taking Care of Your Appearance QLES1-Taking Care of Your Appearance Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt interested in taking care of your appearance (hair, clothing) and personal hygiene (bathing, dressing)? Q-LES-Q - Taking Care of Your Appearance
C130665 QLES1-Thought Clearly About Course Work QLES1-Thought Clearly About Course Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Thought clearly about the course/class work? Q-LES-Q - Thought Clearly About Course Work
C130637 QLES1-Thought Clearly About Work QLES1-Thought Clearly About Work Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Thought clearly about work? Q-LES-Q - Thought Clearly About Work
C130656 QLES1-Thought Clearly Household Activ QLES1-Thought Clearly Household Activ Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated and thought clearly about what household activities needed to be done? Q-LES-Q - Thought Clearly Household Activities to be Done
C130672 QLES1-Use Time for a Leisure Activity QLES1-Use Time for a Leisure Activity Quality Of Life Enjoyment And Satisfaction Questionnaire - When you had time, how often did you use that time for a leisure time activity? Q-LES-Q - Use Time for a Leisure Activity
C130701 QLES1-Vision Ability to Do Work/Hobbies QLES1-Vision Ability to Do Work/Hobbies Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: your vision in terms of ability to do work or hobbies? Q-LES-Q - Vision Ability to Do Work or Hobbies
C130632 QLES1-Work for Yourself QLES1-Work for Yourself Quality Of Life Enjoyment And Satisfaction Questionnaire - Do you work for yourself? Q-LES-Q - Work for Yourself
C130691 QLES1-Work QLES1-Work Quality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Work? Q-LES-Q - Work
C130644 QLES1-Worked Carefully QLES1-Worked Carefully Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked carefully? Q-LES-Q - Worked Carefully
C130641 QLES1-Worked Well QLES1-Worked Well Quality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked well? Q-LES-Q - Worked Well

QLES2TC (Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Code)

NCI Code: C130267, Codelist extensible: No
C130267 QLES2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130705 QLES201 QLES2-Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health? Q-LES-Q-SF - Physical Health
C130706 QLES202 QLES2-Mood Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Mood? Q-LES-Q-SF - Mood
C130707 QLES203 QLES2-Work Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Work? Q-LES-Q-SF - Work
C130708 QLES204 QLES2-Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities? Q-LES-Q-SF - Household Activities
C130709 QLES205 QLES2-Social Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships? Q-LES-Q-SF - Social Relationships
C130710 QLES206 QLES2-Family Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships? Q-LES-Q-SF - Family Relationships
C130711 QLES207 QLES2-Leisure Time Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities? Q-LES-Q-SF - Leisure Time Activities
C130712 QLES208 QLES2-Ability to Function in Daily Life Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life? Q-LES-Q-SF - Ability to Function in Daily Life
C130713 QLES209 QLES2-Sex Drive, Interest, Performance Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance? Q-LES-Q-SF - Sex Drive, Interest, Performance
C130714 QLES210 QLES2-Economic Status Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status? Q-LES-Q-SF - Economic Status
C130715 QLES211 QLES2-Living/Housing Situation Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation? Q-LES-Q-SF - Living or Housing Situation
C130716 QLES212 QLES2-Ability to Get Around Physically Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling? Q-LES-Q-SF - Ability to Get Around Physically
C130717 QLES213 QLES2-Vision Ability to Do Work/Hobbies Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Your vision in terms of ability to do work or hobbies? Q-LES-Q-SF - Vision Ability to Do Work or Hobbies
C130718 QLES214 QLES2-Overall Sense of Well Being Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being? Q-LES-Q-SF - Overall Sense of Well Being
C130719 QLES215 QLES2-Medication Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Medication? Q-LES-Q-SF - Medication
C130720 QLES216 QLES2-Rate Overall Life Satisfaction Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - How would you rate your overall life satisfaction and contentment during the past week? Q-LES-Q-SF - Rate Overall Life Satisfaction

QLES2TN (Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Name)

NCI Code: C130266, Codelist extensible: No
C130266 QLES2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130712 QLES2-Ability to Function in Daily Life QLES2-Ability to Function in Daily Life Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life? Q-LES-Q-SF - Ability to Function in Daily Life
C130716 QLES2-Ability to Get Around Physically QLES2-Ability to Get Around Physically Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling? Q-LES-Q-SF - Ability to Get Around Physically
C130714 QLES2-Economic Status QLES2-Economic Status Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status? Q-LES-Q-SF - Economic Status
C130710 QLES2-Family Relationships QLES2-Family Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships? Q-LES-Q-SF - Family Relationships
C130708 QLES2-Household Activities QLES2-Household Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities? Q-LES-Q-SF - Household Activities
C130711 QLES2-Leisure Time Activities QLES2-Leisure Time Activities Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities? Q-LES-Q-SF - Leisure Time Activities
C130715 QLES2-Living/Housing Situation QLES2-Living/Housing Situation Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation? Q-LES-Q-SF - Living or Housing Situation
C130719 QLES2-Medication QLES2-Medication Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Medication? Q-LES-Q-SF - Medication
C130706 QLES2-Mood QLES2-Mood Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Mood? Q-LES-Q-SF - Mood
C130718 QLES2-Overall Sense of Well Being QLES2-Overall Sense of Well Being Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being? Q-LES-Q-SF - Overall Sense of Well Being
C130705 QLES2-Physical Health QLES2-Physical Health Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health? Q-LES-Q-SF - Physical Health
C130720 QLES2-Rate Overall Life Satisfaction QLES2-Rate Overall Life Satisfaction Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - How would you rate your overall life satisfaction and contentment during the past week? Q-LES-Q-SF - Rate Overall Life Satisfaction
C130713 QLES2-Sex Drive, Interest, Performance QLES2-Sex Drive, Interest, Performance Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance? Q-LES-Q-SF - Sex Drive, Interest, Performance
C130709 QLES2-Social Relationships QLES2-Social Relationships Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships? Q-LES-Q-SF - Social Relationships
C130717 QLES2-Vision Ability to Do Work/Hobbies QLES2-Vision Ability to Do Work/Hobbies Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Your vision in terms of ability to do work or hobbies? Q-LES-Q-SF - Vision Ability to Do Work or Hobbies
C130707 QLES2-Work QLES2-Work Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Work? Q-LES-Q-SF - Work

QSCAT (Category of Questionnaire)

NCI Code: C100129, Codelist extensible: Yes
C100129 QSCAT
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C122370 ACQ ACQ01 Asthma Control Questionnaire (ACQ) (The Asthma Control Questionnaire is copyrighted. It may not be changed, translated or sold [paper or software] without the permission of Elizabeth Juniper. Juniper EF, O'Byrne PM, Guyatt GH, Ferrie PJ, King DR. Development and validation of a questionnaire to measure asthma control. Eur Respir J 1999;14:902-907). Asthma Control Questionnaire
C123658 ACT ACT01 Asthma Control Test (ACT) (Asthma Control Test copyright, QualityMetric Incorporated 2002, 2004. All Rights Reserved. Asthma Control Test is a trademark of QualityMetric Incorporated. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, Murray JJ, Pendergraft TB. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004 Jan;113(1):59-65). Asthma Control Test Questionnaire
C100762 ADAS-COG ADC The CDISC version of the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog CDISC Version) containing 15 summary-level tests. This version is based on combining the total pool of ADAS-Cog tests that were observed during a review of multiple case report forms administered in clinical trials of Alzheimer's disease, as well as the CRF administered in the Alzheimer's Disease Neuroimaging Initiative (ADNI) observational study. (Modified from Mohs RC, Rosen WG, Davis KL. The Alzheimer's disease assessment scale: an instrument for assessing treatment efficacy. Psychopharmacol Bull 1983;19(3):448-450. Rosen WG, Mohs RC, Davis KL. A new rating scale for Alzheimer's disease. Am J Psychiatry 1984;141(11):1356-1364. Mohs RC, Knopman D, Petersen RC et al. Development of cognitive instruments for use in clinical trials of antidementia drugs: additions to the Alzheimer's Disease Assessment Scale that broaden its scope. The Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord 1997;11 Suppl 2:S13-S21. Wouters H, van Gool WA, Schmand B, Lindeboom R. Revising the ADAS-cog for a more accurate assessment of cognitive impairment. Alzheimer Dis Assoc Disord 2008;22(3):236-244.). Alzheimer's Disease Assessment Scale-Cognitive CDISC Version Questionnaire
C106888 ADCS-ADL MCI ADL03 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), MCI Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39). Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Mild Cognitive Impairment Questionnaire
C106889 ADCS-ADL SEVERE DEMENTIA ADL02 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), Severe Dementia Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39). Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Questionnaire
C105166 ADCS-ADL ADL01 Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL) (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. "An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease." Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39). Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory Questionnaire
C103515 ADCS-CGIC ACGC01 Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change (ADCS-CGIC) (Schneider LS, Olin JT, Doody RS, Clark CM, Morris JC, Reisberg B, Schmitt FA, Grundman M, Thomas RG, Ferris SH, and the Alzheimer's Disease Cooperative Study. Validity and Reliability of the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change. Alzheimer Disease and Associated Disorders. 1997; 11(2):S22-S32). Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire
C122371 ADHD-RS-IV HOME VERSION ADHD01 ADHD Rating Scale-IV (ADHD-RS-IV) Home Version (Copyright 1998. DuPaul GJ, Power TJ, Anastopoulos AD, Reid R. ADHD Rating Scale-IV: Checklists, Norms, and Clinical Interpretation. New York: The Guilford Press; 1998). ADHD Rating Scale-IV Home Version Questionnaire
C163811 ADSD V1.0 ADSD01 Asthma Daytime Symptom Diary v1.0 (ADSD V1.0) (Version 1.0 Copyright 2018 Critical Path Institute. All Rights Reserved. Gater A, Nelsen L, Fleming S, Lundy J.J, Bonner N, Hall R, Marshall C, Staunton H, Krishnan JA, Stoloff S, Schatz M, Haughney J on behalf of the Patient-Reported Outcome Consortium's Asthma Working Group. Assessing asthma symptoms in adolescents and adults: qualitative research supporting development of the Asthma Daily Symptom Diary. Value in Health 2016; 19:440-450. Patient-Reported Outcome (PRO) Consortium - Asthma Daytime Symptom Diary (ADSD) and Asthma Nighttime Symptom Diary (ANSD) User Manual, Version 1: March 30, 2019). No part of the ADSD V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved. Asthma Daytime Symptom Diary V1.0 Questionnaire
C163812 ANSD V1.0 ANSD01 Asthma Nighttime Symptom Diary v1.0 (ANSD V1.0) (Version 1.0 Copyright 2018 Critical Path Institute. All Rights Reserved. Gater A, Nelsen L, Fleming S, Lundy J.J, Bonner N, Hall R, Marshall C, Staunton H, Krishnan JA, Stoloff S, Schatz M, Haughney J on behalf of the Patient-Reported Outcome Consortium's Asthma Working Group. Assessing asthma symptoms in adolescents and adults: qualitative research supporting development of the Asthma Daily Symptom Diary. Value in Health 2016; 19:440-450. Patient-Reported Outcome (PRO) Consortium - Asthma Daytime Symptom Diary (ADSD) and Asthma Nighttime Symptom Diary (ANSD) User Manual, Version 1: March 30, 2019). No part of the ANSD V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved. Asthma Nighttime Symptom Diary V1.0 Questionnaire
C112518 AQ20 AQ01 Airway Questionnaire 20 (AQ20) (Barley EA, Quirk FH, Jones PW. Asthma health status in clinical practice: validity of a new short and simple instrument. Respir Med 1998; 92:1207-14. Copyright Reserved P.W. Jones, PhD FRCP). Airway Questionnaire 20
C122372 AQLQ AQLQ01 Asthma Quality of Life Questionnaire (AQLQ) (The AQLQ is copyrighted. It may not be altered, sold [paper or electronic], translated or adapted for another medium without the permission of Elizabeth Juniper. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health-related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 1992; 47:76-83). Asthma Quality of Life Questionnaire
C125757 ASEX-FEMALE ASEX01 Arizona Sexual Experiences Scale (ASEX)-Female (Copyright 1997 by Arizona Board of Regents, University of Arizona. All rights reserved). Arizona Sexual Experiences Scale-Female Version Questionnaire
C125758 ASEX-MALE ASEX02 Arizona Sexual Experiences Scale (ASEX)-Male (Copyright 1997 by Arizona Board of Regents, University of Arizona. All rights reserved). Arizona Sexual Experiences Scale-Male Version Questionnaire
C119098 AUDIT-C ADTC01 Alcohol Use Disorder Identification Test-Consumption Questions (AUDIT-C) (Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA; for the Ambulatory Care Quality Improvement Project (ACQUIP). The AUDIT Alcohol Consumption Questions (AUDIT-C) An Effective Brief Screening Test for Problem Drinking. Arch Intern Med. Sep 14 1998;158:1789-1795). Alcohol Use Disorder Identification Test Alcohol Consumption Questions Questionnaire
C119097 AUDIT-SR ADT01 Alcohol Use Disorder Identification Test: Self-Report Version (AUDIT) (Saunders JB, Aasland, OG, Babor, TF, De La Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with harmful Alcohol Consumption-II. Addiction (1993) 88:791-804). Alcohol Use Disorder Identification Test Self-Report Version Questionnaire
C135735 BEBQ CONCURRENT BEBQ01 Baby Eating Behaviour Questionnaire - Concurrent (BEBQ CONCURRENT) (Llewellyn, C. H., van Jaarsveld, C. H., Johnson, L., Carnell, S., & Wardle, J. Development and factor structure of the Baby Eating Behaviour Questionnaire in the Gemini birth cohort. Appetite 57.2, 2011, 388-396). Baby Eating Behaviour Questionnaire Concurrent Version
C135736 BEBQ RETROSPECTIVE BEBQ02 Baby Eating Behaviour Questionnaire - Retrospective (BEBQ RETROSPECTIVE) (Llewellyn, C. H., van Jaarsveld, C. H., Johnson, L., Carnell, S., & Wardle, J. Development and factor structure of the Baby Eating Behaviour Questionnaire in the Gemini birth cohort. Appetite 57.2, 2011, 388-396). Baby Eating Behaviour Questionnaire Retrospective Version
C172402 BIS-11 BIS01 Barratt Impulsiveness Scale 1995 Version (BIS-11) (Patton JH, Stanford MS, and Barratt ES (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768-774. Copyright International Society for Research on Impulsivity and it's licensor's. All Rights Reserved). Barratt Impulsiveness Scale 1995 Version Questionnaire
C113874 BLCS BLCS01 Bladder Control Scale (BLCS) (1997 by the National Multiple Sclerosis Society. All rights reserved). Bladder Control Scale Questionnaire
C113872 BORG CR10 BCR101 Borg CR10 Scale (BORG CR10) (Borg CR10 Scale. Copyright Gunnar Borg, 1981, 1982, 1998). Borg Category-Ratio 10 Scale Questionnaire
C100760 BPI SHORT FORM BPI2 Brief Pain Inventory Short Form (BPI2) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved). Brief Pain Inventory Short Form Questionnaire
C100759 BPI BPI1 Brief Pain Inventory (BPI) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved). Brief Pain Inventory Questionnaire
C125393 BSFS BSFS01 Bristol Stool Form Scale (BSFS) (Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997 Sep;32(9):920-4. Copyright by ROME Foundation. All rights reserved). Bristol Stool Scale
C43524 BSI-18 BSI181 Brief Symptom Inventory-18 (BSI-18) (Leonard R. Derogatis. Brief Symptom Inventory (BSI)-18: Administration, scoring and procedures manual. Minneapolis 2001: NCS Pearson, Inc). Brief Symptom Inventory 18
C113875 BWCS BWCS01 Bowel Control Scale (BWCS) (1997 by the National Multiple Sclerosis Society. All rights reserved). Bowel Control Scale Questionnaire
C106695 C-SSRS ALREADY ENROLLED SUBJECTS CSS05 Columbia-Suicide Severity Rating Scale (C-SSRS) Already Enrolled Subjects Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire
C100765 C-SSRS BASELINE CSS01 Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline Version 2009-01-14 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Baseline Questionnaire
C105164 C-SSRS BASELINE/SCREENING VERSION PHASE 1 STUDY CSS03 Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline/Screening Version Phase 1 Study Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study 1/14/09 Questionnaire
C106696 C-SSRS BASELINE/SCREENING VERSION CSS04 Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline/Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire
C111377 C-SSRS CHILDREN'S BASELINE CSS06 Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Baseline Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire
C111378 C-SSRS CHILDREN'S BASELINE/SCREENING CSS07 Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Baseline/Screening Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire
C111379 C-SSRS CHILDREN'S SINCE LAST VISIT CSS08 Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Since Last Visit Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire
C117996 C-SSRS LIFETIME/RECENT VERSION CSS11 Columbia-Suicide Severity Rating Scale (C-SSRS) Lifetime/Recent Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire
C113873 C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT CSS10 Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired Lifetime/Recent Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire
C123661 C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED-LIFETIME RECENT-CLINICAL CSS12 Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired - Lifetime Recent - Clinical Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc). Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired - Lifetime Recent - Clinical Questionnaire
C123662 C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED-SINCE LAST VISIT-CLINICAL CSS13 Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired - Since Last Visit - Clinical Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc). Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired - Since Last Visit - Clinical Questionnaire
C111380 C-SSRS SCREENING CSS09 Columbia-Suicide Severity Rating Scale (C-SSRS) Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Screening Questionnaire
C103516 C-SSRS SINCE LAST VISIT CSS02 Columbia-Suicide Severity Rating Scale (C-SSRS) Since Last Visit Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire
C119100 CCQ 1 WEEK VERSION CCQ02 Clinical COPD Questionnaire (CCQ) 1 Week Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.). Clinical COPD Questionnaire 1 Week Version
C119099 CCQ 24 HOUR VERSION CCQ01 Clinical COPD Questionnaire (CCQ) 24 Hour Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.). Clinical COPD Questionnaire 24 Hour Version
C119092 CDLQ CDLQ1 Children's Dermatology Life Quality Index (CDLQI) (Copyright of M.S. Lewis-Jones, A.Y. Finlay, May 1993, this must not be copied without the permission of the authors). Children's Dermatology Life Quality Index Questionnaire
C102114 CDR CDR01 Clinical Dementia Rating (CDR) (Morris, JC. Clinical Dementia Rating: A reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. International Psychogeriatrics 1997: 9, Suppl. 1, 173-176). Clinical Dementia Rating Questionnaire
C132532 CES CES01 Combat Exposure Scale (CES) (Keane, T.M., Fairbank, J.A., Caddell, J.M., Zimering, R.T., Taylor, K.L., & Mora, C. (1989). Clinical evaluation of a measure to assess combat exposure (PDF). Psychological Assessment, 1, 53-55). Combat Exposure Scale Questionnaire
C135738 CGI CGI02 Clinical Global Impression (CGI) generic modification for any disease/condition concept use case (Modified from Guy W: ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976). Clinical Global Impression Generic Modification Version Questionnaire
C117995 CHART-SF INTERVIEW VERSION CHSF1 Craig Handicap Assessment and Reporting Technique - Short Form Interview Version (CHART-SF INTERVIEW VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526). Craig Handicap Assessment and Reporting Technique-Short Form Interview Version Questionnaire
C119101 CHART-SF PAPER VERSION CHSF2 Craig Handicap Assessment and Reporting Technique - Short Form Paper Version (CHART-SF PAPER VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526). Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire
C100764 COMM COMM1 Current Opioid Misuse Measure (COMM) (copyright 2010 Inflexxion, Inc., All rights reserved). Current Opioid Misuse Measure Questionnaire
C125756 COPD ASSESSMENT TEST CAT01 COPD Assessment Test (CAT) (COPD Assessment Test and the CAT logo is a trade mark of the GlaxoSmithKline group of companie. Copyright 2009 GlaxoSmithKline group of companies. All rights reserved). COPD Assessment Test Questionnaire
C102115 COWS COWS1 The Clinical Opiate Withdrawal Scale (COWS) (Wesson DR and Ling W. The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs 2003;35(2):253-259). Clinical Opiate Withdrawal Scale Questionnaire
C121002 CRQ-SAS FIRST ADMINISTRATION VERSION CRQ01 Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University). Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire
C121003 CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION CRQ02 Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University). Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire
C105165 DAD DAD01 Disability Assessment for Dementia (DAD) (copyright 1994 by L. Gauthier I. Gelinas. All rights reserved.). Disability Assessment for Dementia Questionnaire
C183575 DIBSS-C V1.0 DIBC01 Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 (DIBSS-C V1.0) (Copyright 2018 by the Critical Path Institute. All rights reserved. Fehnel S, Ervin C, McLeod L, Carson RT, Reasner DS, Hanlon J, Eremenco S, Coons SJ. Psychometric Evaluation of the Diary for Irritable Bowel Syndrome Symptoms-Constipation (DIBSS-C). Poster presented at ISPOR Europe 2018; November 10-14, 2018. Barcelona, Spain. Fehnel SE, Ervin CM, Carson RT, Rigoni G, Lackner JM, Coons SJ. Development of the Diary for Irritable Bowel Syndrome Symptoms to Assess Treatment Benefit in Clinical Trials: Foundational Qualitative Research. Value in Health 2017;20(4):618-626. Patient-Reported Outcome (PRO) Consortium Diary for Irritable Bowel Syndrome Symptoms-Constipation (DIBSS-C) v1.0 User Manual). No part of the DIBSS-C V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved. Diary for Irritable Bowel Syndrome Symptoms-Constipation Version 1.0 Questionnaire
C119102 DLQI DLQI1 Dermatology Life Quality Index (DLQI) (Copyright Dermatology Life Quality Index. A Y Finlay, G K Khan, April 1992. www.dermatology.org.uk. This must not be copied without the permission of the authors). Dermatology Life Quality Index Questionnaire
C141694 DRRI-2 DRRI1 Deployment Risk and Resilience Inventory-2 (DRRI-2) (Vogt, D., Smith, B. N., King, D. W., & King, L. A. (2012). The Deployment Risk and Resilience Inventory-2 (DRRI-2) [Measurement instrument]. Available from http.ptsd.va.gov). Deployment Risk and Resilience Inventory-2 Questionnaire
C183596 EORTC QLQ-ANL27 EOR30 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Anal Cancer (EORTC QLQ-ANL27) (QLQ-ANL27 Copyright 2016 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-ANL27 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2016. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Anal Cancer
C183592 EORTC QLQ-BIL21 EOR24 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Cholangiocarcinoma and Gallbladder Cancer (EORTC QLQ-BIL21) (QLQ-BIL21 Copyright 2011 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BIL21 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2011. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Cholangiocarcinoma and Gallbladder Cancer
C183577 EORTC QLQ-BM22 EOR03 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Bone Metastases (EORTC QLQ-BM22) (QLQ-BM22 Copyright 2008 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BM22 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2008. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Bone Metastases
C121794 EORTC QLQ-BN20 EOR04 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Brain (EORTC QLQ-BN20) (QLQ-BN20 Copyright 1994 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BN20 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved. Quality of Life Questionnaire-Brain Neoplasm 20
C148236 EORTC QLQ-BR23 V1.0 EOR05 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Version 1.0 (EORTC QLQ-BR23 V1.0) (QLQ-BR23 Copyright 1994 EORTC Quality of Life Group. All rights reserved. (Validated module). Version 1.0). No part of the EORTC QLQ-BR23 V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved. Quality of Life Questionnaire BR-23
C183597 EORTC QLQ-BR45 PHASE IV MODULE EOR31 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Cancer Phase IV Module (EORTC QLQ-BR45 PHASE IV MODULE) (QLQ-BR45 Copyright 2018 EORTC Quality of Life Group. All rights reserved. (Phase IV module)). No part of the EORTC QLQ-BR45 PHASE IV MODULE may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2018. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Cancer Phase IV Module Version
C183598 EORTC QLQ-BRECON23 EOR32 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Reconstruction (EORTC QLQ-BRECON23) (QLQ-BRECON23 Copyright 2017 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BRECON23 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2017. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Reconstruction
C161653 EORTC QLQ-C15-PAL V1.0 EOR02 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Paliative Care Version 1.0 (EORTC QLQ-C15-PAL V1.0) (Copyright 1995 and 2005 EORTC Quality of Life Group. All rights reserved. Version 1.0. (Validated module)). No part of the EORTC QLQ-C15-PAL V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1995 and 2005. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Paliative Care Version 1.0
C161654 EORTC QLQ-C30 V3.0 EOR01 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 (EORTC QLQ-C30 V3.0) (Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0. (Validated module)). No part of the EORTC QLQ-C30 V3.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1995. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0
C125719 EORTC QLQ-CIPN20 EOR25 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Chemotherapy-Induced Peripheral Neuropathy (EORTC QLQ-CIPN20) (QLQ-CIPN20 Copyright 2003 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-CIPN20 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2003. All rights reserved. Quality of Life Questionnaire - Chemotherapy-Induced Peripheral Neuropathy 20
C183595 EORTC QLQ-CLL17 EOR29 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Chronic Lymphocytic Leukaemia (EORTC QLQ-CLL17) (QLQ-CLL17 Copyright 2015 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-CLL17 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2015. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Chronic lymphocytic leukemia
C170644 EORTC QLQ-CR29 V2.1 EOR06 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 (EORTC QLQ-CR29 V2.1) (QLQ-CR29 Copyright 2006 EORTC Quality of Life Group. All rights reserved. Version 2.1. (Validated module)). No part of the EORTC QLQ-CR29 V2.1 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2006. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Cancer Module Version 2.1
C183578 EORTC QLQ-CX24 EOR07 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Cervical (EORTC QLQ-CX24) (QLQ-CX24 Copyright 2003 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-CX24 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2003. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Cervical
C183579 EORTC QLQ-ELD14 EOR08 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Elderly Cancer Patients (EORTC QLQ-ELD14) (QLQ-ELD14 Copyright 2001 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-ELD14 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2001. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Elderly Cancer Patients
C183580 EORTC QLQ-EN24 EOR09 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Endometrial (EORTC QLQ-EN24) (QLQ-EN24 Copyright 2010 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-EN24 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2010. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Endometrial
C183581 EORTC QLQ-FA12 EOR10 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Cancer Related Fatigue (EORTC QLQ-FA12) (QLQ-FA12 Copyright 2016 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-FA12 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2016. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Cancer Related Fatigue
C183585 EORTC QLQ-GINET21 DATE 20TH FEBRUARY 2006 EOR15 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Neuroendocrine Carcinoid, Date 20th February 2006 Version (EORTC QLQ-GINET21 DATE 20TH FEBRUARY 2006) (QLQ-G.I.NET21 Copyright 2004 EORTC Quality of Life Group. All rights reserved. Date: 20th February 2006. (Validated module)). No part of the EORTC QLQ-GINET21 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2004. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Neuroendocrine Carcinoid, Date 20th February 2006 Version
C136497 EORTC QLQ-H&N35 V1 EOR11 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Head & Neck Version 1 (EORTC QLQ-H&N35 V1) (Copyright QLQ-H&N35 1994 EORTC Quality of Life Group, version 1. All rights reserved. (Validated module)). No part of the EORTC QLQ-H&N35 V1 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved. Quality of Life Questionnaire - Head & Neck 35
C183586 EORTC QLQ-HCC18 EOR16 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Hepatocellular Carcinoma (EORTC QLQ-HCC18) (QLQ-HCC18 Copyright 2002 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-HCC18 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2002. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Hepatocellular Carcinoma
C183587 EORTC QLQ-INFO25 EOR17 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Information (EORTC QLQ-INFO25) (QLQ-C30-INFO25 Copyright 2004 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-INFO25 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2004. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Information
C168555 EORTC QLQ-LC13 EOR18 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module (EORTC QLQ-LC13) (QLQ-C30-LC13 Copyright 1994 EORTC Quality of life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-LC13 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved. EORTC Quality of Life Questionnaire - Lung Cancer Module
C183582 EORTC QLQ-LMC21 EOR12 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Liver Metastases (EORTC QLQ-LMC21) (QLQ-LMC21 Copyright 2002 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-LMC21 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2002. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Liver Metastases
C122694 EORTC QLQ-MY20 EOR19 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Multiple Myeloma (EORTC QLQ-MY20) (QLQ-MY20 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-MY20 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved. Quality of Life Questionnaire-Multiple Myeloma 20
C183594 EORTC QLQ-NMIBC24 EOR28 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Non-Muscle-Invasive Bladder Cancer (EORTC QLQ-NMIBC24) (QLQ-NMIBC24 Copyright 1994 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-NMIBC24 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Non-Muscle-Invasive Bladder Cancer
C183588 EORTC QLQ-OES18 EOR20 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Oesophageal (EORTC QLQ-OES18) (QLQ-OES18 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-OES18 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Esophageal
C183589 EORTC QLQ-OG25 PHASE IV MODULE EOR21 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Oesophago-Gastric Phase IV Module (EORTC QLQ-OG25 PHASE IV MODULE) (QLQ-OG25 Copyright 2007 EORTC Quality of Life Group. All rights reserved. (Phase IV module)). No part of the EORTC QLQ-OG25 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2007. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Esophago-Gastric Phase IV Module Version
C183583 EORTC QLQ-OH15 EOR13 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health (EORTC QLQ-OH15) (QLQ-OH15 Copyright 2016 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-OH15 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2016. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health
C183590 EORTC QLQ-OV28 EOR22 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Ovarian (EORTC QLQ-OV28) (QLQ-OV28 Copyright 1997 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-OV28 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1997. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Ovarian
C183593 EORTC QLQ-PAN26 PHASE III MODULE EOR26 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Pancreatic Cancer Phase III Module (EORTC QLQ-PAN26 PHASE III MODULE) (QLQ-C30-PAN26 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Phase III module)). No part of the EORTC QLQ-PAN26 PHASE III MODULE may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Pancreatic Cancer Phase III Module Version
C183591 EORTC QLQ-PR25 EOR23 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Prostate (EORTC QLQ-PR25) (QLQ-PR25 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-PR25 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Prostate
C183584 EORTC QLQ-STO22 EOR14 European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Gastric (EORTC QLQ-STO22) (QLQ-STO22 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-STO22 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Gastric
C132533 EPDS EPDS01 Edinburgh Postnatal Depression Scale (EPDS) (Copyright by Cox, J.L., Holden, J.M., and Sagovsky, R. 1987. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 150:782-786). Edinburgh Postnatal Depression Scale Questionnaire
C127367 EPIC-26 EPIC1 The Expanded Prostate Cancer Index Composite Short Form (EPIC-26) (Copyright 2002. The University of Michigan. All rights reserved). The Expanded Prostate Cancer Index Composite Short Form Questionnaire
C127368 EPIC-CP EPIC2 Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP) (Copyright 2016 Beth Israel Deaconess Medical Center 330 Brookline Avenue, Boston, MA 02215). Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire
C66957 EQ-5D-3L EQ5D01 European Quality of Life Five Dimension Three Level Scale (EQ-5D-3L) (Copyright 1990 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group). European Quality of Life Five Dimension Three Level Questionnaire
C102117 EQ-5D-5L EQ5D02 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) (Copyright 2009 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group). European Quality of Life Five Dimension Five Level Scale Questionnaire
C103517 ESS ESS01 Epworth Sleepiness Scale (ESS) (copyright Murray W. Johns, 1990-1997. All rights reserved.). Epworth Sleepiness Scale Questionnaire
C123666 EXACT EXACT1 Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Patient-Reported Outcome (PRO) (Nancy K. Leidy, EXACT-PRO Initiative, Evidera, 7101 Wisconsin Avenue, Suite 1400, Bethesda, MD; EXACT copyright 2013, Evidera, Inc. All rights reserved). This also includes the subset EXACT-Respiratory Symptoms (E-RS) questions. http://www.exactproinitiative.com Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire
C125759 EXPANDED DRS-PI CAREGIVER VERSION ED1 Expanded Disability Rating Scale - Postacute Interview Caregiver Version (EXPANDED DRS-PI CAREGIVER VERSION) (Malec JF, Hammond FM, Giacino JT, Whyte J, Wright J. Structured Interview to Improve the Reliability and Psychometric Integrity of the Disability Rating Scale. Arch Phys Med Rehabil Sept 2012;93:1603-1608). Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire
C125760 EXPANDED DRS-PI SURVIVOR VERSION ED2 Expanded Disability Rating Scale - Postacute Interview Survivor Version (EXPANDED DRS-PI SURVIVOR VERSION) (Malec JF, Hammond FM, Giacino JT, Whyte J, Wright J. Structured Interview to Improve the Reliability and Psychometric Integrity of the Disability Rating Scale. Arch Phys Med Rehabil Sept 2012;93:1603-1608). Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire
C179973 FAACT V4 FAC065 Functional Assessment of Anorexia/Cachexia Treatment Version 4 (FAACT V4) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire
C155325 FACIT-DYSPNEA 33 ITEM BANK FAC100 Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank (FACIT-DYSPNEA 33 ITEM BANK) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire
C121853 FACIT-DYSPNEA SF FAC084 Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form (FACIT-DYSPNEA SF) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) FACIT-Dyspnea 10 Item Short Form
C129105 FACIT-F V4 FAC071 Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 (FACIT-F V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire
C147585 FACIT-FATIGUE 13-ITEM V4 FAC070 Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 (FACIT-FATIGUE 13-Item V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire
C183576 FACIT-SEARCHABLE ITEM LIBRARY ADULT FSIL Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult (FACIT-SEARCHABLE ITEM LIBRARY ADULT) (These materials discuss and/or include the FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved). Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Version Questionnaire
C129108 FACT-B V4 FAC005 Functional Assessment of Cancer Therapy-Breast Version 4 (FACT-B V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire
C155326 FACT-BL V4 FAC006 Functional Assessment of Cancer Therapy-Bladder Version 4 (FACT-BL V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire
C147583 FACT-BMT V4 FAC061 Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 (FACT-BMT V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire
C179974 FACT-BP V4 FAC074 Functional Assessment of Cancer Therapy-Bone Pain Version 4 (FACT-BP V4) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). These materials discuss and/or include the Functional Assessment of Cancer Therapy-Bone Pain Version 4 (FACT-BP V4), which is owned exclusively by David Cella, Ph.D. No part of the FACT-BP V4 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying recording, or other electronic or mechanical methods, without the prior written permission of David Cella, Ph.D. and payment of any applicable fees. Copyright David Cella 1987, 1997. All rights reserved. Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire
C150914 FACT-BRM V4 FAC062 Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 (FACT-BRM V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire
C150912 FACT-C V4 FAC008 Functional Assessment of Cancer Therapy-Colorectal Version 4 (FACT-C V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire
C103850 FACT-COG V3 FAC075 Functional Assessment of Cancer Therapy-Cognitive Function Version 3 (FACT-COG V3) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) FACT-Cognitive Function
C127369 FACT-G V4 FAC001 Functional Assessment of Cancer Therapy-General Version 4 (FACT-G V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-General Version 4 Questionnaire
C130312 FACT-HEP V4 FAC015 Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 (FACT-HEP V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire
C150916 FACT-L V4 FAC016 Functional Assessment of Cancer Therapy-Lung Version 4 (FACT-L V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire
C130311 FACT-LEU V4 FAC017 Functional Assessment of Cancer Therapy-Leukemia Version 4 (FACT-LEU V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire
C130313 FACT-LYM V4 FAC018 Functional Assessment of Cancer Therapy-Lymphoma Version 4 (FACT-LYM V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire
C127371 FACT-P V4 FAC023 Functional Assessment of Cancer Therapy-Prostate Version 4 (FACT-P V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire
C150913 FACT-TAXANE V4 FAC063 Functional Assessment of Cancer Therapy-Taxane Version 4 (FACT-Taxane V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire
C150915 FACT/GOG-NTX V4 FAC057 Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 (FACT/GOG-NTX V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire
C112521 FAMS FAMS01 Functional Assessment of Multiple Sclerosis Version 4 (FAMS) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Multiple Sclerosis Questionnaire
C138336 FBRSI FAC029 Functional Assessment of Cancer Therapy-Brain Symptom Index (FBRSI) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire
C103518 FIQR FIQR01 Revised Fibromyalgia Impact Questionnaire (FIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.). No part of the FIQR may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Bennett RM and Friend and payment of any applicable fees. Copyright Bennett RM and Friend, 2009. All rights reserved. Revised Fibromyalgia Impact Questionnaire
C118498 FKSI-15 FAC039 Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 (FKSI-15) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) FKSI-15 Questionnaire
C150917 FKSI-DRS V4 FAC041 Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 (FKSI-DRS V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire
C138338 FLSI FAC043 Functional Assessment of Cancer Therapy-Lung Symptom Index (FLSI) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire
C119093 FLU-IIQ ONCE DAILY FLUIQ1 Influenza Intensity and Impact Questionnaire (Flu-iiQ) Once Daily (FLU-IIQ ONCE DAILY) (Copyright RH Osborne 2006. No part of the FLU-IIQ ONCE DAILY may be copied or reproduced in any form without written permission from the author: measuredsolutions (at) bigpond (dot) com). No part of the Flu-iiQ may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of RH Osborne and payment of any applicable fees. Copyright RH Osborne, 2006. All rights reserved. Influenza Intensity and Impact Questionnaire Once Daily Version
C119094 FLU-IIQ TWICE DAILY FLUIQ2 Influenza Intensity and Impact Questionnaire (Flu-iiQ) Twice Daily (FLU-IIQ TWICE DAILY) (Copyright RH Osborne 2006. No part of the Flu-iiQ may be copied or reproduced in any form without written permission from the author: measuredsolutions (at) bigpond (dot) com). No part of the FLU-IIQ TWICE DAILY may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of RH Osborne and payment of any applicable fees. Copyright RH Osborne, 2006. All rights reserved. Influenza Intensity and Impact Questionnaire Twice Daily Version
C129109 FOSI FAC049 Functional Assessment of Cancer Therapy-Ovarian Symptom Index (FOSI) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.) Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire
C100766 FPSR FPSR1 Faces Pain Scale - Revised (FPS-R) (Hicks CL, von Baeyer CL, van Korlaar I, Goodenough B. Faces Pain Scale-Revised: Toward a Common Metric in Pediatric Pain Measurement. Pain 2001; 93:173-183). Faces Pain Scale Revised Questionnaire
C106621 FSS FSS01 Fatigue Severity Scale (FSS) (Copyright Lauren B. Krupp). Fatigue Severity Scale
C163813 GAD-7 V2 GAD02 Generalized Anxiety Disorder - 7 Version 2 (GAD-7 V2) (Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 2006; 166:1092-1097). Generalized Anxiety Disorder - 7 Version 2 Questionnaire
C103519 GAD-7 GAD01 Generalized Anxiety Disorder - 7 (GAD-7) (Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 2006; 166:1092-1097). Generalized Anxiety Disorder - 7 Questionnaire
C105169 GCGI GCGI01 The General Clinical Global Impressions (GCGI v1) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1. STANDARDS General Clinical Global Impressions Questionnaire
C106698 GDS SHORT FORM GDS02 Geriatric Depression Scale Short Form (GDS Short Form) (Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986 June;5(1/2):165-173). Geriatric Depression Scale Short Form Questionnaire
C106697 GDS GDS01 Geriatric Depression Scale (GDS) (Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatry Res. 1983;17(1):37-49). Geriatric Depression Scale Questionnaire
C163814 GMSS VERSION TYPE 1 DIABETES GMSS01 The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes (GMSS VERSION TYPE 1 DIABETES) (Polonsky WH, Fisher L, Hessler D, Edelman SV. Development of a New Measure for Assessing Glucose Monitoring Device-Related Treatment Satisfaction and Quality of Life. Diabetes Technol Ther 2015; 17(9): 657-663). The Glucose Monitoring Satisfaction Survey Version: Type 1 Diabetes Questionnaire
C115797 GOSE GOSE1 Extended Glasgow Outcome Scale (GOSE) (Wilson JT, Pettigrew LE, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for their use. Journal of Neurotrauma 1998;15:573-585). Extended Glasgow Outcome Scale Questionnaire
C103520 HADS HADS01 Hospital Anxiety and Depression Scale (HADS) (copyright 1983, 1992, 1994 by R.P. Snaith and A.S. Zigmond. All rights reserved.). Hospital Anxiety and Depression Scale Questionnaire
C122381 HAEM-A-QOL HAEM09 Hemophilia Quality of Life Questionnaire Adult Version (Haem-A-QoL) (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group; Von Mackensen S, Scalone L, Ravera S, Mantovani L, Gringeri A, The COCHE Study Group. Assessment of health-related quality of life in patients with Hemophilia with the newly developed Hemophilia-specific instrument (Haem-A-QoL). Value Health 2005; 8:A127). Hemophilia Quality of Life Questionnaire Adult Version
C122373 HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP I HAEM01 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Children's Long Version Age Group I
C122374 HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP II HAEM02 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Children's Long Version Age Group II
C122375 HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP III HAEM03 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Children's Long Version Age Group III
C122376 HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP I HAEM04 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Children's Short Version Age Group I
C122377 HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP II/III HAEM05 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group II/III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Children's Short Version Age Group II/III
C122378 HAEMO-QOL PARENT'S LONG VERSION AGE GROUP I HAEM06 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group I
C122379 HAEMO-QOL PARENT'S LONG VERSION AGE GROUP II HAEM07 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group II
C122380 HAEMO-QOL PARENT'S LONG VERSION AGE GROUP III HAEM08 Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group III
C130314 HAMD 6 SELF-REPORT VERSION HAMDS1 The Hamilton Depression Rating Scale 6 Self-Report Version (HAM-D6 - Self-Report Version) (Clinical Research: Rating scales in depression: limitations and pitfalls; Per Bech, MD; Copyright 2006 LLS SAS. All rights reserved). Hamilton Depression Rating Scale 6 Self-Report Version Questionnaire
C106699 HAQ-DI WITH VAS HAQ01 Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale (HAQ-DI WITH VAS) (Fries JF. The assessment of disability: from first to future principles. Br J Rheumatol. 1983 Aug; 22(3 Suppl):48-58). Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire
C132534 HAQ-DI WITHOUT VAS HAQ02 Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale (HAQ-DI WITHOUT VAS) (Copyright 2003 Fries JF. Bruce B, Fries JF. The Stanford Health Assessment Questionnaire: Dimensions and Practical Applications. Health and Quality of Life Outcomes 2003. 9 June 2003; 1:20 1-6). Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale
C163815 HCS HCS01 Hypoglycemic Confidence Scale (HCS) (Polonsky WH, Fisher L, Hessler D, Edelman SV. Investigating Hypoglycemic Confidence in Type 1 and Type 2 Diabetes. Diabetes Technol Ther 2017; 19(2): 131-6). Hypoglycemic Confidence Scale Questionnaire
C174070 IBDQ IBDQ01 Quality of Life in Inflammatory Bowel Disease Questionnaire (IBDQ) (Copyright 1989, McMaster University, Hamilton, Ontario, Canada. The Inflammatory Bowel Disease Questionnaire, authored by Dr. Jan Irvine et. al., was made under license from McMaster University, Hamilton, Canada (Copyright 1989, McMaster University). The IBDQ is provided under license from McMaster University and may not be copied, distributed or used in any way without the prior written consent of McMaster University. Contact the McMaster Industry Liaison Office at: milo at mcmaster.ca for licensing details). Quality of Life in Inflammatory Bowel Disease Questionnaire
C130315 IDS-SR IDSR1 Inventory of Depressive Symptomatology - Self-Report (IDS-SR) (Copyright UT Southwestern Medical Center at Dallas. Rush, A.J., Carmody, T. and Reimitz, P.E. The Inventory of Depressive Symptomatology (IDS): Clinician (IDS-C) and self-report (IDS-SR) ratings of depressive symptoms. International Journal of Methods in Psychiatric Research, 9:45-59, 2000). Inventory of Depressive Symptomatology Self-Report Version Questionnaire
C103521 IIEF IIEF01 International Index of Erectile Function (IIEF) (Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, and Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 49(6): 822-830). International Index of Erectile Function Questionnaire
C141692 IPAQ-LF PHONE VERSION IPAQ02 International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format (IPAQ-LF PHONE VERSION)(Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se). International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format
C141691 IPAQ-LF SELF-ADMINISTERED VERSION IPAQ03 International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format (IPAQ-LF SELF-ADMINISTERED VERSION) (Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se). International Physical Activity Questionnaire (August 2002) Long Last 7 Days Self-Administered Format
C141693 IPAQ-SF PHONE VERSION IPAQ01 International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format (IPAQ-SF PHONE VERSION)(Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se). International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format
C141690 IPAQ-SF SELF-ADMINISTERED VERSION IPAQ04 International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format (IPAQ-SF SELF-ADMINISTERED VERSION)(Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se). International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format
C113446 IPSS I-PSS;IPS01 International Prostate Symptom Score (IPSS) (Barry MJ, et al. The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 1992; 148: 1549-1557). CDISC believes this instrument to be in the public domain, but you should perform your own assessment. International Prostate Symptom Score
C113876 IVIS IVIS01 Impact of Visual Impairment Scale (IVIS) (1997 by the National Multiple Sclerosis Society. All rights reserved). Impact of Visual Impairment Scale Questionnaire
C135740 LEC-5 STANDARD VERSION LEC01 Life Events Checklist for DSM-5, Standard Version (LEC-5 STANDARD VERSION) (Weathers, F.W., Blake, D.D., Schnurr, P.P., Kaloupek, D.G., Marx, B.P., & Keane, T.M. (2013). The Life Events Checklist for DSM-5 (LEC-5). Retrieved from the National Center for PTSD website: http://www.ptsd.va.gov). Life Events Checklist for DSM-5 Standard Version Questionnaire
C122382 MADRS MADRS1 Montgomery-Asberg Depression Rating Scale (MADRS) (Copyright Stuart Montgomery 1978, Measures of Depression, Fulcrum Press, London. Stuart A. Montgomery and Marie Asberg. A new depression scale designed to be sensitive to change. Br. J. Psychiat. (1979), 134:382-389). Montgomery-Asberg Depression Rating Scale Questionnaire
C123660 MDQ-T MDQ01 Menstrual Distress Questionnaire Form-T (Today) (MDQ-T) (Copyright 1968, 1989, 1991, 2000, 2010 by Rudolf H. Moos. All Rights Reserved. Published by Mind Garden, Inc. Moos RH. The development of a menstrual distress questionnaire. Psychosom Med. 1968 Nov-Dec;30(6):853-67). Menstrual Distress Questionnaire Form-T (Today)
C100769 MDS-UPDRS UPD2 The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) (copyright 2008 Movement Disorder Society. All Rights Reserved). Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire
C113877 MFIS MFIS01 Modified Fatigue Impact Scale (MFIS) (1997 by the National Multiple Sclerosis Society. All rights reserved). Modified Fatigue Impact Scale Questionnaire
C112523 MHIS-NACC MHIS01 Modified Hachinski Ischemic Scale-NACC Version (MHIS-NACC) Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force (John C. Morris, MD, Chair) and the National Alzheimer's Coordinating Center (Walter A. Kukull, PhD, Director). This publication was funded by the National Institutes of Health through the National Institute on Aging (Cooperative Agreement U01 AG016976). Modified Hachinski Ischemic Scale-NACC Version Questionnaire
C106700 MMRC MMRC01 Modified Medical Research Council dyspnea scale (MMRC) (Mahler DA, Wells CK. Evaluation of Clinical Methods for Rating Dyspnea. Chest 1988; 93:580-586). Modified Medical Research Council Dyspnea Scale Questionnaire
C100771 MNSI MNSI1 Michigan Neuropathy Screening Instrument (MNSI) (copyright University of Michigan, 2000, All rights reserved). Michigan Neuropathy Screening Instrument Questionnaire
C115798 MPAI-4 MPAI1 The Mayo-Portland Adaptability Inventory-4 (MPAI-4) (Malec, J. (2005). The Mayo-Portland Adaptability Inventory-4. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/combi/mpai). Mayo-Portland Adaptability Inventory-4 Questionnaire
C111383 MRS MRS01 Modified Rankin Scale (MRS) (Van Swieten J., Koudstaal P., Visser M., Schouten H., and Van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients, 1988. Stroke 19: 604-607). Modified Rankin Scale Questionnaire
C123664 MSIS-29 V1 MSIS01 Multiple Sclerosis Impact Scale version 1 (MSIS-29v1) (Copyright 2000 Neurological Outcome Measures Unit, Institute of Neurology, University College London, UK). Multiple Sclerosis Impact Scale Version 1 Questionnaire
C123665 MSIS-29 V2 MSIS02 Multiple Sclerosis Impact Scale version 2 (MSIS-29v2) (Copyright 2005 Neurological Outcome Measures Unit, Peninsula Medical School, Plymouth, UK). Multiple Sclerosis Impact Scale Version 2 Questionnaire
C113878 MSQOL-54 MSQL1 Multiple Sclerosis Quality of Life-54 Instrument (MSQOL-54) (Copyright 1995, University of California, Los Angeles). Multiple Sclerosis Quality of Life-54 Instrument Questionnaire
C123663 MSWS-12 MSWS01 12-Item Multiple Sclerosis Walking Scale (MSWS-12) (Copyright 2000 Neurological Outcome Measures Unit). 12-Item Multiple Sclerosis Walking Scale Questionnaire
C129107 NCCN-FACT FBLSI-18 V2 FAC028 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 (NCCN-FACT FBlSI-18 V2) (Copyright 2001 David Cella, Ph.D. All Rights Reserved;Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire
C150918 NCCN-FACT FBRSI-24 V2 FAC030 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 (NCCN-FACT FBRSI-24 V2) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire
C150919 NCCN-FACT FHNSI-22 V2 FAC036 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 (NCCN-FACT FHNSI-22 V2) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire
C129106 NCCN-FACT FKSI-19 V2 FAC042 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 (NCCN-FACT FKSI-19 V2) (Copyright 2001 David Cella, Ph.D. All Rights Reserved;Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire
C129110 NCCN-FACT FOSI-18 V2 FAC050 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 (NCCN-FACT FOSI-18 V2) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire
C127370 NCCN-FACT FPSI-17 V2 FAC052 National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 (NCCN-FACT-FPSI 17 V2) (Copyright 2001 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire
C100772 NPI NPI-12;NPI1 Neuropsychiatric Inventory (NPI) (copyright JL Cummings, 1994, all rights reserved; permission for commercial use required; npiTEST.net). No part of the NPI may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the JL Cummings and payment of any applicable fees. Copyright JL Cummings, 1994, all rights reserved. Neuropsychiatric Inventory - 12 Item Version Questionnaire
C103522 NPS NPS01 Neuropathic Pain Scale (NPS) (copyright Brad Galer and Mark Jensen. All rights reserved.). Neuropathic Pain Scale Questionnaire
C155327 NSCLC-SAQ V1.0 NSCLC1 Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 (NSCLC-SAQ V1.0) (Version 1.0 Copyright 2015 Critical Path Institute. All Rights Reserved. McCarrier KP, Atkinson TM, DeBusk KP, Liepa AM, Scanlon M, Coons SJ and on behalf of the Patient-Reported Outcome Consortium. Qualitative Development and Content Validity of the Non-small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ), A Patient-reported Outcome Instrument. Clinical Therapeutics 2016; 38(4):794-810. Patient-Reported Outcome (PRO) Consortium - Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ) Provisional User Manual, Version 6: March 24, 2017). No part of the NSCLC-SAQ V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved). Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0
C103524 OAB-Q SHORT FORM OABQ02 The Overactive Bladder Questionnaire Short Form (OAB-q Short Form) (Karin S. Coyne, Christine L. Thompson, Jin-Shei Lai, and Chris C. Sexton. An Overactive Bladder Symptom and Health-Related Quality of Life Short-Form: Validation of the OAB-q SF. Neurourology and Urodynamics 34:255-263, 2015). The Overactive Bladder Questionnaire Short Form
C103523 OAB-Q OABQ01 The Overactive Bladder Questionnaire (OAB-q) (Coyne K, Revicki D, Hunt T, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res. Sep 2002; 11(6):563-574). The Overactive Bladder Questionnaire
C119095 OCI OCI01 Ocular Comfort Index (OCI) (The copyright owner of the Ocular Comfort Index is Dr. Michael Edward Johnson. Michael E. Johnson and Paul J. Murphy. Measurement of Ocular Surface Irritation on a Linear Interval Scale with the Ocular Comfort Index. Investigative Ophthalmology and Visual Science, October 2007, Vol. 48, No.10). Ocular Comfort Index Questionnaire
C103525 ODI V2.1A ODI01 The Oswestry Disability Index Version 2.1a (ODI v2.1A) (copyright 1980 Jeremy Fairbank. All Rights Reserved.). The Oswestry Disability Index Version 2.1a Questionnaire
C163816 PARENT-DDS DDS02 Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes (PARENT-DDS) (Hessler D, Fisher L, Polonsky W, Johnson N. Understanding the Areas and Correlates of Diabetes-Related Distress in Parent of Teens With Type 1 Diabetes. Journal of Pediatric Psychology 2016; 41(7): 750-758). Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire
C163817 PARTNER-DDS DDS03 Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes (PARTNER-DDS) (Polonsky WH, Fisher L, Hessler D, Johnson N. Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns. Diabetes Technology & Therapeutics May 2016; 18(5): 292-297). Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire
C135741 PCL-5 PCL01 The PTSD Checklist for DSM-5 (PCL-5) (Weathers, F.W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Retrieved from the National Center for PTSD website: http://www.ptsd.va.gov). The PTSD Checklist for DSM-5 Questionnaire
C112524 PDDS PDDS01 Patient Determined Disease Steps (PDDS) (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: A simple approach to evaluate disease progression. Neurology 1995; 45: 251-55). (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: a longitudinal study comparing disease steps and EDSS to evaluate disease progression. Multiple Sclerosis 1999; 5: 349-54). (Marrie RA and Goldman M. Validity of performance scales for disability assessment in multiple sclerosis. Multiple Sclerosis 2007; 13: 1176-1182). (The PDDS and/or PS are provided for use by the NARCOMS Registry: www.narcoms.org/pdds. NARCOMS is supported in part by the Consortium of Multiple Sclerosis Centers (CMSC) and the CMSC Foundation). Patient Determined Disease Steps Questionnaire
C100773 PDQUALIF PDQ01 Parkinson's Disease Quality of Life Scale (PDQUALIF) (Welsh M, McDermott MP, Holloway RG, Plumb S, Pfeiffer R, Hubble J, and The Parkinson Study Group. Development and Testing of the Parkinson's Disease Quality of Life Scale. Movement Disorders, 2003, Vol. 18; 637-645). Parkinson's Disease Quality of Life Scale Questionnaire
C147586 PEDS-FACIT-F FAC099 Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue (PEDS-FACIT-F) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire
C138341 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 CHILD PARENT REPORT PQL15 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Child Questionnaire
C138339 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 CHILD PQL14 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Child Report Questionnaire
C138342 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 TEEN PARENT REPORT PQL13 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Teen Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Teen Questionnaire
C138345 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 TEEN PQL12 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Teen (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Teen Report Questionnaire
C138340 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 TODDLER PARENT REPORT PQL18 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Toddler Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent of Toddler Questionnaire
C138343 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG ADULT PARENT REPORT PQL11 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Adult Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults Questionnaire
C138346 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG ADULT PQL10 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Adult (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Young Adult Report Questionnaire
C138344 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG CHILD PARENT REPORT PQL17 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Young Child Questionnaire
C138347 PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG CHILD PQL16 Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Young Child Report Questionnaire
C138350 PEDSQL NEUROMUSCULAR MODULE V3 CHILD PARENT REPORT PQL06 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Child Questionnaire
C138348 PEDSQL NEUROMUSCULAR MODULE V3 CHILD PQL05 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Child Report Questionnaire
C138351 PEDSQL NEUROMUSCULAR MODULE V3 TEEN PARENT REPORT PQL04 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Teen Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Teen Questionnaire
C138354 PEDSQL NEUROMUSCULAR MODULE V3 TEEN PQL03 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Teen (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Teen Report Questionnaire
C138349 PEDSQL NEUROMUSCULAR MODULE V3 TODDLER PARENT REPORT PQL09 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Toddler Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent of Toddler Questionnaire
C138352 PEDSQL NEUROMUSCULAR MODULE V3 YOUNG ADULT PARENT REPORT PQL02 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Adult Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Young Adults Report Questionnaire
C138355 PEDSQL NEUROMUSCULAR MODULE V3 YOUNG ADULT PQL01 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Adult (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Young Adult Report Questionnaire
C138353 PEDSQL NEUROMUSCULAR MODULE V3 YOUNG CHILD PARENT REPORT PQL08 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Young Child Questionnaire
C138356 PEDSQL NEUROMUSCULAR MODULE V3 YOUNG CHILD PQL07 Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109). Pediatric Quality of Life Neuromuscular Module Version 3.0 Young Child Report Questionnaire
C135739 PGI PGI01 Patient Global Impression (PGI) generic modification for any disease/condition concept use case (Modified from Guy W: ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976). Patient Global Impression Generic Modification Version Questionnaire
C125761 PHQ SCREENER VERSION PHQ03 Patient Health Questionnaire Screener Version (PHQ Screener) (Spitzer RL, Kroenke K, Williams JBW, for the Patient Health Questionnaire Primary Care Study Group. Validation and utility of a self-report version of PRIME-MD: the PHQ Primary Care Study. JAMA 1999;282:1737-1744. http://www.phqscreeners.com/instructions/instructions.pdf). Patient Health Questionnaire Screener Version
C103527 PHQ-15 PHQ02 Patient Health Questionnaire - 15 (PHQ-15) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64:258-266). Patient Health Questionnaire - 15 Item
C123386 PHQ-2 PHQ04 Patient Health Questionnaire-2 (PHQ-2) (Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener. Medical Care. 2003;41:1284-92). Patient Health Questionnaire-2
C103526 PHQ-9 PHQ01 Patient Health Questionnaire - 9 (PHQ-9) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16:606-613). Patient Health Questionnaire - 9 Item
C105167 PI PI01 The Pain Intensity (PI) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1. STANDARDS Pain Intensity Questionnaire
C135743 PODCI - ADOLESCENT PARENT REPORTED PODCI2 Pediatric Outcomes Data Collection Instrument (PODCI), Adolescent Parent-Reported (Daltroy LH, Liang MH, Fossel AH, Goldberg MJ, and The Outcomes Instrument Development Work Group. The POSNA Pediatric Musculoskeletal Functional Health Questionnaire:report on reliability, validity, and sensitivity to change. J Pediatr Orthop 1998; 18: 561-71). Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire
C135744 PODCI - ADOLESCENT SELF REPORTED PODCI3 Pediatric Outcomes Data Collection Instrument (PODCI), Adolescent Self-Reported (Daltroy LH, Liang MH, Fossel AH, Goldberg MJ, and The Outcomes Instrument Development Work Group. The POSNA Pediatric Musculoskeletal Functional Health Questionnaire:report on reliability, validity, and sensitivity to change. J Pediatr Orthop 1998; 18: 561-71). Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire
C135742 PODCI - PEDIATRIC PARENT REPORTED PODCI1 Pediatric Outcomes Data Collection Instrument (PODCI), Pediatric Parent-Reported (Daltroy LH, Liang MH, Fossel AH, Goldberg MJ, and The Outcomes Instrument Development Work Group. The POSNA Pediatric Musculoskeletal Functional Health Questionnaire: report on reliability, validity, and sensitivity to change. J Pediatr Orthop 1998; 18: 561-71). Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire
C105168 PR PR01 The Pain Relief (PR) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1. STANDARDS Pain Relief Questionnaire
C179975 PRO-CTCAE V1.0 VERSION DATE 4/26/2020 PT01 Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 (PRO-CTCAE V1.0 VERSION DATE 4/26/2020). The PRO-CTCAE trademark items and information herein were developed by the Division of Cancer Control and Population Sciences in the NATIONAL CANCER INSTITUTE at the NATIONAL INSTITUTES OF HEALTH, in Bethesda, Maryland, U.S.A. Use of the PRO-CTCAE is subject to NCI's "Terms of Use". PRO-CTCAE Measurement System content should be downloaded using the "Instrument & Form Builder". https://healthcaredelivery.cancer.gov/prot-ctcae/. (Basch E, Reeve BB, Mitchell SA, Clauser SB, Minasian LM, Dueck AC, Mendoza TR, Hay J, Atkinson TM, Abernethy AP, Bruner DW, Cleeland CS, Sloan JA, Chilukuri R, Baumgartner P, Denicoff A, St Germain D, O'Mara AM, Chen A, Kelaghan J, Bennett AV, Sit L, Rogak L, Barz A, Paul DB, Schrag D. Development of the National Cancer Institute's patient-reported outcomes version of the common terminology criteria for adverse events (PRO-CTCAE). J Natl Cancer Inst 2014 Sept 29;106(9)). Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire
C127372 PROSQOLI PROS01 Prostate Cancer Specific Quality of Life Instrument (PROSQOLI) (Stockler MR, Osoba D, Corey P, Goodwin PJ, Tannock IF. Convergent discriminitive, and predictive validity of the Prostate Cancer Specific Quality of Life Instrument (PROSQOLI) assessment and comparison with analogous scales from the EORTC QLQ-C30 and a trial-specific module. European Organisation for Research and Treatment of Cancer. Core Quality of Life Questionnaire. JClinEpidemiol 1999;52:653-66) Prostate Cancer Specific Quality of Life Instrument Questionnaire
C103849 PSQI PSQI1 Pittsburgh Sleep Quality Index (PSQI) (Copyright 1989, University of Pittsburgh. Buysse,D.J., Reynolds,C.F., Monk,T.H., Berman,S.R., & Kupfer, D.J. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric practice and research. Psychiatry Research, 1989, 28(2):193-213). Pittsburgh Sleep Quality Index
C130317 Q-LES-Q QLES1 Quality Of Life Enjoyment And Satisfaction Questionnaire (Q-LES-Q) (Copyright Jean Endicott, PhD; Unit 123, 1051 Riverside Drive, New York, NY 10032. 212-543-5536; Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacol Bull. 1993;29(2):321-6). Quality Of Life Enjoyment And Satisfaction Questionnaire
C130318 Q-LES-Q-SF QLES2 Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) (Copyright Jean Endicott, PhD; Unit 123, 1051 Riverside Drive, New York, NY 10032. 212-543-5536; Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacol Bull. 1993;29(2):321-6). Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form
C130316 QIDS-SR QIDSR1 Quick Inventory of Depressive Symptomatology - Self-Report (QIDS-SR) (Copyright UT Southwestern Medical Center at Dallas. Rush AJ, Trivedi MH, Ibrahim HM, Carmody TJ, Arnow B, Klein DN, Markowitz JC, Ninan PT, Kornstein S, Manber R, Thase ME, Kocsis JH, Keller MB. The 16-item Quick Inventory of Depressive Symptomatology (QIDS) Clinician Rating (QIDS-C) and Self-Report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54:573-583, 2003). Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire
C135745 RAND SOCIAL SUPPORT SURVEY INSTRUMENT RSSS01 RAND Social Support Survey Instrument (Copyright the RAND Corporation. Developed at RAND as part of the Medical Outcomes Study). RAND Social Support Survey Instrument Questionnaire
C113879 RAND-36 V1.0 R3601 RAND 36-Item Health Survey 1.0 (RAND-36) (Copyright the RAND Corporation. Developed at RAND as part of the Medical Outcomes Study). RAND 36-Item Health Survey 1.0 Questionnaire
C100774 RDQ RDQ01 Roland Morris Disability Questionnaire (RDQ) (Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983;8:141-144). Roland Morris Disability Questionnaire
C119103 RPQ RPQ01 Rivermead Post Concussion Symptoms Questionnaire (RPQ) (King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. J Neurol. 1995;242:587-592). Rivermead Post-Concussion Symptoms Questionnaire
C111384 SDS SDS01 Sheehan Disability Scale (Copyright 1983, 2010, 2011 David V. Sheehan. All rights reserved.). Sheehan Disability Scale Questionnaire
C174065 SF10 V1.0 CHILDREN ACUTE SF102 The Short Form 10 Health Survey for Children, Acute, US Version 1.0 (SF10 v1.0 CHILDREN ACUTE) (copyright 2001, 2005, 2011 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire
C174064 SF10 V1.0 CHILDREN STANDARD SF101 The Short Form 10 Health Survey for Children, Standard, US Version 1.0 (SF10 v1.0 CHILDREN STANDARD) (copyright 2001, 2005 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire
C174067 SF12 V1.0 ACUTE SF122 The Short Form 12 Health Survey, Acute, US Version 1.0 (SF12 v1.0 ACUTE) (copyright 1994, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire
C174066 SF12 V1.0 STANDARD SF121 The Short Form 12 Health Survey, Standard, US Version 1.0 (SF12 v1.0 STANDARD) (copyright 1994, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire
C174069 SF12 V2.0 ACUTE SF124 The Short Form 12 Health Survey, Acute, US Version 2.0 (SF12 v2.0 ACUTE) (copyright 1994, 2002 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire
C174068 SF12 V2.0 STANDARD SF123 The Short Form 12 Health Survey, Standard, US Version 2.0 (SF12 v2.0 STANDARD) (copyright 1994, 2002 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire
C102120 SF36 V1.0 ACUTE SF362 The Short Form 36 Health Survey Acute, US Version 1.0 (SF36 V1.0 ACUTE) (copyright 1988, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire
C100775 SF36 V1.0 STANDARD SF361 The Short Form 36 Health Survey Standard, US Version 1.0 (SF36 V1.0 STANDARD) (copyright 1988, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire
C102121 SF36 V2.0 ACUTE SF364 The Short Form 36 Health Survey Acute, US Version 2.0 (SF36 V2.0 ACUTE) (copyright 1992, 1996, 2000 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire
C102122 SF36 V2.0 STANDARD SF363 The Short Form 36 Health Survey Standard, US Version 2.0 (SF36 V2.0 STANDARD) (copyright 1992, 1996, 2000 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire
C185761 SF6D V2.0 ACUTE SF6D2 SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) (copyright 2021 QualityMetric Incorporated, LLC. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated, LLC. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric and payment of any applicable fees. Copyright QualityMetric Incorporated, LLC. All rights reserved. SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire
C185762 SF6D V2.0 STANDARD SF6D1 SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) (copyright 2021 QualityMetric Incorporated, LLC. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated, LLC. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric and payment of any applicable fees. Copyright QualityMetric Incorporated, LLC. All rights reserved. SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire
C174063 SF8 V1.0 ACUTE SF82 The Short Form 8 Health Survey, Acute, US Version 1.0 (SF8 v1.0 ACUTE) (copyright 1999, 2001 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire
C174062 SF8 V1.0 STANDARD SF81 The Short Form 8 Health Survey, Standard, US Version 1.0 (SF8 v1.0 STANDARD) (copyright 1998, 1999 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved. Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire
C112525 SGRQ PAST 3 MONTHS VERSION SGRQ01 St. George's Respiratory Questionnaire (SGRQ) Past 3 Months Version (copyright P.W. Jones, St. George's University of London). St. George's Respiratory Questionnaire Past 3 Months Version
C112526 SGRQ PAST 4 WEEKS VERSION SGRQ02 St. George's Respiratory Questionnaire (SGRQ) Past 4 Weeks Version (copyright P.W. Jones, St. George's University of London). St. George's Respiratory Questionnaire Past 4 Weeks Version
C106890 SGRQ-C SGRQC1 St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C) (Jones PW, Quirk FH, Baveystock CM, and Littlejohns PA. Self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. Am Rev Respir Dis. 1992 Jun; 145(6):1321-7). St. George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease Patients
C100776 SHORT-FORM MPQ-2 SFMP2 Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) (Copyright R. Melzack and the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT), 2009, All Rights Reserved). Short-Form McGill Pain Questionnaire-2
C150920 SIQ SIQ01 Suicidal Ideation Questionnaire (SIQ) (Copyright 1987 Psychological Assessment Resources, Inc. (PAR). All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.). Suicidal Ideation Questionnaire
C150921 SIQ-JR SIQ02 Suicidal Ideation Questionnaire-JR (SIQ-JR) (Copyright 1987 Psychological Assessment Resources, Inc. (PAR). All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.). Suicidal Ideation Questionnaire-Junior
C103528 SIQR SIQR01 Symptom Impact Questionnaire (SIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.). Symptom Impact Questionnaire
C155328 SMDDS V1.0 SMDDS1 Symptoms of Major Depressive Disorder Scale v1.0 (SMDDS V1.0) (Version 1.0 Copyright 2015 Critical Path Institute. All Rights Reserved. McCarrier KP, Deal LS, Abraham L, Blum SI, Bush EN, Martin M, Thase ME, Coons SJ on behalf of the Patient-Reported Outcome Consortium's Depression Working Group. Patient-centered research to support the development of the Symptoms of Major Depressive Disorder Scale (SMDDS): initial qualitative research. The Patient-Patient-Centered Outcomes Research 2016;9:117-134. Patient-Reported Outcome (PRO) Consortium - Symptoms of Major Depressive Disorder Scale (SMDDS) User Manual, Version 1: October 31, 2017). No part of the SMDDS V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved). Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire
C100777 SOAPP-R SOAPR1 Screener and Opioid Assessment for Patients with Pain Revised (SOAPP-R) (copyright 2007 Inflexxion, Inc., All rights reserved). Screener and Opioid Assessment for Patients with Pain Revised Questionnaire
C123659 SOBDA SOBDA1 Shortness of Breath with Daily Activities Questionnaire (SOBDA) (Wilcox TK, Chen WH, Howard KA, Wiklund I, Brooks J, Watkins ML, Cates CE, Tabberer MM, Crim C. Item selection, reliability and validity of the Shortness of Breath with Daily Activities (SOBDA) questionnaire: a new outcome measure for evaluating dyspnea in chronic obstructive pulmonary disease. Health and Quality of Life Outcomes 2013 11:196). Shortness of Breath with Daily Activities Questionnaire
C103529 SOWS SHORT SOWSB1 Short Opiate Withdrawal Scale (SOWS SHORT) (Gossop, M. The development of a short opiate withdrawal scale. Addictive Behaviors 1990; 15:487-490). Short Opiate Withdrawal Scale Questionnaire
C102123 SOWS SUBJECTIVE SOWSA1 The Subjective Opiate Withdrawal Scale (SOWS) (Handelsman, L., Cochrane, K. J., Aronson, M. J. Ness, R., Rubinstein K.J., Kanof, P.D. (1987) Two New Rating Scales for Opiate Withdrawal. American Journal of Alcohol Abuse, 13, 293-308). Subjective Opiate Withdrawal Scale Questionnaire
C115799 SWLS SWLS01 The Satisfaction With Life Scale (SWLS) (Diener, E., Emmons, R., Larsen, J., and Griffin, S. (1985). The Satisfaction With Life Scale. J Personality Assessment, 49(1): 71-75). Satisfaction With Life Scale Questionnaire
C161655 T1-DDS DDS01 Diabetes Distress Scale for Adults with Type 1 Diabetes (T1-DDS) (Fisher L, Polonsky WH, Hessler DM, Masharani U, Blumer I, Peters AL, Strycker LA, Bowyer V. Understanding the sources of diabetes distress in adults with type 1 diabetes. J Diabetes Complications 2015; 29(4): 572-7). Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire
C147587 TSCC TSCC01 Trauma Symptom Checklist for Children (TSCC) (Copyright 1989, 1996 by PAR. All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of PAR). Trauma Symptom Checklist for Children Questionnaire
C147588 TSCYC TSCYC1 Trauma Symptom Checklist for Young Children (TSCYC) (Copyright 1999, 2005 by Psychological Assessment Resources, Inc. (PAR). All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc). Trauma Symptom Checklist for Young Children Questionnaire
C132535 TSQM V1.4 TSQM01 Treatment Satisfaction Questionnaire for Medication - Version 1.4 (TSQM V1.4) (Copyright 2004, Quintiles. All Rights Reserved). Treatment Satisfaction Questionnaire for Medication Version 1.4
C103530 UPS UPS01 Urgency Perception Scale (UPS) (copyright Pfizer. All rights reserved.). Urgency Perception Scale Questionnaire
C112527 VFQ-25 INTERVIEWER ADMINISTERED VFQ1 National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Interviewer-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute). Visual Functioning Questionnaire 25-Interviewer Administered Format Version 2000
C112528 VFQ-25 SELF ADMINISTERED VFQ2 National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Self-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute). Visual Functioning Questionnaire 25-Self Administered Format Version 2000
C130325 WHODAS 2.0 - 12 + 24-ITEM INTERVIEWER WD4 World Health Organization Disability Assessment Schedule 2.0 - 12+24-item Version, Interviewer-administered (WHODAS 2.0 - 12+24-item Version Interviewer-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12+24-Item Version, Interviewer-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 12+24-item Version Interviewer-administered Questionnaire
C130322 WHODAS 2.0 - 12-ITEM INTERVIEWER WD1 World Health Organization Disability Assessment Schedule 2.0 - 12-item Version, Interviewer-administered (WHODAS 2.0 - 12-item Version Interviewer-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12-Item Version, Interviewer-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 12-item Version Interviewer-administered Questionnaire
C130323 WHODAS 2.0 - 12-ITEM PROXY WD2 World Health Organization Disability Assessment Schedule 2.0 - 12-item Version, Proxy-administered (WHODAS 2.0 - 12-item Version Proxy-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12-Item Version, Proxy-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 12-item Version Proxy-administered Questionnaire
C130324 WHODAS 2.0 - 12-ITEM SELF WD3 World Health Organization Disability Assessment Schedule 2.0 - 12-item Version, Self-administered (WHODAS 2.0 - 12-item Version Self-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12-Item Version, Self-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 12-item Version Self-administered Questionnaire
C130319 WHODAS 2.0 - 36-ITEM INTERVIEWER WD5 World Health Organization Disability Assessment Schedule 2.0 - 36-item Version, Interviewer-administered (WHODAS 2.0 - 36-item Version Interviewer-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 36-Item Version, Interviewer-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 36-item Version Interviewer-administered Questionnaire
C130320 WHODAS 2.0 - 36-ITEM PROXY WD6 World Health Organization Disability Assessment Schedule 2.0 - 36-item Version, Proxy-administered (WHODAS 2.0 - 36-item Version Proxy-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 36-Item Version, Proxy-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 36-item Version Proxy-administered Questionnaire
C130321 WHODAS 2.0 - 36-ITEM SELF WD7 World Health Organization Disability Assessment Schedule 2.0 - 36-item Version, Self-administered (WHODAS 2.0 - 36-item Version Self-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 36-Item Version, Self-Administered www.who.int/classifications/icf/whodasii/en)). World Health Organization Disability Assessment Schedule 2.0 36-item Version Self-administered Questionnaire
C119096 WLQ WLQ01 Work Limitations Questionnaire (WLQ) (copyright 1998. The Health Institute, Tufts Medical Center f/k/a New England Medical Center Hospitals, Inc.; Debra Lerner, Ph.D.; Benjamin Amick III, Ph.D.; and GlaxoWellcome, Inc. All Rights Reserved). Work Limitations Questionnaire
C122384 WOMAC LK 3.1 INDEX WOMAC1 Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format (WOMAC LK 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved). Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format Questionnaire
C122385 WOMAC NRS 3.1 INDEX WOMAC2 Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format (WOMAC NRS 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved). Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format Questionnaire
C122386 WOMAC VA 3.1 INDEX WOMAC3 Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format (WOMAC VA 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved). Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format Questionnaire
C123285 WPAI-GH V2.0 WPAI02 The Work Productivity and Activity Impairment - General Health Version 2.0 (WPAI-GH V2.0) (Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. PharmacoEconomics 1993; 4(5):353-65. http://www.reillyassociates.net/WPAI_GH.html. http://www.reillyassociates.net/WPAI_General.html). Work Productivity and Activity Impairment General Health V2.0 Questionnaire
C100779 WPAI-SHP V2.0 WPAI01 The Work Productivity and Activity Impairment - Specific Health Problems Questionnaire Version 2.0 (WPAI-SHP V2.0) (Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. PharmacoEconomics 1993; 4(5):353-65. http://www.reillyassociates.net/WPAI_SHP.html. http://www.reillyassociates.net/WPAI_General.html). Work Productivity and Activity Impairment Specific Health Problems Version 2.0 Questionnaire
C102124 YMRS YMRS01 Young Mania Rating Scale (YMRS) (Young RC, Biggs JT, Ziegler VE et al: A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133: 429-435, 1978). Young Mania Rating Scale Questionnaire

R3601TC (RAND 36-Item Health Survey 1.0 Questionnaire Test Code)

NCI Code: C113862, Codelist extensible: No
C113862 R3601TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C114043 R360101 R3601-Would You Say Your Health Is RAND 36-Item Health Survey 1.0 - In general, would you say your health is: RAND-36 - Rate Your Health
C114044 R360102 R3601-Health Now Compared to 1 Year Ago RAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now? RAND-36 - Rate Your Health Compared to One Year Ago
C114045 R360103 R3601-Health Limit Vigorous Activities RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. RAND-36 - Health Limit Vigorous Activities
C114046 R360104 R3601-Health Limit Moderate Activities RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. RAND-36 - Health Limit Moderate Activities
C114047 R360105 R3601-Health Limit Carrying Groceries RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries. RAND-36 - Health Limit Lifting Groceries
C114048 R360106 R3601-Health Limit Climb Several Flights RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs. RAND-36 - Health Limit Climbing Several Flights
C114049 R360107 R3601-Health Limit Climb One Flight RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs. RAND-36 - Health Limit Climbing One Flight
C114050 R360108 R3601-Health Limit Bending or Kneeling RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping. RAND-36 - Health Limit Bending or Stooping
C114051 R360109 R3601-Health Limit Walk More Than Mile RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile. RAND-36 - Health Limit Walking More Than A Mile
C114052 R360110 R3601-Health Limit Walk Several Blocks RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks. RAND-36 - Health Limit Walking Several Blocks
C114053 R360111 R3601-Health Limit Walk One Block RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block. RAND-36 - Health Limit Walking One Block
C114054 R360112 R3601-Health Limit Bathing/Dressing Self RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself. RAND-36 - Health Limit Bathing or Dressing
C114055 R360113 R3601-Phys Health: Cut Work Time RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities. RAND-36 - Physical Health Cut Down Time Spent on Work
C114056 R360114 R3601-Phys Health: Accomplish Less RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. RAND-36 - Physical Health Accomplished Less
C114057 R360115 R3601-Phys Health: Limit Kind of Work RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. RAND-36 - Physical Health Limited in the Kind of Work
C114058 R360116 R3601-Phys Health: Difficulty Performing RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. RAND-36 - Physical Health Difficulty Performing Work
C114059 R360117 R3601-Emotional Problem: Cut Work Time RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities. RAND-36 - Emotional Problem Cut Down Time Spent on Work
C114060 R360118 R3601-Emotional Problem: Accomplish Less RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. RAND-36 - Emotional Problem Accomplished Less
C114061 R360119 R3601-Emotional Problem: Less Careful RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. RAND-36 - Emotional Problem Did Not Do Work as Carefully
C114062 R360120 R3601-Extent Interfered Social Activity RAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities
C114063 R360121 R3601-How Much Bodily Pain Have You Had RAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks? RAND-36 - Bodily Pain
C114064 R360122 R3601-Did Pain Interfere With Your Work RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work? RAND-36 - Pain Interfere With Normal Work
C114065 R360123 R3601-Did You Feel Full of Pep RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep? RAND-36 - Feel Full of Pep
C114066 R360124 R3601-Have Been a Very Nervous Person RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person? RAND-36 - Been a Nervous Person
C114067 R360125 R3601-Have Felt So Down in the Dumps RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? RAND-36 - Felt Nothing Could Cheer You Up
C114068 R360126 R3601-Have You Felt Calm and Peaceful RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful? RAND-36 - Felt Calm and Peaceful
C114069 R360127 R3601-Did You Have a Lot of Energy RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy? RAND-36 - Have a Lot of Energy
C114070 R360128 R3601-Have Felt Downhearted and Blue RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue? RAND-36 - Felt Downhearted and Blue
C114071 R360129 R3601-Did You Feel Worn Out RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out? RAND-36 - Feel Worn Out
C114072 R360130 R3601-Have You Been a Happy Person RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person? RAND-36 - Been a Happy Person
C114073 R360131 R3601-Did You Feel Tired RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired? RAND-36 - Feel Tired
C114074 R360132 R3601-Amt Time Interfere Social Activity RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities
C114075 R360133 R3601-Get Sick Easier Than Other People RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. RAND-36 - Get Sick Easier Than Other
C114076 R360134 R3601-I Am as Healthy as Anybody I Know RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. RAND-36 - As Healthy as Anybody
C114077 R360135 R3601-I Expect My Health to Get Worse RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. RAND-36 - Expect Health to Get Worse
C114078 R360136 R3601-My Health Is Excellent RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent. RAND-36 - My Health is Excellent

R3601TN (RAND 36-Item Health Survey 1.0 Questionnaire Test Name)

NCI Code: C113861, Codelist extensible: No
C113861 R3601TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C114074 R3601-Amt Time Interfere Social Activity R3601-Amt Time Interfere Social Activity RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities
C114064 R3601-Did Pain Interfere With Your Work R3601-Did Pain Interfere With Your Work RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work? RAND-36 - Pain Interfere With Normal Work
C114065 R3601-Did You Feel Full of Pep R3601-Did You Feel Full of Pep RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep? RAND-36 - Feel Full of Pep
C114073 R3601-Did You Feel Tired R3601-Did You Feel Tired RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired? RAND-36 - Feel Tired
C114071 R3601-Did You Feel Worn Out R3601-Did You Feel Worn Out RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out? RAND-36 - Feel Worn Out
C114069 R3601-Did You Have a Lot of Energy R3601-Did You Have a Lot of Energy RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy? RAND-36 - Have a Lot of Energy
C114060 R3601-Emotional Problem: Accomplish Less R3601-Emotional Problem: Accomplish Less RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. RAND-36 - Emotional Problem Accomplished Less
C114059 R3601-Emotional Problem: Cut Work Time R3601-Emotional Problem: Cut Work Time RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities. RAND-36 - Emotional Problem Cut Down Time Spent on Work
C114061 R3601-Emotional Problem: Less Careful R3601-Emotional Problem: Less Careful RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. RAND-36 - Emotional Problem Did Not Do Work as Carefully
C114062 R3601-Extent Interfered Social Activity R3601-Extent Interfered Social Activity RAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities
C114075 R3601-Get Sick Easier Than Other People R3601-Get Sick Easier Than Other People RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. RAND-36 - Get Sick Easier Than Other
C114066 R3601-Have Been a Very Nervous Person R3601-Have Been a Very Nervous Person RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person? RAND-36 - Been a Nervous Person
C114070 R3601-Have Felt Downhearted and Blue R3601-Have Felt Downhearted and Blue RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue? RAND-36 - Felt Downhearted and Blue
C114067 R3601-Have Felt So Down in the Dumps R3601-Have Felt So Down in the Dumps RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? RAND-36 - Felt Nothing Could Cheer You Up
C114072 R3601-Have You Been a Happy Person R3601-Have You Been a Happy Person RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person? RAND-36 - Been a Happy Person
C114068 R3601-Have You Felt Calm and Peaceful R3601-Have You Felt Calm and Peaceful RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful? RAND-36 - Felt Calm and Peaceful
C114054 R3601-Health Limit Bathing/Dressing Self R3601-Health Limit Bathing/Dressing Self RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself. RAND-36 - Health Limit Bathing or Dressing
C114050 R3601-Health Limit Bending or Kneeling R3601-Health Limit Bending or Kneeling RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping. RAND-36 - Health Limit Bending or Stooping
C114047 R3601-Health Limit Carrying Groceries R3601-Health Limit Carrying Groceries RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries. RAND-36 - Health Limit Lifting Groceries
C114049 R3601-Health Limit Climb One Flight R3601-Health Limit Climb One Flight RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs. RAND-36 - Health Limit Climbing One Flight
C114048 R3601-Health Limit Climb Several Flights R3601-Health Limit Climb Several Flights RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs. RAND-36 - Health Limit Climbing Several Flights
C114046 R3601-Health Limit Moderate Activities R3601-Health Limit Moderate Activities RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. RAND-36 - Health Limit Moderate Activities
C114045 R3601-Health Limit Vigorous Activities R3601-Health Limit Vigorous Activities RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. RAND-36 - Health Limit Vigorous Activities
C114051 R3601-Health Limit Walk More Than Mile R3601-Health Limit Walk More Than Mile RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile. RAND-36 - Health Limit Walking More Than A Mile
C114053 R3601-Health Limit Walk One Block R3601-Health Limit Walk One Block RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block. RAND-36 - Health Limit Walking One Block
C114052 R3601-Health Limit Walk Several Blocks R3601-Health Limit Walk Several Blocks RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks. RAND-36 - Health Limit Walking Several Blocks
C114044 R3601-Health Now Compared to 1 Year Ago R3601-Health Now Compared to 1 Year Ago RAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now? RAND-36 - Rate Your Health Compared to One Year Ago
C114063 R3601-How Much Bodily Pain Have You Had R3601-How Much Bodily Pain Have You Had RAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks? RAND-36 - Bodily Pain
C114076 R3601-I Am as Healthy as Anybody I Know R3601-I Am as Healthy as Anybody I Know RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. RAND-36 - As Healthy as Anybody
C114077 R3601-I Expect My Health to Get Worse R3601-I Expect My Health to Get Worse RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. RAND-36 - Expect Health to Get Worse
C114078 R3601-My Health Is Excellent R3601-My Health Is Excellent RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent. RAND-36 - My Health is Excellent
C114056 R3601-Phys Health: Accomplish Less R3601-Phys Health: Accomplish Less RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. RAND-36 - Physical Health Accomplished Less
C114055 R3601-Phys Health: Cut Work Time R3601-Phys Health: Cut Work Time RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities. RAND-36 - Physical Health Cut Down Time Spent on Work
C114058 R3601-Phys Health: Difficulty Performing R3601-Phys Health: Difficulty Performing RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. RAND-36 - Physical Health Difficulty Performing Work
C114057 R3601-Phys Health: Limit Kind of Work R3601-Phys Health: Limit Kind of Work RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. RAND-36 - Physical Health Limited in the Kind of Work
C114043 R3601-Would You Say Your Health Is R3601-Would You Say Your Health Is RAND 36-Item Health Survey 1.0 - In general, would you say your health is: RAND-36 - Rate Your Health

RASS01TC (Richmond Agitation-Sedation Scale Clinical Classification Test Code)

NCI Code: C171409, Codelist extensible: No
C171409 RASS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C171419 RASS0101 RASS01-Score Richmond Agitation-Sedation Scale - Score. RASS - Score

RASS01TN (Richmond Agitation-Sedation Scale Clinical Classification Test Name)

NCI Code: C171408, Codelist extensible: No
C171408 RASS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C171419 RASS01-Score RASS01-Score Richmond Agitation-Sedation Scale - Score. RASS - Score

RCVD01TC (Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code)

NCI Code: C124672, Codelist extensible: No
C124672 RCVD01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124723 RCVD0101 RCVD01-Reynolds CVD 10-Year Risk Score Reynolds Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score. Reynolds CVD 10-Year Risk Score - Risk Score

RCVD01TN (Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name)

NCI Code: C124671, Codelist extensible: No
C124671 RCVD01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124723 RCVD01-Reynolds CVD 10-Year Risk Score RCVD01-Reynolds CVD 10-Year Risk Score Reynolds Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score. Reynolds CVD 10-Year Risk Score - Risk Score

RDQ01TC (Roland Morris Disability Questionnaire Questionnaire Test Code)

NCI Code: C100166, Codelist extensible: No
C100166 RDQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100780 RDQ0101 RDQ01-Stay at Home Roland Morris Disability Questionnaire - I stay at home most of the time because of my back. RDQ - Stay at Home
C100781 RDQ0102 RDQ01-Change Position Frequently Roland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable. RDQ - Change Position Frequently
C100782 RDQ0103 RDQ01-Walk More Slowly Roland Morris Disability Questionnaire - I walk more slowly than usual because of my back. RDQ - Walk More Slowly
C100783 RDQ0104 RDQ01-Not Do Any Usual Jobs Roland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house. RDQ - Not Do Any Usual House Jobs
C100784 RDQ0105 RDQ01-Use Handrail to Get Upstairs Roland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs. RDQ - Use Handrail to Get Upstairs
C100785 RDQ0106 RDQ01-Lie Down to Rest More Often Roland Morris Disability Questionnaire - Because of my back, I lie down to rest more often. RDQ - Lie Down to Rest More Often
C100786 RDQ0107 RDQ01-Hold on to Get Out of a Chair Roland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair. RDQ - Hold on to Get Out of a Chair
C100787 RDQ0108 RDQ01-Get Other People to Do Things Roland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me. RDQ - Get Other People to Do Things
C100788 RDQ0109 RDQ01-Get Dressed More Slowly Roland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back. RDQ - Get Dressed More Slowly
C100789 RDQ0110 RDQ01-Only Stand for Short Periods Roland Morris Disability Questionnaire - I only stand for short periods of time because of my back. RDQ - Only Stand for Short Periods
C100790 RDQ0111 RDQ01-Try Not to Bend or Kneel Roland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down. RDQ - Try Not to Bend or Kneel
C100791 RDQ0112 RDQ01-Difficult to Get Out of a Chair Roland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back. RDQ - Difficult to Get Out of a Chair
C100792 RDQ0113 RDQ01-Painful Almost All the Time Roland Morris Disability Questionnaire - My back is painful almost all the time. RDQ - Painful Almost All the Time
C100793 RDQ0114 RDQ01-Difficult to Turn Over in Bed Roland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back. RDQ - Difficult to Turn Over in Bed
C100794 RDQ0115 RDQ01-Appetite is Not Very Good Roland Morris Disability Questionnaire - My appetite is not very good because of my back pain. RDQ - Appetite is Not Very Good
C100795 RDQ0116 RDQ01-Trouble Putting on Socks/Stockings Roland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back. RDQ - Trouble Putting on Socks or Stockings
C100796 RDQ0117 RDQ01-Only Walk Short Distances Roland Morris Disability Questionnaire - I only walk short distances because of my back. RDQ - Only Walk Short Distances
C100797 RDQ0118 RDQ01-Sleep Less Well Roland Morris Disability Questionnaire - I sleep less well because of my back. RDQ - Sleep Less Well
C100798 RDQ0119 RDQ01-Get Dressed With Help Roland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else. RDQ - Get Dressed With Help
C100799 RDQ0120 RDQ01-Sit Down Most of the Day Roland Morris Disability Questionnaire - I sit down for most of the day because of my back. RDQ - Sit Down Most of the Day
C100800 RDQ0121 RDQ01-Avoid Heavy Jobs Roland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back. RDQ - Avoid Heavy Jobs
C100801 RDQ0122 RDQ01-More Irritable With People Roland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual. RDQ - More Irritable With People
C100802 RDQ0123 RDQ01-Go Upstairs More Slowly Roland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual. RDQ - Go Upstairs More Slowly
C100803 RDQ0124 RDQ01-Stay in Bed Roland Morris Disability Questionnaire - I stay in bed most of the time because of my back. RDQ - Stay in Bed
C100804 RDQ0125 RDQ01-RDQ Total Score Roland Morris Disability Questionnaire - RDQ total derived score. RDQ - Total Derived Score

RDQ01TN (Roland Morris Disability Questionnaire Questionnaire Test Name)

NCI Code: C100165, Codelist extensible: No
C100165 RDQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100794 RDQ01-Appetite is Not Very Good RDQ01-Appetite is Not Very Good Roland Morris Disability Questionnaire - My appetite is not very good because of my back pain. RDQ - Appetite is Not Very Good
C100800 RDQ01-Avoid Heavy Jobs RDQ01-Avoid Heavy Jobs Roland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back. RDQ - Avoid Heavy Jobs
C100781 RDQ01-Change Position Frequently RDQ01-Change Position Frequently Roland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable. RDQ - Change Position Frequently
C100791 RDQ01-Difficult to Get Out of a Chair RDQ01-Difficult to Get Out of a Chair Roland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back. RDQ - Difficult to Get Out of a Chair
C100793 RDQ01-Difficult to Turn Over in Bed RDQ01-Difficult to Turn Over in Bed Roland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back. RDQ - Difficult to Turn Over in Bed
C100788 RDQ01-Get Dressed More Slowly RDQ01-Get Dressed More Slowly Roland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back. RDQ - Get Dressed More Slowly
C100798 RDQ01-Get Dressed With Help RDQ01-Get Dressed With Help Roland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else. RDQ - Get Dressed With Help
C100787 RDQ01-Get Other People to Do Things RDQ01-Get Other People to Do Things Roland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me. RDQ - Get Other People to Do Things
C100802 RDQ01-Go Upstairs More Slowly RDQ01-Go Upstairs More Slowly Roland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual. RDQ - Go Upstairs More Slowly
C100786 RDQ01-Hold on to Get Out of a Chair RDQ01-Hold on to Get Out of a Chair Roland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair. RDQ - Hold on to Get Out of a Chair
C100785 RDQ01-Lie Down to Rest More Often RDQ01-Lie Down to Rest More Often Roland Morris Disability Questionnaire - Because of my back, I lie down to rest more often. RDQ - Lie Down to Rest More Often
C100801 RDQ01-More Irritable With People RDQ01-More Irritable With People Roland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual. RDQ - More Irritable With People
C100783 RDQ01-Not Do Any Usual Jobs RDQ01-Not Do Any Usual Jobs Roland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house. RDQ - Not Do Any Usual House Jobs
C100789 RDQ01-Only Stand for Short Periods RDQ01-Only Stand for Short Periods Roland Morris Disability Questionnaire - I only stand for short periods of time because of my back. RDQ - Only Stand for Short Periods
C100796 RDQ01-Only Walk Short Distances RDQ01-Only Walk Short Distances Roland Morris Disability Questionnaire - I only walk short distances because of my back. RDQ - Only Walk Short Distances
C100792 RDQ01-Painful Almost All the Time RDQ01-Painful Almost All the Time Roland Morris Disability Questionnaire - My back is painful almost all the time. RDQ - Painful Almost All the Time
C100804 RDQ01-RDQ Total Score RDQ01-RDQ Total Score Roland Morris Disability Questionnaire - RDQ total derived score. RDQ - Total Derived Score
C100799 RDQ01-Sit Down Most of the Day RDQ01-Sit Down Most of the Day Roland Morris Disability Questionnaire - I sit down for most of the day because of my back. RDQ - Sit Down Most of the Day
C100797 RDQ01-Sleep Less Well RDQ01-Sleep Less Well Roland Morris Disability Questionnaire - I sleep less well because of my back. RDQ - Sleep Less Well
C100780 RDQ01-Stay at Home RDQ01-Stay at Home Roland Morris Disability Questionnaire - I stay at home most of the time because of my back. RDQ - Stay at Home
C100803 RDQ01-Stay in Bed RDQ01-Stay in Bed Roland Morris Disability Questionnaire - I stay in bed most of the time because of my back. RDQ - Stay in Bed
C100795 RDQ01-Trouble Putting on Socks/Stockings RDQ01-Trouble Putting on Socks/Stockings Roland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back. RDQ - Trouble Putting on Socks or Stockings
C100790 RDQ01-Try Not to Bend or Kneel RDQ01-Try Not to Bend or Kneel Roland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down. RDQ - Try Not to Bend or Kneel
C100784 RDQ01-Use Handrail to Get Upstairs RDQ01-Use Handrail to Get Upstairs Roland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs. RDQ - Use Handrail to Get Upstairs
C100782 RDQ01-Walk More Slowly RDQ01-Walk More Slowly Roland Morris Disability Questionnaire - I walk more slowly than usual because of my back. RDQ - Walk More Slowly

RISEF1TC (Rising From Floor Functional Test Test Code)

NCI Code: C141659, Codelist extensible: No
C141659 RISEF1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C174105 RISEF101 RISEF1-Was Rising From Floor Performed Rising From Floor - Was Rising From Floor performed? Rising From Floor - Was Rising From Floor Performed
C141702 RISEF102 RISEF1-Time to Rise From Floor Rising From Floor - If yes, time taken to rise from floor. Rising From Floor - Time to Rise From Floor
C151073 RISEF103 RISEF1-Wear Orthoses Rising From Floor - If yes, did subject wear orthoses? Rising From Floor - Wear Orthoses
C141703 RISEF104 RISEF1-Test Grade Rising From Floor - Test grade. Rising From Floor - Test Grade

RISEF1TN (Rising From Floor Functional Test Test Name)

NCI Code: C141658, Codelist extensible: No
C141658 RISEF1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141703 RISEF1-Test Grade RISEF1-Test Grade Rising From Floor - Test grade. Rising From Floor - Test Grade
C141702 RISEF1-Time to Rise From Floor RISEF1-Time to Rise From Floor Rising From Floor - If yes, time taken to rise from floor. Rising From Floor - Time to Rise From Floor
C174105 RISEF1-Was Rising From Floor Performed RISEF1-Was Rising From Floor Performed Rising From Floor - Was Rising From Floor performed? Rising From Floor - Was Rising From Floor Performed
C151073 RISEF1-Wear Orthoses RISEF1-Wear Orthoses Rising From Floor - If yes, did subject wear orthoses? Rising From Floor - Wear Orthoses

ROCK01TC (Rockport One Mile Walk Test Version 1.0 Functional Test Test Code)

NCI Code: C166190, Codelist extensible: No
C166190 ROCK01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166338 ROCK0101 ROCK01-Time To Complete One Mile Walk Rockport One Mile Walk Test - Time to complete one-mile walk. RFWT Version 1 - Time To Complete One Mile Walk

ROCK01TN (Rockport One Mile Walk Test Version 1.0 Functional Test Test Name)

NCI Code: C166189, Codelist extensible: No
C166189 ROCK01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166338 ROCK01-Time To Complete One Mile Walk ROCK01-Time To Complete One Mile Walk Rockport One Mile Walk Test - Time to complete one-mile walk. RFWT Version 1 - Time To Complete One Mile Walk

RPQ01TC (Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test Code)

NCI Code: C119072, Codelist extensible: No
C119072 RPQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119175 RPQ0101 RPQ01-Headaches Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches. RPQ - Headaches
C119176 RPQ0102 RPQ01-Feelings of Dizziness Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness. RPQ - Feelings of Dizziness
C119177 RPQ0103 RPQ01-Nausea and/or Vomiting Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting. RPQ - Nausea and/or Vomiting
C119178 RPQ0104 RPQ01-Noise Sensitivity/Loud Noise Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise. RPQ - Noise Sensitivity
C119179 RPQ0105 RPQ01-Sleep Disturbance Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance. RPQ - Sleep Disturbance
C119180 RPQ0106 RPQ01-Fatigue, Tiring More Easily Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily. RPQ - Fatigue, Tiring More Easily
C119181 RPQ0107 RPQ01-Being Irritable, Easily Angered Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered. RPQ - Being Irritable, Easily Angered
C119182 RPQ0108 RPQ01-Feeling Depressed or Tearful Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful. RPQ - Feeling Depressed or Tearful
C119183 RPQ0109 RPQ01-Feeling Frustrated or Impatient Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient. RPQ - Feeling Frustrated or Impatient
C119184 RPQ0110 RPQ01-Forgetfulness, Poor Memory Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory. RPQ - Forgetfulness, Poor Memory
C119185 RPQ0111 RPQ01-Poor Concentration Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration. RPQ - Poor Concentration
C119186 RPQ0112 RPQ01-Taking Longer to Think Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think. RPQ - Taking Longer to Think
C119187 RPQ0113 RPQ01-Blurred Vision Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision. RPQ - Blurred Vision
C119188 RPQ0114 RPQ01-Light Sensitivity/Bright Light Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light. RPQ - Light Sensitivity
C119189 RPQ0115 RPQ01-Double Vision Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision. RPQ - Double Vision
C119190 RPQ0116 RPQ01-Restlessness Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness. RPQ - Restlessness
C119191 RPQ0117A RPQ01-Any Other Difficulties 1 (Text) Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text). RPQ - Any Other Difficulties 1 (Text)
C119192 RPQ0117B RPQ01-Any Other Difficulties 1 Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? RPQ - Any Other Difficulties 1 (number)
C119193 RPQ0118A RPQ01-Any Other Difficulties 2 (Text) Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text). RPQ - Any Other Difficulties 2 (Text)
C119194 RPQ0118B RPQ01-Any Other Difficulties 2 Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? RPQ - Any Other Difficulties 2 (Number)

RPQ01TN (Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test Name)

NCI Code: C119071, Codelist extensible: No
C119071 RPQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119191 RPQ01-Any Other Difficulties 1 (Text) RPQ01-Any Other Difficulties 1 (Text) Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text). RPQ - Any Other Difficulties 1 (Text)
C119192 RPQ01-Any Other Difficulties 1 RPQ01-Any Other Difficulties 1 Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? RPQ - Any Other Difficulties 1 (number)
C119193 RPQ01-Any Other Difficulties 2 (Text) RPQ01-Any Other Difficulties 2 (Text) Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text). RPQ - Any Other Difficulties 2 (Text)
C119194 RPQ01-Any Other Difficulties 2 RPQ01-Any Other Difficulties 2 Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? RPQ - Any Other Difficulties 2 (Number)
C119181 RPQ01-Being Irritable, Easily Angered RPQ01-Being Irritable, Easily Angered Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered. RPQ - Being Irritable, Easily Angered
C119187 RPQ01-Blurred Vision RPQ01-Blurred Vision Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision. RPQ - Blurred Vision
C119189 RPQ01-Double Vision RPQ01-Double Vision Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision. RPQ - Double Vision
C119180 RPQ01-Fatigue, Tiring More Easily RPQ01-Fatigue, Tiring More Easily Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily. RPQ - Fatigue, Tiring More Easily
C119182 RPQ01-Feeling Depressed or Tearful RPQ01-Feeling Depressed or Tearful Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful. RPQ - Feeling Depressed or Tearful
C119183 RPQ01-Feeling Frustrated or Impatient RPQ01-Feeling Frustrated or Impatient Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient. RPQ - Feeling Frustrated or Impatient
C119176 RPQ01-Feelings of Dizziness RPQ01-Feelings of Dizziness Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness. RPQ - Feelings of Dizziness
C119184 RPQ01-Forgetfulness, Poor Memory RPQ01-Forgetfulness, Poor Memory Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory. RPQ - Forgetfulness, Poor Memory
C119175 RPQ01-Headaches RPQ01-Headaches Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches. RPQ - Headaches
C119188 RPQ01-Light Sensitivity/Bright Light RPQ01-Light Sensitivity/Bright Light Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light. RPQ - Light Sensitivity
C119177 RPQ01-Nausea and/or Vomiting RPQ01-Nausea and/or Vomiting Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting. RPQ - Nausea and/or Vomiting
C119178 RPQ01-Noise Sensitivity/Loud Noise RPQ01-Noise Sensitivity/Loud Noise Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise. RPQ - Noise Sensitivity
C119185 RPQ01-Poor Concentration RPQ01-Poor Concentration Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration. RPQ - Poor Concentration
C119190 RPQ01-Restlessness RPQ01-Restlessness Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness. RPQ - Restlessness
C119179 RPQ01-Sleep Disturbance RPQ01-Sleep Disturbance Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance. RPQ - Sleep Disturbance
C119186 RPQ01-Taking Longer to Think RPQ01-Taking Longer to Think Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think. RPQ - Taking Longer to Think

RSSS01TC (RAND Social Support Survey Instrument Questionnaire Test Code)

NCI Code: C135700, Codelist extensible: No
C135700 RSSS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C136215 RSSS0101 RSSS01-Count on to Listen to You RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone you can count on to listen to you when you need to talk. RAND Social Support Survey - Count on to Listen to You
C136216 RSSS0102 RSSS01-Give You Info to Help Understand RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you information to help you understand a situation. RAND Social Support Survey - Give You Info to Help Understand
C136217 RSSS0103 RSSS01-Give You Advice About a Crisis RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you good advice about a crisis. RAND Social Support Survey - Give You Advice About a Crisis
C136218 RSSS0104 RSSS01-Confide in/Talk to About Yourself RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to confide in or talk to about yourself or your problems. RAND Social Support Survey - Confide in or Talk to About Yourself
C136219 RSSS0105 RSSS01-Advice You Really Want RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone whose advice you really want. RAND Social Support Survey - Advice You Really Want
C136220 RSSS0106 RSSS01-Share Your Private Worries/Fears RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to share your most private worries and fears with. RAND Social Support Survey - Share Your Private Worries and Fears
C136221 RSSS0107 RSSS01-Turn to Suggestions Personal Prob RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to turn to for suggestions about how to deal with a personal problem. RAND Social Support Survey - Suggestions to Deal With Personal Problem
C136222 RSSS0108 RSSS01-Understands Your Problems RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who understands your problems. RAND Social Support Survey - Understands Your Problems
C136223 RSSS0109 RSSS01-Help If You Were Confined to Bed RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help you if you were confined to bed. RAND Social Support Survey - Help If You Were Confined to Bed
C136224 RSSS0110 RSSS01-Take You to the Doctor If Needed RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to take you to the doctor if you needed it. RAND Social Support Survey - Take You to the Doctor If Needed
C136225 RSSS0111 RSSS01-Prepare Your Meals If Unable RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to prepare your meals if you were unable to do it yourself. RAND Social Support Survey - Prepare Your Meals If Unable
C136226 RSSS0112 RSSS01-Help With Daily Chores If Sick RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help with daily chores if you were sick. RAND Social Support Survey - Help With Daily Chores If Sick
C136227 RSSS0113 RSSS01-Shows You Love and Affection RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who shows you love and affection. RAND Social Support Survey - Shows You Love and Affection
C136228 RSSS0114 RSSS01-Love and Make You Feel Wanted RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to love and make you feel wanted. RAND Social Support Survey - Love and Make You Feel Wanted
C136229 RSSS0115 RSSS01-Hugs You RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who hugs you. RAND Social Support Survey - Hugs You
C136230 RSSS0116 RSSS01-Have a Good Time With RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to have a good time with. RAND Social Support Survey - Have a Good Time With
C136231 RSSS0117 RSSS01-Get Together With for Relaxation RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to get together with for relaxation. RAND Social Support Survey - Get Together With for Relaxation
C136232 RSSS0118 RSSS01-Do Something Enjoyable With RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do something enjoyable with. RAND Social Support Survey - Do Something Enjoyable With
C136233 RSSS0119 RSSS01-Help You Get Your Mind Off Things RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do things with to help you get your mind off things. RAND Social Support Survey - Help You Get Your Mind Off Things

RSSS01TN (RAND Social Support Survey Instrument Questionnaire Test Name)

NCI Code: C135699, Codelist extensible: No
C135699 RSSS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C136219 RSSS01-Advice You Really Want RSSS01-Advice You Really Want RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone whose advice you really want. RAND Social Support Survey - Advice You Really Want
C136218 RSSS01-Confide in/Talk to About Yourself RSSS01-Confide in/Talk to About Yourself RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to confide in or talk to about yourself or your problems. RAND Social Support Survey - Confide in or Talk to About Yourself
C136215 RSSS01-Count on to Listen to You RSSS01-Count on to Listen to You RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone you can count on to listen to you when you need to talk. RAND Social Support Survey - Count on to Listen to You
C136232 RSSS01-Do Something Enjoyable With RSSS01-Do Something Enjoyable With RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do something enjoyable with. RAND Social Support Survey - Do Something Enjoyable With
C136231 RSSS01-Get Together With for Relaxation RSSS01-Get Together With for Relaxation RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to get together with for relaxation. RAND Social Support Survey - Get Together With for Relaxation
C136217 RSSS01-Give You Advice About a Crisis RSSS01-Give You Advice About a Crisis RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you good advice about a crisis. RAND Social Support Survey - Give You Advice About a Crisis
C136216 RSSS01-Give You Info to Help Understand RSSS01-Give You Info to Help Understand RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you information to help you understand a situation. RAND Social Support Survey - Give You Info to Help Understand
C136230 RSSS01-Have a Good Time With RSSS01-Have a Good Time With RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to have a good time with. RAND Social Support Survey - Have a Good Time With
C136223 RSSS01-Help If You Were Confined to Bed RSSS01-Help If You Were Confined to Bed RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help you if you were confined to bed. RAND Social Support Survey - Help If You Were Confined to Bed
C136226 RSSS01-Help With Daily Chores If Sick RSSS01-Help With Daily Chores If Sick RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help with daily chores if you were sick. RAND Social Support Survey - Help With Daily Chores If Sick
C136233 RSSS01-Help You Get Your Mind Off Things RSSS01-Help You Get Your Mind Off Things RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do things with to help you get your mind off things. RAND Social Support Survey - Help You Get Your Mind Off Things
C136229 RSSS01-Hugs You RSSS01-Hugs You RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who hugs you. RAND Social Support Survey - Hugs You
C136228 RSSS01-Love and Make You Feel Wanted RSSS01-Love and Make You Feel Wanted RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to love and make you feel wanted. RAND Social Support Survey - Love and Make You Feel Wanted
C136225 RSSS01-Prepare Your Meals If Unable RSSS01-Prepare Your Meals If Unable RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to prepare your meals if you were unable to do it yourself. RAND Social Support Survey - Prepare Your Meals If Unable
C136220 RSSS01-Share Your Private Worries/Fears RSSS01-Share Your Private Worries/Fears RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to share your most private worries and fears with. RAND Social Support Survey - Share Your Private Worries and Fears
C136227 RSSS01-Shows You Love and Affection RSSS01-Shows You Love and Affection RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who shows you love and affection. RAND Social Support Survey - Shows You Love and Affection
C136224 RSSS01-Take You to the Doctor If Needed RSSS01-Take You to the Doctor If Needed RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to take you to the doctor if you needed it. RAND Social Support Survey - Take You to the Doctor If Needed
C136221 RSSS01-Turn to Suggestions Personal Prob RSSS01-Turn to Suggestions Personal Prob RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to turn to for suggestions about how to deal with a personal problem. RAND Social Support Survey - Suggestions to Deal With Personal Problem
C136222 RSSS01-Understands Your Problems RSSS01-Understands Your Problems RAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who understands your problems. RAND Social Support Survey - Understands Your Problems

SAS01TC (Riker Sedation-Agitation Scale Clinical Classification Test Code)

NCI Code: C171413, Codelist extensible: No
C171413 SAS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C171420 SAS0101 SAS01-Score Riker Sedation-Agitation Scale - Score. SAS - Score

SAS01TN (Riker Sedation-Agitation Scale Clinical Classification Test Name)

NCI Code: C171412, Codelist extensible: No
C171412 SAS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C171420 SAS01-Score SAS01-Score Riker Sedation-Agitation Scale - Score. SAS - Score

SDMT01TC (Symbol Digit Modalities Test Functional Test Test Code)

NCI Code: C115396, Codelist extensible: No
C115396 SDMT01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115816 SDMT0101 SDMT01-Total Score Symbol Digit Modalities Test - Total score. SDMT - Total Score

SDMT01TN (Symbol Digit Modalities Test Functional Test Test Name)

NCI Code: C115395, Codelist extensible: No
C115395 SDMT01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115816 SDMT01-Total Score SDMT01-Total Score Symbol Digit Modalities Test - Total score. SDMT - Total Score

SDS01TC (Sheehan Disability Scale Questionnaire Test Code)

NCI Code: C111350, Codelist extensible: No
C111350 SDS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111521 SDS0101 SDS01-Work/School Sheehan Disability Scale - The symptoms have disrupted your work/school work. SDS - Symptoms Disrupted Work/School Work
C111522 SDS0101A SDS01-No Work/Study - Unrelated Disorder Sheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder. SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder
C111523 SDS0102 SDS01-Social Life Sheehan Disability Scale - The symptoms have disrupted your social life/leisure activities. SDS - Symptoms Disrupted Social Life/Leisure Activities
C111524 SDS0103 SDS01-Family Life/Home Responsibilities Sheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities. SDS - Symptoms Disrupted Family Life/Home Responsibilities
C111525 SDS0104 SDS01-Days Lost Sheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities? SDS - Days Lost
C111526 SDS0105 SDS01-Days Unproductive Sheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced? SDS - Days Unproductive

SDS01TN (Sheehan Disability Scale Questionnaire Test Name)

NCI Code: C111349, Codelist extensible: No
C111349 SDS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111525 SDS01-Days Lost SDS01-Days Lost Sheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities? SDS - Days Lost
C111526 SDS01-Days Unproductive SDS01-Days Unproductive Sheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced? SDS - Days Unproductive
C111524 SDS01-Family Life/Home Responsibilities SDS01-Family Life/Home Responsibilities Sheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities. SDS - Symptoms Disrupted Family Life/Home Responsibilities
C111522 SDS01-No Work/Study - Unrelated Disorder SDS01-No Work/Study - Unrelated Disorder Sheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder. SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder
C111523 SDS01-Social Life SDS01-Social Life Sheehan Disability Scale - The symptoms have disrupted your social life/leisure activities. SDS - Symptoms Disrupted Social Life/Leisure Activities
C111521 SDS01-Work/School SDS01-Work/School Sheehan Disability Scale - The symptoms have disrupted your work/school work. SDS - Symptoms Disrupted Work/School Work

SES01TC (Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Code)

NCI Code: C176051, Codelist extensible: No
C176051 SES01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176090 SES0101 SES01-Ileum: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was ileum explored? SES-CD Version 1 - Ileum: Explored
C176091 SES0102 SES01-Ileum: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - ileum. SES-CD Version 1 - Ileum: Size of Ulcers
C176092 SES0103 SES01-Ileum: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - ileum. SES-CD Version 1 - Ileum: Ulcerated Surface
C176093 SES0104 SES01-Ileum: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - ileum. SES-CD Version 1 - Ileum: Affected Surface
C176094 SES0105 SES01-Ileum: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - ileum. SES-CD Version 1 - Ileum: Presence of Narrowing
C176095 SES0106 SES01-Right Colon: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was right colon explored? SES-CD Version 1 - Right Colon: Explored
C176096 SES0107 SES01-Right Colon: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - right colon. SES-CD Version 1 - Right Colon: Size of Ulcers
C176097 SES0108 SES01-Right Colon: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - right colon. SES-CD Version 1 - Right Colon: Ulcerated Surface
C176098 SES0109 SES01-Right Colon: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - right colon. SES-CD Version 1 - Right Colon: Affected Surface
C176099 SES0110 SES01-Right Colon: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - right colon. SES-CD Version 1 - Right Colon: Presence of Narrowing
C176100 SES0111 SES01-Trans Colon: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was transverse colon explored? SES-CD Version 1 - Trans Colon: Explored
C176101 SES0112 SES01-Trans Colon: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - transverse colon. SES-CD Version 1 - Trans Colon: Size of Ulcers
C176102 SES0113 SES01-Trans Colon: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - transverse colon. SES-CD Version 1 - Trans Colon: Ulcerated Surface
C176103 SES0114 SES01-Trans Colon: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - transverse colon. SES-CD Version 1 - Trans Colon: Affected Surface
C176104 SES0115 SES01-Trans Colon: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - transverse colon. SES-CD Version 1 - Trans Colon: Presence of Narrowing
C176105 SES0116 SES01-Left Colon: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was sigmoid and left colon explored? SES-CD Version 1 - Left Colon: Explored
C176106 SES0117 SES01-Left Colon: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - sigmoid and left colon. SES-CD Version 1 - Left Colon: Size of Ulcers
C176107 SES0118 SES01-Left Colon: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - sigmoid and left colon. SES-CD Version 1 - Left Colon: Ulcerated Surface
C176108 SES0119 SES01-Left Colon: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - sigmoid and left colon. SES-CD Version 1 - Left Colon: Affected Surface
C176109 SES0120 SES01-Left Colon: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - sigmoid and left colon. SES-CD Version 1 - Left Colon: Presence of Narrowing
C176110 SES0121 SES01-Rectum: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was rectum explored? SES-CD Version 1 - Rectum: Explored
C176111 SES0122 SES01-Rectum: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - rectum. SES-CD Version 1 - Rectum: Size of Ulcers
C176112 SES0123 SES01-Rectum: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - rectum. SES-CD Version 1 - Rectum: Ulcerated Surface
C176113 SES0124 SES01-Rectum: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - rectum. SES-CD Version 1 - Rectum: Affected Surface
C176114 SES0125 SES01-Rectum: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - rectum. SES-CD Version 1 - Rectum: Presence of Narrowing
C176115 SES0126 SES01-Ileum Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Ileum subscore. SES-CD Version 1 - Ileum Subscore
C176116 SES0127 SES01-Right Colon Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Right colon subscore. SES-CD Version 1 - Right Colon Subscore
C176117 SES0128 SES01-Trans Colon Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Transverse colon subscore. SES-CD Version 1 - Trans Colon Subscore
C176118 SES0129 SES01-Left Colon Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Sigmoid and left colon subscore. SES-CD Version 1 - Left Colon Subscore
C176119 SES0130 SES01-Rectum Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Rectum subscore. SES-CD Version 1 - Rectum Subscore
C176120 SES0131 SES01-Total Score Simple Endoscopic Score for Crohn's Disease Version 1 - SES-CD total score. SES-CD Version 1 - Total Score

SES01TN (Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Name)

NCI Code: C176050, Codelist extensible: No
C176050 SES01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176115 SES01-Ileum Subscore SES01-Ileum Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Ileum subscore. SES-CD Version 1 - Ileum Subscore
C176093 SES01-Ileum: Affected Surface SES01-Ileum: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - ileum. SES-CD Version 1 - Ileum: Affected Surface
C176090 SES01-Ileum: Explored SES01-Ileum: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was ileum explored? SES-CD Version 1 - Ileum: Explored
C176094 SES01-Ileum: Presence of Narrowing SES01-Ileum: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - ileum. SES-CD Version 1 - Ileum: Presence of Narrowing
C176091 SES01-Ileum: Size of Ulcers SES01-Ileum: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - ileum. SES-CD Version 1 - Ileum: Size of Ulcers
C176092 SES01-Ileum: Ulcerated Surface SES01-Ileum: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - ileum. SES-CD Version 1 - Ileum: Ulcerated Surface
C176118 SES01-Left Colon Subscore SES01-Left Colon Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Sigmoid and left colon subscore. SES-CD Version 1 - Left Colon Subscore
C176108 SES01-Left Colon: Affected Surface SES01-Left Colon: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - sigmoid and left colon. SES-CD Version 1 - Left Colon: Affected Surface
C176105 SES01-Left Colon: Explored SES01-Left Colon: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was sigmoid and left colon explored? SES-CD Version 1 - Left Colon: Explored
C176109 SES01-Left Colon: Presence of Narrowing SES01-Left Colon: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - sigmoid and left colon. SES-CD Version 1 - Left Colon: Presence of Narrowing
C176106 SES01-Left Colon: Size of Ulcers SES01-Left Colon: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - sigmoid and left colon. SES-CD Version 1 - Left Colon: Size of Ulcers
C176107 SES01-Left Colon: Ulcerated Surface SES01-Left Colon: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - sigmoid and left colon. SES-CD Version 1 - Left Colon: Ulcerated Surface
C176119 SES01-Rectum Subscore SES01-Rectum Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Rectum subscore. SES-CD Version 1 - Rectum Subscore
C176113 SES01-Rectum: Affected Surface SES01-Rectum: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - rectum. SES-CD Version 1 - Rectum: Affected Surface
C176110 SES01-Rectum: Explored SES01-Rectum: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was rectum explored? SES-CD Version 1 - Rectum: Explored
C176114 SES01-Rectum: Presence of Narrowing SES01-Rectum: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - rectum. SES-CD Version 1 - Rectum: Presence of Narrowing
C176111 SES01-Rectum: Size of Ulcers SES01-Rectum: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - rectum. SES-CD Version 1 - Rectum: Size of Ulcers
C176112 SES01-Rectum: Ulcerated Surface SES01-Rectum: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - rectum. SES-CD Version 1 - Rectum: Ulcerated Surface
C176116 SES01-Right Colon Subscore SES01-Right Colon Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Right colon subscore. SES-CD Version 1 - Right Colon Subscore
C176098 SES01-Right Colon: Affected Surface SES01-Right Colon: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - right colon. SES-CD Version 1 - Right Colon: Affected Surface
C176095 SES01-Right Colon: Explored SES01-Right Colon: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was right colon explored? SES-CD Version 1 - Right Colon: Explored
C176099 SES01-Right Colon: Presence of Narrowing SES01-Right Colon: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - right colon. SES-CD Version 1 - Right Colon: Presence of Narrowing
C176096 SES01-Right Colon: Size of Ulcers SES01-Right Colon: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - right colon. SES-CD Version 1 - Right Colon: Size of Ulcers
C176097 SES01-Right Colon: Ulcerated Surface SES01-Right Colon: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - right colon. SES-CD Version 1 - Right Colon: Ulcerated Surface
C176120 SES01-Total Score SES01-Total Score Simple Endoscopic Score for Crohn's Disease Version 1 - SES-CD total score. SES-CD Version 1 - Total Score
C176117 SES01-Trans Colon Subscore SES01-Trans Colon Subscore Simple Endoscopic Score for Crohn's Disease Version 1 - Transverse colon subscore. SES-CD Version 1 - Trans Colon Subscore
C176103 SES01-Trans Colon: Affected Surface SES01-Trans Colon: Affected Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - transverse colon. SES-CD Version 1 - Trans Colon: Affected Surface
C176100 SES01-Trans Colon: Explored SES01-Trans Colon: Explored Simple Endoscopic Score for Crohn's Disease Version 1 - Was transverse colon explored? SES-CD Version 1 - Trans Colon: Explored
C176104 SES01-Trans Colon: Presence of Narrowing SES01-Trans Colon: Presence of Narrowing Simple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - transverse colon. SES-CD Version 1 - Trans Colon: Presence of Narrowing
C176101 SES01-Trans Colon: Size of Ulcers SES01-Trans Colon: Size of Ulcers Simple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - transverse colon. SES-CD Version 1 - Trans Colon: Size of Ulcers
C176102 SES01-Trans Colon: Ulcerated Surface SES01-Trans Colon: Ulcerated Surface Simple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - transverse colon. SES-CD Version 1 - Trans Colon: Ulcerated Surface

SF101TC (Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Code)

NCI Code: C177712, Codelist extensible: No
C177712 SF101TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177837 SF10101 SF101-In General You Say Child Health Is The Short Form 10 Health Survey Children Standard, US Version 1.0 - In general, would you say your child's health is. SF10 v1.0 Children Standard - In General You Say Child Health Is
C177838 SF10102A SF101-Doing Things That Take Some Energy The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating? SF10 v1.0 Children Standard - Doing Things That Take Some Energy
C177839 SF10102B SF101-Bending/Lifting/Stooping The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - bending, lifting, or stooping? SF10 v1.0 Children Standard - Bending, Lifting, Stooping
C177840 SF10103 SF101-Physical: Schoolwork/Activities The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems? SF10 v1.0 Children Standard - Physical: Schoolwork, Activities
C177841 SF10104 SF101-Emotional: Schoolwork/Activities The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems?. SF10 v1.0 Children Standard - Emotional: Schoolwork, Activities
C177842 SF10105 SF101-How Much Bodily Pain Child Had The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much bodily pain or discomfort has your child had? SF10 v1.0 Children Standard - How Much Bodily Pain Child Had
C177843 SF10106 SF101-Felt About His/Her Friendships The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her friendships? SF10 v1.0 Children Standard - Felt About His/Her Friendships
C177844 SF10107 SF101-Felt About His/Her Life Overall The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her life overall? SF10 v1.0 Children Standard - Felt About His/Her Life Overall
C177845 SF10108 SF101-Acted Bothered or Upset The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much of the time do you think your child acted bothered or upset? SF10 v1.0 Children Standard - Acted Bothered or Upset
C177846 SF10109 SF101-His/Her Behavior Is The Short Form 10 Health Survey Children Standard, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is. SF10 v1.0 Children Standard - His/Her Behavior Is

SF101TN (Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Name)

NCI Code: C177711, Codelist extensible: No
C177711 SF101TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177845 SF101-Acted Bothered or Upset SF101-Acted Bothered or Upset The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much of the time do you think your child acted bothered or upset? SF10 v1.0 Children Standard - Acted Bothered or Upset
C177839 SF101-Bending/Lifting/Stooping SF101-Bending/Lifting/Stooping The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - bending, lifting, or stooping? SF10 v1.0 Children Standard - Bending, Lifting, Stooping
C177838 SF101-Doing Things That Take Some Energy SF101-Doing Things That Take Some Energy The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating? SF10 v1.0 Children Standard - Doing Things That Take Some Energy
C177841 SF101-Emotional: Schoolwork/Activities SF101-Emotional: Schoolwork/Activities The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems?. SF10 v1.0 Children Standard - Emotional: Schoolwork, Activities
C177843 SF101-Felt About His/Her Friendships SF101-Felt About His/Her Friendships The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her friendships? SF10 v1.0 Children Standard - Felt About His/Her Friendships
C177844 SF101-Felt About His/Her Life Overall SF101-Felt About His/Her Life Overall The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her life overall? SF10 v1.0 Children Standard - Felt About His/Her Life Overall
C177846 SF101-His/Her Behavior Is SF101-His/Her Behavior Is The Short Form 10 Health Survey Children Standard, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is. SF10 v1.0 Children Standard - His/Her Behavior Is
C177842 SF101-How Much Bodily Pain Child Had SF101-How Much Bodily Pain Child Had The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much bodily pain or discomfort has your child had? SF10 v1.0 Children Standard - How Much Bodily Pain Child Had
C177837 SF101-In General You Say Child Health Is SF101-In General You Say Child Health Is The Short Form 10 Health Survey Children Standard, US Version 1.0 - In general, would you say your child's health is. SF10 v1.0 Children Standard - In General You Say Child Health Is
C177840 SF101-Physical: Schoolwork/Activities SF101-Physical: Schoolwork/Activities The Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems? SF10 v1.0 Children Standard - Physical: Schoolwork, Activities

SF102TC (Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Code)

NCI Code: C177710, Codelist extensible: No
C177710 SF102TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177827 SF10201 SF102-In General You Say Child Health Is The Short Form 10 Health Survey Children Acute, US Version 1.0 - In general, would you say your child's health is. SF10 v1.0 Children Acute - In General You Say Child Health Is
C177828 SF10202A SF102-Doing Things That Take Some Energy The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating? SF10 v1.0 Children Acute - Doing Things That Take Some Energy
C177829 SF10202B SF102-Bending/Lifting/Stooping The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - bending, lifting, or stooping? SF10 v1.0 Children Acute - Bending, Lifting, Stooping
C177830 SF10203 SF102-Physical: Schoolwork/Activities The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems? SF10 v1.0 Children Acute - Physical: Schoolwork, Activities
C177831 SF10204 SF102-Emotional: Schoolwork/Activities The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems? SF10 v1.0 Children Acute - Emotional: Schoolwork, Activities
C177832 SF10205 SF102-How Much Bodily Pain Child Had The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much bodily pain or discomfort has your child had? SF10 v1.0 Children Acute - How Much Bodily Pain Child Had
C177833 SF10206 SF102-Felt About His/Her Friendships The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her friendships? SF10 v1.0 Children Acute - Felt About His/Her Friendships
C177834 SF10207 SF102-Felt About His/Her Life Overall The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her life overall? SF10 v1.0 Children Acute - Felt About His/Her Life Overall
C177835 SF10208 SF102-Acted Bothered or Upset The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much of the time do you think your child acted bothered or upset? SF10 v1.0 Children Acute - Acted Bothered or Upset
C177836 SF10209 SF102-His/Her Behavior Is The Short Form 10 Health Survey Children Acute, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is. SF10 v1.0 Children Acute - His/Her Behavior Is

SF102TN (Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Name)

NCI Code: C177709, Codelist extensible: No
C177709 SF102TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177835 SF102-Acted Bothered or Upset SF102-Acted Bothered or Upset The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much of the time do you think your child acted bothered or upset? SF10 v1.0 Children Acute - Acted Bothered or Upset
C177829 SF102-Bending/Lifting/Stooping SF102-Bending/Lifting/Stooping The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - bending, lifting, or stooping? SF10 v1.0 Children Acute - Bending, Lifting, Stooping
C177828 SF102-Doing Things That Take Some Energy SF102-Doing Things That Take Some Energy The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating? SF10 v1.0 Children Acute - Doing Things That Take Some Energy
C177831 SF102-Emotional: Schoolwork/Activities SF102-Emotional: Schoolwork/Activities The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems? SF10 v1.0 Children Acute - Emotional: Schoolwork, Activities
C177833 SF102-Felt About His/Her Friendships SF102-Felt About His/Her Friendships The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her friendships? SF10 v1.0 Children Acute - Felt About His/Her Friendships
C177834 SF102-Felt About His/Her Life Overall SF102-Felt About His/Her Life Overall The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her life overall? SF10 v1.0 Children Acute - Felt About His/Her Life Overall
C177836 SF102-His/Her Behavior Is SF102-His/Her Behavior Is The Short Form 10 Health Survey Children Acute, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is. SF10 v1.0 Children Acute - His/Her Behavior Is
C177832 SF102-How Much Bodily Pain Child Had SF102-How Much Bodily Pain Child Had The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much bodily pain or discomfort has your child had? SF10 v1.0 Children Acute - How Much Bodily Pain Child Had
C177827 SF102-In General You Say Child Health Is SF102-In General You Say Child Health Is The Short Form 10 Health Survey Children Acute, US Version 1.0 - In general, would you say your child's health is. SF10 v1.0 Children Acute - In General You Say Child Health Is
C177830 SF102-Physical: Schoolwork/Activities SF102-Physical: Schoolwork/Activities The Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems? SF10 v1.0 Children Acute - Physical: Schoolwork, Activities

SF121TC (Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Code)

NCI Code: C177716, Codelist extensible: No
C177716 SF121TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177859 SF12101 SF121-In General You Say Your Health Is The Short Form 12 Health Survey Standard, US Version 1.0 - In general, would you say your health is. SF12 v1.0 Standard - In General You Say Your Health Is
C177860 SF12102A SF121-Limit Moderate Activities The Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF12 v1.0 Standard - Limit Moderate Activities
C177861 SF12102B SF121-Limit Climbing Several Flights The Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v1.0 Standard - Limit Climbing Several Flights
C177862 SF12103A SF121-Physical: Accomplished Less The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v1.0 Standard - Physical: Accomplished Less
C177863 SF12103B SF121-Physical: Limited Kind of Work The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v1.0 Standard - Physical: Limited Kind of Work
C177864 SF12104A SF121-Emotional: Accomplished Less The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v1.0 Standard - Emotional: Accomplished Less
C177865 SF12104B SF121-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v1.0 Standard - Emotional: Did Work Less Carefully
C177866 SF12105 SF121-Pain Interfere With Normal Work The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v1.0 Standard - Pain Interfere With Normal Work
C177867 SF12106A SF121-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful? SF12 v1.0 Standard - Have You Felt Calm and Peaceful
C177868 SF12106B SF121-Did You Have a Lot of Energy The Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy? SF12 v1.0 Standard - Did You Have a Lot of Energy
C177869 SF12106C SF121-You Felt Downhearted and Blue The Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue? SF12 v1.0 Standard - You Felt Downhearted and Blue
C177870 SF12107 SF121-Time Phys/Emotional Interfered The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v1.0 Standard - Time Physical Health, Emotional Interfered
C180457 SF12108 SF121-Physical Component Score The Short Form 12 Health Survey Standard, US Version 1.0 - Physical component score. SF12 v1.0 Standard - Physical Component Score
C180458 SF12109 SF121-Mental Component Score The Short Form 12 Health Survey Standard, US Version 1.0 - Mental component score. SF12 v1.0 Standard - Mental Component Score
C180459 SF12110 SF121-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Standard, US Version 1.0 - SF-6D_R2 (utility index release 2) score. SF12 v1.0 Standard - SF-6D_R2 Score

SF121TN (Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Name)

NCI Code: C177715, Codelist extensible: No
C177715 SF121TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177868 SF121-Did You Have a Lot of Energy SF121-Did You Have a Lot of Energy The Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy? SF12 v1.0 Standard - Did You Have a Lot of Energy
C177864 SF121-Emotional: Accomplished Less SF121-Emotional: Accomplished Less The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v1.0 Standard - Emotional: Accomplished Less
C177865 SF121-Emotional: Did Work Less Carefully SF121-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v1.0 Standard - Emotional: Did Work Less Carefully
C177867 SF121-Have You Felt Calm and Peaceful SF121-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful? SF12 v1.0 Standard - Have You Felt Calm and Peaceful
C177859 SF121-In General You Say Your Health Is SF121-In General You Say Your Health Is The Short Form 12 Health Survey Standard, US Version 1.0 - In general, would you say your health is. SF12 v1.0 Standard - In General You Say Your Health Is
C177861 SF121-Limit Climbing Several Flights SF121-Limit Climbing Several Flights The Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v1.0 Standard - Limit Climbing Several Flights
C177860 SF121-Limit Moderate Activities SF121-Limit Moderate Activities The Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF12 v1.0 Standard - Limit Moderate Activities
C180458 SF121-Mental Component Score SF121-Mental Component Score The Short Form 12 Health Survey Standard, US Version 1.0 - Mental component score. SF12 v1.0 Standard - Mental Component Score
C177866 SF121-Pain Interfere With Normal Work SF121-Pain Interfere With Normal Work The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v1.0 Standard - Pain Interfere With Normal Work
C180457 SF121-Physical Component Score SF121-Physical Component Score The Short Form 12 Health Survey Standard, US Version 1.0 - Physical component score. SF12 v1.0 Standard - Physical Component Score
C177862 SF121-Physical: Accomplished Less SF121-Physical: Accomplished Less The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v1.0 Standard - Physical: Accomplished Less
C177863 SF121-Physical: Limited Kind of Work SF121-Physical: Limited Kind of Work The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v1.0 Standard - Physical: Limited Kind of Work
C180459 SF121-SF-6D_R2 (Util Index Rel 2) Score SF121-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Standard, US Version 1.0 - SF-6D_R2 (utility index release 2) score. SF12 v1.0 Standard - SF-6D_R2 Score
C177870 SF121-Time Phys/Emotional Interfered SF121-Time Phys/Emotional Interfered The Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v1.0 Standard - Time Physical Health, Emotional Interfered
C177869 SF121-You Felt Downhearted and Blue SF121-You Felt Downhearted and Blue The Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue? SF12 v1.0 Standard - You Felt Downhearted and Blue

SF122TC (Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Code)

NCI Code: C177714, Codelist extensible: No
C177714 SF122TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177847 SF12201 SF122-In General You Say Your Health Is The Short Form 12 Health Survey Acute, US Version 1.0 - In general, would you say your health is. SF12 v1.0 Acute - In General You Say Your Health Is
C177848 SF12202A SF122-Limit Moderate Activities The Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF12 v1.0 Acute - Limit Moderate Activities
C177849 SF12202B SF122-Limit Climbing Several Flights The Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v1.0 Acute - Limit Climbing Several Flights
C177850 SF12203A SF122-Physical: Accomplished Less The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v1.0 Acute - Physical: Accomplished Less
C177851 SF12203B SF122-Physical: Limited Kind of Work The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v1.0 Acute - Physical: Limited Kind of Work
C177852 SF12204A SF122-Emotional: Accomplished Less The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v1.0 Acute - Emotional: Accomplished Less
C177853 SF12204B SF122-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v1.0 Acute - Emotional: Did Work Less Carefully
C177854 SF12205 SF122-Pain Interfere With Normal Work The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v1.0 Acute - Pain Interfere With Normal Work
C177855 SF12206A SF122-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful? SF12 v1.0 Acute - Have You Felt Calm and Peaceful
C177856 SF12206B SF122-Did You Have a Lot of Energy The Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy? SF12 v1.0 Acute - Did You Have a Lot of Energy
C177857 SF12206C SF122-You Felt Downhearted and Blue The Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue? SF12 v1.0 Acute - You Felt Downhearted and Blue
C177858 SF12207 SF122-Time Phys/Emotional Interfered The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v1.0 Acute - Time Physical Health, Emotional Interfered
C180454 SF12208 SF122-Physical Component Score The Short Form 12 Health Survey Acute, US Version 1.0 - Physical component score. SF12 v1.0 Acute - Physical Component Score
C180455 SF12209 SF122-Mental Component Score The Short Form 12 Health Survey Acute, US Version 1.0 - Mental component score. SF12 v1.0 Acute - Mental Component Score
C180456 SF12210 SF122-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Acute, US Version 1.0 - SF-6D_R2 (utility index release 2) score. SF12 v1.0 Acute - SF-6D_R2 Score

SF122TN (Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Name)

NCI Code: C177713, Codelist extensible: No
C177713 SF122TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177856 SF122-Did You Have a Lot of Energy SF122-Did You Have a Lot of Energy The Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy? SF12 v1.0 Acute - Did You Have a Lot of Energy
C177852 SF122-Emotional: Accomplished Less SF122-Emotional: Accomplished Less The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v1.0 Acute - Emotional: Accomplished Less
C177853 SF122-Emotional: Did Work Less Carefully SF122-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v1.0 Acute - Emotional: Did Work Less Carefully
C177855 SF122-Have You Felt Calm and Peaceful SF122-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful? SF12 v1.0 Acute - Have You Felt Calm and Peaceful
C177847 SF122-In General You Say Your Health Is SF122-In General You Say Your Health Is The Short Form 12 Health Survey Acute, US Version 1.0 - In general, would you say your health is. SF12 v1.0 Acute - In General You Say Your Health Is
C177849 SF122-Limit Climbing Several Flights SF122-Limit Climbing Several Flights The Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v1.0 Acute - Limit Climbing Several Flights
C177848 SF122-Limit Moderate Activities SF122-Limit Moderate Activities The Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF12 v1.0 Acute - Limit Moderate Activities
C180455 SF122-Mental Component Score SF122-Mental Component Score The Short Form 12 Health Survey Acute, US Version 1.0 - Mental component score. SF12 v1.0 Acute - Mental Component Score
C177854 SF122-Pain Interfere With Normal Work SF122-Pain Interfere With Normal Work The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v1.0 Acute - Pain Interfere With Normal Work
C180454 SF122-Physical Component Score SF122-Physical Component Score The Short Form 12 Health Survey Acute, US Version 1.0 - Physical component score. SF12 v1.0 Acute - Physical Component Score
C177850 SF122-Physical: Accomplished Less SF122-Physical: Accomplished Less The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v1.0 Acute - Physical: Accomplished Less
C177851 SF122-Physical: Limited Kind of Work SF122-Physical: Limited Kind of Work The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v1.0 Acute - Physical: Limited Kind of Work
C180456 SF122-SF-6D_R2 (Util Index Rel 2) Score SF122-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Acute, US Version 1.0 - SF-6D_R2 (utility index release 2) score. SF12 v1.0 Acute - SF-6D_R2 Score
C177858 SF122-Time Phys/Emotional Interfered SF122-Time Phys/Emotional Interfered The Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v1.0 Acute - Time Physical Health, Emotional Interfered
C177857 SF122-You Felt Downhearted and Blue SF122-You Felt Downhearted and Blue The Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue? SF12 v1.0 Acute - You Felt Downhearted and Blue

SF123TC (Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Code)

NCI Code: C177720, Codelist extensible: No
C177720 SF123TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177883 SF12301 SF123-In General You Say Your Health Is The Short Form 12 Health Survey Standard, US Version 2.0 - In general, would you say your health is. SF12 v2.0 Standard - In General You Say Your Health Is
C177884 SF12302A SF123-Limit Moderate Activities The Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF12 v2.0 Standard - Limit Moderate Activities
C177885 SF12302B SF123-Limit Climbing Several Flights The Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v2.0 Standard - Limit Climbing Several Flights
C177886 SF12303A SF123-Physical: Accomplished Less The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v2.0 Standard - Physical: Accomplished Less
C177887 SF12303B SF123-Physical: Limited Kind of Work The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v2.0 Standard - Physical: Limited Kind of Work
C177888 SF12304A SF123-Emotional: Accomplished Less The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v2.0 Standard - Emotional: Accomplished Less
C177889 SF12304B SF123-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v2.0 Standard - Emotional: Did Work Less Carefully
C177890 SF12305 SF123-Pain Interfere With Normal Work The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v2.0 Standard - Pain Interfere With Normal Work
C177891 SF12306A SF123-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful? SF12 v2.0 Standard - Have You Felt Calm and Peaceful
C177892 SF12306B SF123-Did You Have a Lot of Energy The Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy? SF12 v2.0 Standard - Did You Have a Lot of Energy
C177893 SF12306C SF123-You Felt Downhearted and Depressed The Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed? SF12 v2.0 Standard - You Felt Downhearted and Depressed
C177894 SF12307 SF123-Time Phys/Emotional Interfered The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v2.0 Standard - Time Physical Health, Emotional Interfered
C180479 SF12308 SF123-Physical Functioning 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score. SF12 v2.0 Standard - Physical Functioning 0-100 Score
C180480 SF12309 SF123-Role Physical 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role physical 0-100 score. SF12 v2.0 Standard - Role Physical 0-100 Score
C180481 SF12310 SF123-Bodily Pain 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score. SF12 v2.0 Standard - Bodily Pain 0-100 Score
C180482 SF12311 SF123-General Health 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - General health 0-100 score. SF12 v2.0 Standard - General Health 0-100 Score
C180483 SF12312 SF123-Vitality 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Vitality 0-100 score. SF12 v2.0 Standard - Vitality 0-100 Score
C180484 SF12313 SF123-Social Functioning 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score. SF12 v2.0 Standard - Social Functioning 0-100 Score
C180485 SF12314 SF123-Role Emotional 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score. SF12 v2.0 Standard - Role Emotional 0-100 Score
C180486 SF12315 SF123-Mental Health 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Mental health 0-100 score. SF12 v2.0 Standard - Mental Health 0-100 Score
C180487 SF12316 SF123-Phys Functioning Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning norm-based score. SF12 v2.0 Standard - Phys Functioning Norm-Based Score
C180488 SF12317 SF123-Role Physical Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role physical norm-based score. SF12 v2.0 Standard - Role Physical Norm-Based Score
C180489 SF12318 SF123-Bodily Pain Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score. SF12 v2.0 Standard - Bodily Pain Norm-Based Score
C180490 SF12319 SF123-General Health Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - General health norm-based score. SF12 v2.0 Standard - General Health Norm-Based Score
C180491 SF12320 SF123-Vitality Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Vitality norm-based score. SF12 v2.0 Standard - Vitality Norm-Based Score
C180492 SF12321 SF123-Social Function Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Social function norm-based score. SF12 v2.0 Standard - Social Function Norm-Based Score
C180493 SF12322 SF123-Role Emotional Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional norm-based score. SF12 v2.0 Standard - Role Emotional Norm-Based Score
C180494 SF12323 SF123-Mental Health Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Mental health norm-based score. SF12 v2.0 Standard - Mental Health Norm-Based Score
C180495 SF12324 SF123-Physical Component Score The Short Form 12 Health Survey Standard, US Version 2.0 - Physical component score. SF12 v2.0 Standard - Physical Component Score
C180496 SF12325 SF123-Mental Component Score The Short Form 12 Health Survey Standard, US Version 2.0 - Mental component score. SF12 v2.0 Standard - Mental Component Score
C180497 SF12326 SF123-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Standard, US Version 2.0 - SF-6D_R2 (utility index release 2) score. SF12 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score

SF123TN (Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Name)

NCI Code: C177719, Codelist extensible: No
C177719 SF123TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180481 SF123-Bodily Pain 0-100 Score SF123-Bodily Pain 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score. SF12 v2.0 Standard - Bodily Pain 0-100 Score
C180489 SF123-Bodily Pain Norm-Based Score SF123-Bodily Pain Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score. SF12 v2.0 Standard - Bodily Pain Norm-Based Score
C177892 SF123-Did You Have a Lot of Energy SF123-Did You Have a Lot of Energy The Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy? SF12 v2.0 Standard - Did You Have a Lot of Energy
C177888 SF123-Emotional: Accomplished Less SF123-Emotional: Accomplished Less The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v2.0 Standard - Emotional: Accomplished Less
C177889 SF123-Emotional: Did Work Less Carefully SF123-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v2.0 Standard - Emotional: Did Work Less Carefully
C180482 SF123-General Health 0-100 Score SF123-General Health 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - General health 0-100 score. SF12 v2.0 Standard - General Health 0-100 Score
C180490 SF123-General Health Norm-Based Score SF123-General Health Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - General health norm-based score. SF12 v2.0 Standard - General Health Norm-Based Score
C177891 SF123-Have You Felt Calm and Peaceful SF123-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful? SF12 v2.0 Standard - Have You Felt Calm and Peaceful
C177883 SF123-In General You Say Your Health Is SF123-In General You Say Your Health Is The Short Form 12 Health Survey Standard, US Version 2.0 - In general, would you say your health is. SF12 v2.0 Standard - In General You Say Your Health Is
C177885 SF123-Limit Climbing Several Flights SF123-Limit Climbing Several Flights The Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v2.0 Standard - Limit Climbing Several Flights
C177884 SF123-Limit Moderate Activities SF123-Limit Moderate Activities The Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF12 v2.0 Standard - Limit Moderate Activities
C180496 SF123-Mental Component Score SF123-Mental Component Score The Short Form 12 Health Survey Standard, US Version 2.0 - Mental component score. SF12 v2.0 Standard - Mental Component Score
C180486 SF123-Mental Health 0-100 Score SF123-Mental Health 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Mental health 0-100 score. SF12 v2.0 Standard - Mental Health 0-100 Score
C180494 SF123-Mental Health Norm-Based Score SF123-Mental Health Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Mental health norm-based score. SF12 v2.0 Standard - Mental Health Norm-Based Score
C177890 SF123-Pain Interfere With Normal Work SF123-Pain Interfere With Normal Work The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v2.0 Standard - Pain Interfere With Normal Work
C180487 SF123-Phys Functioning Norm-Based Score SF123-Phys Functioning Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning norm-based score. SF12 v2.0 Standard - Phys Functioning Norm-Based Score
C180495 SF123-Physical Component Score SF123-Physical Component Score The Short Form 12 Health Survey Standard, US Version 2.0 - Physical component score. SF12 v2.0 Standard - Physical Component Score
C180479 SF123-Physical Functioning 0-100 Score SF123-Physical Functioning 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score. SF12 v2.0 Standard - Physical Functioning 0-100 Score
C177886 SF123-Physical: Accomplished Less SF123-Physical: Accomplished Less The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v2.0 Standard - Physical: Accomplished Less
C177887 SF123-Physical: Limited Kind of Work SF123-Physical: Limited Kind of Work The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v2.0 Standard - Physical: Limited Kind of Work
C180485 SF123-Role Emotional 0-100 Score SF123-Role Emotional 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score. SF12 v2.0 Standard - Role Emotional 0-100 Score
C180493 SF123-Role Emotional Norm-Based Score SF123-Role Emotional Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional norm-based score. SF12 v2.0 Standard - Role Emotional Norm-Based Score
C180480 SF123-Role Physical 0-100 Score SF123-Role Physical 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role physical 0-100 score. SF12 v2.0 Standard - Role Physical 0-100 Score
C180488 SF123-Role Physical Norm-Based Score SF123-Role Physical Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Role physical norm-based score. SF12 v2.0 Standard - Role Physical Norm-Based Score
C180497 SF123-SF-6D_R2 (Util Index Rel 2) Score SF123-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Standard, US Version 2.0 - SF-6D_R2 (utility index release 2) score. SF12 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
C180492 SF123-Social Function Norm-Based Score SF123-Social Function Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Social function norm-based score. SF12 v2.0 Standard - Social Function Norm-Based Score
C180484 SF123-Social Functioning 0-100 Score SF123-Social Functioning 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score. SF12 v2.0 Standard - Social Functioning 0-100 Score
C177894 SF123-Time Phys/Emotional Interfered SF123-Time Phys/Emotional Interfered The Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v2.0 Standard - Time Physical Health, Emotional Interfered
C180483 SF123-Vitality 0-100 Score SF123-Vitality 0-100 Score The Short Form 12 Health Survey Standard, US Version 2.0 - Vitality 0-100 score. SF12 v2.0 Standard - Vitality 0-100 Score
C180491 SF123-Vitality Norm-Based Score SF123-Vitality Norm-Based Score The Short Form 12 Health Survey Standard, US Version 2.0 - Vitality norm-based score. SF12 v2.0 Standard - Vitality Norm-Based Score
C177893 SF123-You Felt Downhearted and Depressed SF123-You Felt Downhearted and Depressed The Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed? SF12 v2.0 Standard - You Felt Downhearted and Depressed

SF124TC (Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Code)

NCI Code: C177718, Codelist extensible: No
C177718 SF124TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177871 SF12401 SF124-In General You Say Your Health Is The Short Form 12 Health Survey Acute, US Version 2.0 - In general, would you say your health is. SF12 v2.0 Acute - In General You Say Your Health Is
C177872 SF12402A SF124-Limit Moderate Activities The Short Form 12 Health Survey Acute, US Version 2.0 - The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? SF12 v2.0 Acute - Limit Moderate Activities
C177873 SF12402B SF124-Limit Climbing Several Flights The Short Form 12 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v2.0 Acute - Limit Climbing Several Flights
C177874 SF12403A SF124-Physical: Accomplished Less The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v2.0 Acute - Physical: Accomplished Less
C177875 SF12403B SF124-Physical: Limited Kind of Work The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v2.0 Acute - Physical: Limited Kind of Work
C177876 SF12404A SF124-Emotional: Accomplished Less The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v2.0 Acute - Emotional: Accomplished Less
C177877 SF12404B SF124-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v2.0 Acute - Emotional: Did Work Less Carefully
C177878 SF12405 SF124-Pain Interfere With Normal Work The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v2.0 Acute - Pain Interfere With Normal Work
C177879 SF12406A SF124-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful? SF12 v2.0 Acute - Have You Felt Calm and Peaceful
C177880 SF12406B SF124-Did You Have a Lot of Energy The Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy? SF12 v2.0 Acute - Did You Have a Lot of Energy
C177881 SF12406C SF124-You Felt Downhearted and Depressed The Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed? SF12 v2.0 Acute - You Felt Downhearted and Depressed
C177882 SF12407 SF124-Time Phys/Emotional Interfered The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v2.0 Acute - Time Physical Health, Emotional Interfered
C180460 SF12408 SF124-Physical Functioning 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score. SF12 v2.0 Acute - Physical Functioning 0-100 Score
C180461 SF12409 SF124-Role Physical 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role physical 0-100 score. SF12 v2.0 Acute - Role Physical 0-100 Score
C180462 SF12410 SF124-Bodily Pain 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score. SF12 v2.0 Acute - Bodily Pain 0-100 Score
C180463 SF12411 SF124-General Health 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - General health 0-100 score. SF12 v2.0 Acute - General Health 0-100 Score
C180464 SF12412 SF124-Vitality 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Vitality 0-100 score. SF12 v2.0 Acute - Vitality 0-100 Score
C180465 SF12413 SF124-Social Functioning 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score. SF12 v2.0 Acute - Social Functioning 0-100 Score
C180466 SF12414 SF124-Role Emotional 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score. SF12 v2.0 Acute - Role Emotional 0-100 Score
C180467 SF12415 SF124-Mental Health 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Mental health 0-100 score. SF12 v2.0 Acute - Mental Health 0-100 Score
C180468 SF12416 SF124-Phys Functioning Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning norm-based score. SF12 v2.0 Acute - Phys Functioning Norm-Based Score
C180469 SF12417 SF124-Role Physical Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role physical norm-based score. SF12 v2.0 Acute - Role Physical Norm-Based Score
C180470 SF12418 SF124-Bodily Pain Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score. SF12 v2.0 Acute - Bodily Pain Norm-Based Score
C180471 SF12419 SF124-General Health Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - General health norm-based score. SF12 v2.0 Acute - General Health Norm-Based Score
C180472 SF12420 SF124-Vitality Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Vitality norm-based score. SF12 v2.0 Acute - Vitality Norm-Based Score
C180473 SF12421 SF124-Social Function Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Social function norm-based score. SF12 v2.0 Acute - Social Function Norm-Based Score
C180474 SF12422 SF124-Role Emotional Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional norm-based score. SF12 v2.0 Acute - Role Emotional Norm-Based Score
C180475 SF12423 SF124-Mental Health Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Mental health norm-based score. SF12 v2.0 Acute - Mental Health Norm-Based Score
C180476 SF12424 SF124-Physical Component Score The Short Form 12 Health Survey Acute, US Version 2.0 - Physical component score. SF12 v2.0 Acute - Physical Component Score
C180477 SF12425 SF124-Mental Component Score The Short Form 12 Health Survey Acute, US Version 2.0 - Mental component score. SF12 v2.0 Acute - Mental Component Score
C180478 SF12426 SF124-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Acute, US Version 2.0 - SF-6D_R2 (utility index release 2) score. SF12 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score

SF124TN (Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Name)

NCI Code: C177717, Codelist extensible: No
C177717 SF124TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180462 SF124-Bodily Pain 0-100 Score SF124-Bodily Pain 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score. SF12 v2.0 Acute - Bodily Pain 0-100 Score
C180470 SF124-Bodily Pain Norm-Based Score SF124-Bodily Pain Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score. SF12 v2.0 Acute - Bodily Pain Norm-Based Score
C177880 SF124-Did You Have a Lot of Energy SF124-Did You Have a Lot of Energy The Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy? SF12 v2.0 Acute - Did You Have a Lot of Energy
C177876 SF124-Emotional: Accomplished Less SF124-Emotional: Accomplished Less The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF12 v2.0 Acute - Emotional: Accomplished Less
C177877 SF124-Emotional: Did Work Less Carefully SF124-Emotional: Did Work Less Carefully The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF12 v2.0 Acute - Emotional: Did Work Less Carefully
C180463 SF124-General Health 0-100 Score SF124-General Health 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - General health 0-100 score. SF12 v2.0 Acute - General Health 0-100 Score
C180471 SF124-General Health Norm-Based Score SF124-General Health Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - General health norm-based score. SF12 v2.0 Acute - General Health Norm-Based Score
C177879 SF124-Have You Felt Calm and Peaceful SF124-Have You Felt Calm and Peaceful The Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful? SF12 v2.0 Acute - Have You Felt Calm and Peaceful
C177871 SF124-In General You Say Your Health Is SF124-In General You Say Your Health Is The Short Form 12 Health Survey Acute, US Version 2.0 - In general, would you say your health is. SF12 v2.0 Acute - In General You Say Your Health Is
C177873 SF124-Limit Climbing Several Flights SF124-Limit Climbing Several Flights The Short Form 12 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF12 v2.0 Acute - Limit Climbing Several Flights
C177872 SF124-Limit Moderate Activities SF124-Limit Moderate Activities The Short Form 12 Health Survey Acute, US Version 2.0 - The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? SF12 v2.0 Acute - Limit Moderate Activities
C180477 SF124-Mental Component Score SF124-Mental Component Score The Short Form 12 Health Survey Acute, US Version 2.0 - Mental component score. SF12 v2.0 Acute - Mental Component Score
C180467 SF124-Mental Health 0-100 Score SF124-Mental Health 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Mental health 0-100 score. SF12 v2.0 Acute - Mental Health 0-100 Score
C180475 SF124-Mental Health Norm-Based Score SF124-Mental Health Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Mental health norm-based score. SF12 v2.0 Acute - Mental Health Norm-Based Score
C177878 SF124-Pain Interfere With Normal Work SF124-Pain Interfere With Normal Work The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF12 v2.0 Acute - Pain Interfere With Normal Work
C180468 SF124-Phys Functioning Norm-Based Score SF124-Phys Functioning Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning norm-based score. SF12 v2.0 Acute - Phys Functioning Norm-Based Score
C180476 SF124-Physical Component Score SF124-Physical Component Score The Short Form 12 Health Survey Acute, US Version 2.0 - Physical component score. SF12 v2.0 Acute - Physical Component Score
C180460 SF124-Physical Functioning 0-100 Score SF124-Physical Functioning 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score. SF12 v2.0 Acute - Physical Functioning 0-100 Score
C177874 SF124-Physical: Accomplished Less SF124-Physical: Accomplished Less The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF12 v2.0 Acute - Physical: Accomplished Less
C177875 SF124-Physical: Limited Kind of Work SF124-Physical: Limited Kind of Work The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF12 v2.0 Acute - Physical: Limited Kind of Work
C180466 SF124-Role Emotional 0-100 Score SF124-Role Emotional 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score. SF12 v2.0 Acute - Role Emotional 0-100 Score
C180474 SF124-Role Emotional Norm-Based Score SF124-Role Emotional Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional norm-based score. SF12 v2.0 Acute - Role Emotional Norm-Based Score
C180461 SF124-Role Physical 0-100 Score SF124-Role Physical 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role physical 0-100 score. SF12 v2.0 Acute - Role Physical 0-100 Score
C180469 SF124-Role Physical Norm-Based Score SF124-Role Physical Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Role physical norm-based score. SF12 v2.0 Acute - Role Physical Norm-Based Score
C180478 SF124-SF-6D_R2 (Util Index Rel 2) Score SF124-SF-6D_R2 (Util Index Rel 2) Score The Short Form 12 Health Survey Acute, US Version 2.0 - SF-6D_R2 (utility index release 2) score. SF12 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
C180473 SF124-Social Function Norm-Based Score SF124-Social Function Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Social function norm-based score. SF12 v2.0 Acute - Social Function Norm-Based Score
C180465 SF124-Social Functioning 0-100 Score SF124-Social Functioning 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score. SF12 v2.0 Acute - Social Functioning 0-100 Score
C177882 SF124-Time Phys/Emotional Interfered SF124-Time Phys/Emotional Interfered The Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF12 v2.0 Acute - Time Physical Health, Emotional Interfered
C180464 SF124-Vitality 0-100 Score SF124-Vitality 0-100 Score The Short Form 12 Health Survey Acute, US Version 2.0 - Vitality 0-100 score. SF12 v2.0 Acute - Vitality 0-100 Score
C180472 SF124-Vitality Norm-Based Score SF124-Vitality Norm-Based Score The Short Form 12 Health Survey Acute, US Version 2.0 - Vitality norm-based score. SF12 v2.0 Acute - Vitality Norm-Based Score
C177881 SF124-You Felt Downhearted and Depressed SF124-You Felt Downhearted and Depressed The Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed? SF12 v2.0 Acute - You Felt Downhearted and Depressed

SF361TC (The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Code)

NCI Code: C100174, Codelist extensible: No
C100174 SF361TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100813 SF36101 SF361-In General You Say Your Health Is The Short Form 36 Health Survey Standard, US Version 1.0 - In general, would you say your health is. SF36 v1.0 Standard - In General You Say Your Health Is
C100814 SF36102 SF361-Comp Year Ago Rate Gen Health Now The Short Form 36 Health Survey Standard, US Version 1.0 - Compared to one year ago, how would you rate your health in general now? SF36 v1.0 Standard - Comp Year Ago Rate Gen Health Now
C100815 SF36103A SF361-Limit Vigorous Activities The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF36 v1.0 Standard - Limit Vigorous Activities
C100816 SF36103B SF361-Limit Moderate Activities The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF36 v1.0 Standard - Limit Moderate Activities
C100817 SF36103C SF361-Limit Lifting or Carrying The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries. SF36 v1.0 Standard - Limit Lifting or Carrying
C100818 SF36103D SF361-Limit Climbing Several Flights The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF36 v1.0 Standard - Limit Climbing Several Flights
C100819 SF36103E SF361-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs. SF36 v1.0 Standard - Limit Climbing One Flight Stairs
C100820 SF36103F SF361-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF36 v1.0 Standard - Limit Bending/Kneeling/Stooping
C100821 SF36103G SF361-Limit Walking More Than a Mile The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking more than a mile. SF36 v1.0 Standard - Limit Walking More Than a Mile
C100822 SF36103H SF361-Limit Walking Several Blocks The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking several blocks. SF36 v1.0 Standard - Limit Walking Several Blocks
C100823 SF36103I SF361-Limit Walking One Block The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking one block. SF36 v1.0 Standard - Limit Walking One Block
C100824 SF36103J SF361-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself. SF36 v1.0 Standard - Limit Bathing or Dressing Yourself
C100825 SF36104A SF361-Physical: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF36 v1.0 Standard - Physical: Cut Down Time on Work
C100826 SF36104B SF361-Physical: Accomplished Less The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF36 v1.0 Standard - Physical: Accomplished Less
C100827 SF36104C SF361-Physical: Limited Kind of Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF36 v1.0 Standard - Physical: Limited Kind of Work
C100828 SF36104D SF361-Physical: Difficulty Perform Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF36 v1.0 Standard - Physical: Difficulty Perform Work
C100829 SF36105A SF361-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF36 v1.0 Standard - Emotional: Cut Down Time on Work
C100830 SF36105B SF361-Emotional: Accomplished Less The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF36 v1.0 Standard - Emotional: Accomplished Less
C100831 SF36105C SF361-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF36 v1.0 Standard - Emotional: Did Work Less Carefully
C100832 SF36106 SF361-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF36 v1.0 Standard - Extent Phys/Emotional Interfered
C100833 SF36107 SF361-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks? SF36 v1.0 Standard - How Much Bodily Pain Have You Had
C100834 SF36108 SF361-Pain Interfere With Normal Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF36 v1.0 Standard - Pain Interfere With Normal Work
C100835 SF36109A SF361-Did You Feel Full of Pep The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of pep. SF36 v1.0 Standard - Did You Feel Full of Pep
C100836 SF36109B SF361-Have You Been Very Nervous Person The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a very nervous person. SF36 v1.0 Standard - Have You Been Very Nervous Person
C100837 SF36109C SF361-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up. SF36 v1.0 Standard - Felt Down Nothing Cheer You Up
C100838 SF36109D SF361-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful. SF36 v1.0 Standard - Have You Felt Calm and Peaceful
C100839 SF36109E SF361-Did You Have a Lot of Energy The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy. SF36 v1.0 Standard - Did You Have a Lot of Energy
C100840 SF36109F SF361-You Felt Downhearted and Blue The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue. SF36 v1.0 Standard - You Felt Downhearted and Blue
C100841 SF36109G SF361-Did You Feel Worn Out The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out. SF36 v1.0 Standard - Did You Feel Worn Out
C100842 SF36109H SF361-Have You Been Happy Person The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a happy person. SF36 v1.0 Standard - Have You Been Happy Person
C100843 SF36109I SF361-Did You Feel Tired The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired. SF36 v1.0 Standard - Did You Feel Tired
C100844 SF36110 SF361-Time Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF36 v1.0 Standard - Time Phys/Emotional Interfered
C100845 SF36111A SF361-Get Sick Little Easier Than Other The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF36 v1.0 Standard - Get Sick Little Easier Than Other
C100846 SF36111B SF361-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF36 v1.0 Standard - I Am as Healthy as Anybody I Know
C100847 SF36111C SF361-I Expect My Health to Get Worse The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF36 v1.0 Standard - I Expect My Health to Get Worse
C100848 SF36111D SF361-My Health is Excellent The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF36 v1.0 Standard - My Health is Excellent
C176142 SF36112 SF361-Physical Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Physical functioning 0-100 score. SF36 v1.0 Standard - Physical Functioning 0-100 Score
C176143 SF36113 SF361-Role Physical 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role physical 0-100 score. SF36 v1.0 Standard - Role Physical 0-100 Score
C176144 SF36114 SF361-Bodily Pain 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain 0-100 score. SF36 v1.0 Standard - Bodily Pain 0-100 Score
C176145 SF36115 SF361-General Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - General health 0-100 score. SF36 v1.0 Standard - General Health 0-100 Score
C176146 SF36116 SF361-Vitality 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Vitality 0-100 score. SF36 v1.0 Standard - Vitality 0-100 Score
C176147 SF36117 SF361-Social Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Social functioning 0-100 score. SF36 v1.0 Standard - Social Functioning 0-100 Score
C176148 SF36118 SF361-Role Emotional 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional 0-100 score. SF36 v1.0 Standard - Role Emotional 0-100 Score
C176149 SF36119 SF361-Mental Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Mental health 0-100 score. SF36 v1.0 Standard - Mental Health 0-100 Score
C176150 SF36120 SF361-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Phys functioning norm-based score. SF36 v1.0 Standard - Phys Functioning Norm-Based Score
C176151 SF36121 SF361-Role Physical Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role physical norm-based score. SF36 v1.0 Standard - Role Physical Norm-Based Score
C176152 SF36122 SF361-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score. SF36 v1.0 Standard - Bodily Pain Norm-Based Score
C176153 SF36123 SF361-General Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - General health norm-based score. SF36 v1.0 Standard - General Health Norm-Based Score
C176154 SF36124 SF361-Vitality Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Vitality norm-based score. SF36 v1.0 Standard - Vitality Norm-Based Score
C176155 SF36125 SF361-Social Function Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Social function norm-based score. SF36 v1.0 Standard - Social Function Norm-Based Score
C176156 SF36126 SF361-Role Emotional Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional norm-based score. SF36 v1.0 Standard - Role Emotional Norm-Based Score
C176157 SF36127 SF361-Mental Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Mental health norm-based score. SF36 v1.0 Standard - Mental Health Norm-Based Score
C176158 SF36128 SF361-Physical Component Score The Short Form 36 Health Survey Standard, US Version 1.0 - Physical component score. SF36 v1.0 Standard - Physical Component Score
C176159 SF36129 SF361-Mental Component Score The Short Form 36 Health Survey Standard, US Version 1.0 - Mental component score. SF36 v1.0 Standard - Mental Component Score
C176160 SF36130 SF361-SF-6D (Utility Index) Score The Short Form 36 Health Survey Standard, US Version 1.0 - 6D (utility index) score. SF36 v1.0 Standard - SF-6D (Utility Index) Score
C176161 SF36131 SF361-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Standard, US Version 1.0 - 6D_R2 (util index rel 2) score. SF36 v1.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
C176162 SF36132 SF361-Response Consistency Score The Short Form 36 Health Survey Standard, US Version 1.0 - Response consistency score. SF36 v1.0 Standard - Response Consistency Score

SF361TN (The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Name)

NCI Code: C100173, Codelist extensible: No
C100173 SF361TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176144 SF361-Bodily Pain 0-100 Score SF361-Bodily Pain 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain 0-100 score. SF36 v1.0 Standard - Bodily Pain 0-100 Score
C176152 SF361-Bodily Pain Norm-Based Score SF361-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score. SF36 v1.0 Standard - Bodily Pain Norm-Based Score
C100814 SF361-Comp Year Ago Rate Gen Health Now SF361-Comp Year Ago Rate Gen Health Now The Short Form 36 Health Survey Standard, US Version 1.0 - Compared to one year ago, how would you rate your health in general now? SF36 v1.0 Standard - Comp Year Ago Rate Gen Health Now
C100835 SF361-Did You Feel Full of Pep SF361-Did You Feel Full of Pep The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of pep. SF36 v1.0 Standard - Did You Feel Full of Pep
C100843 SF361-Did You Feel Tired SF361-Did You Feel Tired The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired. SF36 v1.0 Standard - Did You Feel Tired
C100841 SF361-Did You Feel Worn Out SF361-Did You Feel Worn Out The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out. SF36 v1.0 Standard - Did You Feel Worn Out
C100839 SF361-Did You Have a Lot of Energy SF361-Did You Have a Lot of Energy The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy. SF36 v1.0 Standard - Did You Have a Lot of Energy
C100830 SF361-Emotional: Accomplished Less SF361-Emotional: Accomplished Less The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF36 v1.0 Standard - Emotional: Accomplished Less
C100829 SF361-Emotional: Cut Down Time on Work SF361-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF36 v1.0 Standard - Emotional: Cut Down Time on Work
C100831 SF361-Emotional: Did Work Less Carefully SF361-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF36 v1.0 Standard - Emotional: Did Work Less Carefully
C100832 SF361-Extent Phys/Emotional Interfered SF361-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF36 v1.0 Standard - Extent Phys/Emotional Interfered
C100837 SF361-Felt Down Nothing Cheer You Up SF361-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up. SF36 v1.0 Standard - Felt Down Nothing Cheer You Up
C176145 SF361-General Health 0-100 Score SF361-General Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - General health 0-100 score. SF36 v1.0 Standard - General Health 0-100 Score
C176153 SF361-General Health Norm-Based Score SF361-General Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - General health norm-based score. SF36 v1.0 Standard - General Health Norm-Based Score
C100845 SF361-Get Sick Little Easier Than Other SF361-Get Sick Little Easier Than Other The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF36 v1.0 Standard - Get Sick Little Easier Than Other
C100842 SF361-Have You Been Happy Person SF361-Have You Been Happy Person The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a happy person. SF36 v1.0 Standard - Have You Been Happy Person
C100836 SF361-Have You Been Very Nervous Person SF361-Have You Been Very Nervous Person The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a very nervous person. SF36 v1.0 Standard - Have You Been Very Nervous Person
C100838 SF361-Have You Felt Calm and Peaceful SF361-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful. SF36 v1.0 Standard - Have You Felt Calm and Peaceful
C100833 SF361-How Much Bodily Pain Have You Had SF361-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks? SF36 v1.0 Standard - How Much Bodily Pain Have You Had
C100846 SF361-I Am as Healthy as Anybody I Know SF361-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF36 v1.0 Standard - I Am as Healthy as Anybody I Know
C100847 SF361-I Expect My Health to Get Worse SF361-I Expect My Health to Get Worse The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF36 v1.0 Standard - I Expect My Health to Get Worse
C100813 SF361-In General You Say Your Health Is SF361-In General You Say Your Health Is The Short Form 36 Health Survey Standard, US Version 1.0 - In general, would you say your health is. SF36 v1.0 Standard - In General You Say Your Health Is
C100824 SF361-Limit Bathing or Dressing Yourself SF361-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself. SF36 v1.0 Standard - Limit Bathing or Dressing Yourself
C100820 SF361-Limit Bending/Kneeling/Stooping SF361-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF36 v1.0 Standard - Limit Bending/Kneeling/Stooping
C100819 SF361-Limit Climbing One Flight Stairs SF361-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs. SF36 v1.0 Standard - Limit Climbing One Flight Stairs
C100818 SF361-Limit Climbing Several Flights SF361-Limit Climbing Several Flights The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF36 v1.0 Standard - Limit Climbing Several Flights
C100817 SF361-Limit Lifting or Carrying SF361-Limit Lifting or Carrying The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries. SF36 v1.0 Standard - Limit Lifting or Carrying
C100816 SF361-Limit Moderate Activities SF361-Limit Moderate Activities The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF36 v1.0 Standard - Limit Moderate Activities
C100815 SF361-Limit Vigorous Activities SF361-Limit Vigorous Activities The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF36 v1.0 Standard - Limit Vigorous Activities
C100821 SF361-Limit Walking More Than a Mile SF361-Limit Walking More Than a Mile The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking more than a mile. SF36 v1.0 Standard - Limit Walking More Than a Mile
C100823 SF361-Limit Walking One Block SF361-Limit Walking One Block The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking one block. SF36 v1.0 Standard - Limit Walking One Block
C100822 SF361-Limit Walking Several Blocks SF361-Limit Walking Several Blocks The Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking several blocks. SF36 v1.0 Standard - Limit Walking Several Blocks
C176159 SF361-Mental Component Score SF361-Mental Component Score The Short Form 36 Health Survey Standard, US Version 1.0 - Mental component score. SF36 v1.0 Standard - Mental Component Score
C176149 SF361-Mental Health 0-100 Score SF361-Mental Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Mental health 0-100 score. SF36 v1.0 Standard - Mental Health 0-100 Score
C176157 SF361-Mental Health Norm-Based Score SF361-Mental Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Mental health norm-based score. SF36 v1.0 Standard - Mental Health Norm-Based Score
C100848 SF361-My Health is Excellent SF361-My Health is Excellent The Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF36 v1.0 Standard - My Health is Excellent
C100834 SF361-Pain Interfere With Normal Work SF361-Pain Interfere With Normal Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF36 v1.0 Standard - Pain Interfere With Normal Work
C176150 SF361-Phys Functioning Norm-Based Score SF361-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Phys functioning norm-based score. SF36 v1.0 Standard - Phys Functioning Norm-Based Score
C176158 SF361-Physical Component Score SF361-Physical Component Score The Short Form 36 Health Survey Standard, US Version 1.0 - Physical component score. SF36 v1.0 Standard - Physical Component Score
C176142 SF361-Physical Functioning 0-100 Score SF361-Physical Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Physical functioning 0-100 score. SF36 v1.0 Standard - Physical Functioning 0-100 Score
C100826 SF361-Physical: Accomplished Less SF361-Physical: Accomplished Less The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF36 v1.0 Standard - Physical: Accomplished Less
C100825 SF361-Physical: Cut Down Time on Work SF361-Physical: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF36 v1.0 Standard - Physical: Cut Down Time on Work
C100828 SF361-Physical: Difficulty Perform Work SF361-Physical: Difficulty Perform Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF36 v1.0 Standard - Physical: Difficulty Perform Work
C100827 SF361-Physical: Limited Kind of Work SF361-Physical: Limited Kind of Work The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF36 v1.0 Standard - Physical: Limited Kind of Work
C176162 SF361-Response Consistency Score SF361-Response Consistency Score The Short Form 36 Health Survey Standard, US Version 1.0 - Response consistency score. SF36 v1.0 Standard - Response Consistency Score
C176148 SF361-Role Emotional 0-100 Score SF361-Role Emotional 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional 0-100 score. SF36 v1.0 Standard - Role Emotional 0-100 Score
C176156 SF361-Role Emotional Norm-Based Score SF361-Role Emotional Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional norm-based score. SF36 v1.0 Standard - Role Emotional Norm-Based Score
C176143 SF361-Role Physical 0-100 Score SF361-Role Physical 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role physical 0-100 score. SF36 v1.0 Standard - Role Physical 0-100 Score
C176151 SF361-Role Physical Norm-Based Score SF361-Role Physical Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Role physical norm-based score. SF36 v1.0 Standard - Role Physical Norm-Based Score
C176160 SF361-SF-6D (Utility Index) Score SF361-SF-6D (Utility Index) Score The Short Form 36 Health Survey Standard, US Version 1.0 - 6D (utility index) score. SF36 v1.0 Standard - SF-6D (Utility Index) Score
C176161 SF361-SF-6D_R2 (Util Index Rel 2) Score SF361-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Standard, US Version 1.0 - 6D_R2 (util index rel 2) score. SF36 v1.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
C176155 SF361-Social Function Norm-Based Score SF361-Social Function Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Social function norm-based score. SF36 v1.0 Standard - Social Function Norm-Based Score
C176147 SF361-Social Functioning 0-100 Score SF361-Social Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Social functioning 0-100 score. SF36 v1.0 Standard - Social Functioning 0-100 Score
C100844 SF361-Time Phys/Emotional Interfered SF361-Time Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF36 v1.0 Standard - Time Phys/Emotional Interfered
C176146 SF361-Vitality 0-100 Score SF361-Vitality 0-100 Score The Short Form 36 Health Survey Standard, US Version 1.0 - Vitality 0-100 score. SF36 v1.0 Standard - Vitality 0-100 Score
C176154 SF361-Vitality Norm-Based Score SF361-Vitality Norm-Based Score The Short Form 36 Health Survey Standard, US Version 1.0 - Vitality norm-based score. SF36 v1.0 Standard - Vitality Norm-Based Score
C100840 SF361-You Felt Downhearted and Blue SF361-You Felt Downhearted and Blue The Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue. SF36 v1.0 Standard - You Felt Downhearted and Blue

SF362TC (The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Code)

NCI Code: C101823, Codelist extensible: No
C101823 SF362TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102125 SF36201 SF362-In General You Say Your Health Is The Short Form 36 Health Survey Acute, US Version 1.0 - In general, would you say your health is. SF-36 v1.0 Acute - In General You Say Your Health Is
C102126 SF36202 SF362-Comp Week Ago Rate Gen Health Now The Short Form 36 Health Survey Acute, US Version 1.0 - Compared to one week ago, how would you rate your health in general now? SF-36 v1.0 Acute - Comp Week Ago Rate Gen Health Now
C102127 SF36203A SF362-Limit Vigorous Activities The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF-36 v1.0 Acute - Limit Vigorous Activities
C102128 SF36203B SF362-Limit Moderate Activities The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF-36 v1.0 Acute - Limit Moderate Activities
C102129 SF36203C SF362-Limit Lifting or Carrying The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries. SF-36 v1.0 Acute - Limit Lifting or Carrying
C102130 SF36203D SF362-Limit Climbing Several Flights The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF-36 v1.0 Acute - Limit Climbing Several Flights
C102131 SF36203E SF362-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs. SF-36 v1.0 Acute - Limit Climbing One Flight Stairs
C102132 SF36203F SF362-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF-36 v1.0 Acute - Limit Bending/Kneeling/Stooping
C102133 SF36203G SF362-Limit Walking More Than a Mile The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking more than a mile. SF-36 v1.0 Acute - Limit Walking More Than a Mile
C102134 SF36203H SF362-Limit Walking Several Blocks The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking several blocks. SF-36 v1.0 Acute - Limit Walking Several Blocks
C102135 SF36203I SF362-Limit Walking One Block The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking one block. SF-36 v1.0 Acute - Limit Walking One Block
C102136 SF36203J SF362-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself. SF-36 v1.0 Acute - Limit Bathing or Dressing Yourself
C102137 SF36204A SF362-Physical: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 1.0 (SF36 V1.0 ACUTE) -During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF-36 v1.0 Acute - Physical: Cut Down Time on Work
C102138 SF36204B SF362-Physical: Accomplished Less The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF-36 v1.0 Acute - Physical: Accomplished Less
C102139 SF36204C SF362-Physical: Limited Kind of Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF-36 v1.0 Acute - Physical: Limited Kind of Work
C102140 SF36204D SF362-Physical: Difficulty Perform Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF-36 v1.0 Acute - Physical: Difficulty Perform Work
C102141 SF36205A SF362-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF-36 v1.0 Acute - Emotional: Cut Down Time on Work
C102142 SF36205B SF362-Emotional: Accomplished Less The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF-36 v1.0 Acute - Emotional: Accomplished Less
C102143 SF36205C SF362-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF-36 v1.0 Acute - Emotional: Did Work Less Carefully
C102144 SF36206 SF362-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF-36 v1.0 Acute - Extent Phys/Emotional Interfered
C102145 SF36207 SF362-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week? SF-36 v1.0 Acute - How Much Bodily Pain Have You Had
C102146 SF36208 SF362-Pain Interfere With Normal Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF-36 v1.0 Acute - Pain Interfere With Normal Work
C102147 SF36209A SF362-Did You Feel Full of Pep The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of pep. SF-36 v1.0 Acute - Did You Feel Full of Pep
C102148 SF36209B SF362-Have You Been Very Nervous Person The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a very nervous person. SF-36 v1.0 Acute - Have You Been Very Nervous Person
C102149 SF36209C SF362-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up. SF-36 v1.0 Acute - Felt Down Nothing Cheer You Up
C102150 SF36209D SF362-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful. SF-36 v1.0 Acute - Have You Felt Calm and Peaceful
C102151 SF36209E SF362-Did You Have a Lot of Energy The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy. SF-36 v1.0 Acute - Did You Have a Lot of Energy
C102152 SF36209F SF362-You Felt Downhearted and Blue The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue. SF-36 v1.0 Acute - You Felt Downhearted and Blue
C102153 SF36209G SF362-Did You Feel Worn Out The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out. SF-36 v1.0 Acute - Did You Feel Worn Out
C102154 SF36209H SF362-Have You Been a Happy Person The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a happy person. SF-36 v1.0 Acute - Have You Been a Happy Person
C102155 SF36209I SF362-Did You Feel Tired The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired. SF-36 v1.0 Acute - Did You Feel Tired
C102156 SF36210 SF362-Time Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF-36 v1.0 Acute - Time Phys/Emotional Interfered
C102157 SF36211A SF362-Get Sick Little Easier Than Other The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF-36 v1.0 Acute - Get Sick Little Easier Than Other
C102158 SF36211B SF362-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF-36 v1.0 Acute - I Am as Healthy as Anybody I Know
C102159 SF36211C SF362-I Expect My Health to Get Worse The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF-36 v1.0 Acute - I Expect My Health to Get Worse
C102160 SF36211D SF362-My Health is Excellent The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF-36 v1.0 Acute - My Health is Excellent
C176121 SF36212 SF362-Physical Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Physical functioning 0-100 score. SF-36 v1.0 Acute - Physical Functioning 0-100 Score
C176122 SF36213 SF362-Role Physical 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role physical 0-100 score. SF-36 v1.0 Acute - Role Physical 0-100 Score
C176123 SF36214 SF362-Bodily Pain 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain 0-100 score. SF-36 v1.0 Acute - Bodily Pain 0-100 Score
C176124 SF36215 SF362-General Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - General health 0-100 score. SF-36 v1.0 Acute - General Health 0-100 Score
C176125 SF36216 SF362-Vitality 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Vitality 0-100 score. SF-36 v1.0 Acute - Vitality 0-100 Score
C176126 SF36217 SF362-Social Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Social functioning 0-100 score. SF-36 v1.0 Acute - Social Functioning 0-100 Score
C176127 SF36218 SF362-Role Emotional 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional 0-100 score. SF-36 v1.0 Acute - Role Emotional 0-100 Score
C176128 SF36219 SF362-Mental Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Mental health 0-100 score. SF-36 v1.0 Acute - Mental Health 0-100 Score
C176129 SF36220 SF362-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Phys functioning norm-based score. SF-36 v1.0 Acute - Phys Functioning Norm-Based Score
C176130 SF36221 SF362-Role Physical Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role physical norm-based score. SF-36 v1.0 Acute - Role Physical Norm-Based Score
C176131 SF36222 SF362-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score. SF-36 v1.0 Acute - Bodily Pain Norm-Based Score
C176132 SF36223 SF362-General Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - General health norm-based score. SF-36 v1.0 Acute - General Health Norm-Based Score
C176133 SF36224 SF362-Vitality Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Vitality norm-based score. SF-36 v1.0 Acute - Vitality Norm-Based Score
C176134 SF36225 SF362-Social Function Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Social function norm-based score. SF-36 v1.0 Acute - Social Function Norm-Based Score
C176135 SF36226 SF362-Role Emotional Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional norm-based score. SF-36 v1.0 Acute - Role Emotional Norm-Based Score
C176136 SF36227 SF362-Mental Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Mental health norm-based score. SF-36 v1.0 Acute - Mental Health Norm-Based Score
C176137 SF36228 SF362-Physical Component Score The Short Form 36 Health Survey Acute, US Version 1.0 - Physical component score. SF-36 v1.0 Acute - Physical Component Score
C176138 SF36229 SF362-Mental Component Score The Short Form 36 Health Survey Acute, US Version 1.0 - Mental component score. SF-36 v1.0 Acute - Mental Component Score
C176139 SF36230 SF362-SF-6D (Utility Index) Score The Short Form 36 Health Survey Acute, US Version 1.0 - 6D (utility index) score. SF-36 v1.0 Acute - SF-6D (Utility Index) Score
C176140 SF36231 SF362-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Acute, US Version 1.0 - 6D_R2 (util index rel 2) score. SF-36 v1.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
C176141 SF36232 SF362-Response Consistency Score The Short Form 36 Health Survey Acute, US Version 1.0 - Response consistency score. SF-36 v1.0 Acute - Response Consistency Score

SF362TN (The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Name)

NCI Code: C101824, Codelist extensible: No
C101824 SF362TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176123 SF362-Bodily Pain 0-100 Score SF362-Bodily Pain 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain 0-100 score. SF-36 v1.0 Acute - Bodily Pain 0-100 Score
C176131 SF362-Bodily Pain Norm-Based Score SF362-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score. SF-36 v1.0 Acute - Bodily Pain Norm-Based Score
C102126 SF362-Comp Week Ago Rate Gen Health Now SF362-Comp Week Ago Rate Gen Health Now The Short Form 36 Health Survey Acute, US Version 1.0 - Compared to one week ago, how would you rate your health in general now? SF-36 v1.0 Acute - Comp Week Ago Rate Gen Health Now
C102147 SF362-Did You Feel Full of Pep SF362-Did You Feel Full of Pep The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of pep. SF-36 v1.0 Acute - Did You Feel Full of Pep
C102155 SF362-Did You Feel Tired SF362-Did You Feel Tired The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired. SF-36 v1.0 Acute - Did You Feel Tired
C102153 SF362-Did You Feel Worn Out SF362-Did You Feel Worn Out The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out. SF-36 v1.0 Acute - Did You Feel Worn Out
C102151 SF362-Did You Have a Lot of Energy SF362-Did You Have a Lot of Energy The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy. SF-36 v1.0 Acute - Did You Have a Lot of Energy
C102142 SF362-Emotional: Accomplished Less SF362-Emotional: Accomplished Less The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF-36 v1.0 Acute - Emotional: Accomplished Less
C102141 SF362-Emotional: Cut Down Time on Work SF362-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF-36 v1.0 Acute - Emotional: Cut Down Time on Work
C102143 SF362-Emotional: Did Work Less Carefully SF362-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF-36 v1.0 Acute - Emotional: Did Work Less Carefully
C102144 SF362-Extent Phys/Emotional Interfered SF362-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF-36 v1.0 Acute - Extent Phys/Emotional Interfered
C102149 SF362-Felt Down Nothing Cheer You Up SF362-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up. SF-36 v1.0 Acute - Felt Down Nothing Cheer You Up
C176124 SF362-General Health 0-100 Score SF362-General Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - General health 0-100 score. SF-36 v1.0 Acute - General Health 0-100 Score
C176132 SF362-General Health Norm-Based Score SF362-General Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - General health norm-based score. SF-36 v1.0 Acute - General Health Norm-Based Score
C102157 SF362-Get Sick Little Easier Than Other SF362-Get Sick Little Easier Than Other The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF-36 v1.0 Acute - Get Sick Little Easier Than Other
C102154 SF362-Have You Been a Happy Person SF362-Have You Been a Happy Person The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a happy person. SF-36 v1.0 Acute - Have You Been a Happy Person
C102148 SF362-Have You Been Very Nervous Person SF362-Have You Been Very Nervous Person The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a very nervous person. SF-36 v1.0 Acute - Have You Been Very Nervous Person
C102150 SF362-Have You Felt Calm and Peaceful SF362-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful. SF-36 v1.0 Acute - Have You Felt Calm and Peaceful
C102145 SF362-How Much Bodily Pain Have You Had SF362-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week? SF-36 v1.0 Acute - How Much Bodily Pain Have You Had
C102158 SF362-I Am as Healthy as Anybody I Know SF362-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF-36 v1.0 Acute - I Am as Healthy as Anybody I Know
C102159 SF362-I Expect My Health to Get Worse SF362-I Expect My Health to Get Worse The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF-36 v1.0 Acute - I Expect My Health to Get Worse
C102125 SF362-In General You Say Your Health Is SF362-In General You Say Your Health Is The Short Form 36 Health Survey Acute, US Version 1.0 - In general, would you say your health is. SF-36 v1.0 Acute - In General You Say Your Health Is
C102136 SF362-Limit Bathing or Dressing Yourself SF362-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself. SF-36 v1.0 Acute - Limit Bathing or Dressing Yourself
C102132 SF362-Limit Bending/Kneeling/Stooping SF362-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF-36 v1.0 Acute - Limit Bending/Kneeling/Stooping
C102131 SF362-Limit Climbing One Flight Stairs SF362-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs. SF-36 v1.0 Acute - Limit Climbing One Flight Stairs
C102130 SF362-Limit Climbing Several Flights SF362-Limit Climbing Several Flights The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs. SF-36 v1.0 Acute - Limit Climbing Several Flights
C102129 SF362-Limit Lifting or Carrying SF362-Limit Lifting or Carrying The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries. SF-36 v1.0 Acute - Limit Lifting or Carrying
C102128 SF362-Limit Moderate Activities SF362-Limit Moderate Activities The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF-36 v1.0 Acute - Limit Moderate Activities
C102127 SF362-Limit Vigorous Activities SF362-Limit Vigorous Activities The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF-36 v1.0 Acute - Limit Vigorous Activities
C102133 SF362-Limit Walking More Than a Mile SF362-Limit Walking More Than a Mile The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking more than a mile. SF-36 v1.0 Acute - Limit Walking More Than a Mile
C102135 SF362-Limit Walking One Block SF362-Limit Walking One Block The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking one block. SF-36 v1.0 Acute - Limit Walking One Block
C102134 SF362-Limit Walking Several Blocks SF362-Limit Walking Several Blocks The Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking several blocks. SF-36 v1.0 Acute - Limit Walking Several Blocks
C176138 SF362-Mental Component Score SF362-Mental Component Score The Short Form 36 Health Survey Acute, US Version 1.0 - Mental component score. SF-36 v1.0 Acute - Mental Component Score
C176128 SF362-Mental Health 0-100 Score SF362-Mental Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Mental health 0-100 score. SF-36 v1.0 Acute - Mental Health 0-100 Score
C176136 SF362-Mental Health Norm-Based Score SF362-Mental Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Mental health norm-based score. SF-36 v1.0 Acute - Mental Health Norm-Based Score
C102160 SF362-My Health is Excellent SF362-My Health is Excellent The Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF-36 v1.0 Acute - My Health is Excellent
C102146 SF362-Pain Interfere With Normal Work SF362-Pain Interfere With Normal Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF-36 v1.0 Acute - Pain Interfere With Normal Work
C176129 SF362-Phys Functioning Norm-Based Score SF362-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Phys functioning norm-based score. SF-36 v1.0 Acute - Phys Functioning Norm-Based Score
C176137 SF362-Physical Component Score SF362-Physical Component Score The Short Form 36 Health Survey Acute, US Version 1.0 - Physical component score. SF-36 v1.0 Acute - Physical Component Score
C176121 SF362-Physical Functioning 0-100 Score SF362-Physical Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Physical functioning 0-100 score. SF-36 v1.0 Acute - Physical Functioning 0-100 Score
C102138 SF362-Physical: Accomplished Less SF362-Physical: Accomplished Less The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF-36 v1.0 Acute - Physical: Accomplished Less
C102137 SF362-Physical: Cut Down Time on Work SF362-Physical: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 1.0 (SF36 V1.0 ACUTE) -During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF-36 v1.0 Acute - Physical: Cut Down Time on Work
C102140 SF362-Physical: Difficulty Perform Work SF362-Physical: Difficulty Perform Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF-36 v1.0 Acute - Physical: Difficulty Perform Work
C102139 SF362-Physical: Limited Kind of Work SF362-Physical: Limited Kind of Work The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF-36 v1.0 Acute - Physical: Limited Kind of Work
C176141 SF362-Response Consistency Score SF362-Response Consistency Score The Short Form 36 Health Survey Acute, US Version 1.0 - Response consistency score. SF-36 v1.0 Acute - Response Consistency Score
C176127 SF362-Role Emotional 0-100 Score SF362-Role Emotional 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional 0-100 score. SF-36 v1.0 Acute - Role Emotional 0-100 Score
C176135 SF362-Role Emotional Norm-Based Score SF362-Role Emotional Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional norm-based score. SF-36 v1.0 Acute - Role Emotional Norm-Based Score
C176122 SF362-Role Physical 0-100 Score SF362-Role Physical 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role physical 0-100 score. SF-36 v1.0 Acute - Role Physical 0-100 Score
C176130 SF362-Role Physical Norm-Based Score SF362-Role Physical Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Role physical norm-based score. SF-36 v1.0 Acute - Role Physical Norm-Based Score
C176139 SF362-SF-6D (Utility Index) Score SF362-SF-6D (Utility Index) Score The Short Form 36 Health Survey Acute, US Version 1.0 - 6D (utility index) score. SF-36 v1.0 Acute - SF-6D (Utility Index) Score
C176140 SF362-SF-6D_R2 (Util Index Rel 2) Score SF362-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Acute, US Version 1.0 - 6D_R2 (util index rel 2) score. SF-36 v1.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
C176134 SF362-Social Function Norm-Based Score SF362-Social Function Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Social function norm-based score. SF-36 v1.0 Acute - Social Function Norm-Based Score
C176126 SF362-Social Functioning 0-100 Score SF362-Social Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Social functioning 0-100 score. SF-36 v1.0 Acute - Social Functioning 0-100 Score
C102156 SF362-Time Phys/Emotional Interfered SF362-Time Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF-36 v1.0 Acute - Time Phys/Emotional Interfered
C176125 SF362-Vitality 0-100 Score SF362-Vitality 0-100 Score The Short Form 36 Health Survey Acute, US Version 1.0 - Vitality 0-100 score. SF-36 v1.0 Acute - Vitality 0-100 Score
C176133 SF362-Vitality Norm-Based Score SF362-Vitality Norm-Based Score The Short Form 36 Health Survey Acute, US Version 1.0 - Vitality norm-based score. SF-36 v1.0 Acute - Vitality Norm-Based Score
C102152 SF362-You Felt Downhearted and Blue SF362-You Felt Downhearted and Blue The Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue. SF-36 v1.0 Acute - You Felt Downhearted and Blue

SF363TC (The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Code)

NCI Code: C101826, Codelist extensible: No
C101826 SF363TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102197 SF36301 SF363-In General You Say Your Health Is The Short Form 36 Health Survey Standard, US Version 2.0 - In general, would you say your health is. SF-36 v2.0 Standard - In General You Say Your Health Is
C102198 SF36302 SF363-Comp Year Ago Rate Gen Health Now The Short Form 36 Health Survey Standard, US Version 2.0 - Compared to one year ago, how would you rate your health in general now? SF-36 v2.0 Standard - Comp Year Ago Rate Gen Health Now
C102199 SF36303A SF363-Limit Vigorous Activities The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF-36 v2.0 Standard - Limit Vigorous Activities
C102200 SF36303B SF363-Limit Moderate Activities The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF-36 v2.0 Standard - Limit Moderate Activities
C102201 SF36303C SF363-Limit Lifting or Carrying The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries. SF-36 v2.0 Standard - Limit Lifting or Carrying
C102202 SF36303D SF363-Limit Climbing Several Flights The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF-36 v2.0 Standard - Limit Climbing Several Flights
C102203 SF36303E SF363-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs. SF-36 v2.0 Standard - Limit Climbing One Flight Stairs
C102204 SF36303F SF363-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF-36 v2.0 Standard - Limit Bending/Kneeling/Stooping
C102205 SF36303G SF363-Limit Walking More Than a Mile The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking more than a mile. SF-36 v2.0 Standard - Limit Walking More Than a Mile
C102206 SF36303H SF363-Limit Walking Several Hundred Yds The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking several hundred yards. SF-36 v2.0 Standard - Limit Walking Several Hundred Yds
C102207 SF36303I SF363-Limit Walking One Hundred Yards The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking one hundred yards. SF-36 v2.0 Standard - Limit Walking One Hundred Yards
C102208 SF36303J SF363-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself. SF-36 v2.0 Standard - Limit Bathing or Dressing Yourself
C102209 SF36304A SF363-Physical: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Standard - Physical: Cut Down Time on Work
C102210 SF36304B SF363-Physical: Accomplished Less The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF-36 v2.0 Standard - Physical: Accomplished Less
C102211 SF36304C SF363-Physical: Limited Kind of Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF-36 v2.0 Standard - Physical: Limited Kind of Work
C102212 SF36304D SF363-Physical: Difficulty Perform Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF-36 v2.0 Standard - Physical: Difficulty Perform Work
C102213 SF36305A SF363-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Standard - Emotional: Cut Down Time on Work
C102214 SF36305B SF363-Emotional: Accomplished Less The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF-36 v2.0 Standard - Emotional: Accomplished Less
C102215 SF36305C SF363-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF-36 v2.0 Standard - Emotional: Did Work Less Carefully
C102216 SF36306 SF363-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF-36 v2.0 Standard - Extent Phys/Emotional Interfered
C102217 SF36307 SF363-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Standard, US Version 2.0 - How much bodily pain have you had during the past 4 weeks? SF-36 v2.0 Standard - How Much Bodily Pain Have You Had
C102218 SF36308 SF363-Pain Interfere With Normal Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF-36 v2.0 Standard - Pain Interfere With Normal Work
C102219 SF36309A SF363-Did You Feel Full of Life The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of life. SF-36 v2.0 Standard - Did You Feel Full of Life
C102220 SF36309B SF363-Have You Been Very Nervous The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been very nervous. SF-36 v2.0 Standard - Have You Been Very Nervous
C102221 SF36309C SF363-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up. SF-36 v2.0 Standard - Felt Down Nothing Cheer You Up
C102222 SF36309D SF363-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful. SF-36 v2.0 Standard - Have You Felt Calm and Peaceful
C102223 SF36309E SF363-Did You Have a Lot of Energy The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy. SF-36 v2.0 Standard - Did You Have a Lot of Energy
C102224 SF36309F SF363-You Felt Downhearted and Depressed The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed. SF-36 v2.0 Standard - You Felt Downhearted and Depressed
C102225 SF36309G SF363-Did You Feel Worn Out The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out. SF-36 v2.0 Standard - Did You Feel Worn Out
C102226 SF36309H SF363-Have You Been Happy The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been happy. SF-36 v2.0 Standard - Have You Been Happy
C102227 SF36309I SF363-Did You Feel Tired The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired. SF-36 v2.0 Standard - Did You Feel Tired
C102228 SF36310 SF363-Time Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF-36 v2.0 Standard - Time Phys/Emotional Interfered
C102229 SF36311A SF363-Get Sick Little Easier Than Other The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF-36 v2.0 Standard - Get Sick Little Easier Than Other
C102230 SF36311B SF363-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF-36 v2.0 Standard - I Am as Healthy as Anybody I Know
C102231 SF36311C SF363-I Expect My Health to Get Worse The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF-36 v2.0 Standard - I Expect My Health to Get Worse
C102232 SF36311D SF363-My Health is Excellent The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF-36 v2.0 Standard - My Health is Excellent
C176184 SF36312 SF363-Physical Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score. SF-36 v2.0 Standard - Physical Functioning 0-100 Score
C176185 SF36313 SF363-Role Physical 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role physical 0-100 score. SF-36 v2.0 Standard - Role Physical 0-100 Score
C176186 SF36314 SF363-Bodily Pain 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score. SF-36 v2.0 Standard - Bodily Pain 0-100 Score
C176187 SF36315 SF363-General Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - General health 0-100 score. SF-36 v2.0 Standard - General Health 0-100 Score
C176188 SF36316 SF363-Vitality 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Vitality 0-100 score. SF-36 v2.0 Standard - Vitality 0-100 Score
C176189 SF36317 SF363-Social Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score. SF-36 v2.0 Standard - Social Functioning 0-100 Score
C176190 SF36318 SF363-Role Emotional 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score. SF-36 v2.0 Standard - Role Emotional 0-100 Score
C176191 SF36319 SF363-Mental Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental health 0-100 score. SF-36 v2.0 Standard - Mental Health 0-100 Score
C176192 SF36320 SF363-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Phys functioning norm-based score. SF-36 v2.0 Standard - Phys Functioning Norm-Based Score
C176193 SF36321 SF363-Role Physical Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role physical norm-based score. SF-36 v2.0 Standard - Role Physical Norm-Based Score
C176194 SF36322 SF363-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score. SF-36 v2.0 Standard - Bodily Pain Norm-Based Score
C176195 SF36323 SF363-General Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - General health norm-based score. SF-36 v2.0 Standard - General Health Norm-Based Score
C176196 SF36324 SF363-Vitality Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Vitality norm-based score. SF-36 v2.0 Standard - Vitality Norm-Based Score
C176197 SF36325 SF363-Social Function Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Social function norm-based score. SF-36 v2.0 Standard - Social Function Norm-Based Score
C176198 SF36326 SF363-Role Emotional Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional norm-based score. SF-36 v2.0 Standard - Role Emotional Norm-Based Score
C176199 SF36327 SF363-Mental Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental health norm-based score. SF-36 v2.0 Standard - Mental Health Norm-Based Score
C176200 SF36328 SF363-Physical Component Score The Short Form 36 Health Survey Standard, US Version 2.0 - Physical component score. SF-36 v2.0 Standard - Physical Component Score
C176201 SF36329 SF363-Mental Component Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental component score. SF-36 v2.0 Standard - Mental Component Score
C176202 SF36330 SF363-SF-6D (Utility Index) Score The Short Form 36 Health Survey Standard, US Version 2.0 - 6D (utility index) score. SF-36 v2.0 Standard - SF-6D (Utility Index) Score
C176203 SF36331 SF363-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Standard, US Version 2.0 - 6D_R2 (util index rel 2) score. SF-36 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
C176204 SF36332 SF363-Mental Health Enhanced Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental health enhanced score. SF-36 v2.0 Standard - Mental Health Enhanced Score
C180248 SF36333 SF363-Response Consistency Score The Short Form 36 Health Survey Standard, US Version 2.0 - Response consistency score. SF-36 v2.0 Standard - Response Consistency Score
C185787 SF36334 SF363-Utility Index Score UK Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United Kingdom weights. SF-36 v2.0 Standard - Utility Index Score UK Weights
C185788 SF36335 SF363-Utility Index Score CN Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Canada weights. SF-36 v2.0 Standard - Utility Index Score CN Weights
C185789 SF36336 SF363-Utility Index Score AU Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Australia weights. SF-36 v2.0 Standard - Utility Index Score AU Weights
C185790 SF36337 SF363-Utility Index Score US Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United States weights. SF-36 v2.0 Standard - Utility Index Score US Weights

SF363TN (The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Name)

NCI Code: C101827, Codelist extensible: No
C101827 SF363TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176186 SF363-Bodily Pain 0-100 Score SF363-Bodily Pain 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score. SF-36 v2.0 Standard - Bodily Pain 0-100 Score
C176194 SF363-Bodily Pain Norm-Based Score SF363-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score. SF-36 v2.0 Standard - Bodily Pain Norm-Based Score
C102198 SF363-Comp Year Ago Rate Gen Health Now SF363-Comp Year Ago Rate Gen Health Now The Short Form 36 Health Survey Standard, US Version 2.0 - Compared to one year ago, how would you rate your health in general now? SF-36 v2.0 Standard - Comp Year Ago Rate Gen Health Now
C102219 SF363-Did You Feel Full of Life SF363-Did You Feel Full of Life The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of life. SF-36 v2.0 Standard - Did You Feel Full of Life
C102227 SF363-Did You Feel Tired SF363-Did You Feel Tired The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired. SF-36 v2.0 Standard - Did You Feel Tired
C102225 SF363-Did You Feel Worn Out SF363-Did You Feel Worn Out The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out. SF-36 v2.0 Standard - Did You Feel Worn Out
C102223 SF363-Did You Have a Lot of Energy SF363-Did You Have a Lot of Energy The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy. SF-36 v2.0 Standard - Did You Have a Lot of Energy
C102214 SF363-Emotional: Accomplished Less SF363-Emotional: Accomplished Less The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF-36 v2.0 Standard - Emotional: Accomplished Less
C102213 SF363-Emotional: Cut Down Time on Work SF363-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Standard - Emotional: Cut Down Time on Work
C102215 SF363-Emotional: Did Work Less Carefully SF363-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF-36 v2.0 Standard - Emotional: Did Work Less Carefully
C102216 SF363-Extent Phys/Emotional Interfered SF363-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF-36 v2.0 Standard - Extent Phys/Emotional Interfered
C102221 SF363-Felt Down Nothing Cheer You Up SF363-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up. SF-36 v2.0 Standard - Felt Down Nothing Cheer You Up
C176187 SF363-General Health 0-100 Score SF363-General Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - General health 0-100 score. SF-36 v2.0 Standard - General Health 0-100 Score
C176195 SF363-General Health Norm-Based Score SF363-General Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - General health norm-based score. SF-36 v2.0 Standard - General Health Norm-Based Score
C102229 SF363-Get Sick Little Easier Than Other SF363-Get Sick Little Easier Than Other The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF-36 v2.0 Standard - Get Sick Little Easier Than Other
C102226 SF363-Have You Been Happy SF363-Have You Been Happy The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been happy. SF-36 v2.0 Standard - Have You Been Happy
C102220 SF363-Have You Been Very Nervous SF363-Have You Been Very Nervous The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been very nervous. SF-36 v2.0 Standard - Have You Been Very Nervous
C102222 SF363-Have You Felt Calm and Peaceful SF363-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful. SF-36 v2.0 Standard - Have You Felt Calm and Peaceful
C102217 SF363-How Much Bodily Pain Have You Had SF363-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Standard, US Version 2.0 - How much bodily pain have you had during the past 4 weeks? SF-36 v2.0 Standard - How Much Bodily Pain Have You Had
C102230 SF363-I Am as Healthy as Anybody I Know SF363-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF-36 v2.0 Standard - I Am as Healthy as Anybody I Know
C102231 SF363-I Expect My Health to Get Worse SF363-I Expect My Health to Get Worse The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF-36 v2.0 Standard - I Expect My Health to Get Worse
C102197 SF363-In General You Say Your Health Is SF363-In General You Say Your Health Is The Short Form 36 Health Survey Standard, US Version 2.0 - In general, would you say your health is. SF-36 v2.0 Standard - In General You Say Your Health Is
C102208 SF363-Limit Bathing or Dressing Yourself SF363-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself. SF-36 v2.0 Standard - Limit Bathing or Dressing Yourself
C102204 SF363-Limit Bending/Kneeling/Stooping SF363-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF-36 v2.0 Standard - Limit Bending/Kneeling/Stooping
C102203 SF363-Limit Climbing One Flight Stairs SF363-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs. SF-36 v2.0 Standard - Limit Climbing One Flight Stairs
C102202 SF363-Limit Climbing Several Flights SF363-Limit Climbing Several Flights The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF-36 v2.0 Standard - Limit Climbing Several Flights
C102201 SF363-Limit Lifting or Carrying SF363-Limit Lifting or Carrying The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries. SF-36 v2.0 Standard - Limit Lifting or Carrying
C102200 SF363-Limit Moderate Activities SF363-Limit Moderate Activities The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF-36 v2.0 Standard - Limit Moderate Activities
C102199 SF363-Limit Vigorous Activities SF363-Limit Vigorous Activities The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF-36 v2.0 Standard - Limit Vigorous Activities
C102205 SF363-Limit Walking More Than a Mile SF363-Limit Walking More Than a Mile The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking more than a mile. SF-36 v2.0 Standard - Limit Walking More Than a Mile
C102207 SF363-Limit Walking One Hundred Yards SF363-Limit Walking One Hundred Yards The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking one hundred yards. SF-36 v2.0 Standard - Limit Walking One Hundred Yards
C102206 SF363-Limit Walking Several Hundred Yds SF363-Limit Walking Several Hundred Yds The Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking several hundred yards. SF-36 v2.0 Standard - Limit Walking Several Hundred Yds
C176201 SF363-Mental Component Score SF363-Mental Component Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental component score. SF-36 v2.0 Standard - Mental Component Score
C176191 SF363-Mental Health 0-100 Score SF363-Mental Health 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental health 0-100 score. SF-36 v2.0 Standard - Mental Health 0-100 Score
C176204 SF363-Mental Health Enhanced Score SF363-Mental Health Enhanced Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental health enhanced score. SF-36 v2.0 Standard - Mental Health Enhanced Score
C176199 SF363-Mental Health Norm-Based Score SF363-Mental Health Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Mental health norm-based score. SF-36 v2.0 Standard - Mental Health Norm-Based Score
C102232 SF363-My Health is Excellent SF363-My Health is Excellent The Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF-36 v2.0 Standard - My Health is Excellent
C102218 SF363-Pain Interfere With Normal Work SF363-Pain Interfere With Normal Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? SF-36 v2.0 Standard - Pain Interfere With Normal Work
C176192 SF363-Phys Functioning Norm-Based Score SF363-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Phys functioning norm-based score. SF-36 v2.0 Standard - Phys Functioning Norm-Based Score
C176200 SF363-Physical Component Score SF363-Physical Component Score The Short Form 36 Health Survey Standard, US Version 2.0 - Physical component score. SF-36 v2.0 Standard - Physical Component Score
C176184 SF363-Physical Functioning 0-100 Score SF363-Physical Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score. SF-36 v2.0 Standard - Physical Functioning 0-100 Score
C102210 SF363-Physical: Accomplished Less SF363-Physical: Accomplished Less The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF-36 v2.0 Standard - Physical: Accomplished Less
C102209 SF363-Physical: Cut Down Time on Work SF363-Physical: Cut Down Time on Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Standard - Physical: Cut Down Time on Work
C102212 SF363-Physical: Difficulty Perform Work SF363-Physical: Difficulty Perform Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF-36 v2.0 Standard - Physical: Difficulty Perform Work
C102211 SF363-Physical: Limited Kind of Work SF363-Physical: Limited Kind of Work The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF-36 v2.0 Standard - Physical: Limited Kind of Work
C180248 SF363-Response Consistency Score SF363-Response Consistency Score The Short Form 36 Health Survey Standard, US Version 2.0 - Response consistency score. SF-36 v2.0 Standard - Response Consistency Score
C176190 SF363-Role Emotional 0-100 Score SF363-Role Emotional 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score. SF-36 v2.0 Standard - Role Emotional 0-100 Score
C176198 SF363-Role Emotional Norm-Based Score SF363-Role Emotional Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional norm-based score. SF-36 v2.0 Standard - Role Emotional Norm-Based Score
C176185 SF363-Role Physical 0-100 Score SF363-Role Physical 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role physical 0-100 score. SF-36 v2.0 Standard - Role Physical 0-100 Score
C176193 SF363-Role Physical Norm-Based Score SF363-Role Physical Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Role physical norm-based score. SF-36 v2.0 Standard - Role Physical Norm-Based Score
C176202 SF363-SF-6D (Utility Index) Score SF363-SF-6D (Utility Index) Score The Short Form 36 Health Survey Standard, US Version 2.0 - 6D (utility index) score. SF-36 v2.0 Standard - SF-6D (Utility Index) Score
C176203 SF363-SF-6D_R2 (Util Index Rel 2) Score SF363-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Standard, US Version 2.0 - 6D_R2 (util index rel 2) score. SF-36 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
C176197 SF363-Social Function Norm-Based Score SF363-Social Function Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Social function norm-based score. SF-36 v2.0 Standard - Social Function Norm-Based Score
C176189 SF363-Social Functioning 0-100 Score SF363-Social Functioning 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score. SF-36 v2.0 Standard - Social Functioning 0-100 Score
C102228 SF363-Time Phys/Emotional Interfered SF363-Time Phys/Emotional Interfered The Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF-36 v2.0 Standard - Time Phys/Emotional Interfered
C185789 SF363-Utility Index Score AU Weights SF363-Utility Index Score AU Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Australia weights. SF-36 v2.0 Standard - Utility Index Score AU Weights
C185788 SF363-Utility Index Score CN Weights SF363-Utility Index Score CN Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Canada weights. SF-36 v2.0 Standard - Utility Index Score CN Weights
C185787 SF363-Utility Index Score UK Weights SF363-Utility Index Score UK Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United Kingdom weights. SF-36 v2.0 Standard - Utility Index Score UK Weights
C185790 SF363-Utility Index Score US Weights SF363-Utility Index Score US Weights The Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United States weights. SF-36 v2.0 Standard - Utility Index Score US Weights
C176188 SF363-Vitality 0-100 Score SF363-Vitality 0-100 Score The Short Form 36 Health Survey Standard, US Version 2.0 - Vitality 0-100 score. SF-36 v2.0 Standard - Vitality 0-100 Score
C176196 SF363-Vitality Norm-Based Score SF363-Vitality Norm-Based Score The Short Form 36 Health Survey Standard, US Version 2.0 - Vitality norm-based score. SF-36 v2.0 Standard - Vitality Norm-Based Score
C102224 SF363-You Felt Downhearted and Depressed SF363-You Felt Downhearted and Depressed The Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed. SF-36 v2.0 Standard - You Felt Downhearted and Depressed

SF364TC (The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Code)

NCI Code: C101884, Codelist extensible: No
C101884 SF364TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102161 SF36401 SF364-In General You Say Your Health Is The Short Form 36 Health Survey Acute, US Version 2.0 - In general, would you say your health is. SF-36 v2.0 Acute - In General You Say Your Health Is
C102162 SF36402 SF364-Comp Week Ago Rate Gen Health Now The Short Form 36 Health Survey Acute, US Version 2.0 - Compared to one week ago, how would you rate your health in general now? SF-36 v2.0 Acute - Comp Week Ago Rate Gen Health Now
C102163 SF36403A SF364-Limit Vigorous Activities The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF-36 v2.0 Acute - Limit Vigorous Activities
C102164 SF36403B SF364-Limit Moderate Activities The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF-36 v2.0 Acute - Limit Moderate Activities
C102165 SF36403C SF364-Limit Lifting or Carrying The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries. SF-36 v2.0 Acute - Limit Lifting or Carrying
C102166 SF36403D SF364-Limit Climbing Several Flights The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF-36 v2.0 Acute - Limit Climbing Several Flights
C102167 SF36403E SF364-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs. SF-36 v2.0 Acute - Limit Climbing One Flight Stairs
C102168 SF36403F SF364-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF-36 v2.0 Acute - Limit Bending/Kneeling/Stooping
C102169 SF36403G SF364-Limit Walking More Than a Mile The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking more than a mile. SF-36 v2.0 Acute - Limit Walking More Than a Mile
C102170 SF36403H SF364-Limit Walking Several Hundred Yds The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking several hundred yards. SF-36 v2.0 Acute - Limit Walking Several Hundred Yds
C102171 SF36403I SF364-Limit Walking One Hundred Yards The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking one hundred yards. SF-36 v2.0 Acute - Limit Walking One Hundred Yards
C102172 SF36403J SF364-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself. SF-36 v2.0 Acute - Limit Bathing or Dressing Yourself
C102173 SF36404A SF364-Physical: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Acute - Physical: Cut Down Time on Work
C102174 SF36404B SF364-Physical: Accomplished Less The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF-36 v2.0 Acute - Physical: Accomplished Less
C102175 SF36404C SF364-Physical: Limited Kind of Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF-36 v2.0 Acute - Physical: Limited Kind of Work
C102176 SF36404D SF364-Physical: Difficulty Perform Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF-36 v2.0 Acute - Physical: Difficulty Perform Work
C102177 SF36405A SF364-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Acute - Emotional: Cut Down Time on Work
C102178 SF36405B SF364-Emotional: Accomplished Less The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF-36 v2.0 Acute - Emotional: Accomplished Less
C102179 SF36405C SF364-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF-36 v2.0 Acute - Emotional: Did Work Less Carefully
C102180 SF36406 SF364-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF-36 v2.0 Acute - Extent Phys/Emotional Interfered
C102181 SF36407 SF364-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Acute, US Version 2.0 - How much bodily pain have you had during the past week? SF-36 v2.0 Acute - How Much Bodily Pain Have You Had
C102182 SF36408 SF364-Pain Interfere With Normal Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF-36 v2.0 Acute - Pain Interfere With Normal Work
C102183 SF36409A SF364-Did You Feel Full of Life The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of life. SF-36 v2.0 Acute - Did You Feel Full of Life
C102184 SF36409B SF364-Have You Been Very Nervous The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been very nervous. SF-36 v2.0 Acute - Have You Been Very Nervous
C102185 SF36409C SF364-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up. SF-36 v2.0 Acute - Felt Down Nothing Cheer You Up
C102186 SF36409D SF364-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful. SF-36 v2.0 Acute - Have You Felt Calm and Peaceful
C102187 SF36409E SF364-Did You Have a Lot of Energy The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy. SF-36 v2.0 Acute - Did You Have a Lot of Energy
C102188 SF36409F SF364-You Felt Downhearted and Depressed The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed. SF-36 v2.0 Acute - You Felt Downhearted and Depressed
C102189 SF36409G SF364-Did You Feel Worn Out The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out. SF-36 v2.0 Acute - Did You Feel Worn Out
C102190 SF36409H SF364-Have You Been Happy The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been happy. SF-36 v2.0 Acute - Have You Been Happy
C102191 SF36409I SF364-Did You Feel Tired The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired. SF-36 v2.0 Acute - Did You Feel Tired
C102192 SF36410 SF364-Time Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF-36 v2.0 Acute - Time Phys/Emotional Interfered
C102193 SF36411A SF364-Get Sick Little Easier Than Other The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF-36 v2.0 Acute - Get Sick Little Easier Than Other
C102194 SF36411B SF364-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF-36 v2.0 Acute - I Am as Healthy as Anybody I Know
C102195 SF36411C SF364-I Expect My Health to Get Worse The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF-36 v2.0 Acute - I Expect My Health to Get Worse
C102196 SF36411D SF364-My Health is Excellent The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF-36 v2.0 Acute - My Health is Excellent
C176163 SF36412 SF364-Physical Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score. SF-36 v2.0 Acute - Physical Functioning 0-100 Score
C176164 SF36413 SF364-Role Physical 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role physical 0-100 score. SF-36 v2.0 Acute - Role Physical 0-100 Score
C176165 SF36414 SF364-Bodily Pain 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score. SF-36 v2.0 Acute - Bodily Pain 0-100 Score
C176166 SF36415 SF364-General Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - General health 0-100 score. SF-36 v2.0 Acute - General Health 0-100 Score
C176167 SF36416 SF364-Vitality 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Vitality 0-100 score. SF-36 v2.0 Acute - Vitality 0-100 Score
C176168 SF36417 SF364-Social Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score. SF-36 v2.0 Acute - Social Functioning 0-100 Score
C176169 SF36418 SF364-Role Emotional 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score. SF-36 v2.0 Acute - Role Emotional 0-100 Score
C176170 SF36419 SF364-Mental Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental health 0-100 score. SF-36 v2.0 Acute - Mental Health 0-100 Score
C176171 SF36420 SF364-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Phys functioning norm-based score. SF-36 v2.0 Acute - Phys Functioning Norm-Based Score
C176172 SF36421 SF364-Role Physical Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role physical norm-based score. SF-36 v2.0 Acute - Role Physical Norm-Based Score
C176173 SF36422 SF364-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score. SF-36 v2.0 Acute - Bodily Pain Norm-Based Score
C176174 SF36423 SF364-General Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - General health norm-based score. SF-36 v2.0 Acute - General Health Norm-Based Score
C176175 SF36424 SF364-Vitality Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Vitality norm-based score. SF-36 v2.0 Acute - Vitality Norm-Based Score
C176176 SF36425 SF364-Social Function Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Social function norm-based score. SF-36 v2.0 Acute - Social Function Norm-Based Score
C176177 SF36426 SF364-Role Emotional Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional norm-based score. SF-36 v2.0 Acute - Role Emotional Norm-Based Score
C176178 SF36427 SF364-Mental Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental health norm-based score. SF-36 v2.0 Acute - Mental Health Norm-Based Score
C176179 SF36428 SF364-Physical Component Score The Short Form 36 Health Survey Acute, US Version 2.0 - Physical component score. SF-36 v2.0 Acute - Physical Component Score
C176180 SF36429 SF364-Mental Component Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental component score. SF-36 v2.0 Acute - Mental Component Score
C176181 SF36430 SF364-SF-6D (Utility Index) Score The Short Form 36 Health Survey Acute, US Version 2.0 - 6D (utility index) score. SF-36 v2.0 Acute - SF-6D (Utility Index) Score
C176182 SF36431 SF364-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Acute, US Version 2.0 - 6D_R2 (util index rel 2) score. SF-36 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
C176183 SF36432 SF364-Mental Health Enhanced Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental health enhanced score. SF-36 v2.0 Acute - Mental Health Enhanced Score
C180247 SF36433 SF364-Response Consistency Score The Short Form 36 Health Survey Acute, US Version 2.0 - Response consistency score. SF-36 v2.0 Acute - Response Consistency Score
C185783 SF36434 SF364-Utility Index Score UK Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United Kingdom weights. SF-36 v2.0 Acute - Utility Index Score UK Weights
C185784 SF36435 SF364-Utility Index Score CN Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Canada weights. SF-36 v2.0 Acute - Utility Index Score CN Weights
C185785 SF36436 SF364-Utility Index Score AU Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Australia weights. SF-36 v2.0 Acute - Utility Index Score AU Weights
C185786 SF36437 SF364-Utility Index Score US Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United States weights. SF-36 v2.0 Acute - Utility Index Score US Weights

SF364TN (The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Name)

NCI Code: C101825, Codelist extensible: No
C101825 SF364TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176165 SF364-Bodily Pain 0-100 Score SF364-Bodily Pain 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score. SF-36 v2.0 Acute - Bodily Pain 0-100 Score
C176173 SF364-Bodily Pain Norm-Based Score SF364-Bodily Pain Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score. SF-36 v2.0 Acute - Bodily Pain Norm-Based Score
C102162 SF364-Comp Week Ago Rate Gen Health Now SF364-Comp Week Ago Rate Gen Health Now The Short Form 36 Health Survey Acute, US Version 2.0 - Compared to one week ago, how would you rate your health in general now? SF-36 v2.0 Acute - Comp Week Ago Rate Gen Health Now
C102183 SF364-Did You Feel Full of Life SF364-Did You Feel Full of Life The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of life. SF-36 v2.0 Acute - Did You Feel Full of Life
C102191 SF364-Did You Feel Tired SF364-Did You Feel Tired The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired. SF-36 v2.0 Acute - Did You Feel Tired
C102189 SF364-Did You Feel Worn Out SF364-Did You Feel Worn Out The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out. SF-36 v2.0 Acute - Did You Feel Worn Out
C102187 SF364-Did You Have a Lot of Energy SF364-Did You Have a Lot of Energy The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy. SF-36 v2.0 Acute - Did You Have a Lot of Energy
C102178 SF364-Emotional: Accomplished Less SF364-Emotional: Accomplished Less The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like. SF-36 v2.0 Acute - Emotional: Accomplished Less
C102177 SF364-Emotional: Cut Down Time on Work SF364-Emotional: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Acute - Emotional: Cut Down Time on Work
C102179 SF364-Emotional: Did Work Less Carefully SF364-Emotional: Did Work Less Carefully The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual. SF-36 v2.0 Acute - Emotional: Did Work Less Carefully
C102180 SF364-Extent Phys/Emotional Interfered SF364-Extent Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? SF-36 v2.0 Acute - Extent Phys/Emotional Interfered
C102185 SF364-Felt Down Nothing Cheer You Up SF364-Felt Down Nothing Cheer You Up The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up. SF-36 v2.0 Acute - Felt Down Nothing Cheer You Up
C176166 SF364-General Health 0-100 Score SF364-General Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - General health 0-100 score. SF-36 v2.0 Acute - General Health 0-100 Score
C176174 SF364-General Health Norm-Based Score SF364-General Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - General health norm-based score. SF-36 v2.0 Acute - General Health Norm-Based Score
C102193 SF364-Get Sick Little Easier Than Other SF364-Get Sick Little Easier Than Other The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people. SF-36 v2.0 Acute - Get Sick Little Easier Than Other
C102190 SF364-Have You Been Happy SF364-Have You Been Happy The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been happy. SF-36 v2.0 Acute - Have You Been Happy
C102184 SF364-Have You Been Very Nervous SF364-Have You Been Very Nervous The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been very nervous. SF-36 v2.0 Acute - Have You Been Very Nervous
C102186 SF364-Have You Felt Calm and Peaceful SF364-Have You Felt Calm and Peaceful The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful. SF-36 v2.0 Acute - Have You Felt Calm and Peaceful
C102181 SF364-How Much Bodily Pain Have You Had SF364-How Much Bodily Pain Have You Had The Short Form 36 Health Survey Acute, US Version 2.0 - How much bodily pain have you had during the past week? SF-36 v2.0 Acute - How Much Bodily Pain Have You Had
C102194 SF364-I Am as Healthy as Anybody I Know SF364-I Am as Healthy as Anybody I Know The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know. SF-36 v2.0 Acute - I Am as Healthy as Anybody I Know
C102195 SF364-I Expect My Health to Get Worse SF364-I Expect My Health to Get Worse The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse. SF-36 v2.0 Acute - I Expect My Health to Get Worse
C102161 SF364-In General You Say Your Health Is SF364-In General You Say Your Health Is The Short Form 36 Health Survey Acute, US Version 2.0 - In general, would you say your health is. SF-36 v2.0 Acute - In General You Say Your Health Is
C102172 SF364-Limit Bathing or Dressing Yourself SF364-Limit Bathing or Dressing Yourself The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself. SF-36 v2.0 Acute - Limit Bathing or Dressing Yourself
C102168 SF364-Limit Bending/Kneeling/Stooping SF364-Limit Bending/Kneeling/Stooping The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping. SF-36 v2.0 Acute - Limit Bending/Kneeling/Stooping
C102167 SF364-Limit Climbing One Flight Stairs SF364-Limit Climbing One Flight Stairs The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs. SF-36 v2.0 Acute - Limit Climbing One Flight Stairs
C102166 SF364-Limit Climbing Several Flights SF364-Limit Climbing Several Flights The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs. SF-36 v2.0 Acute - Limit Climbing Several Flights
C102165 SF364-Limit Lifting or Carrying SF364-Limit Lifting or Carrying The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries. SF-36 v2.0 Acute - Limit Lifting or Carrying
C102164 SF364-Limit Moderate Activities SF364-Limit Moderate Activities The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. SF-36 v2.0 Acute - Limit Moderate Activities
C102163 SF364-Limit Vigorous Activities SF364-Limit Vigorous Activities The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. SF-36 v2.0 Acute - Limit Vigorous Activities
C102169 SF364-Limit Walking More Than a Mile SF364-Limit Walking More Than a Mile The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking more than a mile. SF-36 v2.0 Acute - Limit Walking More Than a Mile
C102171 SF364-Limit Walking One Hundred Yards SF364-Limit Walking One Hundred Yards The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking one hundred yards. SF-36 v2.0 Acute - Limit Walking One Hundred Yards
C102170 SF364-Limit Walking Several Hundred Yds SF364-Limit Walking Several Hundred Yds The Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking several hundred yards. SF-36 v2.0 Acute - Limit Walking Several Hundred Yds
C176180 SF364-Mental Component Score SF364-Mental Component Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental component score. SF-36 v2.0 Acute - Mental Component Score
C176170 SF364-Mental Health 0-100 Score SF364-Mental Health 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental health 0-100 score. SF-36 v2.0 Acute - Mental Health 0-100 Score
C176183 SF364-Mental Health Enhanced Score SF364-Mental Health Enhanced Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental health enhanced score. SF-36 v2.0 Acute - Mental Health Enhanced Score
C176178 SF364-Mental Health Norm-Based Score SF364-Mental Health Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Mental health norm-based score. SF-36 v2.0 Acute - Mental Health Norm-Based Score
C102196 SF364-My Health is Excellent SF364-My Health is Excellent The Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellent SF-36 v2.0 Acute - My Health is Excellent
C102182 SF364-Pain Interfere With Normal Work SF364-Pain Interfere With Normal Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)? SF-36 v2.0 Acute - Pain Interfere With Normal Work
C176171 SF364-Phys Functioning Norm-Based Score SF364-Phys Functioning Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Phys functioning norm-based score. SF-36 v2.0 Acute - Phys Functioning Norm-Based Score
C176179 SF364-Physical Component Score SF364-Physical Component Score The Short Form 36 Health Survey Acute, US Version 2.0 - Physical component score. SF-36 v2.0 Acute - Physical Component Score
C176163 SF364-Physical Functioning 0-100 Score SF364-Physical Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score. SF-36 v2.0 Acute - Physical Functioning 0-100 Score
C102174 SF364-Physical: Accomplished Less SF364-Physical: Accomplished Less The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like. SF-36 v2.0 Acute - Physical: Accomplished Less
C102173 SF364-Physical: Cut Down Time on Work SF364-Physical: Cut Down Time on Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities. SF-36 v2.0 Acute - Physical: Cut Down Time on Work
C102176 SF364-Physical: Difficulty Perform Work SF364-Physical: Difficulty Perform Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort). SF-36 v2.0 Acute - Physical: Difficulty Perform Work
C102175 SF364-Physical: Limited Kind of Work SF364-Physical: Limited Kind of Work The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities. SF-36 v2.0 Acute - Physical: Limited Kind of Work
C180247 SF364-Response Consistency Score SF364-Response Consistency Score The Short Form 36 Health Survey Acute, US Version 2.0 - Response consistency score. SF-36 v2.0 Acute - Response Consistency Score
C176169 SF364-Role Emotional 0-100 Score SF364-Role Emotional 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score. SF-36 v2.0 Acute - Role Emotional 0-100 Score
C176177 SF364-Role Emotional Norm-Based Score SF364-Role Emotional Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional norm-based score. SF-36 v2.0 Acute - Role Emotional Norm-Based Score
C176164 SF364-Role Physical 0-100 Score SF364-Role Physical 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role physical 0-100 score. SF-36 v2.0 Acute - Role Physical 0-100 Score
C176172 SF364-Role Physical Norm-Based Score SF364-Role Physical Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Role physical norm-based score. SF-36 v2.0 Acute - Role Physical Norm-Based Score
C176181 SF364-SF-6D (Utility Index) Score SF364-SF-6D (Utility Index) Score The Short Form 36 Health Survey Acute, US Version 2.0 - 6D (utility index) score. SF-36 v2.0 Acute - SF-6D (Utility Index) Score
C176182 SF364-SF-6D_R2 (Util Index Rel 2) Score SF364-SF-6D_R2 (Util Index Rel 2) Score The Short Form 36 Health Survey Acute, US Version 2.0 - 6D_R2 (util index rel 2) score. SF-36 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
C176176 SF364-Social Function Norm-Based Score SF364-Social Function Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Social function norm-based score. SF-36 v2.0 Acute - Social Function Norm-Based Score
C176168 SF364-Social Functioning 0-100 Score SF364-Social Functioning 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score. SF-36 v2.0 Acute - Social Functioning 0-100 Score
C102192 SF364-Time Phys/Emotional Interfered SF364-Time Phys/Emotional Interfered The Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)? SF-36 v2.0 Acute - Time Phys/Emotional Interfered
C185785 SF364-Utility Index Score AU Weights SF364-Utility Index Score AU Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Australia weights. SF-36 v2.0 Acute - Utility Index Score AU Weights
C185784 SF364-Utility Index Score CN Weights SF364-Utility Index Score CN Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Canada weights. SF-36 v2.0 Acute - Utility Index Score CN Weights
C185783 SF364-Utility Index Score UK Weights SF364-Utility Index Score UK Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United Kingdom weights. SF-36 v2.0 Acute - Utility Index Score UK Weights
C185786 SF364-Utility Index Score US Weights SF364-Utility Index Score US Weights The Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United States weights. SF-36 v2.0 Acute - Utility Index Score US Weights
C176167 SF364-Vitality 0-100 Score SF364-Vitality 0-100 Score The Short Form 36 Health Survey Acute, US Version 2.0 - Vitality 0-100 score. SF-36 v2.0 Acute - Vitality 0-100 Score
C176175 SF364-Vitality Norm-Based Score SF364-Vitality Norm-Based Score The Short Form 36 Health Survey Acute, US Version 2.0 - Vitality norm-based score. SF-36 v2.0 Acute - Vitality Norm-Based Score
C102188 SF364-You Felt Downhearted and Depressed SF364-You Felt Downhearted and Depressed The Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed. SF-36 v2.0 Acute - You Felt Downhearted and Depressed

SF6D1TC (SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Code)

NCI Code: C185742, Codelist extensible: No
C185742 SF6D1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C185773 SF6D101 SF6D1-Health Limit Physical Activities SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Does your health now limit you in your physical activities? SF6D Version 2.0 Standard - Health Limit Physical Activities
C185774 SF6D102 SF6D1-Accomplished Less Due to Problems SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems? SF6D Version 2.0 Standard - Accomplished Less Due to Problems
C185775 SF6D103 SF6D1-How Much Bodily Pain Have You Had SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much bodily pain have you had? SF6D Version 2.0 Standard - How Much Bodily Pain Have You Had
C185776 SF6D104 SF6D1-Time Have You Felt Worn Out SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt worn out? SF6D Version 2.0 Standard - Time Have You Felt Worn Out
C185777 SF6D105 SF6D1-Interfered With Social Activities SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? SF6D Version 2.0 Standard - Interfered With Social Activities
C185778 SF6D106 SF6D1-Time Felt Depressed/Very Nervous SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt depressed or very nervous? SF6D Version 2.0 Standard - Time Felt Depressed/Very Nervous
C185779 SF6D107 SF6D1-Utility Index Score UK Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United Kingdom weights. SF6D Version 2.0 Standard - Utility Index Score UK Weights
C185780 SF6D108 SF6D1-Utility Index Score CN Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Canada weights. SF6D Version 2.0 Standard - Utility Index Score CN Weights
C185781 SF6D109 SF6D1-Utility Index Score AU Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Australia weights. SF6D Version 2.0 Standard - Utility Index Score AU Weights
C185782 SF6D110 SF6D1-Utility Index Score US Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United States weights. SF6D Version 2.0 Standard - Utility Index Score US Weights

SF6D1TN (SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Name)

NCI Code: C185741, Codelist extensible: No
C185741 SF6D1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C185774 SF6D1-Accomplished Less Due to Problems SF6D1-Accomplished Less Due to Problems SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems? SF6D Version 2.0 Standard - Accomplished Less Due to Problems
C185773 SF6D1-Health Limit Physical Activities SF6D1-Health Limit Physical Activities SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Does your health now limit you in your physical activities? SF6D Version 2.0 Standard - Health Limit Physical Activities
C185775 SF6D1-How Much Bodily Pain Have You Had SF6D1-How Much Bodily Pain Have You Had SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much bodily pain have you had? SF6D Version 2.0 Standard - How Much Bodily Pain Have You Had
C185777 SF6D1-Interfered With Social Activities SF6D1-Interfered With Social Activities SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? SF6D Version 2.0 Standard - Interfered With Social Activities
C185778 SF6D1-Time Felt Depressed/Very Nervous SF6D1-Time Felt Depressed/Very Nervous SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt depressed or very nervous? SF6D Version 2.0 Standard - Time Felt Depressed/Very Nervous
C185776 SF6D1-Time Have You Felt Worn Out SF6D1-Time Have You Felt Worn Out SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt worn out? SF6D Version 2.0 Standard - Time Have You Felt Worn Out
C185781 SF6D1-Utility Index Score AU Weights SF6D1-Utility Index Score AU Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Australia weights. SF6D Version 2.0 Standard - Utility Index Score AU Weights
C185780 SF6D1-Utility Index Score CN Weights SF6D1-Utility Index Score CN Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Canada weights. SF6D Version 2.0 Standard - Utility Index Score CN Weights
C185779 SF6D1-Utility Index Score UK Weights SF6D1-Utility Index Score UK Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United Kingdom weights. SF6D Version 2.0 Standard - Utility Index Score UK Weights
C185782 SF6D1-Utility Index Score US Weights SF6D1-Utility Index Score US Weights SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United States weights. SF6D Version 2.0 Standard - Utility Index Score US Weights

SF6D2TC (SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Code)

NCI Code: C185740, Codelist extensible: No
C185740 SF6D2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C185763 SF6D201 SF6D2-Health Limit Physical Activities SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Does your health now limit you in your physical activities? SF6D Version 2.0 Acute - Health Limit Physical Activities
C185764 SF6D202 SF6D2-Accomplished Less Due to Problems SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems? SF6D Version 2.0 Acute - Accomplished Less Due to Problems
C185765 SF6D203 SF6D2-How Much Bodily Pain Have You Had SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much bodily pain have you had? SF6D Version 2.0 Acute - How Much Bodily Pain Have You Had
C185766 SF6D204 SF6D2-Time Have You Felt Worn Out SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt worn out? SF6D Version 2.0 Acute - Time Have You Felt Worn Out
C185767 SF6D205 SF6D2-Interfered With Social Activities SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? SF6D Version 2.0 Acute - Interfered With Social Activities
C185768 SF6D206 SF6D2-Time Felt Depressed/Very Nervous SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt depressed or very nervous? SF6D Version 2.0 Acute - Time Felt Depressed/Very Nervous
C185769 SF6D207 SF6D2-Utililty Index Score UK Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United Kingdom weights. SF6D Version 2.0 Acute - Utililty Index Score UK Weights
C185770 SF6D208 SF6D2-Utility Index Score CN Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Canada weights. SF6D Version 2.0 Acute - Utility Index Score CN Weights
C185771 SF6D209 SF6D2-Utility Index Score AU Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Australia weights. SF6D Version 2.0 Acute - Utility Index Score AU Weights
C185772 SF6D210 SF6D2-Utility Index Score US Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United States weights. SF6D Version 2.0 Acute - Utility Index Score US Weights

SF6D2TN (SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Name)

NCI Code: C185739, Codelist extensible: No
C185739 SF6D2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C185764 SF6D2-Accomplished Less Due to Problems SF6D2-Accomplished Less Due to Problems SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems? SF6D Version 2.0 Acute - Accomplished Less Due to Problems
C185763 SF6D2-Health Limit Physical Activities SF6D2-Health Limit Physical Activities SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Does your health now limit you in your physical activities? SF6D Version 2.0 Acute - Health Limit Physical Activities
C185765 SF6D2-How Much Bodily Pain Have You Had SF6D2-How Much Bodily Pain Have You Had SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much bodily pain have you had? SF6D Version 2.0 Acute - How Much Bodily Pain Have You Had
C185767 SF6D2-Interfered With Social Activities SF6D2-Interfered With Social Activities SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)? SF6D Version 2.0 Acute - Interfered With Social Activities
C185768 SF6D2-Time Felt Depressed/Very Nervous SF6D2-Time Felt Depressed/Very Nervous SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt depressed or very nervous? SF6D Version 2.0 Acute - Time Felt Depressed/Very Nervous
C185766 SF6D2-Time Have You Felt Worn Out SF6D2-Time Have You Felt Worn Out SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt worn out? SF6D Version 2.0 Acute - Time Have You Felt Worn Out
C185769 SF6D2-Utililty Index Score UK Weights SF6D2-Utililty Index Score UK Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United Kingdom weights. SF6D Version 2.0 Acute - Utililty Index Score UK Weights
C185771 SF6D2-Utility Index Score AU Weights SF6D2-Utility Index Score AU Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Australia weights. SF6D Version 2.0 Acute - Utility Index Score AU Weights
C185770 SF6D2-Utility Index Score CN Weights SF6D2-Utility Index Score CN Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Canada weights. SF6D Version 2.0 Acute - Utility Index Score CN Weights
C185772 SF6D2-Utility Index Score US Weights SF6D2-Utility Index Score US Weights SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United States weights. SF6D Version 2.0 Acute - Utility Index Score US Weights

SF81TC (Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Code)

NCI Code: C177708, Codelist extensible: No
C177708 SF81TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177819 SF8101 SF81-Overall How You Rate Your Health The Short Form 8 Health Survey Standard, US Version 1.0 - Overall, how would you rate your health during the past 4 weeks? SF8 v1.0 Standard - Overall How You Rate Your Health
C177820 SF8102 SF81-How Much Limit Physical Activities The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did physical health problems limit your usual physical activities (walking, climbing stairs)?. SF8 v1.0 Standard - How Much Limit Physical Activities
C177821 SF8103 SF81-Difficulty Doing Daily Work The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health? SF8 v1.0 Standard - Difficulty Doing Daily Work
C177822 SF8104 SF81-How Much Bodily Pain You Have Had The Short Form 8 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks? SF8 v1.0 Standard - How Much Bodily Pain You Have Had
C177823 SF8105 SF81-How Much Energy Did You Have The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much energy did you have? SF8 v1.0 Standard - How Much Energy Did You Have
C177824 SF8106 SF81-Physical/Emotional Limit Activities The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did your physical health or emotional problems limit your usual social activities with family or friends? SF8 v1.0 Standard - Physical, Emotional Limit Activities
C177825 SF8107 SF81-Bothered by Emotional Problems The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)? SF8 v1.0 Standard - Bothered by Emotional Problems
C177826 SF8108 SF81-Emotional Problems Keep From Work The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities? SF8 v1.0 Standard - Emotional Problems Keep From Work
C180444 SF8109 SF81-Phys. Functioning Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Physical functioning norm-based score. SF8 v1.0 Standard - Physical Functioning Norm-Based Score
C180445 SF8110 SF81-Role Physical Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Role physical norm-based score. SF8 v1.0 Standard - Role Physical Norm-Based Score
C180446 SF8111 SF81-Bodily Pain Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score. SF8 v1.0 Standard - Bodily Pain Norm-Based Score
C180447 SF8112 SF81-General Health Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - General health norm-based score. SF8 v1.0 Standard - General Health Norm-Based Score
C180448 SF8113 SF81-Vitality Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Vitality norm-based score. SF8 v1.0 Standard - Vitality Norm-Based Score
C180449 SF8114 SF81-Social Functioning Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Social functioning norm-based score. SF8 v1.0 Standard - Social Functioning Norm-Based Score
C180450 SF8115 SF81-Role Emotional Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Role emotional norm-based score. SF8 v1.0 Standard - Role Emotional Norm-Based Score
C180451 SF8116 SF81-Mental Health Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Mental health norm-based score. SF8 v1.0 Standard - Mental Health Norm-Based Score
C180452 SF8117 SF81-Physical Component Score The Short Form 8 Health Survey Standard, US Version 1.0 - Physical component score. SF8 v1.0 Standard - Physical Component Score
C180453 SF8118 SF81-Mental Component Score The Short Form 8 Health Survey Standard, US Version 1.0 - Mental component score. SF8 v1.0 Standard - Mental Component Score

SF81TN (Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Name)

NCI Code: C177707, Codelist extensible: No
C177707 SF81TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180446 SF81-Bodily Pain Norm-Based Score SF81-Bodily Pain Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score. SF8 v1.0 Standard - Bodily Pain Norm-Based Score
C177825 SF81-Bothered by Emotional Problems SF81-Bothered by Emotional Problems The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)? SF8 v1.0 Standard - Bothered by Emotional Problems
C177821 SF81-Difficulty Doing Daily Work SF81-Difficulty Doing Daily Work The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health? SF8 v1.0 Standard - Difficulty Doing Daily Work
C177826 SF81-Emotional Problems Keep From Work SF81-Emotional Problems Keep From Work The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities? SF8 v1.0 Standard - Emotional Problems Keep From Work
C180447 SF81-General Health Norm-Based Score SF81-General Health Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - General health norm-based score. SF8 v1.0 Standard - General Health Norm-Based Score
C177822 SF81-How Much Bodily Pain You Have Had SF81-How Much Bodily Pain You Have Had The Short Form 8 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks? SF8 v1.0 Standard - How Much Bodily Pain You Have Had
C177823 SF81-How Much Energy Did You Have SF81-How Much Energy Did You Have The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much energy did you have? SF8 v1.0 Standard - How Much Energy Did You Have
C177820 SF81-How Much Limit Physical Activities SF81-How Much Limit Physical Activities The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did physical health problems limit your usual physical activities (walking, climbing stairs)?. SF8 v1.0 Standard - How Much Limit Physical Activities
C180453 SF81-Mental Component Score SF81-Mental Component Score The Short Form 8 Health Survey Standard, US Version 1.0 - Mental component score. SF8 v1.0 Standard - Mental Component Score
C180451 SF81-Mental Health Norm-Based Score SF81-Mental Health Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Mental health norm-based score. SF8 v1.0 Standard - Mental Health Norm-Based Score
C177819 SF81-Overall How You Rate Your Health SF81-Overall How You Rate Your Health The Short Form 8 Health Survey Standard, US Version 1.0 - Overall, how would you rate your health during the past 4 weeks? SF8 v1.0 Standard - Overall How You Rate Your Health
C180444 SF81-Phys. Functioning Norm-Based Score SF81-Phys. Functioning Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Physical functioning norm-based score. SF8 v1.0 Standard - Physical Functioning Norm-Based Score
C180452 SF81-Physical Component Score SF81-Physical Component Score The Short Form 8 Health Survey Standard, US Version 1.0 - Physical component score. SF8 v1.0 Standard - Physical Component Score
C177824 SF81-Physical/Emotional Limit Activities SF81-Physical/Emotional Limit Activities The Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did your physical health or emotional problems limit your usual social activities with family or friends? SF8 v1.0 Standard - Physical, Emotional Limit Activities
C180450 SF81-Role Emotional Norm-Based Score SF81-Role Emotional Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Role emotional norm-based score. SF8 v1.0 Standard - Role Emotional Norm-Based Score
C180445 SF81-Role Physical Norm-Based Score SF81-Role Physical Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Role physical norm-based score. SF8 v1.0 Standard - Role Physical Norm-Based Score
C180449 SF81-Social Functioning Norm-Based Score SF81-Social Functioning Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Social functioning norm-based score. SF8 v1.0 Standard - Social Functioning Norm-Based Score
C180448 SF81-Vitality Norm-Based Score SF81-Vitality Norm-Based Score The Short Form 8 Health Survey Standard, US Version 1.0 - Vitality norm-based score. SF8 v1.0 Standard - Vitality Norm-Based Score

SF82TC (Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Code)

NCI Code: C177706, Codelist extensible: No
C177706 SF82TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C177811 SF8201 SF82-Overall How You Rate Your Health The Short Form 8 Health Survey Acute, US Version 1.0 - Overall, how would you rate your health during the past week? SF8 v1.0 Acute - Overall How You Rate Your Health
C177812 SF8202 SF82-How Much Limit Physical Activities The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did physical health problems limit your usual physical activities (walking, climbing stairs)? SF8 v1.0 Acute - How Much Limit Physical Activities
C177813 SF8203 SF82-Difficulty Doing Daily Work The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health? SF8 v1.0 Acute - Difficulty Doing Daily Work
C177814 SF8204 SF82-How Much Bodily Pain Have You Had The Short Form 8 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week? SF8 v1.0 Acute - How Much Bodily Pain Have You Had
C177815 SF8205 SF82-How Much Energy Did You Have The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much energy did you have? SF8 v1.0 Acute - How Much Energy Did You Have
C177816 SF8206 SF82-Physical/Emotional Limit Activities The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did your physical health or emotional problems limit your usual social activities with family or friends? SF8 v1.0 Acute - Physical, Emotional Limit Activities
C177817 SF8207 SF82-Bothered by Emotional Problems The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)? SF8 v1.0 Acute - Bothered by Emotional Problems
C177818 SF8208 SF82-Emotional Problems Keep From Work The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities? SF8 v1.0 Acute - Emotional Problems Keep From Work
C180434 SF8209 SF82-Phys. Functioning Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Physical functioning norm-based score. SF8 v1.0 Acute - Physical Functioning Norm-Based Score
C180435 SF8210 SF82-Role Physical Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Role physical norm-based score. SF8 v1.0 Acute - Role Physical Norm-Based Score
C180436 SF8211 SF82-Bodily Pain Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score. SF8 v1.0 Acute - Bodily Pain Norm-Based Score
C180437 SF8212 SF82-General Health Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - General health norm-based score. SF8 v1.0 Acute - General Health Norm-Based Score
C180438 SF8213 SF82-Vitality Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Vitality norm-based score. SF8 v1.0 Acute - Vitality Norm-Based Score
C180439 SF8214 SF82-Social Functioning Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Social functioning norm-based score. SF8 v1.0 Acute - Social Functioning Norm-Based Score
C180440 SF8215 SF82-Role Emotional Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Role emotional norm-based score. SF8 v1.0 Acute - Role Emotional Norm-Based Score
C180441 SF8216 SF82-Mental Health Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Mental health norm-based score. SF8 v1.0 Acute - Mental Health Norm-Based Score
C180442 SF8217 SF82-Physical Component Score The Short Form 8 Health Survey Acute, US Version 1.0 - Physical component score. SF8 v1.0 Acute - Physical Component Score
C180443 SF8218 SF82-Mental Component Score The Short Form 8 Health Survey Acute, US Version 1.0 - Mental component score. SF8 v1.0 Acute - Mental Component Score

SF82TN (Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Name)

NCI Code: C177705, Codelist extensible: No
C177705 SF82TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C180436 SF82-Bodily Pain Norm-Based Score SF82-Bodily Pain Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score. SF8 v1.0 Acute - Bodily Pain Norm-Based Score
C177817 SF82-Bothered by Emotional Problems SF82-Bothered by Emotional Problems The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)? SF8 v1.0 Acute - Bothered by Emotional Problems
C177813 SF82-Difficulty Doing Daily Work SF82-Difficulty Doing Daily Work The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health? SF8 v1.0 Acute - Difficulty Doing Daily Work
C177818 SF82-Emotional Problems Keep From Work SF82-Emotional Problems Keep From Work The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities? SF8 v1.0 Acute - Emotional Problems Keep From Work
C180437 SF82-General Health Norm-Based Score SF82-General Health Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - General health norm-based score. SF8 v1.0 Acute - General Health Norm-Based Score
C177814 SF82-How Much Bodily Pain Have You Had SF82-How Much Bodily Pain Have You Had The Short Form 8 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week? SF8 v1.0 Acute - How Much Bodily Pain Have You Had
C177815 SF82-How Much Energy Did You Have SF82-How Much Energy Did You Have The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much energy did you have? SF8 v1.0 Acute - How Much Energy Did You Have
C177812 SF82-How Much Limit Physical Activities SF82-How Much Limit Physical Activities The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did physical health problems limit your usual physical activities (walking, climbing stairs)? SF8 v1.0 Acute - How Much Limit Physical Activities
C180443 SF82-Mental Component Score SF82-Mental Component Score The Short Form 8 Health Survey Acute, US Version 1.0 - Mental component score. SF8 v1.0 Acute - Mental Component Score
C180441 SF82-Mental Health Norm-Based Score SF82-Mental Health Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Mental health norm-based score. SF8 v1.0 Acute - Mental Health Norm-Based Score
C177811 SF82-Overall How You Rate Your Health SF82-Overall How You Rate Your Health The Short Form 8 Health Survey Acute, US Version 1.0 - Overall, how would you rate your health during the past week? SF8 v1.0 Acute - Overall How You Rate Your Health
C180434 SF82-Phys. Functioning Norm-Based Score SF82-Phys. Functioning Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Physical functioning norm-based score. SF8 v1.0 Acute - Physical Functioning Norm-Based Score
C180442 SF82-Physical Component Score SF82-Physical Component Score The Short Form 8 Health Survey Acute, US Version 1.0 - Physical component score. SF8 v1.0 Acute - Physical Component Score
C177816 SF82-Physical/Emotional Limit Activities SF82-Physical/Emotional Limit Activities The Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did your physical health or emotional problems limit your usual social activities with family or friends? SF8 v1.0 Acute - Physical, Emotional Limit Activities
C180440 SF82-Role Emotional Norm-Based Score SF82-Role Emotional Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Role emotional norm-based score. SF8 v1.0 Acute - Role Emotional Norm-Based Score
C180435 SF82-Role Physical Norm-Based Score SF82-Role Physical Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Role physical norm-based score. SF8 v1.0 Acute - Role Physical Norm-Based Score
C180439 SF82-Social Functioning Norm-Based Score SF82-Social Functioning Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Social functioning norm-based score. SF8 v1.0 Acute - Social Functioning Norm-Based Score
C180438 SF82-Vitality Norm-Based Score SF82-Vitality Norm-Based Score The Short Form 8 Health Survey Acute, US Version 1.0 - Vitality norm-based score. SF8 v1.0 Acute - Vitality Norm-Based Score

SFMP2TC (Short-Form McGill Pain Questionnaire-2 Questionnaire Test Code)

NCI Code: C100156, Codelist extensible: No
C100156 SFMP2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100849 SFMP201 SFMP2-Throbbing Pain Short-Form McGill Pain Questionnaire-2 - Throbbing pain. SF-MPQ-2 - Throbbing Pain
C100850 SFMP202 SFMP2-Shooting Pain Short-Form McGill Pain Questionnaire-2 - Shooting pain. SF-MPQ-2 - Shooting Pain
C100851 SFMP203 SFMP2-Stabbing Pain Short-Form McGill Pain Questionnaire-2 - Stabbing pain. SF-MPQ-2 - Stabbing Pain
C100852 SFMP204 SFMP2-Sharp Pain Short-Form McGill Pain Questionnaire-2 - Sharp pain. SF-MPQ-2 - Sharp Pain
C100853 SFMP205 SFMP2-Cramping Pain Short-Form McGill Pain Questionnaire-2 - Cramping pain. SF-MPQ-2 - Cramping Pain
C100854 SFMP206 SFMP2-Gnawing Pain Short-Form McGill Pain Questionnaire-2 - Gnawing pain. SF-MPQ-2 - Gnawing Pain
C100855 SFMP207 SFMP2-Hot-burning Pain Short-Form McGill Pain Questionnaire-2 - Hot-burning pain. SF-MPQ-2 - Hot-burning Pain
C100856 SFMP208 SFMP2-Aching Pain Short-Form McGill Pain Questionnaire-2 - Aching pain. SF-MPQ-2 - Aching Pain
C100857 SFMP209 SFMP2-Heavy Pain Short-Form McGill Pain Questionnaire-2 - Heavy pain. SF-MPQ-2 - Heavy Pain
C100858 SFMP210 SFMP2-Tender Short-Form McGill Pain Questionnaire-2 - Tender. SF-MPQ-2 - Tender
C100859 SFMP211 SFMP2-Splitting Pain Short-Form McGill Pain Questionnaire-2 - Splitting pain. SF-MPQ-2 - Splitting Pain
C100860 SFMP212 SFMP2-Tiring-Exhausting Short-Form McGill Pain Questionnaire-2 - Tiring-exhausting. SF-MPQ-2 - Tiring-Exhausting
C100861 SFMP213 SFMP2-Sickening Short-Form McGill Pain Questionnaire-2 - Sickening. SF-MPQ-2 - Sickening
C100862 SFMP214 SFMP2-Fearful Short-Form McGill Pain Questionnaire-2 - Fearful. SF-MPQ-2 - Fearful
C100863 SFMP215 SFMP2-Punishing-Cruel Short-Form McGill Pain Questionnaire-2 - Punishing-cruel. SF-MPQ-2 - Punishing-Cruel
C100864 SFMP216 SFMP2-Electric-Shock Pain Short-Form McGill Pain Questionnaire-2 - Electric-shock pain. SF-MPQ-2 - Electric-Shock Pain
C100865 SFMP217 SFMP2-Cold-Freezing Pain Short-Form McGill Pain Questionnaire-2 - Cold-freezing pain. SF-MPQ-2 - Cold-Freezing Pain
C100866 SFMP218 SFMP2-Piercing Short-Form McGill Pain Questionnaire-2 - Piercing. SF-MPQ-2 - Piercing
C100867 SFMP219 SFMP2-Pain Caused by Light Touch Short-Form McGill Pain Questionnaire-2 - Pain caused by light touch. SF-MPQ-2 - Pain Caused by Light Touch
C100868 SFMP220 SFMP2-Itching Short-Form McGill Pain Questionnaire-2 - Itching. SF-MPQ-2 - Itching
C101021 SFMP221 SFMP2-Tingling or 'Pins and Needles' Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'. SF-MPQ-2 - Tingling or 'Pins and Needles'
C100869 SFMP222 SFMP2-Numbness Short-Form McGill Pain Questionnaire-2 - Numbness. SF-MPQ-2 - Numbness

SFMP2TN (Short-Form McGill Pain Questionnaire-2 Questionnaire Test Name)

NCI Code: C100155, Codelist extensible: No
C100155 SFMP2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100856 SFMP2-Aching Pain SFMP2-Aching Pain Short-Form McGill Pain Questionnaire-2 - Aching pain. SF-MPQ-2 - Aching Pain
C100865 SFMP2-Cold-Freezing Pain SFMP2-Cold-Freezing Pain Short-Form McGill Pain Questionnaire-2 - Cold-freezing pain. SF-MPQ-2 - Cold-Freezing Pain
C100853 SFMP2-Cramping Pain SFMP2-Cramping Pain Short-Form McGill Pain Questionnaire-2 - Cramping pain. SF-MPQ-2 - Cramping Pain
C100864 SFMP2-Electric-Shock Pain SFMP2-Electric-Shock Pain Short-Form McGill Pain Questionnaire-2 - Electric-shock pain. SF-MPQ-2 - Electric-Shock Pain
C100862 SFMP2-Fearful SFMP2-Fearful Short-Form McGill Pain Questionnaire-2 - Fearful. SF-MPQ-2 - Fearful
C100854 SFMP2-Gnawing Pain SFMP2-Gnawing Pain Short-Form McGill Pain Questionnaire-2 - Gnawing pain. SF-MPQ-2 - Gnawing Pain
C100857 SFMP2-Heavy Pain SFMP2-Heavy Pain Short-Form McGill Pain Questionnaire-2 - Heavy pain. SF-MPQ-2 - Heavy Pain
C100855 SFMP2-Hot-burning Pain SFMP2-Hot-burning Pain Short-Form McGill Pain Questionnaire-2 - Hot-burning pain. SF-MPQ-2 - Hot-burning Pain
C100868 SFMP2-Itching SFMP2-Itching Short-Form McGill Pain Questionnaire-2 - Itching. SF-MPQ-2 - Itching
C100869 SFMP2-Numbness SFMP2-Numbness Short-Form McGill Pain Questionnaire-2 - Numbness. SF-MPQ-2 - Numbness
C100867 SFMP2-Pain Caused by Light Touch SFMP2-Pain Caused by Light Touch Short-Form McGill Pain Questionnaire-2 - Pain caused by light touch. SF-MPQ-2 - Pain Caused by Light Touch
C100866 SFMP2-Piercing SFMP2-Piercing Short-Form McGill Pain Questionnaire-2 - Piercing. SF-MPQ-2 - Piercing
C100863 SFMP2-Punishing-Cruel SFMP2-Punishing-Cruel Short-Form McGill Pain Questionnaire-2 - Punishing-cruel. SF-MPQ-2 - Punishing-Cruel
C100852 SFMP2-Sharp Pain SFMP2-Sharp Pain Short-Form McGill Pain Questionnaire-2 - Sharp pain. SF-MPQ-2 - Sharp Pain
C100850 SFMP2-Shooting Pain SFMP2-Shooting Pain Short-Form McGill Pain Questionnaire-2 - Shooting pain. SF-MPQ-2 - Shooting Pain
C100861 SFMP2-Sickening SFMP2-Sickening Short-Form McGill Pain Questionnaire-2 - Sickening. SF-MPQ-2 - Sickening
C100859 SFMP2-Splitting Pain SFMP2-Splitting Pain Short-Form McGill Pain Questionnaire-2 - Splitting pain. SF-MPQ-2 - Splitting Pain
C100851 SFMP2-Stabbing Pain SFMP2-Stabbing Pain Short-Form McGill Pain Questionnaire-2 - Stabbing pain. SF-MPQ-2 - Stabbing Pain
C100858 SFMP2-Tender SFMP2-Tender Short-Form McGill Pain Questionnaire-2 - Tender. SF-MPQ-2 - Tender
C100849 SFMP2-Throbbing Pain SFMP2-Throbbing Pain Short-Form McGill Pain Questionnaire-2 - Throbbing pain. SF-MPQ-2 - Throbbing Pain
C101021 SFMP2-Tingling or 'Pins and Needles' SFMP2-Tingling or 'Pins and Needles' Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'. SF-MPQ-2 - Tingling or 'Pins and Needles'
C100860 SFMP2-Tiring-Exhausting SFMP2-Tiring-Exhausting Short-Form McGill Pain Questionnaire-2 - Tiring-exhausting. SF-MPQ-2 - Tiring-Exhausting

SGRQ01TC (St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Code)

NCI Code: C112449, Codelist extensible: No
C112449 SGRQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112627 SGRQ0101 SGRQ01-Describe Your Current Health St. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health. SGRQ Past 3 Months Version - Describe Your Current Health
C112628 SGRQ0102 SGRQ01-I Have Coughed St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed. SGRQ Past 3 Months Version - I Have Coughed
C112629 SGRQ0103 SGRQ01-I Have Brought Up Phlegm St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum). SGRQ Past 3 Months Version - I Have Brought Up Phlegm
C112630 SGRQ0104 SGRQ01-I Have Had Shortness of Breath St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath. SGRQ Past 3 Months Version - I Have Had Shortness of Breath
C112631 SGRQ0105 SGRQ01-I Have Had Wheezing Attacks St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks. SGRQ Past 3 Months Version - I Have Had Wheezing Attacks
C112632 SGRQ0106 SGRQ01-Times Suffered Sev Resp Attacks St. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks? SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks
C112633 SGRQ0107 SGRQ01-How Long Worst Resp Attack Last St. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last? SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last
C112634 SGRQ0108 SGRQ01-How Many Good Days Have You Had St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had? SGRQ Past 3 Months Version - How Many Good Days You Had
C112635 SGRQ0109 SGRQ01-Wheeze Worse in the Morning St. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning? SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning
C112636 SGRQ0110 SGRQ01-Describe Your Resp Condition St. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition? SGRQ Past 3 Months Version - Describe Your Respiratory Condition
C112637 SGRQ0111 SGRQ01-If You Have Ever Held a Job St. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job. SGRQ Past 3 Months Version - Held a Job
C112638 SGRQ0112 SGRQ01-Sitting or Lying Still St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. SGRQ Past 3 Months Version - Sitting or Lying Still
C112639 SGRQ0113 SGRQ01-Washing or Dressing Yourself St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. SGRQ Past 3 Months Version - Washing or Dressing Yourself
C112640 SGRQ0114 SGRQ01-Walking Around the House St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. SGRQ Past 3 Months Version - Walking Around the House
C112641 SGRQ0115 SGRQ01-Walking Outside on Level Ground St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. SGRQ Past 3 Months Version - Walking Outside on Level Ground
C112642 SGRQ0116 SGRQ01-Walking Up a Flight of Stairs St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. SGRQ Past 3 Months Version - Walking Up a Flight of Stairs
C112643 SGRQ0117 SGRQ01-Walking Up Hills St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. SGRQ Past 3 Months Version - Walking Up Hills
C112644 SGRQ0118 SGRQ01-Playing Sports St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities
C112645 SGRQ0119 SGRQ01-Coughing Hurts St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. SGRQ Past 3 Months Version - Coughing Hurts
C112646 SGRQ0120 SGRQ01-Coughing Makes Me Tired St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. SGRQ Past 3 Months Version - Coughing Makes Me Tired
C112647 SGRQ0121 SGRQ01-Short of Breath When I Talk St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. SGRQ Past 3 Months Version - Short of Breath When I Talk
C112648 SGRQ0122 SGRQ01-Short of Breath When Bend Over St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. SGRQ Past 3 Months Version - Short of Breath When Bend Over
C112649 SGRQ0123 SGRQ01-Coughing Disturbs My Sleep St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. SGRQ Past 3 Months Version - Coughing Disturbs My Sleep
C112650 SGRQ0124 SGRQ01-I Get Exhausted Easily St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. SGRQ Past 3 Months Version - I Get Exhausted Easily
C112651 SGRQ0125 SGRQ01-Cough Is Embarrassing in Public St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. SGRQ Past 3 Months Version - My Cough is Embarrassing in Public
C112652 SGRQ0126 SGRQ01-Respiratory Problems a Nuisance St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family
C112653 SGRQ0127 SGRQ01-Afraid When Cannot Catch Breath St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath
C112654 SGRQ0128 SGRQ01-Not in Control of Resp Problems St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems
C112655 SGRQ0129 SGRQ01-Not Expect Probs to Get Better St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better
C112656 SGRQ0130 SGRQ01-I Have Become Frail St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems
C112657 SGRQ0131 SGRQ01-Exercise Is Not Safe for Me St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. SGRQ Past 3 Months Version - Exercise Is Not Safe for Me
C112658 SGRQ0132 SGRQ01-Everything Too Much Effort St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. SGRQ Past 3 Months Version - Everything Too Much Effort
C112659 SGRQ0133 SGRQ01-Treatment Does Not Help Me Much St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much. SGRQ Past 3 Months Version - Treatment Does Not Help Me Much
C112660 SGRQ0134 SGRQ01-Embarrassed Using Med in Public St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. SGRQ Past 3 Months Version - Embarrassed Using Medication in Public
C112661 SGRQ0135 SGRQ01-Unpleasant Side Effect From Med St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication
C112662 SGRQ0136 SGRQ01-Treatment Interferes With Life St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. SGRQ Past 3 Months Version - Treatment Interferes With My Life
C112663 SGRQ0137 SGRQ01-Take a Long Time to Get Washed St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed
C112664 SGRQ0138 SGRQ01-I Cannot Take a Bath or Shower St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. SGRQ Past 3 Months Version - Cannot Take a Bath or Shower
C112665 SGRQ0139 SGRQ01-I Walk Slower Than Other People St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. SGRQ Past 3 Months Version - Walk Slower Than Other People My Age
C112666 SGRQ0140 SGRQ01-Jobs Take a Long Time St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop
C112667 SGRQ0141 SGRQ01-Walk Up Flight of Stairs Slowly St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow
C112668 SGRQ0142 SGRQ01-If I Hurry, I Have to Stop St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down
C112669 SGRQ0143 SGRQ01-Difficult to Walk Up Hills St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills
C112670 SGRQ0144 SGRQ01-Difficult to Carry Heavy Loads St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads
C112671 SGRQ0145 SGRQ01-Difficult to Do Very Heavy Work St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work
C112672 SGRQ0146 SGRQ01-I Cannot Play Sports St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities
C112673 SGRQ0147 SGRQ01-Cannot Go Out for Entertainment St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. SGRQ Past 3 Months Version - Cannot Go Out for Entertainment
C112674 SGRQ0148 SGRQ01-Cannot Go Out to Do Shopping St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping
C112675 SGRQ0149 SGRQ01-I Cannot Do Household Chores St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. SGRQ Past 3 Months Version - Cannot Do Household Chores
C112676 SGRQ0150 SGRQ01-I Cannot Move Far From My Bed St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair
C112677 SGRQ0151 SGRQ01-How Resp Problems Affect You St. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you. SGRQ Past 3 Months Version - How Respiratory Problems Affect You

SGRQ01TN (St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Name)

NCI Code: C112448, Codelist extensible: No
C112448 SGRQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112653 SGRQ01-Afraid When Cannot Catch Breath SGRQ01-Afraid When Cannot Catch Breath St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath
C112673 SGRQ01-Cannot Go Out for Entertainment SGRQ01-Cannot Go Out for Entertainment St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. SGRQ Past 3 Months Version - Cannot Go Out for Entertainment
C112674 SGRQ01-Cannot Go Out to Do Shopping SGRQ01-Cannot Go Out to Do Shopping St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping
C112651 SGRQ01-Cough Is Embarrassing in Public SGRQ01-Cough Is Embarrassing in Public St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. SGRQ Past 3 Months Version - My Cough is Embarrassing in Public
C112649 SGRQ01-Coughing Disturbs My Sleep SGRQ01-Coughing Disturbs My Sleep St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. SGRQ Past 3 Months Version - Coughing Disturbs My Sleep
C112645 SGRQ01-Coughing Hurts SGRQ01-Coughing Hurts St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. SGRQ Past 3 Months Version - Coughing Hurts
C112646 SGRQ01-Coughing Makes Me Tired SGRQ01-Coughing Makes Me Tired St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. SGRQ Past 3 Months Version - Coughing Makes Me Tired
C112627 SGRQ01-Describe Your Current Health SGRQ01-Describe Your Current Health St. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health. SGRQ Past 3 Months Version - Describe Your Current Health
C112636 SGRQ01-Describe Your Resp Condition SGRQ01-Describe Your Resp Condition St. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition? SGRQ Past 3 Months Version - Describe Your Respiratory Condition
C112670 SGRQ01-Difficult to Carry Heavy Loads SGRQ01-Difficult to Carry Heavy Loads St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads
C112671 SGRQ01-Difficult to Do Very Heavy Work SGRQ01-Difficult to Do Very Heavy Work St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work
C112669 SGRQ01-Difficult to Walk Up Hills SGRQ01-Difficult to Walk Up Hills St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills
C112660 SGRQ01-Embarrassed Using Med in Public SGRQ01-Embarrassed Using Med in Public St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. SGRQ Past 3 Months Version - Embarrassed Using Medication in Public
C112658 SGRQ01-Everything Too Much Effort SGRQ01-Everything Too Much Effort St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. SGRQ Past 3 Months Version - Everything Too Much Effort
C112657 SGRQ01-Exercise Is Not Safe for Me SGRQ01-Exercise Is Not Safe for Me St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. SGRQ Past 3 Months Version - Exercise Is Not Safe for Me
C112633 SGRQ01-How Long Worst Resp Attack Last SGRQ01-How Long Worst Resp Attack Last St. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last? SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last
C112634 SGRQ01-How Many Good Days Have You Had SGRQ01-How Many Good Days Have You Had St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had? SGRQ Past 3 Months Version - How Many Good Days You Had
C112677 SGRQ01-How Resp Problems Affect You SGRQ01-How Resp Problems Affect You St. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you. SGRQ Past 3 Months Version - How Respiratory Problems Affect You
C112675 SGRQ01-I Cannot Do Household Chores SGRQ01-I Cannot Do Household Chores St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. SGRQ Past 3 Months Version - Cannot Do Household Chores
C112676 SGRQ01-I Cannot Move Far From My Bed SGRQ01-I Cannot Move Far From My Bed St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair
C112672 SGRQ01-I Cannot Play Sports SGRQ01-I Cannot Play Sports St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities
C112664 SGRQ01-I Cannot Take a Bath or Shower SGRQ01-I Cannot Take a Bath or Shower St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. SGRQ Past 3 Months Version - Cannot Take a Bath or Shower
C112650 SGRQ01-I Get Exhausted Easily SGRQ01-I Get Exhausted Easily St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. SGRQ Past 3 Months Version - I Get Exhausted Easily
C112656 SGRQ01-I Have Become Frail SGRQ01-I Have Become Frail St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems
C112629 SGRQ01-I Have Brought Up Phlegm SGRQ01-I Have Brought Up Phlegm St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum). SGRQ Past 3 Months Version - I Have Brought Up Phlegm
C112628 SGRQ01-I Have Coughed SGRQ01-I Have Coughed St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed. SGRQ Past 3 Months Version - I Have Coughed
C112630 SGRQ01-I Have Had Shortness of Breath SGRQ01-I Have Had Shortness of Breath St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath. SGRQ Past 3 Months Version - I Have Had Shortness of Breath
C112631 SGRQ01-I Have Had Wheezing Attacks SGRQ01-I Have Had Wheezing Attacks St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks. SGRQ Past 3 Months Version - I Have Had Wheezing Attacks
C112665 SGRQ01-I Walk Slower Than Other People SGRQ01-I Walk Slower Than Other People St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. SGRQ Past 3 Months Version - Walk Slower Than Other People My Age
C112668 SGRQ01-If I Hurry, I Have to Stop SGRQ01-If I Hurry, I Have to Stop St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down
C112637 SGRQ01-If You Have Ever Held a Job SGRQ01-If You Have Ever Held a Job St. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job. SGRQ Past 3 Months Version - Held a Job
C112666 SGRQ01-Jobs Take a Long Time SGRQ01-Jobs Take a Long Time St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop
C112655 SGRQ01-Not Expect Probs to Get Better SGRQ01-Not Expect Probs to Get Better St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better
C112654 SGRQ01-Not in Control of Resp Problems SGRQ01-Not in Control of Resp Problems St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems
C112644 SGRQ01-Playing Sports SGRQ01-Playing Sports St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities
C112652 SGRQ01-Respiratory Problems a Nuisance SGRQ01-Respiratory Problems a Nuisance St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family
C112648 SGRQ01-Short of Breath When Bend Over SGRQ01-Short of Breath When Bend Over St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. SGRQ Past 3 Months Version - Short of Breath When Bend Over
C112647 SGRQ01-Short of Breath When I Talk SGRQ01-Short of Breath When I Talk St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. SGRQ Past 3 Months Version - Short of Breath When I Talk
C112638 SGRQ01-Sitting or Lying Still SGRQ01-Sitting or Lying Still St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. SGRQ Past 3 Months Version - Sitting or Lying Still
C112663 SGRQ01-Take a Long Time to Get Washed SGRQ01-Take a Long Time to Get Washed St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed
C112632 SGRQ01-Times Suffered Sev Resp Attacks SGRQ01-Times Suffered Sev Resp Attacks St. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks? SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks
C112659 SGRQ01-Treatment Does Not Help Me Much SGRQ01-Treatment Does Not Help Me Much St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much. SGRQ Past 3 Months Version - Treatment Does Not Help Me Much
C112662 SGRQ01-Treatment Interferes With Life SGRQ01-Treatment Interferes With Life St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. SGRQ Past 3 Months Version - Treatment Interferes With My Life
C112661 SGRQ01-Unpleasant Side Effect From Med SGRQ01-Unpleasant Side Effect From Med St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication
C112667 SGRQ01-Walk Up Flight of Stairs Slowly SGRQ01-Walk Up Flight of Stairs Slowly St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow
C112640 SGRQ01-Walking Around the House SGRQ01-Walking Around the House St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. SGRQ Past 3 Months Version - Walking Around the House
C112641 SGRQ01-Walking Outside on Level Ground SGRQ01-Walking Outside on Level Ground St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. SGRQ Past 3 Months Version - Walking Outside on Level Ground
C112642 SGRQ01-Walking Up a Flight of Stairs SGRQ01-Walking Up a Flight of Stairs St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. SGRQ Past 3 Months Version - Walking Up a Flight of Stairs
C112643 SGRQ01-Walking Up Hills SGRQ01-Walking Up Hills St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. SGRQ Past 3 Months Version - Walking Up Hills
C112639 SGRQ01-Washing or Dressing Yourself SGRQ01-Washing or Dressing Yourself St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. SGRQ Past 3 Months Version - Washing or Dressing Yourself
C112635 SGRQ01-Wheeze Worse in the Morning SGRQ01-Wheeze Worse in the Morning St. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning? SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning

SGRQ02TC (St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Code)

NCI Code: C112451, Codelist extensible: No
C112451 SGRQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112678 SGRQ0201 SGRQ02-Describe Your Current Health St. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health. SGRQ Past 4 Weeks Version - Describe Your Current Health
C112679 SGRQ0202 SGRQ02-I Have Coughed St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed. SGRQ Past 4 Weeks Version - I Have Coughed
C112680 SGRQ0203 SGRQ02-I Have Brought Up Phlegm St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum). SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm
C112681 SGRQ0204 SGRQ02-I Have Had Shortness of Breath St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath. SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath
C112682 SGRQ0205 SGRQ02-I Have Had Wheezing Attacks St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks. SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks
C112683 SGRQ0206 SGRQ02-Times Suffered Sev Resp Attacks St. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks? SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks
C112684 SGRQ0207 SGRQ02-How Long Worst Resp Attack Last St. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last? SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last
C112685 SGRQ0208 SGRQ02-How Many Good Days Have You Had St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had? SGRQ Past 4 Weeks Version - How Many Good Days You Had
C112686 SGRQ0209 SGRQ02-Wheeze Worse in the Morning St. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning? SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning
C112687 SGRQ0210 SGRQ02-Describe Your Resp Condition St. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition? SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
C112688 SGRQ0211 SGRQ02-If You Have Ever Held a Job St. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job. SGRQ Past 4 Weeks Version - Held a Job
C112689 SGRQ0212 SGRQ02-Sitting or Lying Still St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. SGRQ Past 4 Weeks Version - Sitting or Lying Still
C112690 SGRQ0213 SGRQ02-Washing or Dressing Yourself St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. SGRQ Past 4 Weeks Version - Washing or Dressing Yourself
C112691 SGRQ0214 SGRQ02-Walking Around the House St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. SGRQ Past 4 Weeks Version - Walking Around the House
C112692 SGRQ0215 SGRQ02-Walking Outside on Level Ground St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. SGRQ Past 4 Weeks Version - Walking Outside on Level Ground
C112693 SGRQ0216 SGRQ02-Walking Up a Flight of Stairs St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs
C112694 SGRQ0217 SGRQ02-Walking Up Hills St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. SGRQ Past 4 Weeks Version - Walking Up Hills
C112695 SGRQ0218 SGRQ02-Playing Sports St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities
C112696 SGRQ0219 SGRQ02-Coughing Hurts St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. SGRQ Past 4 Weeks Version - Coughing Hurts
C112697 SGRQ0220 SGRQ02-Coughing Makes Me Tired St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. SGRQ Past 4 Weeks Version - Coughing Makes Me Tired
C112698 SGRQ0221 SGRQ02-Short of Breath When I Talk St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. SGRQ Past 4 Weeks Version - Short of Breath When I Talk
C112699 SGRQ0222 SGRQ02-Short of Breath When Bend Over St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. SGRQ Past 4 Weeks Version - Short of Breath When Bend Over
C112700 SGRQ0223 SGRQ02-Coughing Disturbs My Sleep St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep
C112701 SGRQ0224 SGRQ02-I Get Exhausted Easily St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. SGRQ Past 4 Weeks Version - I Get Exhausted Easily
C112702 SGRQ0225 SGRQ02-Cough Is Embarrassing in Public St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public
C112703 SGRQ0226 SGRQ02-Respiratory Problems a Nuisance St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family
C112704 SGRQ0227 SGRQ02-Afraid When Cannot Catch Breath St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath
C112705 SGRQ0228 SGRQ02-Not in Control of Resp Problems St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems
C112706 SGRQ0229 SGRQ02-Not Expect Probs to Get Better St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better
C112707 SGRQ0230 SGRQ02-I Have Become Frail St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems
C112708 SGRQ0231 SGRQ02-Exercise Is Not Safe for Me St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me
C112709 SGRQ0232 SGRQ02-Everything Too Much Effort St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. SGRQ Past 4 Weeks Version - Everything Too Much Effort
C112710 SGRQ0233 SGRQ02-Treatment Does Not Help Me Much St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much. SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much
C112711 SGRQ0234 SGRQ02-Embarrassed Using Med in Public St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public
C112712 SGRQ0235 SGRQ02-Unpleasant Side Effect From Med St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication
C112713 SGRQ0236 SGRQ02-Treatment Interferes With Life St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. SGRQ Past 4 Weeks Version - Treatment Interferes With My Life
C112714 SGRQ0237 SGRQ02-Take a Long Time to Get Washed St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed
C112715 SGRQ0238 SGRQ02-I Cannot Take a Bath or Shower St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower
C112716 SGRQ0239 SGRQ02-I Walk Slower Than Other People St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age
C112717 SGRQ0240 SGRQ02-Jobs Take a Long Time St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop
C112718 SGRQ0241 SGRQ02-Walk Up Flight of Stairs Slowly St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow
C112719 SGRQ0242 SGRQ02-If I Hurry, I Have to Stop St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down
C112720 SGRQ0243 SGRQ02-Difficult to Walk Up Hills St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills
C112721 SGRQ0244 SGRQ02-Difficult to Carry Heavy Loads St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads
C112722 SGRQ0245 SGRQ02-Difficult to Do Very Heavy Work St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work
C112723 SGRQ0246 SGRQ02-I Cannot Play Sports St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities
C112724 SGRQ0247 SGRQ02-Cannot Go Out for Entertainment St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment
C112725 SGRQ0248 SGRQ02-Cannot Go Out to Do Shopping St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping
C112726 SGRQ0249 SGRQ02-I Cannot Do Household Chores St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. SGRQ Past 4 Weeks Version - Cannot Do Household Chores
C112727 SGRQ0250 SGRQ02-I Cannot Move Far From My Bed St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair
C112728 SGRQ0251 SGRQ02-How Resp Problems Affect You St. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you. SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You

SGRQ02TN (St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Name)

NCI Code: C112450, Codelist extensible: No
C112450 SGRQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112704 SGRQ02-Afraid When Cannot Catch Breath SGRQ02-Afraid When Cannot Catch Breath St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath
C112724 SGRQ02-Cannot Go Out for Entertainment SGRQ02-Cannot Go Out for Entertainment St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment
C112725 SGRQ02-Cannot Go Out to Do Shopping SGRQ02-Cannot Go Out to Do Shopping St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping
C112702 SGRQ02-Cough Is Embarrassing in Public SGRQ02-Cough Is Embarrassing in Public St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public
C112700 SGRQ02-Coughing Disturbs My Sleep SGRQ02-Coughing Disturbs My Sleep St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep
C112696 SGRQ02-Coughing Hurts SGRQ02-Coughing Hurts St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. SGRQ Past 4 Weeks Version - Coughing Hurts
C112697 SGRQ02-Coughing Makes Me Tired SGRQ02-Coughing Makes Me Tired St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. SGRQ Past 4 Weeks Version - Coughing Makes Me Tired
C112678 SGRQ02-Describe Your Current Health SGRQ02-Describe Your Current Health St. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health. SGRQ Past 4 Weeks Version - Describe Your Current Health
C112687 SGRQ02-Describe Your Resp Condition SGRQ02-Describe Your Resp Condition St. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition? SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
C112721 SGRQ02-Difficult to Carry Heavy Loads SGRQ02-Difficult to Carry Heavy Loads St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads
C112722 SGRQ02-Difficult to Do Very Heavy Work SGRQ02-Difficult to Do Very Heavy Work St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work
C112720 SGRQ02-Difficult to Walk Up Hills SGRQ02-Difficult to Walk Up Hills St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills
C112711 SGRQ02-Embarrassed Using Med in Public SGRQ02-Embarrassed Using Med in Public St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public
C112709 SGRQ02-Everything Too Much Effort SGRQ02-Everything Too Much Effort St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. SGRQ Past 4 Weeks Version - Everything Too Much Effort
C112708 SGRQ02-Exercise Is Not Safe for Me SGRQ02-Exercise Is Not Safe for Me St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me
C112684 SGRQ02-How Long Worst Resp Attack Last SGRQ02-How Long Worst Resp Attack Last St. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last? SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last
C112685 SGRQ02-How Many Good Days Have You Had SGRQ02-How Many Good Days Have You Had St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had? SGRQ Past 4 Weeks Version - How Many Good Days You Had
C112728 SGRQ02-How Resp Problems Affect You SGRQ02-How Resp Problems Affect You St. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you. SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You
C112726 SGRQ02-I Cannot Do Household Chores SGRQ02-I Cannot Do Household Chores St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. SGRQ Past 4 Weeks Version - Cannot Do Household Chores
C112727 SGRQ02-I Cannot Move Far From My Bed SGRQ02-I Cannot Move Far From My Bed St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair
C112723 SGRQ02-I Cannot Play Sports SGRQ02-I Cannot Play Sports St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities
C112715 SGRQ02-I Cannot Take a Bath or Shower SGRQ02-I Cannot Take a Bath or Shower St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower
C112701 SGRQ02-I Get Exhausted Easily SGRQ02-I Get Exhausted Easily St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. SGRQ Past 4 Weeks Version - I Get Exhausted Easily
C112707 SGRQ02-I Have Become Frail SGRQ02-I Have Become Frail St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems
C112680 SGRQ02-I Have Brought Up Phlegm SGRQ02-I Have Brought Up Phlegm St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum). SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm
C112679 SGRQ02-I Have Coughed SGRQ02-I Have Coughed St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed. SGRQ Past 4 Weeks Version - I Have Coughed
C112681 SGRQ02-I Have Had Shortness of Breath SGRQ02-I Have Had Shortness of Breath St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath. SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath
C112682 SGRQ02-I Have Had Wheezing Attacks SGRQ02-I Have Had Wheezing Attacks St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks. SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks
C112716 SGRQ02-I Walk Slower Than Other People SGRQ02-I Walk Slower Than Other People St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age
C112719 SGRQ02-If I Hurry, I Have to Stop SGRQ02-If I Hurry, I Have to Stop St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down
C112688 SGRQ02-If You Have Ever Held a Job SGRQ02-If You Have Ever Held a Job St. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job. SGRQ Past 4 Weeks Version - Held a Job
C112717 SGRQ02-Jobs Take a Long Time SGRQ02-Jobs Take a Long Time St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop
C112706 SGRQ02-Not Expect Probs to Get Better SGRQ02-Not Expect Probs to Get Better St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better
C112705 SGRQ02-Not in Control of Resp Problems SGRQ02-Not in Control of Resp Problems St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems
C112695 SGRQ02-Playing Sports SGRQ02-Playing Sports St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities
C112703 SGRQ02-Respiratory Problems a Nuisance SGRQ02-Respiratory Problems a Nuisance St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family
C112699 SGRQ02-Short of Breath When Bend Over SGRQ02-Short of Breath When Bend Over St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. SGRQ Past 4 Weeks Version - Short of Breath When Bend Over
C112698 SGRQ02-Short of Breath When I Talk SGRQ02-Short of Breath When I Talk St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. SGRQ Past 4 Weeks Version - Short of Breath When I Talk
C112689 SGRQ02-Sitting or Lying Still SGRQ02-Sitting or Lying Still St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. SGRQ Past 4 Weeks Version - Sitting or Lying Still
C112714 SGRQ02-Take a Long Time to Get Washed SGRQ02-Take a Long Time to Get Washed St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed
C112683 SGRQ02-Times Suffered Sev Resp Attacks SGRQ02-Times Suffered Sev Resp Attacks St. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks? SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks
C112710 SGRQ02-Treatment Does Not Help Me Much SGRQ02-Treatment Does Not Help Me Much St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much. SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much
C112713 SGRQ02-Treatment Interferes With Life SGRQ02-Treatment Interferes With Life St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. SGRQ Past 4 Weeks Version - Treatment Interferes With My Life
C112712 SGRQ02-Unpleasant Side Effect From Med SGRQ02-Unpleasant Side Effect From Med St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication
C112718 SGRQ02-Walk Up Flight of Stairs Slowly SGRQ02-Walk Up Flight of Stairs Slowly St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow
C112691 SGRQ02-Walking Around the House SGRQ02-Walking Around the House St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. SGRQ Past 4 Weeks Version - Walking Around the House
C112692 SGRQ02-Walking Outside on Level Ground SGRQ02-Walking Outside on Level Ground St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. SGRQ Past 4 Weeks Version - Walking Outside on Level Ground
C112693 SGRQ02-Walking Up a Flight of Stairs SGRQ02-Walking Up a Flight of Stairs St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs
C112694 SGRQ02-Walking Up Hills SGRQ02-Walking Up Hills St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. SGRQ Past 4 Weeks Version - Walking Up Hills
C112690 SGRQ02-Washing or Dressing Yourself SGRQ02-Washing or Dressing Yourself St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. SGRQ Past 4 Weeks Version - Washing or Dressing Yourself
C112686 SGRQ02-Wheeze Worse in the Morning SGRQ02-Wheeze Worse in the Morning St. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning? SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning

SGRQC1TC (St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Code)

NCI Code: C106671, Codelist extensible: No
C106671 SGRQC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106853 SGRQC101 SGRQC1-Describe Your Current Health St. George's Respiratory Questionnaire - Please check one box to show how you describe your current health. SGRQ-C - Description of Your Current Health
C106854 SGRQC102 SGRQC1-I Cough St. George's Respiratory Questionnaire - I cough. SGRQ-C - Cough
C106855 SGRQC103 SGRQC1-I Bring Up Phlegm St. George's Respiratory Questionnaire - I bring up phlegm (sputum). SGRQ-C - Bring Up Phlegm
C106856 SGRQC104 SGRQC1-I Have Shortness of Breath St. George's Respiratory Questionnaire - I have shortness of breath. SGRQ-C - Have Shortness of Breath
C106857 SGRQC105 SGRQC1-I Have Attacks of Wheezing St. George's Respiratory Questionnaire - I have attacks of wheezing. SGRQ-C - Have Attacks of Wheezing
C106858 SGRQC106 SGRQC1-How Many Respiratory Attacks St. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year? SGRQ-C - Number of Respiratory Attacks Last Year
C106859 SGRQC107 SGRQC1-How Often Do You Have Good Days St. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)? SGRQ-C - Good Days with Few Respiratory Problems
C106860 SGRQC108 SGRQC1-Wheeze Worse in the Morning St. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning? SGRQ-C - Wheezing Worse In the Morning
C106861 SGRQC109 SGRQC1-Describe Your Resp Problems St. George's Respiratory Questionnaire - How would you describe your respiratory problems? SGRQ-C - Description of Your Respiratory Problems
C106862 SGRQC110 SGRQC1-Washing or Dressing Yourself St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself. SGRQ-C - Feel Breathless Washing or Dressing Yourself
C106863 SGRQC111 SGRQC1-Walking Around the House St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house. SGRQ-C - Feel Breathless Walking Around the House
C106864 SGRQC112 SGRQC1-Walking Outside on Level Ground St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground. SGRQ-C - Feel Breathless Walking Outside on Level Ground
C106865 SGRQC113 SGRQC1-Walking Up a Flight of Stairs St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs. SGRQ-C - Feel Breathless Walking Up a Flight of Stairs
C106866 SGRQC114 SGRQC1-Walking Up Hills St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills. SGRQ-C - Feel Breathless Walking Up Hills
C106867 SGRQC115 SGRQC1-Coughing Hurts St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts. SGRQ-C - Coughing Hurts
C106868 SGRQC116 SGRQC1-Coughing Makes Me Tired St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired. SGRQ-C - Coughing Makes Me Tired
C106869 SGRQC117 SGRQC1-Short of Breath When Talk St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk. SGRQ-C - Short of Breath When Talk
C106870 SGRQC118 SGRQC1-Short of Breath When Bend Over St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over. SGRQ-C - Short of Breath When Bend Over
C106871 SGRQC119 SGRQC1-Coughing Disturbs My Sleep St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep. SGRQ-C - Coughing Disturbs My Sleep
C106872 SGRQC120 SGRQC1-Get Exhausted Easily St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily. SGRQ-C - Get Exhausted Easily
C106873 SGRQC121 SGRQC1-Cough Is Embarrassing in Public St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public. SGRQ-C - Cough Is Embarrassing in Public
C107021 SGRQC122 SGRQC1-Respiratory Problems a Nuisance St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours. SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours
C106874 SGRQC123 SGRQC1-Afraid When Cannot Catch Breath St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath. SGRQ-C - Afraid or Panic When Cannot Catch Breath
C106875 SGRQC124 SGRQC1-Not in Control of Resp Problems St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems. SGRQ-C - Not in Control of Respiratory Problems
C106876 SGRQC125 SGRQC1-Frail Because of Resp Problems St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems. SGRQ-C - Become Frail Because of Respiratory Problems
C106877 SGRQC126 SGRQC1-Exercise Is Not Safe for Me St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me. SGRQ-C - Exercise Is Not Safe for Me
C106878 SGRQC127 SGRQC1-Everything Too Much Effort St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort. SGRQ-C - Everything Seems Too Much Effort
C106879 SGRQC128 SGRQC1-Take a Long Time to Get Washed St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. SGRQ-C - Take a Long Time to Get Washed or Dressed
C106880 SGRQC129 SGRQC1-Cannot Take a Bath or Shower St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. SGRQ-C - Cannot Take a Bath or Shower
C106881 SGRQC130 SGRQC1-Walk Slow Than Others My Age St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. SGRQ-C - Walk Slower Than Other People My Age
C106882 SGRQC131 SGRQC1-Jobs Take a Long Time St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. SGRQ-C - Jobs Take a Long Time
C106883 SGRQC132 SGRQC1-Walk Up Flight of Stairs Slowly St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. SGRQ-C - Walk Up Flight of Stairs Slowly
C106884 SGRQC133 SGRQC1-If I Hurry, I Have to Stop St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. SGRQ-C - If Walk Fast Have to Stop
C106885 SGRQC134 SGRQC1-Difficult to Walk Up Hills St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. SGRQ-C - Difficult to Walk Up Hills
C106886 SGRQC135 SGRQC1-Difficult to Carry Heavy Loads St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. SGRQ-C - Difficult to Carry Heavy Loads
C107022 SGRQC136 SGRQC1-Cannot Play Sports St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports
C107023 SGRQC137 SGRQC1-Cannot Go Out for Entertainment St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment
C107024 SGRQC138 SGRQC1-Cannot Go Out to Do Shopping St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping
C107025 SGRQC139 SGRQC1-Cannot Do Household Chores St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores
C107026 SGRQC140 SGRQC1-Cannot Move Far From My Bed St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed
C106887 SGRQC141 SGRQC1-How Resp Problems Affect You St. George's Respiratory Questionnaire - How do your respiratory problems affect you? SGRQ-C - How Respiratory Problems Affect You

SGRQC1TN (St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Name)

NCI Code: C106670, Codelist extensible: No
C106670 SGRQC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106874 SGRQC1-Afraid When Cannot Catch Breath SGRQC1-Afraid When Cannot Catch Breath St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath. SGRQ-C - Afraid or Panic When Cannot Catch Breath
C107025 SGRQC1-Cannot Do Household Chores SGRQC1-Cannot Do Household Chores St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores
C107023 SGRQC1-Cannot Go Out for Entertainment SGRQC1-Cannot Go Out for Entertainment St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment
C107024 SGRQC1-Cannot Go Out to Do Shopping SGRQC1-Cannot Go Out to Do Shopping St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping
C107026 SGRQC1-Cannot Move Far From My Bed SGRQC1-Cannot Move Far From My Bed St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed
C107022 SGRQC1-Cannot Play Sports SGRQC1-Cannot Play Sports St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports
C106880 SGRQC1-Cannot Take a Bath or Shower SGRQC1-Cannot Take a Bath or Shower St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. SGRQ-C - Cannot Take a Bath or Shower
C106873 SGRQC1-Cough Is Embarrassing in Public SGRQC1-Cough Is Embarrassing in Public St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public. SGRQ-C - Cough Is Embarrassing in Public
C106871 SGRQC1-Coughing Disturbs My Sleep SGRQC1-Coughing Disturbs My Sleep St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep. SGRQ-C - Coughing Disturbs My Sleep
C106867 SGRQC1-Coughing Hurts SGRQC1-Coughing Hurts St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts. SGRQ-C - Coughing Hurts
C106868 SGRQC1-Coughing Makes Me Tired SGRQC1-Coughing Makes Me Tired St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired. SGRQ-C - Coughing Makes Me Tired
C106853 SGRQC1-Describe Your Current Health SGRQC1-Describe Your Current Health St. George's Respiratory Questionnaire - Please check one box to show how you describe your current health. SGRQ-C - Description of Your Current Health
C106861 SGRQC1-Describe Your Resp Problems SGRQC1-Describe Your Resp Problems St. George's Respiratory Questionnaire - How would you describe your respiratory problems? SGRQ-C - Description of Your Respiratory Problems
C106886 SGRQC1-Difficult to Carry Heavy Loads SGRQC1-Difficult to Carry Heavy Loads St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. SGRQ-C - Difficult to Carry Heavy Loads
C106885 SGRQC1-Difficult to Walk Up Hills SGRQC1-Difficult to Walk Up Hills St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. SGRQ-C - Difficult to Walk Up Hills
C106878 SGRQC1-Everything Too Much Effort SGRQC1-Everything Too Much Effort St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort. SGRQ-C - Everything Seems Too Much Effort
C106877 SGRQC1-Exercise Is Not Safe for Me SGRQC1-Exercise Is Not Safe for Me St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me. SGRQ-C - Exercise Is Not Safe for Me
C106876 SGRQC1-Frail Because of Resp Problems SGRQC1-Frail Because of Resp Problems St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems. SGRQ-C - Become Frail Because of Respiratory Problems
C106872 SGRQC1-Get Exhausted Easily SGRQC1-Get Exhausted Easily St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily. SGRQ-C - Get Exhausted Easily
C106858 SGRQC1-How Many Respiratory Attacks SGRQC1-How Many Respiratory Attacks St. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year? SGRQ-C - Number of Respiratory Attacks Last Year
C106859 SGRQC1-How Often Do You Have Good Days SGRQC1-How Often Do You Have Good Days St. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)? SGRQ-C - Good Days with Few Respiratory Problems
C106887 SGRQC1-How Resp Problems Affect You SGRQC1-How Resp Problems Affect You St. George's Respiratory Questionnaire - How do your respiratory problems affect you? SGRQ-C - How Respiratory Problems Affect You
C106855 SGRQC1-I Bring Up Phlegm SGRQC1-I Bring Up Phlegm St. George's Respiratory Questionnaire - I bring up phlegm (sputum). SGRQ-C - Bring Up Phlegm
C106854 SGRQC1-I Cough SGRQC1-I Cough St. George's Respiratory Questionnaire - I cough. SGRQ-C - Cough
C106857 SGRQC1-I Have Attacks of Wheezing SGRQC1-I Have Attacks of Wheezing St. George's Respiratory Questionnaire - I have attacks of wheezing. SGRQ-C - Have Attacks of Wheezing
C106856 SGRQC1-I Have Shortness of Breath SGRQC1-I Have Shortness of Breath St. George's Respiratory Questionnaire - I have shortness of breath. SGRQ-C - Have Shortness of Breath
C106884 SGRQC1-If I Hurry, I Have to Stop SGRQC1-If I Hurry, I Have to Stop St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. SGRQ-C - If Walk Fast Have to Stop
C106882 SGRQC1-Jobs Take a Long Time SGRQC1-Jobs Take a Long Time St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. SGRQ-C - Jobs Take a Long Time
C106875 SGRQC1-Not in Control of Resp Problems SGRQC1-Not in Control of Resp Problems St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems. SGRQ-C - Not in Control of Respiratory Problems
C107021 SGRQC1-Respiratory Problems a Nuisance SGRQC1-Respiratory Problems a Nuisance St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours. SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours
C106870 SGRQC1-Short of Breath When Bend Over SGRQC1-Short of Breath When Bend Over St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over. SGRQ-C - Short of Breath When Bend Over
C106869 SGRQC1-Short of Breath When Talk SGRQC1-Short of Breath When Talk St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk. SGRQ-C - Short of Breath When Talk
C106879 SGRQC1-Take a Long Time to Get Washed SGRQC1-Take a Long Time to Get Washed St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. SGRQ-C - Take a Long Time to Get Washed or Dressed
C106881 SGRQC1-Walk Slow Than Others My Age SGRQC1-Walk Slow Than Others My Age St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. SGRQ-C - Walk Slower Than Other People My Age
C106883 SGRQC1-Walk Up Flight of Stairs Slowly SGRQC1-Walk Up Flight of Stairs Slowly St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. SGRQ-C - Walk Up Flight of Stairs Slowly
C106863 SGRQC1-Walking Around the House SGRQC1-Walking Around the House St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house. SGRQ-C - Feel Breathless Walking Around the House
C106864 SGRQC1-Walking Outside on Level Ground SGRQC1-Walking Outside on Level Ground St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground. SGRQ-C - Feel Breathless Walking Outside on Level Ground
C106865 SGRQC1-Walking Up a Flight of Stairs SGRQC1-Walking Up a Flight of Stairs St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs. SGRQ-C - Feel Breathless Walking Up a Flight of Stairs
C106866 SGRQC1-Walking Up Hills SGRQC1-Walking Up Hills St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills. SGRQ-C - Feel Breathless Walking Up Hills
C106862 SGRQC1-Washing or Dressing Yourself SGRQC1-Washing or Dressing Yourself St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself. SGRQ-C - Feel Breathless Washing or Dressing Yourself
C106860 SGRQC1-Wheeze Worse in the Morning SGRQC1-Wheeze Worse in the Morning St. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning? SGRQ-C - Wheezing Worse In the Morning

SIQ01TC (Suicidal Ideation Questionnaire Test Code)

NCI Code: C150790, Codelist extensible: No
C150790 SIQ01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151326 SIQ0101 SIQ01-Would Be Better If I Was Not Alive Suicidal Ideation Questionnaire - I thought it would be better if I was not alive. SIQ - Would Be Better If I Was Not Alive
C151327 SIQ0102 SIQ01-I Thought About Killing Myself Suicidal Ideation Questionnaire - I thought about killing myself. SIQ - I Thought About Killing Myself
C151328 SIQ0103 SIQ01-I Thought How I Would Kill Myself Suicidal Ideation Questionnaire - I thought about how I would kill myself. SIQ - I Thought How I Would Kill Myself
C151329 SIQ0104 SIQ01-I Thought When I Would Kill Myself Suicidal Ideation Questionnaire - I thought about when I would kill myself. SIQ - I Thought When I Would Kill Myself
C151330 SIQ0105 SIQ01-I Thought About People Dying Suicidal Ideation Questionnaire - I thought about people dying. SIQ - I Thought About People Dying
C151331 SIQ0106 SIQ01-I Thought About Death Suicidal Ideation Questionnaire - I thought about death. SIQ - I Thought About Death
C151332 SIQ0107 SIQ01-What to Write in a Suicide Note Suicidal Ideation Questionnaire - I thought about what to write in a suicide note. SIQ - What to Write in a Suicide Note
C151333 SIQ0108 SIQ01-I Thought About Writing a Will Suicidal Ideation Questionnaire - I thought about writing a will. SIQ - I Thought About Writing a Will
C151334 SIQ0109 SIQ01-Tell People I Plan to Kill Myself Suicidal Ideation Questionnaire - I thought about telling people I plan to kill myself. SIQ - Tell People I Plan to Kill Myself
C151335 SIQ0110 SIQ01-People Happier If Not Around Suicidal Ideation Questionnaire - I thought that people would be happier if I were not around. SIQ - People Happier If Not Around
C151336 SIQ0111 SIQ01-How People Feel If I Killed Myself Suicidal Ideation Questionnaire - I thought about how people would feel if I killed myself. SIQ - How People Feel If I Killed Myself
C151337 SIQ0112 SIQ01-I Wished I Were Dead Suicidal Ideation Questionnaire - I wished I were dead. SIQ - I Wished I Were Dead
C151338 SIQ0113 SIQ01-How Easy It Would Be to End It All Suicidal Ideation Questionnaire - I thought about how easy it would be to end it all. SIQ - How Easy It Would Be to End It All
C151339 SIQ0114 SIQ01-Killing Myself Would Solve Problem Suicidal Ideation Questionnaire - I thought that killing myself would solve my problems. SIQ - Killing Myself Would Solve Problem
C151340 SIQ0115 SIQ01-Others Better Off If I Was Dead Suicidal Ideation Questionnaire - I thought others would be better off if I was dead. SIQ - Others Better Off If I Was Dead
C151341 SIQ0116 SIQ01-Wished I Had the Nerve Kill Myself Suicidal Ideation Questionnaire - I wished I had the nerve to kill myself. SIQ - Wished I Had the Nerve Kill Myself
C151342 SIQ0117 SIQ01-Wished I Had Never Been Born Suicidal Ideation Questionnaire - I wished that I had never been born. SIQ - Wished I Had Never Been Born
C151343 SIQ0118 SIQ01-If Had Chance I Would Kill Myself Suicidal Ideation Questionnaire - I thought if I had the chance I would kill myself. SIQ - If Had Chance I Would Kill Myself
C151344 SIQ0119 SIQ01-Thought Way People Kill Themselves Suicidal Ideation Questionnaire - I thought about ways people kill themselves. SIQ - Thought Way People Kill Themselves
C151345 SIQ0120 SIQ01-Thought Killing Myself Not Do It Suicidal Ideation Questionnaire - I thought about killing myself, but would not do it. SIQ - Thought Killing Myself Not Do It
C151346 SIQ0121 SIQ01-Thought About Having Bad Accident Suicidal Ideation Questionnaire - I thought about having a bad accident. SIQ - Thought About Having Bad Accident
C151347 SIQ0122 SIQ01-Thought Life Was Not Worth Living Suicidal Ideation Questionnaire - I thought that life was not worth living. SIQ - Thought Life Was Not Worth Living
C151348 SIQ0123 SIQ01-My Life Was Too Rotten to Continue Suicidal Ideation Questionnaire - I thought that my life was too rotten to continue. SIQ - My Life Was Too Rotten to Continue
C151349 SIQ0124 SIQ01-Only Way Be Noticed Is Kill Myself Suicidal Ideation Questionnaire - I thought that the only way to be noticed is to kill myself. SIQ - Only Way Be Noticed Is Kill Myself
C151350 SIQ0125 SIQ01-People Realize Worth Caring About Suicidal Ideation Questionnaire - I thought that if I killed myself people would realize I was worth caring about. SIQ - People Realize Worth Caring About
C151351 SIQ0126 SIQ01-No One Cared If I Lived or Died Suicidal Ideation Questionnaire - I thought that no one cared if I lived or died. SIQ - No One Cared If I Lived or Died
C151352 SIQ0127 SIQ01-Hurting Myself but Not Kill Myself Suicidal Ideation Questionnaire - I thought about hurting myself but not really killing myself. SIQ - Hurting Myself but Not Kill Myself
C151353 SIQ0128 SIQ01-Wondered If Had Nerve Kill Myself Suicidal Ideation Questionnaire - I wondered if I had the nerve to kill myself. SIQ - Wondered If Had Nerve Kill Myself
C151354 SIQ0129 SIQ01-If Things Not Better I Kill Myself Suicidal Ideation Questionnaire - I thought that if things did not get better I would kill myself. SIQ - If Things Not Better I Kill Myself
C151355 SIQ0130 SIQ01-Wished I Had Right to Kill Myself Suicidal Ideation Questionnaire - I wished that I had the right to kill myself. SIQ - Wished I Had Right to Kill Myself
C151356 SIQ0131 SIQ01-TS Suicidal Ideation Questionnaire - TS (total raw score). SIQ - TS
C151357 SIQ0132 SIQ01-Total % Suicidal Ideation Questionnaire - Total standardization sample %. SIQ - Total %
C151358 SIQ0133 SIQ01-Specific %: Standard Sample 1 Suicidal Ideation Questionnaire - Specific standardization %: Sample 1. SIQ - Specific %: Standard Sample 1
C151359 SIQ0134 SIQ01-Specific %: Standard Sample 2 Suicidal Ideation Questionnaire - Specific standardization %: Sample 2. SIQ - Specific %: Standard Sample 2
C151360 SIQ0135 SIQ01-Specific %: Standard Sample 3 Suicidal Ideation Questionnaire - Specific standardization %: Sample 3. SIQ - Specific %: Standard Sample 3
C151361 SIQ0136 SIQ01-Critical Item 1 Suicidal Ideation Questionnaire - Critical item 1. SIQ - Critical Item 1
C151362 SIQ0137 SIQ01-Critical Item 2 Suicidal Ideation Questionnaire - Critical item 2. SIQ - Critical Item 2
C151363 SIQ0138 SIQ01-Critical Item 3 Suicidal Ideation Questionnaire - Critical item 3. SIQ - Critical Item 3
C151364 SIQ0139 SIQ01-Critical Item 4 Suicidal Ideation Questionnaire - Critical item 4. SIQ - Critical Item 4
C151365 SIQ0140 SIQ01-Critical Item 5 Suicidal Ideation Questionnaire - Critical item 5. SIQ - Critical Item 5
C151366 SIQ0141 SIQ01-Critical Item 6 Suicidal Ideation Questionnaire - Critical item 6. SIQ - Critical Item 6
C151367 SIQ0142 SIQ01-Critical Item 7 Suicidal Ideation Questionnaire - Critical item 7. SIQ - Critical Item 7
C151368 SIQ0143 SIQ01-Critical Item 8 Suicidal Ideation Questionnaire - Critical item 8. SIQ - Critical Item 8

SIQ01TN (Suicidal Ideation Questionnaire Test Name)

NCI Code: C150789, Codelist extensible: No
C150789 SIQ01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151361 SIQ01-Critical Item 1 SIQ01-Critical Item 1 Suicidal Ideation Questionnaire - Critical item 1. SIQ - Critical Item 1
C151362 SIQ01-Critical Item 2 SIQ01-Critical Item 2 Suicidal Ideation Questionnaire - Critical item 2. SIQ - Critical Item 2
C151363 SIQ01-Critical Item 3 SIQ01-Critical Item 3 Suicidal Ideation Questionnaire - Critical item 3. SIQ - Critical Item 3
C151364 SIQ01-Critical Item 4 SIQ01-Critical Item 4 Suicidal Ideation Questionnaire - Critical item 4. SIQ - Critical Item 4
C151365 SIQ01-Critical Item 5 SIQ01-Critical Item 5 Suicidal Ideation Questionnaire - Critical item 5. SIQ - Critical Item 5
C151366 SIQ01-Critical Item 6 SIQ01-Critical Item 6 Suicidal Ideation Questionnaire - Critical item 6. SIQ - Critical Item 6
C151367 SIQ01-Critical Item 7 SIQ01-Critical Item 7 Suicidal Ideation Questionnaire - Critical item 7. SIQ - Critical Item 7
C151368 SIQ01-Critical Item 8 SIQ01-Critical Item 8 Suicidal Ideation Questionnaire - Critical item 8. SIQ - Critical Item 8
C151338 SIQ01-How Easy It Would Be to End It All SIQ01-How Easy It Would Be to End It All Suicidal Ideation Questionnaire - I thought about how easy it would be to end it all. SIQ - How Easy It Would Be to End It All
C151336 SIQ01-How People Feel If I Killed Myself SIQ01-How People Feel If I Killed Myself Suicidal Ideation Questionnaire - I thought about how people would feel if I killed myself. SIQ - How People Feel If I Killed Myself
C151352 SIQ01-Hurting Myself but Not Kill Myself SIQ01-Hurting Myself but Not Kill Myself Suicidal Ideation Questionnaire - I thought about hurting myself but not really killing myself. SIQ - Hurting Myself but Not Kill Myself
C151331 SIQ01-I Thought About Death SIQ01-I Thought About Death Suicidal Ideation Questionnaire - I thought about death. SIQ - I Thought About Death
C151327 SIQ01-I Thought About Killing Myself SIQ01-I Thought About Killing Myself Suicidal Ideation Questionnaire - I thought about killing myself. SIQ - I Thought About Killing Myself
C151330 SIQ01-I Thought About People Dying SIQ01-I Thought About People Dying Suicidal Ideation Questionnaire - I thought about people dying. SIQ - I Thought About People Dying
C151333 SIQ01-I Thought About Writing a Will SIQ01-I Thought About Writing a Will Suicidal Ideation Questionnaire - I thought about writing a will. SIQ - I Thought About Writing a Will
C151328 SIQ01-I Thought How I Would Kill Myself SIQ01-I Thought How I Would Kill Myself Suicidal Ideation Questionnaire - I thought about how I would kill myself. SIQ - I Thought How I Would Kill Myself
C151329 SIQ01-I Thought When I Would Kill Myself SIQ01-I Thought When I Would Kill Myself Suicidal Ideation Questionnaire - I thought about when I would kill myself. SIQ - I Thought When I Would Kill Myself
C151337 SIQ01-I Wished I Were Dead SIQ01-I Wished I Were Dead Suicidal Ideation Questionnaire - I wished I were dead. SIQ - I Wished I Were Dead
C151343 SIQ01-If Had Chance I Would Kill Myself SIQ01-If Had Chance I Would Kill Myself Suicidal Ideation Questionnaire - I thought if I had the chance I would kill myself. SIQ - If Had Chance I Would Kill Myself
C151354 SIQ01-If Things Not Better I Kill Myself SIQ01-If Things Not Better I Kill Myself Suicidal Ideation Questionnaire - I thought that if things did not get better I would kill myself. SIQ - If Things Not Better I Kill Myself
C151339 SIQ01-Killing Myself Would Solve Problem SIQ01-Killing Myself Would Solve Problem Suicidal Ideation Questionnaire - I thought that killing myself would solve my problems. SIQ - Killing Myself Would Solve Problem
C151348 SIQ01-My Life Was Too Rotten to Continue SIQ01-My Life Was Too Rotten to Continue Suicidal Ideation Questionnaire - I thought that my life was too rotten to continue. SIQ - My Life Was Too Rotten to Continue
C151351 SIQ01-No One Cared If I Lived or Died SIQ01-No One Cared If I Lived or Died Suicidal Ideation Questionnaire - I thought that no one cared if I lived or died. SIQ - No One Cared If I Lived or Died
C151349 SIQ01-Only Way Be Noticed Is Kill Myself SIQ01-Only Way Be Noticed Is Kill Myself Suicidal Ideation Questionnaire - I thought that the only way to be noticed is to kill myself. SIQ - Only Way Be Noticed Is Kill Myself
C151340 SIQ01-Others Better Off If I Was Dead SIQ01-Others Better Off If I Was Dead Suicidal Ideation Questionnaire - I thought others would be better off if I was dead. SIQ - Others Better Off If I Was Dead
C151335 SIQ01-People Happier If Not Around SIQ01-People Happier If Not Around Suicidal Ideation Questionnaire - I thought that people would be happier if I were not around. SIQ - People Happier If Not Around
C151350 SIQ01-People Realize Worth Caring About SIQ01-People Realize Worth Caring About Suicidal Ideation Questionnaire - I thought that if I killed myself people would realize I was worth caring about. SIQ - People Realize Worth Caring About
C151358 SIQ01-Specific %: Standard Sample 1 SIQ01-Specific %: Standard Sample 1 Suicidal Ideation Questionnaire - Specific standardization %: Sample 1. SIQ - Specific %: Standard Sample 1
C151359 SIQ01-Specific %: Standard Sample 2 SIQ01-Specific %: Standard Sample 2 Suicidal Ideation Questionnaire - Specific standardization %: Sample 2. SIQ - Specific %: Standard Sample 2
C151360 SIQ01-Specific %: Standard Sample 3 SIQ01-Specific %: Standard Sample 3 Suicidal Ideation Questionnaire - Specific standardization %: Sample 3. SIQ - Specific %: Standard Sample 3
C151334 SIQ01-Tell People I Plan to Kill Myself SIQ01-Tell People I Plan to Kill Myself Suicidal Ideation Questionnaire - I thought about telling people I plan to kill myself. SIQ - Tell People I Plan to Kill Myself
C151346 SIQ01-Thought About Having Bad Accident SIQ01-Thought About Having Bad Accident Suicidal Ideation Questionnaire - I thought about having a bad accident. SIQ - Thought About Having Bad Accident
C151345 SIQ01-Thought Killing Myself Not Do It SIQ01-Thought Killing Myself Not Do It Suicidal Ideation Questionnaire - I thought about killing myself, but would not do it. SIQ - Thought Killing Myself Not Do It
C151347 SIQ01-Thought Life Was Not Worth Living SIQ01-Thought Life Was Not Worth Living Suicidal Ideation Questionnaire - I thought that life was not worth living. SIQ - Thought Life Was Not Worth Living
C151344 SIQ01-Thought Way People Kill Themselves SIQ01-Thought Way People Kill Themselves Suicidal Ideation Questionnaire - I thought about ways people kill themselves. SIQ - Thought Way People Kill Themselves
C151357 SIQ01-Total % SIQ01-Total % Suicidal Ideation Questionnaire - Total standardization sample %. SIQ - Total %
C151356 SIQ01-TS SIQ01-TS Suicidal Ideation Questionnaire - TS (total raw score). SIQ - TS
C151332 SIQ01-What to Write in a Suicide Note SIQ01-What to Write in a Suicide Note Suicidal Ideation Questionnaire - I thought about what to write in a suicide note. SIQ - What to Write in a Suicide Note
C151342 SIQ01-Wished I Had Never Been Born SIQ01-Wished I Had Never Been Born Suicidal Ideation Questionnaire - I wished that I had never been born. SIQ - Wished I Had Never Been Born
C151355 SIQ01-Wished I Had Right to Kill Myself SIQ01-Wished I Had Right to Kill Myself Suicidal Ideation Questionnaire - I wished that I had the right to kill myself. SIQ - Wished I Had Right to Kill Myself
C151341 SIQ01-Wished I Had the Nerve Kill Myself SIQ01-Wished I Had the Nerve Kill Myself Suicidal Ideation Questionnaire - I wished I had the nerve to kill myself. SIQ - Wished I Had the Nerve Kill Myself
C151353 SIQ01-Wondered If Had Nerve Kill Myself SIQ01-Wondered If Had Nerve Kill Myself Suicidal Ideation Questionnaire - I wondered if I had the nerve to kill myself. SIQ - Wondered If Had Nerve Kill Myself
C151326 SIQ01-Would Be Better If I Was Not Alive SIQ01-Would Be Better If I Was Not Alive Suicidal Ideation Questionnaire - I thought it would be better if I was not alive. SIQ - Would Be Better If I Was Not Alive

SIQ02TC (Suicidal Ideation Questionnaire-JR Questionnaire Test Code)

NCI Code: C150792, Codelist extensible: No
C150792 SIQ02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151369 SIQ0201 SIQ02-Would Be Better If I Was Not Alive Suicidal Ideation Questionnaire-JR - I thought it would be better if I was not live. SIQ-JR - Would Be Better If I Was Not Alive
C151370 SIQ0202 SIQ02-I Thought About Killing Myself Suicidal Ideation Questionnaire-JR - I thought about killing myself. SIQ-JR - I Thought About Killing Myself
C151371 SIQ0203 SIQ02-I Thought How I Would Kill Myself Suicidal Ideation Questionnaire-JR - I thought about how I would kill myself. SIQ-JR - I Thought How I Would Kill Myself
C151372 SIQ0204 SIQ02-I Thought When I Would Kill Myself Suicidal Ideation Questionnaire-JR - I thought about when I would kill myself. SIQ-JR - I Thought When I Would Kill Myself
C151373 SIQ0205 SIQ02-I Thought About People Dying Suicidal Ideation Questionnaire-JR - I thought about people dying. SIQ-JR - I Thought About People Dying
C151374 SIQ0206 SIQ02-I Thought About Death Suicidal Ideation Questionnaire-JR - I thought about death. SIQ-JR - I Thought About Death
C151375 SIQ0207 SIQ02-What to Write in a Suicide Note Suicidal Ideation Questionnaire-JR - I thought about what to write in a suicide note. SIQ-JR - What to Write in a Suicide Note
C151376 SIQ0208 SIQ02-I Thought About Writing a Will Suicidal Ideation Questionnaire-JR - I thought about writing a will. SIQ-JR - I Thought About Writing a Will
C151377 SIQ0209 SIQ02-Tell People I Plan to Kill Myself Suicidal Ideation Questionnaire-JR - I thought about telling people I plan to kill myself. SIQ-JR - Tell People I Plan to Kill Myself
C151378 SIQ0210 SIQ02-How People Feel If I Killed Myself Suicidal Ideation Questionnaire-JR - I thought about how people would feel if I killed myself. SIQ-JR - How People Feel If I Killed Myself
C151379 SIQ0211 SIQ02-I Wished I Were Dead Suicidal Ideation Questionnaire-JR - I wished I were dead. SIQ-JR - I Wished I Were Dead
C151380 SIQ0212 SIQ02-Killing Myself Would Solve Problem Suicidal Ideation Questionnaire-JR - I thought that killing myself would solve my problems. SIQ-JR - Killing Myself Would Solve Problem
C151381 SIQ0213 SIQ02-Others Be Happier If I Was Dead Suicidal Ideation Questionnaire-JR - I thought that others would be happier if I was dead. SIQ-JR - Others Be Happier If I Was Dead
C151382 SIQ0214 SIQ02-Wished I Had Never Been Born Suicidal Ideation Questionnaire-JR - I wished that I had never been born. SIQ-JR - Wished I Had Never Been Born
C151383 SIQ0215 SIQ02-No One Cared If I Lived or Died Suicidal Ideation Questionnaire-JR - I thought that no one cared if I lived or died. SIQ-JR - No One Cared If I Lived or Died
C151384 SIQ0216 SIQ02-TS Suicidal Ideation Questionnaire-JR - TS (total raw score). SIQ-JR - TS
C151385 SIQ0217 SIQ02-Total % Suicidal Ideation Questionnaire-JR - Total standardization sample %. SIQ-JR - Total %
C151386 SIQ0218 SIQ02-Specific %: Standard Sample 1 Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 1. SIQ-JR - Specific %: Standard Sample 1
C151387 SIQ0219 SIQ02-Specific %: Standard Sample 2 Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 2. SIQ-JR - Specific %: Standard Sample 2
C151388 SIQ0220 SIQ02-Specific %: Standard Sample 3 Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 3. SIQ-JR - Specific %: Standard Sample 3
C151389 SIQ0221 SIQ02-Critical Item 1 Suicidal Ideation Questionnaire-JR - Critical item 1. SIQ-JR - Critical Item 1
C151390 SIQ0222 SIQ02-Critical Item 2 Suicidal Ideation Questionnaire-JR - Critical item 2. SIQ-JR - Critical Item 2
C151391 SIQ0223 SIQ02-Critical Item 3 Suicidal Ideation Questionnaire-JR - Critical item 3. SIQ-JR - Critical Item 3
C151392 SIQ0224 SIQ02-Critical Item 4 Suicidal Ideation Questionnaire-JR - Critical item 4. SIQ-JR - Critical Item 4
C151393 SIQ0225 SIQ02-Critical Item 5 Suicidal Ideation Questionnaire-JR - Critical item 5. SIQ-JR - Critical Item 5
C151394 SIQ0226 SIQ02-Critical Item 6 Suicidal Ideation Questionnaire-JR - Critical item 6. SIQ-JR - Critical Item 6

SIQ02TN (Suicidal Ideation Questionnaire-JR Questionnaire Test Name)

NCI Code: C150791, Codelist extensible: No
C150791 SIQ02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151389 SIQ02-Critical Item 1 SIQ02-Critical Item 1 Suicidal Ideation Questionnaire-JR - Critical item 1. SIQ-JR - Critical Item 1
C151390 SIQ02-Critical Item 2 SIQ02-Critical Item 2 Suicidal Ideation Questionnaire-JR - Critical item 2. SIQ-JR - Critical Item 2
C151391 SIQ02-Critical Item 3 SIQ02-Critical Item 3 Suicidal Ideation Questionnaire-JR - Critical item 3. SIQ-JR - Critical Item 3
C151392 SIQ02-Critical Item 4 SIQ02-Critical Item 4 Suicidal Ideation Questionnaire-JR - Critical item 4. SIQ-JR - Critical Item 4
C151393 SIQ02-Critical Item 5 SIQ02-Critical Item 5 Suicidal Ideation Questionnaire-JR - Critical item 5. SIQ-JR - Critical Item 5
C151394 SIQ02-Critical Item 6 SIQ02-Critical Item 6 Suicidal Ideation Questionnaire-JR - Critical item 6. SIQ-JR - Critical Item 6
C151378 SIQ02-How People Feel If I Killed Myself SIQ02-How People Feel If I Killed Myself Suicidal Ideation Questionnaire-JR - I thought about how people would feel if I killed myself. SIQ-JR - How People Feel If I Killed Myself
C151374 SIQ02-I Thought About Death SIQ02-I Thought About Death Suicidal Ideation Questionnaire-JR - I thought about death. SIQ-JR - I Thought About Death
C151370 SIQ02-I Thought About Killing Myself SIQ02-I Thought About Killing Myself Suicidal Ideation Questionnaire-JR - I thought about killing myself. SIQ-JR - I Thought About Killing Myself
C151373 SIQ02-I Thought About People Dying SIQ02-I Thought About People Dying Suicidal Ideation Questionnaire-JR - I thought about people dying. SIQ-JR - I Thought About People Dying
C151376 SIQ02-I Thought About Writing a Will SIQ02-I Thought About Writing a Will Suicidal Ideation Questionnaire-JR - I thought about writing a will. SIQ-JR - I Thought About Writing a Will
C151371 SIQ02-I Thought How I Would Kill Myself SIQ02-I Thought How I Would Kill Myself Suicidal Ideation Questionnaire-JR - I thought about how I would kill myself. SIQ-JR - I Thought How I Would Kill Myself
C151372 SIQ02-I Thought When I Would Kill Myself SIQ02-I Thought When I Would Kill Myself Suicidal Ideation Questionnaire-JR - I thought about when I would kill myself. SIQ-JR - I Thought When I Would Kill Myself
C151379 SIQ02-I Wished I Were Dead SIQ02-I Wished I Were Dead Suicidal Ideation Questionnaire-JR - I wished I were dead. SIQ-JR - I Wished I Were Dead
C151380 SIQ02-Killing Myself Would Solve Problem SIQ02-Killing Myself Would Solve Problem Suicidal Ideation Questionnaire-JR - I thought that killing myself would solve my problems. SIQ-JR - Killing Myself Would Solve Problem
C151383 SIQ02-No One Cared If I Lived or Died SIQ02-No One Cared If I Lived or Died Suicidal Ideation Questionnaire-JR - I thought that no one cared if I lived or died. SIQ-JR - No One Cared If I Lived or Died
C151381 SIQ02-Others Be Happier If I Was Dead SIQ02-Others Be Happier If I Was Dead Suicidal Ideation Questionnaire-JR - I thought that others would be happier if I was dead. SIQ-JR - Others Be Happier If I Was Dead
C151386 SIQ02-Specific %: Standard Sample 1 SIQ02-Specific %: Standard Sample 1 Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 1. SIQ-JR - Specific %: Standard Sample 1
C151387 SIQ02-Specific %: Standard Sample 2 SIQ02-Specific %: Standard Sample 2 Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 2. SIQ-JR - Specific %: Standard Sample 2
C151388 SIQ02-Specific %: Standard Sample 3 SIQ02-Specific %: Standard Sample 3 Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 3. SIQ-JR - Specific %: Standard Sample 3
C151377 SIQ02-Tell People I Plan to Kill Myself SIQ02-Tell People I Plan to Kill Myself Suicidal Ideation Questionnaire-JR - I thought about telling people I plan to kill myself. SIQ-JR - Tell People I Plan to Kill Myself
C151385 SIQ02-Total % SIQ02-Total % Suicidal Ideation Questionnaire-JR - Total standardization sample %. SIQ-JR - Total %
C151384 SIQ02-TS SIQ02-TS Suicidal Ideation Questionnaire-JR - TS (total raw score). SIQ-JR - TS
C151375 SIQ02-What to Write in a Suicide Note SIQ02-What to Write in a Suicide Note Suicidal Ideation Questionnaire-JR - I thought about what to write in a suicide note. SIQ-JR - What to Write in a Suicide Note
C151382 SIQ02-Wished I Had Never Been Born SIQ02-Wished I Had Never Been Born Suicidal Ideation Questionnaire-JR - I wished that I had never been born. SIQ-JR - Wished I Had Never Been Born
C151369 SIQ02-Would Be Better If I Was Not Alive SIQ02-Would Be Better If I Was Not Alive Suicidal Ideation Questionnaire-JR - I thought it would be better if I was not live. SIQ-JR - Would Be Better If I Was Not Alive

SIQR01TC (Symptom Impact Questionnaire Questionnaire Test Code)

NCI Code: C103485, Codelist extensible: No
C103485 SIQR01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103730 SIQR0101 SIQR01-Brush or Comb Your Hair Symptom Impact Questionnaire - Brush or comb your hair. SIQR - Brush or Comb Your Hair
C103731 SIQR0102 SIQR01-Walk Continuously for 20 Minutes Symptom Impact Questionnaire - Walk continuously for 20 minutes. SIQR - Walk Continuously for 20 Minutes
C103732 SIQR0103 SIQR01-Prepare a Homemade Meal Symptom Impact Questionnaire - Prepare a homemade meal. SIQR - Prepare a Homemade Meal
C103733 SIQR0104 SIQR01-Vacuum Scrub or Sweep Floors Symptom Impact Questionnaire - Vacuum, scrub or sweep floors. SIQR - Vacuum Scrub or Sweep Floors
C103734 SIQR0105 SIQR01-Lift/Carry Bag Full of Groceries Symptom Impact Questionnaire - Lift and carry a bag full of groceries. SIQR - Lift and Carry a Bag Full of Groceries
C103735 SIQR0106 SIQR01-Climb One Flight of Stairs Symptom Impact Questionnaire - Climb one flight of stairs. SIQR - Climb One Flight of Stairs
C103736 SIQR0107 SIQR01-Change Bed Sheets Symptom Impact Questionnaire - Change bed sheets. SIQR - Change Bed Sheets
C103737 SIQR0108 SIQR01-Sit in a Chair for 45 Minutes Symptom Impact Questionnaire - Sit in a chair for 45 minutes. SIQR - Sit in a Chair for 45 Minutes
C103738 SIQR0109 SIQR01-Go Shopping for Groceries Symptom Impact Questionnaire - Go shopping for groceries. SIQR - Go Shopping for Groceries
C103739 SIQR0110 SIQR01-Prevent from Accomplishing Goals Symptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week. SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
C103740 SIQR0111 SIQR01-Overwhelmed by Medical Problems Symptom Impact Questionnaire - I was completely overwhelmed by my medical problems. SIQR - I was Completely Overwhelmed by My Medical Problem
C103741 SIQR0112 SIQR01-Pain Symptom Impact Questionnaire - Please rate your level of pain. SIQR - Pain
C103742 SIQR0113 SIQR01-Energy Symptom Impact Questionnaire - Please rate your level of energy. SIQR - Energy
C103743 SIQR0114 SIQR01-Stiffness Symptom Impact Questionnaire - Please rate your level of stiffness. SIQR - Stiffness
C103744 SIQR0115 SIQR01-Your Sleep Symptom Impact Questionnaire - Please rate the quality of your sleep. SIQR - Your Sleep
C103745 SIQR0116 SIQR01-Depression Symptom Impact Questionnaire - Please rate your level of depression. SIQR - Depression
C103746 SIQR0117 SIQR01-Memory Problems Symptom Impact Questionnaire - Please rate your level of memory problems. SIQR - Memory Problems
C103747 SIQR0118 SIQR01-Anxiety Symptom Impact Questionnaire - Please rate your level of anxiety. SIQR - Anxiety
C103748 SIQR0119 SIQR01-Tenderness to Touch Symptom Impact Questionnaire - Please rate your level of tenderness to touch. SIQR - Tenderness to Touch
C103749 SIQR0120 SIQR01-Balance Problems Symptom Impact Questionnaire - Please rate your level of balance problems. SIQR - Balance Problems
C103750 SIQR0121 SIQR01-Sensitivity Noise/Light/Odor/Cold Symptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold

SIQR01TN (Symptom Impact Questionnaire Questionnaire Test Name)

NCI Code: C103484, Codelist extensible: No
C103484 SIQR01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103747 SIQR01-Anxiety SIQR01-Anxiety Symptom Impact Questionnaire - Please rate your level of anxiety. SIQR - Anxiety
C103749 SIQR01-Balance Problems SIQR01-Balance Problems Symptom Impact Questionnaire - Please rate your level of balance problems. SIQR - Balance Problems
C103730 SIQR01-Brush or Comb Your Hair SIQR01-Brush or Comb Your Hair Symptom Impact Questionnaire - Brush or comb your hair. SIQR - Brush or Comb Your Hair
C103736 SIQR01-Change Bed Sheets SIQR01-Change Bed Sheets Symptom Impact Questionnaire - Change bed sheets. SIQR - Change Bed Sheets
C103735 SIQR01-Climb One Flight of Stairs SIQR01-Climb One Flight of Stairs Symptom Impact Questionnaire - Climb one flight of stairs. SIQR - Climb One Flight of Stairs
C103745 SIQR01-Depression SIQR01-Depression Symptom Impact Questionnaire - Please rate your level of depression. SIQR - Depression
C103742 SIQR01-Energy SIQR01-Energy Symptom Impact Questionnaire - Please rate your level of energy. SIQR - Energy
C103738 SIQR01-Go Shopping for Groceries SIQR01-Go Shopping for Groceries Symptom Impact Questionnaire - Go shopping for groceries. SIQR - Go Shopping for Groceries
C103734 SIQR01-Lift/Carry Bag Full of Groceries SIQR01-Lift/Carry Bag Full of Groceries Symptom Impact Questionnaire - Lift and carry a bag full of groceries. SIQR - Lift and Carry a Bag Full of Groceries
C103746 SIQR01-Memory Problems SIQR01-Memory Problems Symptom Impact Questionnaire - Please rate your level of memory problems. SIQR - Memory Problems
C103740 SIQR01-Overwhelmed by Medical Problems SIQR01-Overwhelmed by Medical Problems Symptom Impact Questionnaire - I was completely overwhelmed by my medical problems. SIQR - I was Completely Overwhelmed by My Medical Problem
C103741 SIQR01-Pain SIQR01-Pain Symptom Impact Questionnaire - Please rate your level of pain. SIQR - Pain
C103732 SIQR01-Prepare a Homemade Meal SIQR01-Prepare a Homemade Meal Symptom Impact Questionnaire - Prepare a homemade meal. SIQR - Prepare a Homemade Meal
C103739 SIQR01-Prevent from Accomplishing Goals SIQR01-Prevent from Accomplishing Goals Symptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week. SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
C103750 SIQR01-Sensitivity Noise/Light/Odor/Cold SIQR01-Sensitivity Noise/Light/Odor/Cold Symptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
C103737 SIQR01-Sit in a Chair for 45 Minutes SIQR01-Sit in a Chair for 45 Minutes Symptom Impact Questionnaire - Sit in a chair for 45 minutes. SIQR - Sit in a Chair for 45 Minutes
C103743 SIQR01-Stiffness SIQR01-Stiffness Symptom Impact Questionnaire - Please rate your level of stiffness. SIQR - Stiffness
C103748 SIQR01-Tenderness to Touch SIQR01-Tenderness to Touch Symptom Impact Questionnaire - Please rate your level of tenderness to touch. SIQR - Tenderness to Touch
C103733 SIQR01-Vacuum Scrub or Sweep Floors SIQR01-Vacuum Scrub or Sweep Floors Symptom Impact Questionnaire - Vacuum, scrub or sweep floors. SIQR - Vacuum Scrub or Sweep Floors
C103731 SIQR01-Walk Continuously for 20 Minutes SIQR01-Walk Continuously for 20 Minutes Symptom Impact Questionnaire - Walk continuously for 20 minutes. SIQR - Walk Continuously for 20 Minutes
C103744 SIQR01-Your Sleep SIQR01-Your Sleep Symptom Impact Questionnaire - Please rate the quality of your sleep. SIQR - Your Sleep

SIXMW1TC (6 Minute Walk Functional Test Test Code)

NCI Code: C115388, Codelist extensible: No
C115388 SIXMW1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115800 SIXMW101 SIXMW1-Distance at 1 Minute 6 Minute Walk Test - Distance at 1 minute. 6MWT - Distance at 1 Minute
C115801 SIXMW102 SIXMW1-Distance at 2 Minutes 6 Minute Walk Test - Distance at 2 minutes. 6MWT - Distance at 2 Minutes
C115802 SIXMW103 SIXMW1-Distance at 3 Minutes 6 Minute Walk Test - Distance at 3 minutes. 6MWT - Distance at 3 Minutes
C115803 SIXMW104 SIXMW1-Distance at 4 Minutes 6 Minute Walk Test - Distance at 4 minutes. 6MWT - Distance at 4 Minutes
C115804 SIXMW105 SIXMW1-Distance at 5 Minutes 6 Minute Walk Test - Distance at 5 minutes. 6MWT - Distance at 5 Minutes
C115805 SIXMW106 SIXMW1-Distance at 6 Minutes 6 Minute Walk Test - Distance at 6 minutes. 6MWT - Distance at 6 Minutes

SIXMW1TN (6 Minute Walk Functional Test Test Name)

NCI Code: C115387, Codelist extensible: No
C115387 SIXMW1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115800 SIXMW1-Distance at 1 Minute SIXMW1-Distance at 1 Minute 6 Minute Walk Test - Distance at 1 minute. 6MWT - Distance at 1 Minute
C115801 SIXMW1-Distance at 2 Minutes SIXMW1-Distance at 2 Minutes 6 Minute Walk Test - Distance at 2 minutes. 6MWT - Distance at 2 Minutes
C115802 SIXMW1-Distance at 3 Minutes SIXMW1-Distance at 3 Minutes 6 Minute Walk Test - Distance at 3 minutes. 6MWT - Distance at 3 Minutes
C115803 SIXMW1-Distance at 4 Minutes SIXMW1-Distance at 4 Minutes 6 Minute Walk Test - Distance at 4 minutes. 6MWT - Distance at 4 Minutes
C115804 SIXMW1-Distance at 5 Minutes SIXMW1-Distance at 5 Minutes 6 Minute Walk Test - Distance at 5 minutes. 6MWT - Distance at 5 Minutes
C115805 SIXMW1-Distance at 6 Minutes SIXMW1-Distance at 6 Minutes 6 Minute Walk Test - Distance at 6 minutes. 6MWT - Distance at 6 Minutes

SMDDS1TC (Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Code)

NCI Code: C154457, Codelist extensible: No
C154457 SMDDS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155629 SMDDS101 SMDDS1-How Sad Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how sad have you felt? SMDDS Version 1.0 - How Sad Have You Felt
C155630 SMDDS102 SMDDS1-How Hopeless Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how hopeless have you felt? SMDDS Version 1.0 - How Hopeless Have You Felt
C155631 SMDDS103 SMDDS1-How Irritable Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how irritable have you felt? SMDDS Version 1.0 - How Irritable Have You Felt
C155632 SMDDS104 SMDDS1-How Overwhelmed Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how overwhelmed have you felt? SMDDS Version 1.0 - How Overwhelmed Have You Felt
C155633 SMDDS105 SMDDS1-How Worried Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how worried have you felt? SMDDS Version 1.0 - How Worried Have You Felt
C155634 SMDDS106 SMDDS1-How Tired Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how tired have you felt? SMDDS Version 1.0 - How Tired Have You Felt
C155635 SMDDS107 SMDDS1-How Difficult Stop Think Problems Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to stop thinking about your problems? SMDDS Version 1.0 - How Difficult Stop Think Problems
C155636 SMDDS108 SMDDS1-How Difficult to Concentrate Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to concentrate? SMDDS Version 1.0 - How Difficult to Concentrate
C155637 SMDDS109 SMDDS1-How Difficult to Enjoy Daily Life Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to enjoy your daily life? SMDDS Version 1.0 - How Difficult to Enjoy Daily Life
C155638 SMDDS110 SMDDS1-How Often Problem With Sleep Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a problem with your sleep (falling asleep, staying asleep, or sleeping too much)? SMDDS Version 1.0 - How Often Problem With Sleep
C155639 SMDDS111 SMDDS1-How Often Have Poor Appetite Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a poor appetite? SMDDS Version 1.0 - How Often Have Poor Appetite
C155640 SMDDS112 SMDDS1-How Often Did You Over Eat Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you over eat? SMDDS Version 1.0 - How Often Did You Over Eat
C155641 SMDDS113 SMDDS1-How Much Push Yourself Do Things Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you have to push yourself to do things? SMDDS Version 1.0 - How Much Push Yourself Do Things
C155642 SMDDS114 SMDDS1-How Much Feel Like Doing Nothing Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel like doing nothing? SMDDS Version 1.0 - How Much Feel Like Doing Nothing
C155643 SMDDS115 SMDDS1-How Much Blame Yourself Bad Thing Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you blame yourself when bad things happened? SMDDS Version 1.0 - How Much Blame Yourself Bad Thing
C155644 SMDDS116 SMDDS1-How Much Feel Not Worth Living Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel that life is not worth living? SMDDS Version 1.0 - How Much Feel Not Worth Living
C176211 SMDDS117 SMDDS1-Negative Emotions/Mood Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Negative emotions/mood subscore. SMDDS Version 1.0 - Negative Emotions/Mood Subscore
C176212 SMDDS118 SMDDS1-Anxiety Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Anxiety subscore. SMDDS Version 1.0 - Anxiety Subscore
C176213 SMDDS119 SMDDDS1-Low Energy Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Low energy subscore. SMDDS Version 1.0 - SMDDDS1-Low Energy Subscore
C176214 SMDDS120 SMDDS1-Cognition Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Cognition subscore. SMDDS Version 1.0 - Cognition Subscore
C176215 SMDDS121 SMDDS1-Sleep Disturbances Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Sleep disturbances subscore. SMDDS Version 1.0 - Sleep Disturbances Subscore
C176216 SMDDS122 SMDDS1-Eating Behavior Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Eating behavior subscore. SMDDS Version 1.0 - Eating Behavior Subscore
C176217 SMDDS123 SMDDS1-Low Motivation Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Low motivation subscore. SMDDS Version 1.0 - Low Motivation Subscore
C176218 SMDDS124 SMDDS1-Sense of Self Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Sense of self subscore. SMDDS Version 1.0 - Sense of Self Subscore
C176219 SMDDS125 SMDDS1-Self-Harm/Suicide Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Self-harm/suicide subscore. SMDDS Version 1.0 - Self-Harm/Suicide Subscore
C155645 SMDDS126 SMDDS1-Total Score Symptoms of Major Depressive Disorder Scale v1.0 - Total score. SMDDS Version 1.0 - Total Score

SMDDS1TN (Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Name)

NCI Code: C154456, Codelist extensible: No
C154456 SMDDS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C176213 SMDDDS1-Low Energy Subscore SMDDDS1-Low Energy Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Low energy subscore. SMDDS Version 1.0 - SMDDDS1-Low Energy Subscore
C176212 SMDDS1-Anxiety Subscore SMDDS1-Anxiety Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Anxiety subscore. SMDDS Version 1.0 - Anxiety Subscore
C176214 SMDDS1-Cognition Subscore SMDDS1-Cognition Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Cognition subscore. SMDDS Version 1.0 - Cognition Subscore
C176216 SMDDS1-Eating Behavior Subscore SMDDS1-Eating Behavior Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Eating behavior subscore. SMDDS Version 1.0 - Eating Behavior Subscore
C155635 SMDDS1-How Difficult Stop Think Problems SMDDS1-How Difficult Stop Think Problems Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to stop thinking about your problems? SMDDS Version 1.0 - How Difficult Stop Think Problems
C155636 SMDDS1-How Difficult to Concentrate SMDDS1-How Difficult to Concentrate Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to concentrate? SMDDS Version 1.0 - How Difficult to Concentrate
C155637 SMDDS1-How Difficult to Enjoy Daily Life SMDDS1-How Difficult to Enjoy Daily Life Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to enjoy your daily life? SMDDS Version 1.0 - How Difficult to Enjoy Daily Life
C155630 SMDDS1-How Hopeless Have You Felt SMDDS1-How Hopeless Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how hopeless have you felt? SMDDS Version 1.0 - How Hopeless Have You Felt
C155631 SMDDS1-How Irritable Have You Felt SMDDS1-How Irritable Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how irritable have you felt? SMDDS Version 1.0 - How Irritable Have You Felt
C155643 SMDDS1-How Much Blame Yourself Bad Thing SMDDS1-How Much Blame Yourself Bad Thing Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you blame yourself when bad things happened? SMDDS Version 1.0 - How Much Blame Yourself Bad Thing
C155642 SMDDS1-How Much Feel Like Doing Nothing SMDDS1-How Much Feel Like Doing Nothing Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel like doing nothing? SMDDS Version 1.0 - How Much Feel Like Doing Nothing
C155644 SMDDS1-How Much Feel Not Worth Living SMDDS1-How Much Feel Not Worth Living Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel that life is not worth living? SMDDS Version 1.0 - How Much Feel Not Worth Living
C155641 SMDDS1-How Much Push Yourself Do Things SMDDS1-How Much Push Yourself Do Things Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you have to push yourself to do things? SMDDS Version 1.0 - How Much Push Yourself Do Things
C155640 SMDDS1-How Often Did You Over Eat SMDDS1-How Often Did You Over Eat Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you over eat? SMDDS Version 1.0 - How Often Did You Over Eat
C155639 SMDDS1-How Often Have Poor Appetite SMDDS1-How Often Have Poor Appetite Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a poor appetite? SMDDS Version 1.0 - How Often Have Poor Appetite
C155638 SMDDS1-How Often Problem With Sleep SMDDS1-How Often Problem With Sleep Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a problem with your sleep (falling asleep, staying asleep, or sleeping too much)? SMDDS Version 1.0 - How Often Problem With Sleep
C155632 SMDDS1-How Overwhelmed Have You Felt SMDDS1-How Overwhelmed Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how overwhelmed have you felt? SMDDS Version 1.0 - How Overwhelmed Have You Felt
C155629 SMDDS1-How Sad Have You Felt SMDDS1-How Sad Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how sad have you felt? SMDDS Version 1.0 - How Sad Have You Felt
C155634 SMDDS1-How Tired Have You Felt SMDDS1-How Tired Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how tired have you felt? SMDDS Version 1.0 - How Tired Have You Felt
C155633 SMDDS1-How Worried Have You Felt SMDDS1-How Worried Have You Felt Symptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how worried have you felt? SMDDS Version 1.0 - How Worried Have You Felt
C176217 SMDDS1-Low Motivation Subscore SMDDS1-Low Motivation Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Low motivation subscore. SMDDS Version 1.0 - Low Motivation Subscore
C176211 SMDDS1-Negative Emotions/Mood Subscore SMDDS1-Negative Emotions/Mood Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Negative emotions/mood subscore. SMDDS Version 1.0 - Negative Emotions/Mood Subscore
C176219 SMDDS1-Self-Harm/Suicide Subscore SMDDS1-Self-Harm/Suicide Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Self-harm/suicide subscore. SMDDS Version 1.0 - Self-Harm/Suicide Subscore
C176218 SMDDS1-Sense of Self Subscore SMDDS1-Sense of Self Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Sense of self subscore. SMDDS Version 1.0 - Sense of Self Subscore
C176215 SMDDS1-Sleep Disturbances Subscore SMDDS1-Sleep Disturbances Subscore Symptoms of Major Depressive Disorder Scale v1.0 - Sleep disturbances subscore. SMDDS Version 1.0 - Sleep Disturbances Subscore
C155645 SMDDS1-Total Score SMDDS1-Total Score Symptoms of Major Depressive Disorder Scale v1.0 - Total score. SMDDS Version 1.0 - Total Score

SOAPR1TC (Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Code)

NCI Code: C100160, Codelist extensible: No
C100160 SOAPR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100870 SOAPR101 SOAPR1-How Often Mood Swings Screener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings? SOAPP-R - How Often Mood Swings
C100871 SOAPR102 SOAPR1-Need Higher Doses of Medication Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain? SOAPP-R - Need Higher Doses of Medication
C100872 SOAPR103 SOAPR1-Felt Impatient With Doctors Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors? SOAPP-R - Felt Impatient With Doctors
C100873 SOAPR104 SOAPR1-Felt That Things Are Overwhelming Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them? SOAPP-R - Felt That Things Are Overwhelming
C100874 SOAPR105 SOAPR1-How Often Tension at Home Screener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home? SOAPP-R - How Often Tension at Home
C100875 SOAPR106 SOAPR1-How Often Counted Pain Pills Screener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining? SOAPP-R - How Often Counted Pain Pills
C100876 SOAPR107 SOAPR1-Concerned People Will Judge You Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication? SOAPP-R - Concerned People Will Judge You
C100877 SOAPR108 SOAPR1-How Often Feel Bored Screener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored? SOAPP-R - How Often Feel Bored
C100878 SOAPR109 SOAPR1-How Often Taken More Pain Med Screener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to? SOAPP-R - How Often Taken More Pain Medication
C100879 SOAPR110 SOAPR1-Worried About Being Left Alone Screener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone? SOAPP-R - Worried About Being Left Alone
C100880 SOAPR111 SOAPR1-Felt Craving for Medication Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication? SOAPP-R - Felt Craving for Medication
C100881 SOAPR112 SOAPR1-Expressed Concern Over Med Use Screener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication? SOAPP-R - Others Expressed Concern Over Medication Use
C100882 SOAPR113 SOAPR1-How Often Friends Had Problem Screener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs? SOAPP-R - How Often Friends Had Problem
C100883 SOAPR114 SOAPR1-Others Told You Bad Temper Screener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper? SOAPP-R - Others Told You Bad Temper
C100884 SOAPR115 SOAPR1-Felt Consumed to Get Pain Med Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication? SOAPP-R - Felt Consumed to Get Pain Medication
C100885 SOAPR116 SOAPR1-Run Out of Pain Med Early Screener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early? SOAPP-R - Run Out of Pain Medication Early
C100886 SOAPR117 SOAPR1-Kept From What You Deserve Screener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve? SOAPP-R - Others Kept You From what You Deserve
C100887 SOAPR118 SOAPR1-Legal Problems or Arrested Screener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested? SOAPP-R - Legal Problems or Arrested
C100888 SOAPR119 SOAPR1-Attended AA or NA Meeting Screener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting? SOAPP-R - Attended AA or NA Meeting
C100889 SOAPR120 SOAPR1-Argument Someone Got Hurt Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt? SOAPP-R - Argument Where Someone Got Hurt
C100890 SOAPR121 SOAPR1-How Often Sexually Abused Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused? SOAPP-R - How Often Sexually Abused
C100891 SOAPR122 SOAPR1-Suggested Drug or Alcohol Problem Screener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem? SOAPP-R - Others Suggested Drug or Alcohol Problem
C100892 SOAPR123 SOAPR1-How Often Borrowed Pain Meds Screener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends? SOAPP-R - How Often Borrowed Pain Medication
C100893 SOAPR124 SOAPR1-Treated for Alcohol or Drug Prob Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem? SOAPP-R - Treated for Alcohol or Drug Problem
C100894 SOAPR125 SOAPR1-Any Additional Information Screener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers. SOAPP-R - Any Additional Information
C100895 SOAPR126 SOAPR1-Score Screener and Opioid Assessment for Patients with Pain - Revised - Score. SOAPP-R - Score

SOAPR1TN (Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Name)

NCI Code: C100159, Codelist extensible: No
C100159 SOAPR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100894 SOAPR1-Any Additional Information SOAPR1-Any Additional Information Screener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers. SOAPP-R - Any Additional Information
C100889 SOAPR1-Argument Someone Got Hurt SOAPR1-Argument Someone Got Hurt Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt? SOAPP-R - Argument Where Someone Got Hurt
C100888 SOAPR1-Attended AA or NA Meeting SOAPR1-Attended AA or NA Meeting Screener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting? SOAPP-R - Attended AA or NA Meeting
C100876 SOAPR1-Concerned People Will Judge You SOAPR1-Concerned People Will Judge You Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication? SOAPP-R - Concerned People Will Judge You
C100881 SOAPR1-Expressed Concern Over Med Use SOAPR1-Expressed Concern Over Med Use Screener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication? SOAPP-R - Others Expressed Concern Over Medication Use
C100884 SOAPR1-Felt Consumed to Get Pain Med SOAPR1-Felt Consumed to Get Pain Med Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication? SOAPP-R - Felt Consumed to Get Pain Medication
C100880 SOAPR1-Felt Craving for Medication SOAPR1-Felt Craving for Medication Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication? SOAPP-R - Felt Craving for Medication
C100872 SOAPR1-Felt Impatient With Doctors SOAPR1-Felt Impatient With Doctors Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors? SOAPP-R - Felt Impatient With Doctors
C100873 SOAPR1-Felt That Things Are Overwhelming SOAPR1-Felt That Things Are Overwhelming Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them? SOAPP-R - Felt That Things Are Overwhelming
C100892 SOAPR1-How Often Borrowed Pain Meds SOAPR1-How Often Borrowed Pain Meds Screener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends? SOAPP-R - How Often Borrowed Pain Medication
C100875 SOAPR1-How Often Counted Pain Pills SOAPR1-How Often Counted Pain Pills Screener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining? SOAPP-R - How Often Counted Pain Pills
C100877 SOAPR1-How Often Feel Bored SOAPR1-How Often Feel Bored Screener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored? SOAPP-R - How Often Feel Bored
C100882 SOAPR1-How Often Friends Had Problem SOAPR1-How Often Friends Had Problem Screener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs? SOAPP-R - How Often Friends Had Problem
C100870 SOAPR1-How Often Mood Swings SOAPR1-How Often Mood Swings Screener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings? SOAPP-R - How Often Mood Swings
C100890 SOAPR1-How Often Sexually Abused SOAPR1-How Often Sexually Abused Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused? SOAPP-R - How Often Sexually Abused
C100878 SOAPR1-How Often Taken More Pain Med SOAPR1-How Often Taken More Pain Med Screener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to? SOAPP-R - How Often Taken More Pain Medication
C100874 SOAPR1-How Often Tension at Home SOAPR1-How Often Tension at Home Screener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home? SOAPP-R - How Often Tension at Home
C100886 SOAPR1-Kept From What You Deserve SOAPR1-Kept From What You Deserve Screener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve? SOAPP-R - Others Kept You From what You Deserve
C100887 SOAPR1-Legal Problems or Arrested SOAPR1-Legal Problems or Arrested Screener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested? SOAPP-R - Legal Problems or Arrested
C100871 SOAPR1-Need Higher Doses of Medication SOAPR1-Need Higher Doses of Medication Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain? SOAPP-R - Need Higher Doses of Medication
C100883 SOAPR1-Others Told You Bad Temper SOAPR1-Others Told You Bad Temper Screener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper? SOAPP-R - Others Told You Bad Temper
C100885 SOAPR1-Run Out of Pain Med Early SOAPR1-Run Out of Pain Med Early Screener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early? SOAPP-R - Run Out of Pain Medication Early
C100895 SOAPR1-Score SOAPR1-Score Screener and Opioid Assessment for Patients with Pain - Revised - Score. SOAPP-R - Score
C100891 SOAPR1-Suggested Drug or Alcohol Problem SOAPR1-Suggested Drug or Alcohol Problem Screener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem? SOAPP-R - Others Suggested Drug or Alcohol Problem
C100893 SOAPR1-Treated for Alcohol or Drug Prob SOAPR1-Treated for Alcohol or Drug Prob Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem? SOAPP-R - Treated for Alcohol or Drug Problem
C100879 SOAPR1-Worried About Being Left Alone SOAPR1-Worried About Being Left Alone Screener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone? SOAPP-R - Worried About Being Left Alone

SOWSA1TC (Subjective Opiate Withdrawal Scale Questionnaire Test Code)

NCI Code: C101828, Codelist extensible: No
C101828 SOWSA1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102409 SOWSA101 SOWSA1-I Feel Anxious Subjective Opiate Withdrawal Scale - I feel anxious. SOWS Subjective (Handelsman) - I Feel Anxious
C102410 SOWSA102 SOWSA1-I Feel Like Yawning Subjective Opiate Withdrawal Scale - I feel like yawning. SOWS Subjective (Handelsman) - I Feel Like Yawning
C102411 SOWSA103 SOWSA1-I'm Perspiring Subjective Opiate Withdrawal Scale - I'm perspiring. SOWS Subjective (Handelsman) - I'm Perspiring
C102412 SOWSA104 SOWSA1-My Eyes Are Tearing Subjective Opiate Withdrawal Scale - My eyes are tearing. SOWS Subjective (Handelsman) - My Eyes Are Tearing
C102413 SOWSA105 SOWSA1-My Nose is Running Subjective Opiate Withdrawal Scale - My nose is running. SOWS Subjective (Handelsman) - My Nose is Running
C102414 SOWSA106 SOWSA1-I Have Goose Flesh Subjective Opiate Withdrawal Scale - I have goose flesh. SOWS Subjective (Handelsman) - I Have Goose Flesh
C102415 SOWSA107 SOWSA1-I Am Shaking Subjective Opiate Withdrawal Scale - I am shaking. SOWS Subjective (Handelsman) - I Am Shaking
C102416 SOWSA108 SOWSA1-I Have Hot Flashes Subjective Opiate Withdrawal Scale - I have hot flashes. SOWS Subjective (Handelsman) - I Have Hot Flashes
C102417 SOWSA109 SOWSA1-I Have Cold Flashes Subjective Opiate Withdrawal Scale - I have cold flashes. SOWS Subjective (Handelsman) - I Have Cold Flashes
C102418 SOWSA110 SOWSA1-My Bones and Muscles Ache Subjective Opiate Withdrawal Scale - My bones and muscles ache. SOWS Subjective (Handelsman) - My Bones and Muscles Ache
C102419 SOWSA111 SOWSA1-I Feel Restless Subjective Opiate Withdrawal Scale - I feel restless. SOWS Subjective (Handelsman) - I Feel Restless
C102420 SOWSA112 SOWSA1-I Feel Nauseous Subjective Opiate Withdrawal Scale - I feel nauseous. SOWS Subjective (Handelsman) - I Feel Nauseous
C102421 SOWSA113 SOWSA1-I Feel Like Vomiting Subjective Opiate Withdrawal Scale - I feel like vomiting. SOWS Subjective (Handelsman) - I Feel Like Vomiting
C102422 SOWSA114 SOWSA1-My Muscles Twitch Subjective Opiate Withdrawal Scale - My muscles twitch. SOWS Subjective (Handelsman) - My Muscles Twitch
C102423 SOWSA115 SOWSA1-I Have Cramps in My Stomach Subjective Opiate Withdrawal Scale - I have cramps in my stomach. SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
C102424 SOWSA116 SOWSA1-I Feel Like Shooting Up Now Subjective Opiate Withdrawal Scale - I feel like shooting up now. SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now

SOWSA1TN (Subjective Opiate Withdrawal Scale Questionnaire Test Name)

NCI Code: C101829, Codelist extensible: No
C101829 SOWSA1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C102415 SOWSA1-I Am Shaking SOWSA1-I Am Shaking Subjective Opiate Withdrawal Scale - I am shaking. SOWS Subjective (Handelsman) - I Am Shaking
C102409 SOWSA1-I Feel Anxious SOWSA1-I Feel Anxious Subjective Opiate Withdrawal Scale - I feel anxious. SOWS Subjective (Handelsman) - I Feel Anxious
C102424 SOWSA1-I Feel Like Shooting Up Now SOWSA1-I Feel Like Shooting Up Now Subjective Opiate Withdrawal Scale - I feel like shooting up now. SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
C102421 SOWSA1-I Feel Like Vomiting SOWSA1-I Feel Like Vomiting Subjective Opiate Withdrawal Scale - I feel like vomiting. SOWS Subjective (Handelsman) - I Feel Like Vomiting
C102410 SOWSA1-I Feel Like Yawning SOWSA1-I Feel Like Yawning Subjective Opiate Withdrawal Scale - I feel like yawning. SOWS Subjective (Handelsman) - I Feel Like Yawning
C102420 SOWSA1-I Feel Nauseous SOWSA1-I Feel Nauseous Subjective Opiate Withdrawal Scale - I feel nauseous. SOWS Subjective (Handelsman) - I Feel Nauseous
C102419 SOWSA1-I Feel Restless SOWSA1-I Feel Restless Subjective Opiate Withdrawal Scale - I feel restless. SOWS Subjective (Handelsman) - I Feel Restless
C102417 SOWSA1-I Have Cold Flashes SOWSA1-I Have Cold Flashes Subjective Opiate Withdrawal Scale - I have cold flashes. SOWS Subjective (Handelsman) - I Have Cold Flashes
C102423 SOWSA1-I Have Cramps in My Stomach SOWSA1-I Have Cramps in My Stomach Subjective Opiate Withdrawal Scale - I have cramps in my stomach. SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
C102414 SOWSA1-I Have Goose Flesh SOWSA1-I Have Goose Flesh Subjective Opiate Withdrawal Scale - I have goose flesh. SOWS Subjective (Handelsman) - I Have Goose Flesh
C102416 SOWSA1-I Have Hot Flashes SOWSA1-I Have Hot Flashes Subjective Opiate Withdrawal Scale - I have hot flashes. SOWS Subjective (Handelsman) - I Have Hot Flashes
C102411 SOWSA1-I'm Perspiring SOWSA1-I'm Perspiring Subjective Opiate Withdrawal Scale - I'm perspiring. SOWS Subjective (Handelsman) - I'm Perspiring
C102418 SOWSA1-My Bones and Muscles Ache SOWSA1-My Bones and Muscles Ache Subjective Opiate Withdrawal Scale - My bones and muscles ache. SOWS Subjective (Handelsman) - My Bones and Muscles Ache
C102412 SOWSA1-My Eyes Are Tearing SOWSA1-My Eyes Are Tearing Subjective Opiate Withdrawal Scale - My eyes are tearing. SOWS Subjective (Handelsman) - My Eyes Are Tearing
C102422 SOWSA1-My Muscles Twitch SOWSA1-My Muscles Twitch Subjective Opiate Withdrawal Scale - My muscles twitch. SOWS Subjective (Handelsman) - My Muscles Twitch
C102413 SOWSA1-My Nose is Running SOWSA1-My Nose is Running Subjective Opiate Withdrawal Scale - My nose is running. SOWS Subjective (Handelsman) - My Nose is Running

SPPB1TC (Short Physical Performance Battery Version 1.2 Functional Test Test Code)

NCI Code: C170527, Codelist extensible: No
C170527 SPPB1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170693 SPPB101 SPPB1-Side-by-Side Score Short Physical Performance Battery V1.2 - Side-By-Side Stand: Side-by-side score. SPPB Version 1.2 - Side-by-Side Score
C170694 SPPB101A SPPB1-Side-by-Side Seconds Held If <10 Short Physical Performance Battery V1.2 - Side-By-Side Stand: Number of seconds held if less than 10 sec. SPPB Version 1.2 - Side-by-Side Seconds Held If <10
C170695 SPPB102 SPPB1-Semi-Tandem Stand Score Short Physical Performance Battery V1.2 - Semi-Tandem Stand: Semi-tandem stand score. SPPB Version 1.2 - Semi-Tandem Stand Score
C170696 SPPB102A SPPB1-Semi-Tandem Seconds Held If <10 Short Physical Performance Battery V1.2 - Semi-Tandem Stand: Number of seconds held if less than 10 sec. SPPB Version 1.2 - Semi-Tandem Seconds Held If <10
C170697 SPPB103 SPPB1-Tandem Stand Score Short Physical Performance Battery V1.2 - Tandem Stand: Tandem stand score. SPPB Version 1.2 - Tandem Stand Score
C170698 SPPB103A SPPB1-Tandem Seconds If <10 Short Physical Performance Battery V1.2 - Tandem Stand: Number of seconds if less than 10 sec. SPPB Version 1.2 - Tandem Seconds If <10
C170699 SPPB104 SPPB1-Did Not Attempt Test Balance Short Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test. SPPB Version 1.2 - Did Not Attempt Test Balance
C170700 SPPB104A SPPB1-Did Not Attempt Balance Specify Short Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test: Other (specify). SPPB Version 1.2 - Did Not Attempt Balance Specify
C170701 SPPB105 SPPB1-Total Balance Tests Score Short Physical Performance Battery V1.2 - Total balance tests score. SPPB Version 1.2 - Total Balance Tests Score
C170702 SPPB106 SPPB1-Length of Walk Test Course Short Physical Performance Battery V1.2 - Gait Speed Test: Length of walk test course. SPPB Version 1.2 - Length of Walk Test Course
C170703 SPPB107 SPPB1-Time for 3 or 4 Meters 1st Gait Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Time for 3 or 4 meters. SPPB Version 1.2 - Time for 3 or 4 Meters 1st Gait
C170704 SPPB107A SPPB1-Did Not Attempt 1st Gait Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test. SPPB Version 1.2 - Did Not Attempt 1st Gait
C170705 SPPB107B SPPB1-Did Not Attempt 1st Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test: Other (specify). SPPB Version 1.2 - Did Not Attempt 1st Gait Specify
C170706 SPPB107C SPPB1-Aids Used 1st Gait Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk. SPPB Version 1.2 - Aids Used 1st Gait
C170707 SPPB107D SPPB1-Aids Used 1st Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk: Other (specify). SPPB Version 1.2 - Aids Used 1st Gait Specify
C170708 SPPB108 SPPB1-Time for 3 or 4 Meters - 2nd Gait Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Time for 3 or 4 meters. SPPB Version 1.2 - Time for 3 or 4 Meters - 2nd Gait
C170709 SPPB108A SPPB1-Did Not Attempt or Failed 2nd Gait Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed. SPPB Version 1.2 - Did Not Attempt or Failed 2nd Gait
C170710 SPPB108B SPPB1-Did Not Attempt 2nd Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed: Other (specify). SPPB Version 1.2 - Did Not Attempt 2nd Gait Specify
C170711 SPPB108C SPPB1-Aids Used 2nd Gait Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk. SPPB Version 1.2 - Aids Used 2nd Gait
C170712 SPPB108D SPPB1-Aids Used 2nd Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk: Other (specify). SPPB Version 1.2 - Aids Used 2nd Gait Specify
C170713 SPPB109A SPPB1-For 4-Meter Walk Short Physical Performance Battery V1.2 - Gait Speed Test: For 4-meter walk. SPPB Version 1.2 - For 4-Meter Walk
C170714 SPPB109B SPPB1-For 3-Meter Walk Short Physical Performance Battery V1.2 - Gait Speed Test: For 3-meter walk. SPPB Version 1.2 - For 3-Meter Walk
C170715 SPPB110 SPPB1-Safe to Stand Without Help Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Safe to stand without help. SPPB Version 1.2 - Safe to Stand Without Help
C170716 SPPB111 SPPB1-Results Single Chair Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Results. SPPB Version 1.2 - Results Single Chair
C170717 SPPB111A SPPB1-Did Not Attempt Single Chair Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed. SPPB Version 1.2 - Did Not Attempt Single Chair
C170718 SPPB111B SPPB1-Not Attempt Single Chair Specify Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed: Other (specify). SPPB Version 1.2 - Not Attempt Single Chair Specify
C170719 SPPB112 SPPB1-Safe to Stand Five Times Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Safe to stand five times. SPPB Version 1.2 - Safe to Stand Five Times
C170720 SPPB113 SPPB1-Time to Complete Five Stands Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Time to complete five stands. SPPB Version 1.2 - Time to Complete Five Stands
C170721 SPPB113A SPPB1-Did Not Attempt Repeated Chair Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed. SPPB Version 1.2 - Did Not Attempt Repeated Chair
C170722 SPPB113B SPPB1-Not Attempt Repeated Chair Specify Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed: Other (specify). SPPB Version 1.2 - Not Attempt Repeated Chair Specify
C170723 SPPB113C SPPB1-Chair Stand Score Repeated Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Chair stand score. SPPB Version 1.2 - Chair Stand Score Repeated
C170724 SPPB114 SPPB1-Total Score Short Physical Performance Battery V1.2 - Total score. SPPB Version 1.2 - Total Score

SPPB1TN (Short Physical Performance Battery Version 1.2 Functional Test Test Name)

NCI Code: C170526, Codelist extensible: No
C170526 SPPB1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C170707 SPPB1-Aids Used 1st Gait Specify SPPB1-Aids Used 1st Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk: Other (specify). SPPB Version 1.2 - Aids Used 1st Gait Specify
C170706 SPPB1-Aids Used 1st Gait SPPB1-Aids Used 1st Gait Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk. SPPB Version 1.2 - Aids Used 1st Gait
C170712 SPPB1-Aids Used 2nd Gait Specify SPPB1-Aids Used 2nd Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk: Other (specify). SPPB Version 1.2 - Aids Used 2nd Gait Specify
C170711 SPPB1-Aids Used 2nd Gait SPPB1-Aids Used 2nd Gait Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk. SPPB Version 1.2 - Aids Used 2nd Gait
C170723 SPPB1-Chair Stand Score Repeated SPPB1-Chair Stand Score Repeated Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Chair stand score. SPPB Version 1.2 - Chair Stand Score Repeated
C170705 SPPB1-Did Not Attempt 1st Gait Specify SPPB1-Did Not Attempt 1st Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test: Other (specify). SPPB Version 1.2 - Did Not Attempt 1st Gait Specify
C170704 SPPB1-Did Not Attempt 1st Gait SPPB1-Did Not Attempt 1st Gait Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test. SPPB Version 1.2 - Did Not Attempt 1st Gait
C170710 SPPB1-Did Not Attempt 2nd Gait Specify SPPB1-Did Not Attempt 2nd Gait Specify Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed: Other (specify). SPPB Version 1.2 - Did Not Attempt 2nd Gait Specify
C170700 SPPB1-Did Not Attempt Balance Specify SPPB1-Did Not Attempt Balance Specify Short Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test: Other (specify). SPPB Version 1.2 - Did Not Attempt Balance Specify
C170709 SPPB1-Did Not Attempt or Failed 2nd Gait SPPB1-Did Not Attempt or Failed 2nd Gait Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed. SPPB Version 1.2 - Did Not Attempt or Failed 2nd Gait
C170721 SPPB1-Did Not Attempt Repeated Chair SPPB1-Did Not Attempt Repeated Chair Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed. SPPB Version 1.2 - Did Not Attempt Repeated Chair
C170717 SPPB1-Did Not Attempt Single Chair SPPB1-Did Not Attempt Single Chair Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed. SPPB Version 1.2 - Did Not Attempt Single Chair
C170699 SPPB1-Did Not Attempt Test Balance SPPB1-Did Not Attempt Test Balance Short Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test. SPPB Version 1.2 - Did Not Attempt Test Balance
C170714 SPPB1-For 3-Meter Walk SPPB1-For 3-Meter Walk Short Physical Performance Battery V1.2 - Gait Speed Test: For 3-meter walk. SPPB Version 1.2 - For 3-Meter Walk
C170713 SPPB1-For 4-Meter Walk SPPB1-For 4-Meter Walk Short Physical Performance Battery V1.2 - Gait Speed Test: For 4-meter walk. SPPB Version 1.2 - For 4-Meter Walk
C170702 SPPB1-Length of Walk Test Course SPPB1-Length of Walk Test Course Short Physical Performance Battery V1.2 - Gait Speed Test: Length of walk test course. SPPB Version 1.2 - Length of Walk Test Course
C170722 SPPB1-Not Attempt Repeated Chair Specify SPPB1-Not Attempt Repeated Chair Specify Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed: Other (specify). SPPB Version 1.2 - Not Attempt Repeated Chair Specify
C170718 SPPB1-Not Attempt Single Chair Specify SPPB1-Not Attempt Single Chair Specify Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed: Other (specify). SPPB Version 1.2 - Not Attempt Single Chair Specify
C170716 SPPB1-Results Single Chair SPPB1-Results Single Chair Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Results. SPPB Version 1.2 - Results Single Chair
C170719 SPPB1-Safe to Stand Five Times SPPB1-Safe to Stand Five Times Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Safe to stand five times. SPPB Version 1.2 - Safe to Stand Five Times
C170715 SPPB1-Safe to Stand Without Help SPPB1-Safe to Stand Without Help Short Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Safe to stand without help. SPPB Version 1.2 - Safe to Stand Without Help
C170696 SPPB1-Semi-Tandem Seconds Held If <10 SPPB1-Semi-Tandem Seconds Held If <10 Short Physical Performance Battery V1.2 - Semi-Tandem Stand: Number of seconds held if less than 10 sec. SPPB Version 1.2 - Semi-Tandem Seconds Held If <10
C170695 SPPB1-Semi-Tandem Stand Score SPPB1-Semi-Tandem Stand Score Short Physical Performance Battery V1.2 - Semi-Tandem Stand: Semi-tandem stand score. SPPB Version 1.2 - Semi-Tandem Stand Score
C170693 SPPB1-Side-by-Side Score SPPB1-Side-by-Side Score Short Physical Performance Battery V1.2 - Side-By-Side Stand: Side-by-side score. SPPB Version 1.2 - Side-by-Side Score
C170694 SPPB1-Side-by-Side Seconds Held If <10 SPPB1-Side-by-Side Seconds Held If <10 Short Physical Performance Battery V1.2 - Side-By-Side Stand: Number of seconds held if less than 10 sec. SPPB Version 1.2 - Side-by-Side Seconds Held If <10
C170698 SPPB1-Tandem Seconds If <10 SPPB1-Tandem Seconds If <10 Short Physical Performance Battery V1.2 - Tandem Stand: Number of seconds if less than 10 sec. SPPB Version 1.2 - Tandem Seconds If <10
C170697 SPPB1-Tandem Stand Score SPPB1-Tandem Stand Score Short Physical Performance Battery V1.2 - Tandem Stand: Tandem stand score. SPPB Version 1.2 - Tandem Stand Score
C170708 SPPB1-Time for 3 or 4 Meters - 2nd Gait SPPB1-Time for 3 or 4 Meters - 2nd Gait Short Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Time for 3 or 4 meters. SPPB Version 1.2 - Time for 3 or 4 Meters - 2nd Gait
C170703 SPPB1-Time for 3 or 4 Meters 1st Gait SPPB1-Time for 3 or 4 Meters 1st Gait Short Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Time for 3 or 4 meters. SPPB Version 1.2 - Time for 3 or 4 Meters 1st Gait
C170720 SPPB1-Time to Complete Five Stands SPPB1-Time to Complete Five Stands Short Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Time to complete five stands. SPPB Version 1.2 - Time to Complete Five Stands
C170701 SPPB1-Total Balance Tests Score SPPB1-Total Balance Tests Score Short Physical Performance Battery V1.2 - Total balance tests score. SPPB Version 1.2 - Total Balance Tests Score
C170724 SPPB1-Total Score SPPB1-Total Score Short Physical Performance Battery V1.2 - Total score. SPPB Version 1.2 - Total Score

STCG01TC (Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code)

NCI Code: C119080, Codelist extensible: No
C119080 STCG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119198 STCG0101 STCG01-STC ARC Grade Stent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium. ARC STC Grade - Stent Thrombosis Coronary ARC Grade

STCG01TN (Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name)

NCI Code: C119079, Codelist extensible: No
C119079 STCG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119198 STCG01-STC ARC Grade STCG01-STC ARC Grade Stent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium. ARC STC Grade - Stent Thrombosis Coronary ARC Grade

SWLS01TC (Satisfaction With Life Scale Questionnaire Test Code)

NCI Code: C115408, Codelist extensible: No
C115408 SWLS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115895 SWLS0101 SWLS01-My Life is Close to Ideal Satisfaction With Life Scale - In most ways my life is close to ideal. SWLS - My Life is Close to Ideal
C115896 SWLS0102 SWLS01-My Life Conditions are Excellent Satisfaction With Life Scale - The conditions of my life are excellent. SWLS - Life Conditions are Excellent
C115897 SWLS0103 SWLS01-I Am Satisfied with My Life Satisfaction With Life Scale - I am satisfied with my life. SWLS - Satisfied with My Life
C115898 SWLS0104 SWLS01-Have Gotten Important Things Satisfaction With Life Scale - So far I have gotten the important things I want in life. SWLS - Have Gotten Important Things
C115899 SWLS0105 SWLS01-Live Life Over Change Nothing Satisfaction With Life Scale - If I could live my life over, I would change almost nothing. SWLS - Live Life Over Change Nothing

SWLS01TN (Satisfaction With Life Scale Questionnaire Test Name)

NCI Code: C115407, Codelist extensible: No
C115407 SWLS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115898 SWLS01-Have Gotten Important Things SWLS01-Have Gotten Important Things Satisfaction With Life Scale - So far I have gotten the important things I want in life. SWLS - Have Gotten Important Things
C115897 SWLS01-I Am Satisfied with My Life SWLS01-I Am Satisfied with My Life Satisfaction With Life Scale - I am satisfied with my life. SWLS - Satisfied with My Life
C115899 SWLS01-Live Life Over Change Nothing SWLS01-Live Life Over Change Nothing Satisfaction With Life Scale - If I could live my life over, I would change almost nothing. SWLS - Live Life Over Change Nothing
C115896 SWLS01-My Life Conditions are Excellent SWLS01-My Life Conditions are Excellent Satisfaction With Life Scale - The conditions of my life are excellent. SWLS - Life Conditions are Excellent
C115895 SWLS01-My Life is Close to Ideal SWLS01-My Life is Close to Ideal Satisfaction With Life Scale - In most ways my life is close to ideal. SWLS - My Life is Close to Ideal

T25FW1TC (Timed 25-Foot Walk Test Functional Test Test Code)

NCI Code: C115398, Codelist extensible: No
C115398 T25FW1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115817 T25FW101 T25FW1-Time to Complete 25-Foot Walk Timed 25-Foot Walk - Time in seconds to complete 25-foot walk. T25FW - Time to Complete 25-Foot Walk
C115818 T25FW102 T25FW1-More Than Two Attempts Timed 25-Foot Walk - Did it take more than two attempts to get two successful trials? T25FW - More Than Two Attempts
C151074 T25FW103 T25FW1-Did Patient Wear AFO Timed 25-Foot Walk - Did patient wear an AFO? T25FW - Did Patient Wear AFO
C151075 T25FW104 T25FW1-Was Assistive Device Used Timed 25-Foot Walk - Was assistive device used? T25FW - Was Assistive Device Used

T25FW1TN (Timed 25-Foot Walk Test Functional Test Test Name)

NCI Code: C115397, Codelist extensible: No
C115397 T25FW1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C151074 T25FW1-Did Patient Wear AFO T25FW1-Did Patient Wear AFO Timed 25-Foot Walk - Did patient wear an AFO? T25FW - Did Patient Wear AFO
C115818 T25FW1-More Than Two Attempts T25FW1-More Than Two Attempts Timed 25-Foot Walk - Did it take more than two attempts to get two successful trials? T25FW - More Than Two Attempts
C115817 T25FW1-Time to Complete 25-Foot Walk T25FW1-Time to Complete 25-Foot Walk Timed 25-Foot Walk - Time in seconds to complete 25-foot walk. T25FW - Time to Complete 25-Foot Walk
C151075 T25FW1-Was Assistive Device Used T25FW1-Was Assistive Device Used Timed 25-Foot Walk - Was assistive device used? T25FW - Was Assistive Device Used

TANN01TC (Tanner Scale Girl Clinical Classification Test Code)

NCI Code: C124664, Codelist extensible: No
C124664 TANN01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124718 TANN0101 TANN01-Breast Stages Tanner Scale Girl - Breast stages. Tanner Scale-Girl - Breast Stages
C124719 TANN0102 TANN01-Pubic Hair Stages Tanner Scale Girl - Pubic hair stages. Tanner Scale-Girl - Pubic Hair Stages

TANN01TN (Tanner Scale Girl Clinical Classification Test Name)

NCI Code: C124663, Codelist extensible: No
C124663 TANN01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124718 TANN01-Breast Stages TANN01-Breast Stages Tanner Scale Girl - Breast stages. Tanner Scale-Girl - Breast Stages
C124719 TANN01-Pubic Hair Stages TANN01-Pubic Hair Stages Tanner Scale Girl - Pubic hair stages. Tanner Scale-Girl - Pubic Hair Stages

TANN02TC (Tanner Scale Boy Clinical Classification Test Code)

NCI Code: C124662, Codelist extensible: No
C124662 TANN02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124716 TANN0201 TANN02-Genitalia Stages Tanner Scale Boy - Genitalia stages. Tanner Scale-Boy - Genitalia Stages
C124717 TANN0202 TANN02-Pubic Hair Stages Tanner Scale Boy - Pubic hair stages. Tanner Scale-Boy - Pubic Hair Stages

TANN02TN (Tanner Scale Boy Clinical Classification Test Name)

NCI Code: C124661, Codelist extensible: No
C124661 TANN02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124716 TANN02-Genitalia Stages TANN02-Genitalia Stages Tanner Scale Boy - Genitalia stages. Tanner Scale-Boy - Genitalia Stages
C124717 TANN02-Pubic Hair Stages TANN02-Pubic Hair Stages Tanner Scale Boy - Pubic hair stages. Tanner Scale-Boy - Pubic Hair Stages

TDI01TC (Transition Dyspnea Index Clinical Classification Test Code)

NCI Code: C106657, Codelist extensible: No
C106657 TDI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106704 TDI0101 TDI01-Change in Functional Impairment Transition Dyspnea Index - Change in functional impairment. TDI - Change in Functional Impairment
C106705 TDI0102 TDI01-Change in Magnitude of Task Transition Dyspnea Index - Change in magnitude of task. TDI - Change in Magnitude of Task
C106706 TDI0103 TDI01-Change in Magnitude of Effort Transition Dyspnea Index - Change in magnitude of effort. TDI - Change in Magnitude of Effort
C161763 TDI0104 TDI01-Transition Focal Score Transition Dyspnea Index - Transition focal score. TDI - Transition Focal Score

TDI01TN (Transition Dyspnea Index Clinical Classification Test Name)

NCI Code: C106656, Codelist extensible: No
C106656 TDI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C106704 TDI01-Change in Functional Impairment TDI01-Change in Functional Impairment Transition Dyspnea Index - Change in functional impairment. TDI - Change in Functional Impairment
C106706 TDI01-Change in Magnitude of Effort TDI01-Change in Magnitude of Effort Transition Dyspnea Index - Change in magnitude of effort. TDI - Change in Magnitude of Effort
C106705 TDI01-Change in Magnitude of Task TDI01-Change in Magnitude of Task Transition Dyspnea Index - Change in magnitude of task. TDI - Change in Magnitude of Task
C161763 TDI01-Transition Focal Score TDI01-Transition Focal Score Transition Dyspnea Index - Transition focal score. TDI - Transition Focal Score

TENMW1TC (10-Meter Walk/Run Functional Test Test Code)

NCI Code: C141657, Codelist extensible: No
C141657 TENMW1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C174106 TENMW101 TENMW1-Was Walk/Run Performed 10-Meter Walk/Run - Was the 10-meter walk/run performed? 10-Meter Walk/Run - Was Walk/Run Performed
C141700 TENMW102 TENMW1-Time to Walk/Run 10 Meters 10-Meter Walk/Run - If yes, time to walk or run 10 meters. 10-Meter Walk/Run - Time to Walk/Run 10 Meters
C147592 TENMW103 TENMW1-Wear Orthoses 10-Meter Walk/Run - If yes, did subject wear orthoses? 10-Meter Walk/Run - Wear Orthoses
C141701 TENMW104 TENMW1-Test Grade 10-Meter Walk/Run - Test grade. 10-Meter Walk/Run - Test Grade

TENMW1TN (10-Meter Walk/Run Functional Test Test Name)

NCI Code: C141656, Codelist extensible: No
C141656 TENMW1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141701 TENMW1-Test Grade TENMW1-Test Grade 10-Meter Walk/Run - Test grade. 10-Meter Walk/Run - Test Grade
C141700 TENMW1-Time to Walk/Run 10 Meters TENMW1-Time to Walk/Run 10 Meters 10-Meter Walk/Run - If yes, time to walk or run 10 meters. 10-Meter Walk/Run - Time to Walk/Run 10 Meters
C174106 TENMW1-Was Walk/Run Performed TENMW1-Was Walk/Run Performed 10-Meter Walk/Run - Was the 10-meter walk/run performed? 10-Meter Walk/Run - Was Walk/Run Performed
C147592 TENMW1-Wear Orthoses TENMW1-Wear Orthoses 10-Meter Walk/Run - If yes, did subject wear orthoses? 10-Meter Walk/Run - Wear Orthoses

TIMG01TC (Coronary Thrombus TIMI Grade Clinical Classification Test Code)

NCI Code: C119074, Codelist extensible: No
C119074 TIMG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119195 TIMG0101 TIMG01-Coronary Thrombus TIMI Grade Coronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group. TIMI Thrombus Grade - Coronary Thrombus TIMI Grade

TIMG01TN (Coronary Thrombus TIMI Grade Clinical Classification Test Name)

NCI Code: C119073, Codelist extensible: No
C119073 TIMG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C119195 TIMG01-Coronary Thrombus TIMI Grade TIMG01-Coronary Thrombus TIMI Grade Coronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group. TIMI Thrombus Grade - Coronary Thrombus TIMI Grade

TMT01TC (Trail Making Test Functional Test Test Code)

NCI Code: C124688, Codelist extensible: No
C124688 TMT01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124780 TMT0101 TMT01-Time to Complete Trails A Trail Making Test - Time (in seconds) to complete Trails A. TMT - Time to Complete Trails A
C124781 TMT0102 TMT01-Time to Complete Trails B Trail Making Test - Time (in seconds) to complete Trails B. TMT - Time to Complete Trails B

TMT01TN (Trail Making Test Functional Test Test Name)

NCI Code: C124687, Codelist extensible: No
C124687 TMT01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124780 TMT01-Time to Complete Trails A TMT01-Time to Complete Trails A Trail Making Test - Time (in seconds) to complete Trails A. TMT - Time to Complete Trails A
C124781 TMT01-Time to Complete Trails B TMT01-Time to Complete Trails B Trail Making Test - Time (in seconds) to complete Trails B. TMT - Time to Complete Trails B

TSCC01TC (Trauma Symptom Checklist for Children Questionnaire Test Code)

NCI Code: C147548, Codelist extensible: No
C147548 TSCC01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147699 TSCC0101 TSCC01-Bad Dreams or Nightmares Trauma Symptom Checklist for Children - Bad dreams or nightmares. TSCC - Bad Dreams or Nightmares
C147700 TSCC0102 TSCC01-Afraid Something Bad Might Happen Trauma Symptom Checklist for Children - Feeling afraid something bad might happen. TSCC - Afraid Something Bad Might Happen
C147701 TSCC0103 TSCC01-Scary Ideas Just Pop Into My Head Trauma Symptom Checklist for Children - Scary ideas or pictures just pop into my head. TSCC - Scary Ideas Just Pop Into My Head
C147702 TSCC0104 TSCC01-Wanting to Say Dirty Words Trauma Symptom Checklist for Children - Wanting to say dirty words. TSCC - Wanting to Say Dirty Words
C147703 TSCC0105 TSCC01-Pretending I am Someone Else Trauma Symptom Checklist for Children - Pretending I am someone else. TSCC - Pretending I am Someone Else
C147704 TSCC0106 TSCC01-Arguing Too Much Trauma Symptom Checklist for Children - Arguing too much. TSCC - Arguing Too Much
C147705 TSCC0107 TSCC01-Feeling Lonely Trauma Symptom Checklist for Children - Feeling lonely. TSCC - Feeling Lonely
C147706 TSCC0108 TSCC01-Touching Private Parts Too Much Trauma Symptom Checklist for Children - Touching my private parts too much. TSCC - Touching Private Parts Too Much
C147707 TSCC0109 TSCC01-Feeling Sad or Unhappy Trauma Symptom Checklist for Children - Feeling sad or unhappy. TSCC - Feeling Sad or Unhappy
C147708 TSCC0110 TSCC01-Remembering Things I Didn't Like Trauma Symptom Checklist for Children - Remembering things that happened that I didn't like. TSCC - Remembering Things I Didn't Like
C147709 TSCC0111 TSCC01-Going Away in My Mind Trauma Symptom Checklist for Children - Going away in my mind, trying not to think. TSCC - Going Away in My Mind
C147710 TSCC0112 TSCC01-Remembering Scary Things Trauma Symptom Checklist for Children - Remembering scary things. TSCC - Remembering Scary Things
C147711 TSCC0113 TSCC01-Wanting to Yell and Break Things Trauma Symptom Checklist for Children - Wanting to yell and break things. TSCC - Wanting to Yell and Break Things
C147712 TSCC0114 TSCC01-Crying Trauma Symptom Checklist for Children - Crying. TSCC - Crying
C147713 TSCC0115 TSCC01-Getting Scared All of Sudden Trauma Symptom Checklist for Children - Getting scared all of a sudden and don't know why. TSCC - Getting Scared All of Sudden
C147714 TSCC0116 TSCC01-Getting Mad and Can't Calm Down Trauma Symptom Checklist for Children - Getting mad and can't calm down. TSCC - Getting Mad and Can't Calm Down
C147715 TSCC0117 TSCC01-Thinking About Having Sex Trauma Symptom Checklist for Children - Thinking about having sex. TSCC - Thinking About Having Sex
C147716 TSCC0118 TSCC01-Feeling Dizzy Trauma Symptom Checklist for Children - Feeling dizzy. TSCC - Feeling Dizzy
C147717 TSCC0119 TSCC01-Wanting to Yell at People Trauma Symptom Checklist for Children - Wanting to yell at people. TSCC - Wanting to Yell at People
C147718 TSCC0120 TSCC01-Wanting to Hurt Myself Trauma Symptom Checklist for Children - Wanting to hurt myself. TSCC - Wanting to Hurt Myself
C147719 TSCC0121 TSCC01-Wanting to Hurt Other People Trauma Symptom Checklist for Children - Wanting to hurt other people. TSCC - Wanting to Hurt Other People
C147720 TSCC0122 TSCC01-Think Touch People Private Parts Trauma Symptom Checklist for Children - Thinking about touching other people's private parts. TSCC - Think Touch People Private Parts
C147721 TSCC0123 TSCC01-Think About Sex When Don't Want Trauma Symptom Checklist for Children - Thinking about sex when I don't want to. TSCC - Think About Sex When Don't Want
C147722 TSCC0124 TSCC01-Feeling Scared of Men Trauma Symptom Checklist for Children - Feeling scared of men. TSCC - Feeling Scared of Men
C147723 TSCC0125 TSCC01-Feeling Scared of Women Trauma Symptom Checklist for Children - Feeling scared of women. TSCC - Feeling Scared of Women
C147724 TSCC0126 TSCC01-Washing Myself Because Feel Dirty Trauma Symptom Checklist for Children - Washing myself because I feel dirty on the inside. TSCC - Washing Myself Because Feel Dirty
C147725 TSCC0127 TSCC01-Feeling Stupid or Bad Trauma Symptom Checklist for Children - Feeling stupid or bad. TSCC - Feeling Stupid or Bad
C147726 TSCC0128 TSCC01-Feeling Like Did Something Wrong Trauma Symptom Checklist for Children - Feeling like I did something wrong. TSCC - Feeling Like Did Something Wrong
C147727 TSCC0129 TSCC01-Feeling Like Things Aren't Real Trauma Symptom Checklist for Children - Feeling like things aren't real. TSCC - Feeling Like Things Aren't Real
C147728 TSCC0130 TSCC01-Forgetting Things Trauma Symptom Checklist for Children - Forgetting things, can't remember things. TSCC - Forgetting Things
C147729 TSCC0131 TSCC01-Feeling Like I'm Not in My Body Trauma Symptom Checklist for Children - Feeling like I'm not in my body. TSCC - Feeling Like I'm Not in My Body
C147730 TSCC0132 TSCC01-Feeling Nervous or Jumpy Inside Trauma Symptom Checklist for Children - Feeling nervous or jumpy inside. TSCC - Feeling Nervous or Jumpy Inside
C147731 TSCC0133 TSCC01-Feeling Afraid Trauma Symptom Checklist for Children - Feeling afraid. TSCC - Feeling Afraid
C147732 TSCC0134 TSCC01-Not Trusting People Because Sex Trauma Symptom Checklist for Children - Not trusting people because they might want sex. TSCC - Not Trusting People Because Sex
C147733 TSCC0135 TSCC01-Can't Stop Thinking Something Bad Trauma Symptom Checklist for Children - Can't stop thinking about something bad that happened to me. TSCC - Can't Stop Thinking Something Bad
C147734 TSCC0136 TSCC01-Getting Into Fights Trauma Symptom Checklist for Children - Getting into fights. TSCC - Getting Into Fights
C147735 TSCC0137 TSCC01-Feeling Mean Trauma Symptom Checklist for Children - Feeling mean. TSCC - Feeling Mean
C147736 TSCC0138 TSCC01-Pretending I'm Somewhere Else Trauma Symptom Checklist for Children - Pretending I'm somewhere else. TSCC - Pretending I'm Somewhere Else
C147737 TSCC0139 TSCC01-Being Afraid of the Dark Trauma Symptom Checklist for Children - Being afraid of the dark. TSCC - Being Afraid of the Dark
C147738 TSCC0140 TSCC01-Scared When Think About Sex Trauma Symptom Checklist for Children - Getting scared or upset when I think about sex. TSCC - Scared When Think About Sex
C147739 TSCC0141 TSCC01-Worrying About Things Trauma Symptom Checklist for Children - Worrying about things. TSCC - Worrying About Things
C147740 TSCC0142 TSCC01-Feeling Like Nobody Likes Me Trauma Symptom Checklist for Children - Feeling like nobody likes me. TSCC - Feeling Like Nobody Likes Me
C147741 TSCC0143 TSCC01-Remembering Things Don't Want To Trauma Symptom Checklist for Children - Remembering things I don't want to remember. TSCC - Remembering Things Don't Want To
C147742 TSCC0144 TSCC01-Having Sex Feelings in My Body Trauma Symptom Checklist for Children - Having sex feelings in my body. TSCC - Having Sex Feelings in My Body
C147743 TSCC0145 TSCC01-My Mind Going Empty or Blank Trauma Symptom Checklist for Children - My mind going empty or blank. TSCC - My Mind Going Empty or Blank
C147744 TSCC0146 TSCC01-Feeling Like I Hate People Trauma Symptom Checklist for Children - Feeling like I hate people. TSCC - Feeling Like I Hate People
C147745 TSCC0147 TSCC01-Can't Stop Thinking About Sex Trauma Symptom Checklist for Children - Can't stop thinking about sex. TSCC - Can't Stop Thinking About Sex
C147746 TSCC0148 TSCC01-Trying Not to Have Any Feelings Trauma Symptom Checklist for Children - Trying not to have any feelings. TSCC - Trying Not to Have Any Feelings
C147747 TSCC0149 TSCC01-Feeling Mad Trauma Symptom Checklist for Children - Feeling mad. TSCC - Feeling Mad
C147748 TSCC0150 TSCC01-Feeling Afraid Somebody Kill Me Trauma Symptom Checklist for Children - Feeling afraid somebody will kill me. TSCC - Feeling Afraid Somebody Kill Me
C147749 TSCC0151 TSCC01-Wishing Bad Things Never Happened Trauma Symptom Checklist for Children - Wishing bad things had never happened. TSCC - Wishing Bad Things Never Happened
C147750 TSCC0152 TSCC01-Wanting to Kill Myself Trauma Symptom Checklist for Children - Wanting to kill myself. TSCC - Wanting to Kill Myself
C147751 TSCC0153 TSCC01-Daydreaming Trauma Symptom Checklist for Children - Daydreaming. TSCC - Daydreaming
C147752 TSCC0154 TSCC01-Getting Upset People Talk Sex Trauma Symptom Checklist for Children - Getting upset when people talk about sex. TSCC - Getting Upset People Talk Sex

TSCC01TN (Trauma Symptom Checklist for Children Questionnaire Test Name)

NCI Code: C147547, Codelist extensible: No
C147547 TSCC01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147700 TSCC01-Afraid Something Bad Might Happen TSCC01-Afraid Something Bad Might Happen Trauma Symptom Checklist for Children - Feeling afraid something bad might happen. TSCC - Afraid Something Bad Might Happen
C147704 TSCC01-Arguing Too Much TSCC01-Arguing Too Much Trauma Symptom Checklist for Children - Arguing too much. TSCC - Arguing Too Much
C147699 TSCC01-Bad Dreams or Nightmares TSCC01-Bad Dreams or Nightmares Trauma Symptom Checklist for Children - Bad dreams or nightmares. TSCC - Bad Dreams or Nightmares
C147737 TSCC01-Being Afraid of the Dark TSCC01-Being Afraid of the Dark Trauma Symptom Checklist for Children - Being afraid of the dark. TSCC - Being Afraid of the Dark
C147745 TSCC01-Can't Stop Thinking About Sex TSCC01-Can't Stop Thinking About Sex Trauma Symptom Checklist for Children - Can't stop thinking about sex. TSCC - Can't Stop Thinking About Sex
C147733 TSCC01-Can't Stop Thinking Something Bad TSCC01-Can't Stop Thinking Something Bad Trauma Symptom Checklist for Children - Can't stop thinking about something bad that happened to me. TSCC - Can't Stop Thinking Something Bad
C147712 TSCC01-Crying TSCC01-Crying Trauma Symptom Checklist for Children - Crying. TSCC - Crying
C147751 TSCC01-Daydreaming TSCC01-Daydreaming Trauma Symptom Checklist for Children - Daydreaming. TSCC - Daydreaming
C147748 TSCC01-Feeling Afraid Somebody Kill Me TSCC01-Feeling Afraid Somebody Kill Me Trauma Symptom Checklist for Children - Feeling afraid somebody will kill me. TSCC - Feeling Afraid Somebody Kill Me
C147731 TSCC01-Feeling Afraid TSCC01-Feeling Afraid Trauma Symptom Checklist for Children - Feeling afraid. TSCC - Feeling Afraid
C147716 TSCC01-Feeling Dizzy TSCC01-Feeling Dizzy Trauma Symptom Checklist for Children - Feeling dizzy. TSCC - Feeling Dizzy
C147726 TSCC01-Feeling Like Did Something Wrong TSCC01-Feeling Like Did Something Wrong Trauma Symptom Checklist for Children - Feeling like I did something wrong. TSCC - Feeling Like Did Something Wrong
C147744 TSCC01-Feeling Like I Hate People TSCC01-Feeling Like I Hate People Trauma Symptom Checklist for Children - Feeling like I hate people. TSCC - Feeling Like I Hate People
C147729 TSCC01-Feeling Like I'm Not in My Body TSCC01-Feeling Like I'm Not in My Body Trauma Symptom Checklist for Children - Feeling like I'm not in my body. TSCC - Feeling Like I'm Not in My Body
C147740 TSCC01-Feeling Like Nobody Likes Me TSCC01-Feeling Like Nobody Likes Me Trauma Symptom Checklist for Children - Feeling like nobody likes me. TSCC - Feeling Like Nobody Likes Me
C147727 TSCC01-Feeling Like Things Aren't Real TSCC01-Feeling Like Things Aren't Real Trauma Symptom Checklist for Children - Feeling like things aren't real. TSCC - Feeling Like Things Aren't Real
C147705 TSCC01-Feeling Lonely TSCC01-Feeling Lonely Trauma Symptom Checklist for Children - Feeling lonely. TSCC - Feeling Lonely
C147747 TSCC01-Feeling Mad TSCC01-Feeling Mad Trauma Symptom Checklist for Children - Feeling mad. TSCC - Feeling Mad
C147735 TSCC01-Feeling Mean TSCC01-Feeling Mean Trauma Symptom Checklist for Children - Feeling mean. TSCC - Feeling Mean
C147730 TSCC01-Feeling Nervous or Jumpy Inside TSCC01-Feeling Nervous or Jumpy Inside Trauma Symptom Checklist for Children - Feeling nervous or jumpy inside. TSCC - Feeling Nervous or Jumpy Inside
C147707 TSCC01-Feeling Sad or Unhappy TSCC01-Feeling Sad or Unhappy Trauma Symptom Checklist for Children - Feeling sad or unhappy. TSCC - Feeling Sad or Unhappy
C147722 TSCC01-Feeling Scared of Men TSCC01-Feeling Scared of Men Trauma Symptom Checklist for Children - Feeling scared of men. TSCC - Feeling Scared of Men
C147723 TSCC01-Feeling Scared of Women TSCC01-Feeling Scared of Women Trauma Symptom Checklist for Children - Feeling scared of women. TSCC - Feeling Scared of Women
C147725 TSCC01-Feeling Stupid or Bad TSCC01-Feeling Stupid or Bad Trauma Symptom Checklist for Children - Feeling stupid or bad. TSCC - Feeling Stupid or Bad
C147728 TSCC01-Forgetting Things TSCC01-Forgetting Things Trauma Symptom Checklist for Children - Forgetting things, can't remember things. TSCC - Forgetting Things
C147734 TSCC01-Getting Into Fights TSCC01-Getting Into Fights Trauma Symptom Checklist for Children - Getting into fights. TSCC - Getting Into Fights
C147714 TSCC01-Getting Mad and Can't Calm Down TSCC01-Getting Mad and Can't Calm Down Trauma Symptom Checklist for Children - Getting mad and can't calm down. TSCC - Getting Mad and Can't Calm Down
C147713 TSCC01-Getting Scared All of Sudden TSCC01-Getting Scared All of Sudden Trauma Symptom Checklist for Children - Getting scared all of a sudden and don't know why. TSCC - Getting Scared All of Sudden
C147752 TSCC01-Getting Upset People Talk Sex TSCC01-Getting Upset People Talk Sex Trauma Symptom Checklist for Children - Getting upset when people talk about sex. TSCC - Getting Upset People Talk Sex
C147709 TSCC01-Going Away in My Mind TSCC01-Going Away in My Mind Trauma Symptom Checklist for Children - Going away in my mind, trying not to think. TSCC - Going Away in My Mind
C147742 TSCC01-Having Sex Feelings in My Body TSCC01-Having Sex Feelings in My Body Trauma Symptom Checklist for Children - Having sex feelings in my body. TSCC - Having Sex Feelings in My Body
C147743 TSCC01-My Mind Going Empty or Blank TSCC01-My Mind Going Empty or Blank Trauma Symptom Checklist for Children - My mind going empty or blank. TSCC - My Mind Going Empty or Blank
C147732 TSCC01-Not Trusting People Because Sex TSCC01-Not Trusting People Because Sex Trauma Symptom Checklist for Children - Not trusting people because they might want sex. TSCC - Not Trusting People Because Sex
C147703 TSCC01-Pretending I am Someone Else TSCC01-Pretending I am Someone Else Trauma Symptom Checklist for Children - Pretending I am someone else. TSCC - Pretending I am Someone Else
C147736 TSCC01-Pretending I'm Somewhere Else TSCC01-Pretending I'm Somewhere Else Trauma Symptom Checklist for Children - Pretending I'm somewhere else. TSCC - Pretending I'm Somewhere Else
C147710 TSCC01-Remembering Scary Things TSCC01-Remembering Scary Things Trauma Symptom Checklist for Children - Remembering scary things. TSCC - Remembering Scary Things
C147741 TSCC01-Remembering Things Don't Want To TSCC01-Remembering Things Don't Want To Trauma Symptom Checklist for Children - Remembering things I don't want to remember. TSCC - Remembering Things Don't Want To
C147708 TSCC01-Remembering Things I Didn't Like TSCC01-Remembering Things I Didn't Like Trauma Symptom Checklist for Children - Remembering things that happened that I didn't like. TSCC - Remembering Things I Didn't Like
C147738 TSCC01-Scared When Think About Sex TSCC01-Scared When Think About Sex Trauma Symptom Checklist for Children - Getting scared or upset when I think about sex. TSCC - Scared When Think About Sex
C147701 TSCC01-Scary Ideas Just Pop Into My Head TSCC01-Scary Ideas Just Pop Into My Head Trauma Symptom Checklist for Children - Scary ideas or pictures just pop into my head. TSCC - Scary Ideas Just Pop Into My Head
C147721 TSCC01-Think About Sex When Don't Want TSCC01-Think About Sex When Don't Want Trauma Symptom Checklist for Children - Thinking about sex when I don't want to. TSCC - Think About Sex When Don't Want
C147720 TSCC01-Think Touch People Private Parts TSCC01-Think Touch People Private Parts Trauma Symptom Checklist for Children - Thinking about touching other people's private parts. TSCC - Think Touch People Private Parts
C147715 TSCC01-Thinking About Having Sex TSCC01-Thinking About Having Sex Trauma Symptom Checklist for Children - Thinking about having sex. TSCC - Thinking About Having Sex
C147706 TSCC01-Touching Private Parts Too Much TSCC01-Touching Private Parts Too Much Trauma Symptom Checklist for Children - Touching my private parts too much. TSCC - Touching Private Parts Too Much
C147746 TSCC01-Trying Not to Have Any Feelings TSCC01-Trying Not to Have Any Feelings Trauma Symptom Checklist for Children - Trying not to have any feelings. TSCC - Trying Not to Have Any Feelings
C147718 TSCC01-Wanting to Hurt Myself TSCC01-Wanting to Hurt Myself Trauma Symptom Checklist for Children - Wanting to hurt myself. TSCC - Wanting to Hurt Myself
C147719 TSCC01-Wanting to Hurt Other People TSCC01-Wanting to Hurt Other People Trauma Symptom Checklist for Children - Wanting to hurt other people. TSCC - Wanting to Hurt Other People
C147750 TSCC01-Wanting to Kill Myself TSCC01-Wanting to Kill Myself Trauma Symptom Checklist for Children - Wanting to kill myself. TSCC - Wanting to Kill Myself
C147702 TSCC01-Wanting to Say Dirty Words TSCC01-Wanting to Say Dirty Words Trauma Symptom Checklist for Children - Wanting to say dirty words. TSCC - Wanting to Say Dirty Words
C147711 TSCC01-Wanting to Yell and Break Things TSCC01-Wanting to Yell and Break Things Trauma Symptom Checklist for Children - Wanting to yell and break things. TSCC - Wanting to Yell and Break Things
C147717 TSCC01-Wanting to Yell at People TSCC01-Wanting to Yell at People Trauma Symptom Checklist for Children - Wanting to yell at people. TSCC - Wanting to Yell at People
C147724 TSCC01-Washing Myself Because Feel Dirty TSCC01-Washing Myself Because Feel Dirty Trauma Symptom Checklist for Children - Washing myself because I feel dirty on the inside. TSCC - Washing Myself Because Feel Dirty
C147749 TSCC01-Wishing Bad Things Never Happened TSCC01-Wishing Bad Things Never Happened Trauma Symptom Checklist for Children - Wishing bad things had never happened. TSCC - Wishing Bad Things Never Happened
C147739 TSCC01-Worrying About Things TSCC01-Worrying About Things Trauma Symptom Checklist for Children - Worrying about things. TSCC - Worrying About Things

TSCYC1TC (Trauma Symptom Checklist for Young Children Questionnaire Test Code)

NCI Code: C147550, Codelist extensible: No
C147550 TSCYC1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147753 TSCYC101 TSCYC1-Temper Tantrums Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Temper tantrums. TSCYC - Temper Tantrums
C147754 TSCYC102 TSCYC1-Looking Sad Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Looking sad. TSCYC - Looking Sad
C147755 TSCYC103 TSCYC1-Telling a Lie Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Telling a lie. TSCYC - Telling a Lie
C147756 TSCYC104 TSCYC1-Bad Dreams or Nightmares Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Bad dreams or nightmares. TSCYC - Bad Dreams or Nightmares
C147757 TSCYC105 TSCYC1-Living in a Fantasy World Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Living in a fantasy world. TSCYC - Living in a Fantasy World
C147758 TSCYC106 TSCYC1-Seeming to Know More About Sex Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to know more about sex than he or she should. TSCYC - Seeming to Know More About Sex
C147759 TSCYC107 TSCYC1-Being Easily Scared Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being easily scared. TSCYC - Being Easily Scared
C147760 TSCYC108 TSCYC1-Not Wanting to Go Somewhere Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to go somewhere that reminded him or her of a bad thing from the past. TSCYC - Not Wanting to Go Somewhere
C147761 TSCYC109 TSCYC1-Worrying Food Was Poisoned Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that his or her food was poisoned. TSCYC - Worrying Food Was Poisoned
C147762 TSCYC110 TSCYC1-Flinching When Someone Moved Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Flinching or jumping when someone moved quickly or there was a loud noise. TSCYC - Flinching When Someone Moved
C147763 TSCYC111 TSCYC1-Being Bothered by Memories Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being bothered by memories of something that happened to him or her. TSCYC - Being Bothered by Memories
C147764 TSCYC112 TSCYC1-Worrying Someone Might Be Sexual Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that someone might be sexual with him or her. TSCYC - Worrying Someone Might Be Sexual
C147765 TSCYC113 TSCYC1-Not Wanting to Talk Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to talk about something that happened to him or her. TSCYC - Not Wanting to Talk
C147766 TSCYC114 TSCYC1-Not Do Something Supposed to Do Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not doing something he or she was supposed to do. TSCYC - Not Do Something Supposed to Do
C147767 TSCYC115 TSCYC1-Breaking Things on Purpose Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Breaking things on purpose. TSCYC - Breaking Things on Purpose
C147768 TSCYC116 TSCYC1-Talking About Sexual Things Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Talking about sexual things. TSCYC - Talking About Sexual Things
C147769 TSCYC117 TSCYC1-Having Trouble Concentrating Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble concentrating. TSCYC - Having Trouble Concentrating
C147770 TSCYC118 TSCYC1-Blaming for Things Weren't Fault Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Blaming himself or herself for things that weren't his or her fault. TSCYC - Blaming for Things Weren't Fault
C147771 TSCYC119 TSCYC1-Acting Frightened Reminded Past Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Acting frightened when he or she was reminded of something that happened in the past. TSCYC - Acting Frightened Reminded Past
C147772 TSCYC120 TSCYC1-Pretending to Have Sex Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Pretending to have sex. TSCYC - Pretending to Have Sex
C147773 TSCYC121 TSCYC1-Worrying Bad Things in Future Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that bad things would happen in the future. TSCYC - Worrying Bad Things in Future
C147774 TSCYC122 TSCYC1-Arguing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Arguing. TSCYC - Arguing
C147775 TSCYC123 TSCYC1-Getting Into Physical Fights Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Getting into physical fights. TSCYC - Getting Into Physical Fights
C147776 TSCYC124 TSCYC1-Drawing Pictures Upsetting Thing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Drawing pictures about an upsetting thing that happened to him or her. TSCYC - Drawing Pictures Upsetting Thing
C147777 TSCYC125 TSCYC1-Not Noticing What He or She Doing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not noticing what he or she was doing. TSCYC - Not Noticing What He or She Doing
C147778 TSCYC126 TSCYC1-Having Trouble Sitting Still Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble sitting still. TSCYC - Having Trouble Sitting Still
C147779 TSCYC127 TSCYC1-Playing Games Something Bad Past Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Playing games about something bad that actually happened to him or her in the past. TSCYC - Playing Games Something Bad Past
C147780 TSCYC128 TSCYC1-Seeming to Be in a Daze Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to be in a daze. TSCYC - Seeming to Be in a Daze
C147781 TSCYC129 TSCYC1-Trouble Remember Upsetting Thing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble remembering an upsetting thing that happened in the past. TSCYC - Trouble Remember Upsetting Thing
C147782 TSCYC130 TSCYC1-Using Drugs Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Using drugs. TSCYC - Using Drugs
C147783 TSCYC131 TSCYC1-Fear of the Dark Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Fear of the dark. TSCYC - Fear of the Dark
C147784 TSCYC132 TSCYC1-Being Afraid to Be Alone Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being afraid to be alone. TSCYC - Being Afraid to Be Alone
C147785 TSCYC133 TSCYC1-Spacing Out Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Spacing out. TSCYC - Spacing Out
C147786 TSCYC134 TSCYC1-Being Too Aggressive Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being too aggressive. TSCYC - Being Too Aggressive
C147787 TSCYC135 TSCYC1-Touching Other Private Parts Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Touching other children's or adults' private parts (under or over clothes). TSCYC - Touching Other Private Parts
C147788 TSCYC136 TSCYC1-Seeing Bad Happened in the Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Suddenly seeing, feeling, or hearing something bad that happened in the past. TSCYC - Seeing Bad Happened in the Past
C147789 TSCYC137 TSCYC1-Hearing Voices to Hurt Someone Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hearing voices telling him or her to hurt someone. TSCYC - Hearing Voices to Hurt Someone
C147790 TSCYC138 TSCYC1-Staring Off Into Space Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Staring off into space. TSCYC - Staring Off Into Space
C147791 TSCYC139 TSCYC1-Changing Subject About Bad Thing Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Changing the subject or not answering when he or she was asked about a bad thing that happened to him or her. TSCYC - Changing Subject About Bad Thing
C147792 TSCYC140 TSCYC1-Having a Nervous Breakdown Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Having a nervous breakdown. TSCYC - Having a Nervous Breakdown
C147793 TSCYC141 TSCYC1-Not Happy Like Other Children Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not laughing or being happy like other children. TSCYC - Not Happy Like Other Children
C147794 TSCYC142 TSCYC1-Crying at Night Frightened Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying at night because he or she was frightened. TSCYC - Crying at Night Frightened
C147795 TSCYC143 TSCYC1-Hitting Adults Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hitting adults (including parents). TSCYC - Hitting Adults
C147796 TSCYC144 TSCYC1-Being Frightened of Men Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened of men. TSCYC - Being Frightened of Men
C147797 TSCYC145 TSCYC1-Not Being Able to Pay Attention Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not being able to pay attention. TSCYC - Not Being Able to Pay Attention
C147798 TSCYC146 TSCYC1-Seeming to Be Million Miles Away Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Seeming to be a million miles away. TSCYC - Seeming to Be Million Miles Away
C147799 TSCYC147 TSCYC1-Being Easily Startled Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being easily startled. TSCYC - Being Easily Startled
C147800 TSCYC148 TSCYC1-Watching Out for Possible Danger Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Watching out everywhere for possible danger. TSCYC - Watching Out for Possible Danger
C147801 TSCYC149 TSCYC1-No Longer Doing Things Enjoy Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: No longer doing things that he or she used to enjoy. TSCYC - No Longer Doing Things Enjoy
C147802 TSCYC150 TSCYC1-Frightened Something Sexual Seen Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming frightened or disturbed when something sexual was mentioned or seen. TSCYC - Frightened Something Sexual Seen
C147803 TSCYC151 TSCYC1-Not Sleeping for Two or More Days Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping for two or more days. TSCYC - Not Sleeping for Two or More Days
C147804 TSCYC152 TSCYC1-Not Paying Attention in Own World Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not paying attention because he or she was in his or her own world. TSCYC - Not Paying Attention in Own World
C147805 TSCYC153 TSCYC1-Making Mistakes Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making mistakes. TSCYC - Making Mistakes
C147806 TSCYC154 TSCYC1-Crying for No Obvious Reason Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying for no obvious reason. TSCYC - Crying for No Obvious Reason
C147807 TSCYC155 TSCYC1-Not Wanting to Be Around Someone Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to be around someone who did something bad to him or her or reminded him or her of something bad. TSCYC - Not Wanting to Be Around Someone
C147808 TSCYC156 TSCYC1-Being Tense Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being tense. TSCYC - Being Tense
C147809 TSCYC157 TSCYC1-Worrying About People's Safety Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about other people's safety. TSCYC - Worrying About People's Safety
C147810 TSCYC158 TSCYC1-Very Angry Over a Little Thing Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming very angry over a little thing. TSCYC - Very Angry Over a Little Thing
C147811 TSCYC159 TSCYC1-Drawing Pictures About Sex Things Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Drawing pictures about sexual things. TSCYC - Drawing Pictures About Sex Things
C147812 TSCYC160 TSCYC1-Pulling His or Her Hair Out Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Pulling his or her hair out. TSCYC - Pulling His or Her Hair Out
C147813 TSCYC161 TSCYC1-Calling Himself or Herself Bad Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Calling himself or herself bad, stupid, or ugly. TSCYC - Calling Himself or Herself Bad
C147814 TSCYC162 TSCYC1-Throwing Things at Friends/Family Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Throwing things at friends or family members. TSCYC - Throwing Things at Friends/Family
C147815 TSCYC163 TSCYC1-Getting Upset About the Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something in the past. TSCYC - Getting Upset About the Past
C147816 TSCYC164 TSCYC1-Temporary Blindness or Paralysis Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Temporary blindness or paralysis. TSCYC - Temporary Blindness or Paralysis
C147817 TSCYC165 TSCYC1-Getting Upset Something Sexual Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something sexual. TSCYC - Getting Upset Something Sexual
C147818 TSCYC166 TSCYC1-Not Going to Bed First Time Asked Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not going to bed at night the first time he or she was asked. TSCYC - Not Going to Bed First Time Asked
C147819 TSCYC167 TSCYC1-Fear He or She Killed by Someone Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Fear that he or she would be killed by someone. TSCYC - Fear He or She Killed by Someone
C147820 TSCYC168 TSCYC1-Saying Nobody Liked Him or Her Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that nobody liked him or her. TSCYC - Saying Nobody Liked Him or Her
C147821 TSCYC169 TSCYC1-Crying When Reminded From Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying when he or she was reminded of something from the past. TSCYC - Crying When Reminded From Past
C147822 TSCYC170 TSCYC1-Saying Bad Didn't Happen Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that something bad didn't happen to him or her even though it did happen. TSCYC - Saying Bad Didn't Happen
C147823 TSCYC171 TSCYC1-Saying He or She Wanted to Die Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying he or she wanted to die or be killed. TSCYC - Saying He or She Wanted to Die
C147824 TSCYC172 TSCYC1-Acting as If Didn't Have Feelings Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting as if he or she didn't have any feelings about something bad that happened to him or her. TSCYC - Acting as If Didn't Have Feelings
C147825 TSCYC173 TSCYC1-Whining Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Whining. TSCYC - Whining
C147826 TSCYC174 TSCYC1-Not Sleeping Well Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping well. TSCYC - Not Sleeping Well
C147827 TSCYC175 TSCYC1-Worrying About Sexual Things Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about sexual things. TSCYC - Worrying About Sexual Things
C147828 TSCYC176 TSCYC1-Being Frightened by Things Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened by things that didn't used to scare him or her. TSCYC - Being Frightened by Things
C147829 TSCYC177 TSCYC1-Hallucinating Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hallucinating. TSCYC - Hallucinating
C147830 TSCYC178 TSCYC1-Acting Like He/She Was in Trance Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting like he or she was in a trance. TSCYC - Acting Like He or She Was in Trance
C147831 TSCYC179 TSCYC1-Forgetting His or Her Own Name Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Forgetting his or her own name. TSCYC - Forgetting His or Her Own Name
C147832 TSCYC180 TSCYC1-Upset When Reminded Bad Happened Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset when he or she was reminded of something bad that happened. TSCYC - Upset When Reminded Bad Happened
C147833 TSCYC181 TSCYC1-Avoiding Bad Happened in Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Avoiding things that reminded him or her of a bad thing that had happened in the past. TSCYC - Avoiding Bad Happened in Past
C147834 TSCYC182 TSCYC1-Acting Jumpy Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting jumpy. TSCYC - Acting Jumpy
C147835 TSCYC183 TSCYC1-Making a Mess Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making a mess. TSCYC - Making a Mess
C147836 TSCYC184 TSCYC1-Acting Sad or Depressed Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting sad or depressed. TSCYC - Acting Sad or Depressed
C147837 TSCYC185 TSCYC1-Being Absent-minded Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being so absent-minded that he or she didn't notice what was going on around him or her. TSCYC - Being Absent-minded
C147838 TSCYC186 TSCYC1-Not Wanting to Eat Certain Foods Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to eat certain foods. TSCYC - Not Wanting to Eat Certain Foods
C147839 TSCYC187 TSCYC1-Yelling at Family/Friend/Teachers Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Yelling at family, friends, or teachers. TSCYC - Yelling at Family, Friends or Teachers
C147840 TSCYC188 TSCYC1-Not Playing Because Depressed Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not playing because he or she was depressed. TSCYC - Not Playing Because Depressed
C147841 TSCYC189 TSCYC1-Being Disobedient Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being disobedient. TSCYC - Being Disobedient
C147842 TSCYC190 TSCYC1-Intentionally Hurt Other Children Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Intentionally hurting other children or family members. TSCYC - Intentionally Hurt Other Children

TSCYC1TN (Trauma Symptom Checklist for Young Children Questionnaire Test Name)

NCI Code: C147549, Codelist extensible: No
C147549 TSCYC1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C147824 TSCYC1-Acting as If Didn't Have Feelings TSCYC1-Acting as If Didn't Have Feelings Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting as if he or she didn't have any feelings about something bad that happened to him or her. TSCYC - Acting as If Didn't Have Feelings
C147771 TSCYC1-Acting Frightened Reminded Past TSCYC1-Acting Frightened Reminded Past Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Acting frightened when he or she was reminded of something that happened in the past. TSCYC - Acting Frightened Reminded Past
C147834 TSCYC1-Acting Jumpy TSCYC1-Acting Jumpy Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting jumpy. TSCYC - Acting Jumpy
C147830 TSCYC1-Acting Like He/She Was in Trance TSCYC1-Acting Like He/She Was in Trance Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting like he or she was in a trance. TSCYC - Acting Like He or She Was in Trance
C147836 TSCYC1-Acting Sad or Depressed TSCYC1-Acting Sad or Depressed Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting sad or depressed. TSCYC - Acting Sad or Depressed
C147774 TSCYC1-Arguing TSCYC1-Arguing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Arguing. TSCYC - Arguing
C147833 TSCYC1-Avoiding Bad Happened in Past TSCYC1-Avoiding Bad Happened in Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Avoiding things that reminded him or her of a bad thing that had happened in the past. TSCYC - Avoiding Bad Happened in Past
C147756 TSCYC1-Bad Dreams or Nightmares TSCYC1-Bad Dreams or Nightmares Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Bad dreams or nightmares. TSCYC - Bad Dreams or Nightmares
C147837 TSCYC1-Being Absent-minded TSCYC1-Being Absent-minded Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being so absent-minded that he or she didn't notice what was going on around him or her. TSCYC - Being Absent-minded
C147784 TSCYC1-Being Afraid to Be Alone TSCYC1-Being Afraid to Be Alone Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being afraid to be alone. TSCYC - Being Afraid to Be Alone
C147763 TSCYC1-Being Bothered by Memories TSCYC1-Being Bothered by Memories Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being bothered by memories of something that happened to him or her. TSCYC - Being Bothered by Memories
C147841 TSCYC1-Being Disobedient TSCYC1-Being Disobedient Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being disobedient. TSCYC - Being Disobedient
C147759 TSCYC1-Being Easily Scared TSCYC1-Being Easily Scared Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being easily scared. TSCYC - Being Easily Scared
C147799 TSCYC1-Being Easily Startled TSCYC1-Being Easily Startled Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being easily startled. TSCYC - Being Easily Startled
C147828 TSCYC1-Being Frightened by Things TSCYC1-Being Frightened by Things Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened by things that didn't used to scare him or her. TSCYC - Being Frightened by Things
C147796 TSCYC1-Being Frightened of Men TSCYC1-Being Frightened of Men Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened of men. TSCYC - Being Frightened of Men
C147808 TSCYC1-Being Tense TSCYC1-Being Tense Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being tense. TSCYC - Being Tense
C147786 TSCYC1-Being Too Aggressive TSCYC1-Being Too Aggressive Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being too aggressive. TSCYC - Being Too Aggressive
C147770 TSCYC1-Blaming for Things Weren't Fault TSCYC1-Blaming for Things Weren't Fault Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Blaming himself or herself for things that weren't his or her fault. TSCYC - Blaming for Things Weren't Fault
C147767 TSCYC1-Breaking Things on Purpose TSCYC1-Breaking Things on Purpose Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Breaking things on purpose. TSCYC - Breaking Things on Purpose
C147813 TSCYC1-Calling Himself or Herself Bad TSCYC1-Calling Himself or Herself Bad Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Calling himself or herself bad, stupid, or ugly. TSCYC - Calling Himself or Herself Bad
C147791 TSCYC1-Changing Subject About Bad Thing TSCYC1-Changing Subject About Bad Thing Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Changing the subject or not answering when he or she was asked about a bad thing that happened to him or her. TSCYC - Changing Subject About Bad Thing
C147794 TSCYC1-Crying at Night Frightened TSCYC1-Crying at Night Frightened Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying at night because he or she was frightened. TSCYC - Crying at Night Frightened
C147806 TSCYC1-Crying for No Obvious Reason TSCYC1-Crying for No Obvious Reason Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying for no obvious reason. TSCYC - Crying for No Obvious Reason
C147821 TSCYC1-Crying When Reminded From Past TSCYC1-Crying When Reminded From Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying when he or she was reminded of something from the past. TSCYC - Crying When Reminded From Past
C147811 TSCYC1-Drawing Pictures About Sex Things TSCYC1-Drawing Pictures About Sex Things Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Drawing pictures about sexual things. TSCYC - Drawing Pictures About Sex Things
C147776 TSCYC1-Drawing Pictures Upsetting Thing TSCYC1-Drawing Pictures Upsetting Thing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Drawing pictures about an upsetting thing that happened to him or her. TSCYC - Drawing Pictures Upsetting Thing
C147819 TSCYC1-Fear He or She Killed by Someone TSCYC1-Fear He or She Killed by Someone Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Fear that he or she would be killed by someone. TSCYC - Fear He or She Killed by Someone
C147783 TSCYC1-Fear of the Dark TSCYC1-Fear of the Dark Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Fear of the dark. TSCYC - Fear of the Dark
C147762 TSCYC1-Flinching When Someone Moved TSCYC1-Flinching When Someone Moved Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Flinching or jumping when someone moved quickly or there was a loud noise. TSCYC - Flinching When Someone Moved
C147831 TSCYC1-Forgetting His or Her Own Name TSCYC1-Forgetting His or Her Own Name Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Forgetting his or her own name. TSCYC - Forgetting His or Her Own Name
C147802 TSCYC1-Frightened Something Sexual Seen TSCYC1-Frightened Something Sexual Seen Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming frightened or disturbed when something sexual was mentioned or seen. TSCYC - Frightened Something Sexual Seen
C147775 TSCYC1-Getting Into Physical Fights TSCYC1-Getting Into Physical Fights Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Getting into physical fights. TSCYC - Getting Into Physical Fights
C147815 TSCYC1-Getting Upset About the Past TSCYC1-Getting Upset About the Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something in the past. TSCYC - Getting Upset About the Past
C147817 TSCYC1-Getting Upset Something Sexual TSCYC1-Getting Upset Something Sexual Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something sexual. TSCYC - Getting Upset Something Sexual
C147829 TSCYC1-Hallucinating TSCYC1-Hallucinating Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hallucinating. TSCYC - Hallucinating
C147792 TSCYC1-Having a Nervous Breakdown TSCYC1-Having a Nervous Breakdown Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Having a nervous breakdown. TSCYC - Having a Nervous Breakdown
C147769 TSCYC1-Having Trouble Concentrating TSCYC1-Having Trouble Concentrating Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble concentrating. TSCYC - Having Trouble Concentrating
C147778 TSCYC1-Having Trouble Sitting Still TSCYC1-Having Trouble Sitting Still Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble sitting still. TSCYC - Having Trouble Sitting Still
C147789 TSCYC1-Hearing Voices to Hurt Someone TSCYC1-Hearing Voices to Hurt Someone Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hearing voices telling him or her to hurt someone. TSCYC - Hearing Voices to Hurt Someone
C147795 TSCYC1-Hitting Adults TSCYC1-Hitting Adults Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hitting adults (including parents). TSCYC - Hitting Adults
C147842 TSCYC1-Intentionally Hurt Other Children TSCYC1-Intentionally Hurt Other Children Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Intentionally hurting other children or family members. TSCYC - Intentionally Hurt Other Children
C147757 TSCYC1-Living in a Fantasy World TSCYC1-Living in a Fantasy World Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Living in a fantasy world. TSCYC - Living in a Fantasy World
C147754 TSCYC1-Looking Sad TSCYC1-Looking Sad Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Looking sad. TSCYC - Looking Sad
C147835 TSCYC1-Making a Mess TSCYC1-Making a Mess Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making a mess. TSCYC - Making a Mess
C147805 TSCYC1-Making Mistakes TSCYC1-Making Mistakes Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making mistakes. TSCYC - Making Mistakes
C147801 TSCYC1-No Longer Doing Things Enjoy TSCYC1-No Longer Doing Things Enjoy Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: No longer doing things that he or she used to enjoy. TSCYC - No Longer Doing Things Enjoy
C147797 TSCYC1-Not Being Able to Pay Attention TSCYC1-Not Being Able to Pay Attention Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not being able to pay attention. TSCYC - Not Being Able to Pay Attention
C147766 TSCYC1-Not Do Something Supposed to Do TSCYC1-Not Do Something Supposed to Do Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not doing something he or she was supposed to do. TSCYC - Not Do Something Supposed to Do
C147818 TSCYC1-Not Going to Bed First Time Asked TSCYC1-Not Going to Bed First Time Asked Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not going to bed at night the first time he or she was asked. TSCYC - Not Going to Bed First Time Asked
C147793 TSCYC1-Not Happy Like Other Children TSCYC1-Not Happy Like Other Children Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not laughing or being happy like other children. TSCYC - Not Happy Like Other Children
C147777 TSCYC1-Not Noticing What He or She Doing TSCYC1-Not Noticing What He or She Doing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not noticing what he or she was doing. TSCYC - Not Noticing What He or She Doing
C147804 TSCYC1-Not Paying Attention in Own World TSCYC1-Not Paying Attention in Own World Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not paying attention because he or she was in his or her own world. TSCYC - Not Paying Attention in Own World
C147840 TSCYC1-Not Playing Because Depressed TSCYC1-Not Playing Because Depressed Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not playing because he or she was depressed. TSCYC - Not Playing Because Depressed
C147803 TSCYC1-Not Sleeping for Two or More Days TSCYC1-Not Sleeping for Two or More Days Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping for two or more days. TSCYC - Not Sleeping for Two or More Days
C147826 TSCYC1-Not Sleeping Well TSCYC1-Not Sleeping Well Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping well. TSCYC - Not Sleeping Well
C147807 TSCYC1-Not Wanting to Be Around Someone TSCYC1-Not Wanting to Be Around Someone Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to be around someone who did something bad to him or her or reminded him or her of something bad. TSCYC - Not Wanting to Be Around Someone
C147838 TSCYC1-Not Wanting to Eat Certain Foods TSCYC1-Not Wanting to Eat Certain Foods Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to eat certain foods. TSCYC - Not Wanting to Eat Certain Foods
C147760 TSCYC1-Not Wanting to Go Somewhere TSCYC1-Not Wanting to Go Somewhere Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to go somewhere that reminded him or her of a bad thing from the past. TSCYC - Not Wanting to Go Somewhere
C147765 TSCYC1-Not Wanting to Talk TSCYC1-Not Wanting to Talk Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to talk about something that happened to him or her. TSCYC - Not Wanting to Talk
C147779 TSCYC1-Playing Games Something Bad Past TSCYC1-Playing Games Something Bad Past Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Playing games about something bad that actually happened to him or her in the past. TSCYC - Playing Games Something Bad Past
C147772 TSCYC1-Pretending to Have Sex TSCYC1-Pretending to Have Sex Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Pretending to have sex. TSCYC - Pretending to Have Sex
C147812 TSCYC1-Pulling His or Her Hair Out TSCYC1-Pulling His or Her Hair Out Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Pulling his or her hair out. TSCYC - Pulling His or Her Hair Out
C147822 TSCYC1-Saying Bad Didn't Happen TSCYC1-Saying Bad Didn't Happen Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that something bad didn't happen to him or her even though it did happen. TSCYC - Saying Bad Didn't Happen
C147823 TSCYC1-Saying He or She Wanted to Die TSCYC1-Saying He or She Wanted to Die Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying he or she wanted to die or be killed. TSCYC - Saying He or She Wanted to Die
C147820 TSCYC1-Saying Nobody Liked Him or Her TSCYC1-Saying Nobody Liked Him or Her Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that nobody liked him or her. TSCYC - Saying Nobody Liked Him or Her
C147788 TSCYC1-Seeing Bad Happened in the Past TSCYC1-Seeing Bad Happened in the Past Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Suddenly seeing, feeling, or hearing something bad that happened in the past. TSCYC - Seeing Bad Happened in the Past
C147780 TSCYC1-Seeming to Be in a Daze TSCYC1-Seeming to Be in a Daze Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to be in a daze. TSCYC - Seeming to Be in a Daze
C147798 TSCYC1-Seeming to Be Million Miles Away TSCYC1-Seeming to Be Million Miles Away Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Seeming to be a million miles away. TSCYC - Seeming to Be Million Miles Away
C147758 TSCYC1-Seeming to Know More About Sex TSCYC1-Seeming to Know More About Sex Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to know more about sex than he or she should. TSCYC - Seeming to Know More About Sex
C147785 TSCYC1-Spacing Out TSCYC1-Spacing Out Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Spacing out. TSCYC - Spacing Out
C147790 TSCYC1-Staring Off Into Space TSCYC1-Staring Off Into Space Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Staring off into space. TSCYC - Staring Off Into Space
C147768 TSCYC1-Talking About Sexual Things TSCYC1-Talking About Sexual Things Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Talking about sexual things. TSCYC - Talking About Sexual Things
C147755 TSCYC1-Telling a Lie TSCYC1-Telling a Lie Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Telling a lie. TSCYC - Telling a Lie
C147753 TSCYC1-Temper Tantrums TSCYC1-Temper Tantrums Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Temper tantrums. TSCYC - Temper Tantrums
C147816 TSCYC1-Temporary Blindness or Paralysis TSCYC1-Temporary Blindness or Paralysis Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Temporary blindness or paralysis. TSCYC - Temporary Blindness or Paralysis
C147814 TSCYC1-Throwing Things at Friends/Family TSCYC1-Throwing Things at Friends/Family Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Throwing things at friends or family members. TSCYC - Throwing Things at Friends/Family
C147787 TSCYC1-Touching Other Private Parts TSCYC1-Touching Other Private Parts Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Touching other children's or adults' private parts (under or over clothes). TSCYC - Touching Other Private Parts
C147781 TSCYC1-Trouble Remember Upsetting Thing TSCYC1-Trouble Remember Upsetting Thing Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble remembering an upsetting thing that happened in the past. TSCYC - Trouble Remember Upsetting Thing
C147832 TSCYC1-Upset When Reminded Bad Happened TSCYC1-Upset When Reminded Bad Happened Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset when he or she was reminded of something bad that happened. TSCYC - Upset When Reminded Bad Happened
C147782 TSCYC1-Using Drugs TSCYC1-Using Drugs Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Using drugs. TSCYC - Using Drugs
C147810 TSCYC1-Very Angry Over a Little Thing TSCYC1-Very Angry Over a Little Thing Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming very angry over a little thing. TSCYC - Very Angry Over a Little Thing
C147800 TSCYC1-Watching Out for Possible Danger TSCYC1-Watching Out for Possible Danger Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Watching out everywhere for possible danger. TSCYC - Watching Out for Possible Danger
C147825 TSCYC1-Whining TSCYC1-Whining Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Whining. TSCYC - Whining
C147809 TSCYC1-Worrying About People's Safety TSCYC1-Worrying About People's Safety Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about other people's safety. TSCYC - Worrying About People's Safety
C147827 TSCYC1-Worrying About Sexual Things TSCYC1-Worrying About Sexual Things Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about sexual things. TSCYC - Worrying About Sexual Things
C147773 TSCYC1-Worrying Bad Things in Future TSCYC1-Worrying Bad Things in Future Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that bad things would happen in the future. TSCYC - Worrying Bad Things in Future
C147761 TSCYC1-Worrying Food Was Poisoned TSCYC1-Worrying Food Was Poisoned Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that his or her food was poisoned. TSCYC - Worrying Food Was Poisoned
C147764 TSCYC1-Worrying Someone Might Be Sexual TSCYC1-Worrying Someone Might Be Sexual Trauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that someone might be sexual with him or her. TSCYC - Worrying Someone Might Be Sexual
C147839 TSCYC1-Yelling at Family/Friend/Teachers TSCYC1-Yelling at Family/Friend/Teachers Trauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Yelling at family, friends, or teachers. TSCYC - Yelling at Family, Friends or Teachers

TSQM01TC (Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Code)

NCI Code: C132525, Codelist extensible: No
C132525 TSQM01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132618 TSQM0101 TSQM01-Med to Prevent/Treat Condition Treatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the ability of the medication to prevent or treat your condition? TSQM Version 1.4 - Medication to Prevent or Treat Condition
C132619 TSQM0102 TSQM01-Way Medication Relieves Symptoms Treatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the way the medication relieves your symptoms? TSQM Version 1.4 - Way Medication Relieves Symptoms
C132620 TSQM0103 TSQM01-Time Takes Med to Start Working Treatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the amount of time it takes the medication to start working? TSQM Version 1.4 - Time Takes Medication to Start Working
C132621 TSQM0104 TSQM01-Experience Any Side Effect at All Treatment Satisfaction Questionnaire for Medication - As a result of taking this medication, do you experience any side effects at all? TSQM Version 1.4 - Experience Any Side Effect at All
C132622 TSQM0105 TSQM01-How Bothersome Are Side Effects Treatment Satisfaction Questionnaire for Medication - How bothersome are the side effects of the medication you take to treat your condition? TSQM Version 1.4 - How Bothersome Are Side Effects
C132623 TSQM0106 TSQM01-Interfere With Physical Health Treatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your physical health and ability to function (i.e., strength, energy levels, etc.)? TSQM Version 1.4 - Interfere With Physical Health
C132624 TSQM0107 TSQM01-Interfere With Mental Function Treatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your mental function (i.e., ability to think clearly, stay awake, etc.)? TSQM Version 1.4 - Interfere With Mental Function
C132625 TSQM0108 TSQM01-Side Effect Affect Overall Satisf Treatment Satisfaction Questionnaire for Medication - To what degree have medication side effects affected your overall satisfaction with the medication? TSQM Version 1.4 - Side Effect Affect Overall Satisfaction
C132626 TSQM0109 TSQM01-Easy/Difficult Use Medication Treatment Satisfaction Questionnaire for Medication - How easy or difficult is it to use the medication in its current form? TSQM Version 1.4 - Easy or Difficult Use Medication
C132627 TSQM0110 TSQM01-Easy/Difficult to Plan Use of Med Treatment Satisfaction Questionnaire for Medication - How easy or difficult is it to plan when you will use the medication each time? TSQM Version 1.4 - Easy or Difficult to Plan Use of Medication
C132628 TSQM0111 TSQM01-Convenient/Inconvenient Take Med Treatment Satisfaction Questionnaire for Medication - How convenient or inconvenient is it to take the medication as instructed? TSQM Version 1.4 - Convenient or Inconvenient Take Medication
C132629 TSQM0112 TSQM01-Confident Med Is Good for You Treatment Satisfaction Questionnaire for Medication - Overall, how confident are you that taking this medication is a good thing for you? TSQM Version 1.4 - Confident Medication Is Good for You
C132630 TSQM0113 TSQM01-Certain Good Things Outweigh Bad Treatment Satisfaction Questionnaire for Medication - How certain are you that the good things about your medication outweigh the bad things? TSQM Version 1.4 - Certain Good Things Outweigh Bad
C132631 TSQM0114 TSQM01-Satisfied/Dissatisfied With Med Treatment Satisfaction Questionnaire for Medication - Taking all things into account, how satisfied or dissatisfied are you with this medication? TSQM Version 1.4 - Satisfied or Dissatisfied With Medication

TSQM01TN (Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Name)

NCI Code: C132524, Codelist extensible: No
C132524 TSQM01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C132630 TSQM01-Certain Good Things Outweigh Bad TSQM01-Certain Good Things Outweigh Bad Treatment Satisfaction Questionnaire for Medication - How certain are you that the good things about your medication outweigh the bad things? TSQM Version 1.4 - Certain Good Things Outweigh Bad
C132629 TSQM01-Confident Med Is Good for You TSQM01-Confident Med Is Good for You Treatment Satisfaction Questionnaire for Medication - Overall, how confident are you that taking this medication is a good thing for you? TSQM Version 1.4 - Confident Medication Is Good for You
C132628 TSQM01-Convenient/Inconvenient Take Med TSQM01-Convenient/Inconvenient Take Med Treatment Satisfaction Questionnaire for Medication - How convenient or inconvenient is it to take the medication as instructed? TSQM Version 1.4 - Convenient or Inconvenient Take Medication
C132627 TSQM01-Easy/Difficult to Plan Use of Med TSQM01-Easy/Difficult to Plan Use of Med Treatment Satisfaction Questionnaire for Medication - How easy or difficult is it to plan when you will use the medication each time? TSQM Version 1.4 - Easy or Difficult to Plan Use of Medication
C132626 TSQM01-Easy/Difficult Use Medication TSQM01-Easy/Difficult Use Medication Treatment Satisfaction Questionnaire for Medication - How easy or difficult is it to use the medication in its current form? TSQM Version 1.4 - Easy or Difficult Use Medication
C132621 TSQM01-Experience Any Side Effect at All TSQM01-Experience Any Side Effect at All Treatment Satisfaction Questionnaire for Medication - As a result of taking this medication, do you experience any side effects at all? TSQM Version 1.4 - Experience Any Side Effect at All
C132622 TSQM01-How Bothersome Are Side Effects TSQM01-How Bothersome Are Side Effects Treatment Satisfaction Questionnaire for Medication - How bothersome are the side effects of the medication you take to treat your condition? TSQM Version 1.4 - How Bothersome Are Side Effects
C132624 TSQM01-Interfere With Mental Function TSQM01-Interfere With Mental Function Treatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your mental function (i.e., ability to think clearly, stay awake, etc.)? TSQM Version 1.4 - Interfere With Mental Function
C132623 TSQM01-Interfere With Physical Health TSQM01-Interfere With Physical Health Treatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your physical health and ability to function (i.e., strength, energy levels, etc.)? TSQM Version 1.4 - Interfere With Physical Health
C132618 TSQM01-Med to Prevent/Treat Condition TSQM01-Med to Prevent/Treat Condition Treatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the ability of the medication to prevent or treat your condition? TSQM Version 1.4 - Medication to Prevent or Treat Condition
C132631 TSQM01-Satisfied/Dissatisfied With Med TSQM01-Satisfied/Dissatisfied With Med Treatment Satisfaction Questionnaire for Medication - Taking all things into account, how satisfied or dissatisfied are you with this medication? TSQM Version 1.4 - Satisfied or Dissatisfied With Medication
C132625 TSQM01-Side Effect Affect Overall Satisf TSQM01-Side Effect Affect Overall Satisf Treatment Satisfaction Questionnaire for Medication - To what degree have medication side effects affected your overall satisfaction with the medication? TSQM Version 1.4 - Side Effect Affect Overall Satisfaction
C132620 TSQM01-Time Takes Med to Start Working TSQM01-Time Takes Med to Start Working Treatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the amount of time it takes the medication to start working? TSQM Version 1.4 - Time Takes Medication to Start Working
C132619 TSQM01-Way Medication Relieves Symptoms TSQM01-Way Medication Relieves Symptoms Treatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the way the medication relieves your symptoms? TSQM Version 1.4 - Way Medication Relieves Symptoms

TUG01TC (Timed Up and Go Test Functional Test Test Code)

NCI Code: C115400, Codelist extensible: No
C115400 TUG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115819 TUG0101 TUG01-Time to Complete TUG Test Timed Up and Go - Time in seconds to complete TUG test. TUG - Time to Complete TUG Test

TUG01TN (Timed Up and Go Test Functional Test Test Name)

NCI Code: C115399, Codelist extensible: No
C115399 TUG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C115819 TUG01-Time to Complete TUG Test TUG01-Time to Complete TUG Test Timed Up and Go - Time in seconds to complete TUG test. TUG - Time to Complete TUG Test

UHDR1TC (Unified Huntington's Disease Rating Scale '99 Clinical Classification Test Code)

NCI Code: C154449, Codelist extensible: No
C154449 UHDR1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155370 UHDR101A UHDR1-Ocular Pursuit: Horizontal Unified Huntington's Disease Rating Scale '99 - Ocular pursuit, horizontal. UHDRS 1999 Version - Ocular Pursuit: Horizontal
C155371 UHDR101B UHDR1-Ocular Pursuit: Vertical Unified Huntington's Disease Rating Scale '99 - Ocular pursuit, vertical. UHDRS 1999 Version - Ocular Pursuit: Vertical
C155372 UHDR102A UHDR1-Saccade Initiation: Horizontal Unified Huntington's Disease Rating Scale '99 - Saccade initiation, horizontal. UHDRS 1999 Version - Saccade Initiation: Horizontal
C155373 UHDR102B UHDR1-Saccade Initiation: Vertical Unified Huntington's Disease Rating Scale '99 - Saccade initiation, vertical. UHDRS 1999 Version - Saccade Initiation: Vertical
C155374 UHDR103A UHDR1-Saccade Velocity: Horizontal Unified Huntington's Disease Rating Scale '99 - Saccade velocity, horizontal. UHDRS 1999 Version - Saccade Velocity: Horizontal
C155375 UHDR103B UHDR1-Saccade Velocity: Vertical Unified Huntington's Disease Rating Scale '99 - Saccade velocity, vertical. UHDRS 1999 Version - Saccade Velocity: Vertical
C155376 UHDR104 UHDR1-Dysarthria Unified Huntington's Disease Rating Scale '99 - Dysarthria. UHDRS 1999 Version - Dysarthria
C155377 UHDR105 UHDR1-Tongue Protrusion Unified Huntington's Disease Rating Scale '99 - Tongue protrusion. UHDRS 1999 Version - Tongue Protrusion
C155378 UHDR106A UHDR1-Finger Taps: Right Unified Huntington's Disease Rating Scale '99 - Finger taps, right. UHDRS 1999 Version - Finger Taps: Right
C155379 UHDR106B UHDR1-Finger Taps: Left Unified Huntington's Disease Rating Scale '99 - Finger taps, left. UHDRS 1999 Version - Finger Taps: Left
C155380 UHDR107A UHDR1-Pronate/Supinate: Hands: Right Unified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, right. UHDRS 1999 Version - Pronate/Supinate: Hands: Right
C155381 UHDR107B UHDR1-Pronate/Supinate: Hands: Left Unified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, left. UHDRS 1999 Version - Pronate/Supinate: Hands: Left
C155382 UHDR108 UHDR1-Luria Unified Huntington's Disease Rating Scale '99 - Luria (fist-hand palm test). UHDRS 1999 Version - Luria
C155383 UHDR109A UHDR1-Rigidity: Arms: Right Unified Huntington's Disease Rating Scale '99 - Rigidity-arms, right. UHDRS 1999 Version - Rigidity: Arms: Right
C155384 UHDR109B UHDR1-Rigidity: Arms: Left Unified Huntington's Disease Rating Scale '99 - Rigidity-arms, left. UHDRS 1999 Version - Rigidity: Arms: Left
C155385 UHDR110 UHDR1-Bradykinesia: Body Unified Huntington's Disease Rating Scale '99 - Bradykinesia-body. UHDRS 1999 Version - Bradykinesia: Body
C155386 UHDR111A UHDR1-Maximal Dystonia: Trunk Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-Trunk. UHDRS 1999 Version - Maximal Dystonia: Trunk
C155387 UHDR111B UHDR1-Maximal Dystonia: RUE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-RUE. UHDRS 1999 Version - Maximal Dystonia: RUE
C155388 UHDR111C UHDR1-Maximal Dystonia: LUE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-LUE. UHDRS 1999 Version - Maximal Dystonia: LUE
C155389 UHDR111D UHDR1-Maximal Dystonia: RLE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-RLE. UHDRS 1999 Version - Maximal Dystonia: RLE
C155390 UHDR111E UHDR1-Maximal Dystonia: LLE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-LLE. UHDRS 1999 Version - Maximal Dystonia: LLE
C155391 UHDR112A UHDR1-Maximal Chorea: Face Unified Huntington's Disease Rating Scale '99 - Maximal chorea-Face. UHDRS 1999 Version - Maximal Chorea: Face
C155392 UHDR112B UHDR1-Maximal Chorea: BOL Unified Huntington's Disease Rating Scale '99 - Maximal chorea-BOL. UHDRS 1999 Version - Maximal Chorea: BOL
C155393 UHDR112C UHDR1-Maximal Chorea: Trunk Unified Huntington's Disease Rating Scale '99 - Maximal chorea-Trunk. UHDRS 1999 Version - Maximal Chorea: Trunk
C155394 UHDR112D UHDR1-Maximal Chorea: RUE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-RUE. UHDRS 1999 Version - Maximal Chorea: RUE
C155395 UHDR112E UHDR1-Maximal Chorea: LUE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-LUE. UHDRS 1999 Version - Maximal Chorea: LUE
C155396 UHDR112F UHDR1-Maximal Chorea: RLE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-RLE. UHDRS 1999 Version - Maximal Chorea: RLE
C155397 UHDR112G UHDR1-Maximal Chorea: LLE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-LLE. UHDRS 1999 Version - Maximal Chorea: LLE
C155398 UHDR113 UHDR1-Gait Unified Huntington's Disease Rating Scale '99 - Gait. UHDRS 1999 Version - Gait
C155399 UHDR114 UHDR1-Tandem Walking Unified Huntington's Disease Rating Scale '99 - Tandem walking. UHDRS 1999 Version - Tandem Walking
C155400 UHDR115 UHDR1-Retropulsion Pull Test Unified Huntington's Disease Rating Scale '99 - Retropulsion pull test. UHDRS 1999 Version - Retropulsion Pull Test
C155401 UHDR117 UHDR1-Diagnosis Confidence Level Unified Huntington's Disease Rating Scale '99 - Diagnosis confidence level: To what degree are you confident that this person meets the operational definition of the unequivocal presence of an otherwise unexplained extrapyramidal movement disorder (e.g., chorea, dystonia, bradykinesia, rigidity) in a subject at risk of HD? UHDRS 1999 Version - Diagnosis Confidence Level
C155402 UHDR119 UHDR1-Verbal Fluency Test Unified Huntington's Disease Rating Scale '99 - Verbal fluency test (raw score). UHDRS 1999 Version - Verbal Fluency Test
C155403 UHDR120 UHDR1-Symbol Digit Modalities Test Unified Huntington's Disease Rating Scale '99 - Symbol digit modalities test (raw score). UHDRS 1999 Version - Symbol Digit Modalities Test
C155404 UHDR125A UHDR1-Depressed Mood: Frequency Unified Huntington's Disease Rating Scale '99 - Depressed mood: Frequency: Within the past month, how often have you been feeling sad, down or "blue"? UHDRS 1999 Version - Depressed Mood: Frequency
C155405 UHDR125B UHDR1-Depressed Mood: Severity Unified Huntington's Disease Rating Scale '99 - Depressed mood: Severity: How has your mood affected your daily activities? [Evidence of sad mood from behavioral observation includes sad voice or expression, tearfulness.]. UHDRS 1999 Version - Depressed Mood: Severity
C155406 UHDR126A UHDR1-Apathy: Frequency Unified Huntington's Disease Rating Scale '99 - Apathy: Frequency: Within the past month, how often have you found that you have lost interest in things that used to be important to you? UHDRS 1999 Version - Apathy: Frequency
C155407 UHDR126B UHDR1-Apathy: Severity Unified Huntington's Disease Rating Scale '99 - Apathy: Severity: How has apathy impacted your ability to carry out daily activities? UHDRS 1999 Version - Apathy: Severity
C155408 UHDR127A UHDR1-Self-esteem/Guilt: Frequency Unified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Frequency: Within the past month, how often have you been feeling badly about yourself? UHDRS 1999 Version - Self-esteem/Guilt: Frequency
C155409 UHDR127B UHDR1-Self-esteem/Guilt: Severity Unified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Severity: How have these feelings affected your daily activities? UHDRS 1999 Version - Self-esteem/Guilt: Severity
C155410 UHDR128A UHDR1-Suicidal Thoughts: Frequency Unified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Frequency: Within the past month, how often have you thought about hurting yourself or ending it all? UHDRS 1999 Version - Suicidal Thoughts: Frequency
C155411 UHDR128B UHDR1-Suicidal Thoughts: Severity Unified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Severity: Do you have a plan in mind to end it all? Have you taken any steps toward carrying out your plan? UHDRS 1999 Version - Suicidal Thoughts: Severity
C155412 UHDR129A UHDR1-Anxiety: Frequency Unified Huntington's Disease Rating Scale '99 - Anxiety: Frequency: Within the past month, how often have you found yourself worrying about things? UHDRS 1999 Version - Anxiety: Frequency
C155413 UHDR129B UHDR1-Anxiety: Severity Unified Huntington's Disease Rating Scale '99 - Anxiety: Severity: How much has nervousness or worry affected your daily activities? UHDRS 1999 Version - Anxiety: Severity
C155414 UHDR130A UHDR1-Irritable Behavior: Frequency Unified Huntington's Disease Rating Scale '99 - Irritable behavior: Frequency: In the past month, how often have you felt impatient, irritable, or "cranky"? UHDRS 1999 Version - Irritable Behavior: Frequency
C155415 UHDR130B UHDR1-Irritable Behavior: Severity Unified Huntington's Disease Rating Scale '99 - Irritable behavior: Severity: How has irritability impacted your ability to get along with others? UHDRS 1999 Version - Irritable Behavior: Severity
C155416 UHDR131A UHDR1-Disruptive Behavior: Frequency Unified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Frequency: Within the past month, how often have you had emotional or temper outbursts? How often have you had times when you lost control of yourself? UHDRS 1999 Version - Disruptive Behavior: Frequency
C155417 UHDR131B UDHR1-Disruptive Behavior: Severity Unified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Severity: Have you used threats or hostile words? Have you hit or shoved or thrown things or expressed your temper in a physical way? UHDRS 1999 Version - UDHR1-Disruptive Behavior: Severity
C155418 UHDR132A UHDR1-Perseverative Thinking: Frequency Unified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Frequency: Within the past month, how often have you found yourself getting stuck on certain ideas? How often have you been bothered by thoughts, images, or fears that keep coming back even if you try not to have them? UHDRS 1999 Version - Perseverative Thinking: Frequency
C155419 UHDR132B UDHR1-Perseverative Thinking: Severity Unified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Severity: Have do repeated thoughts impact your daily life? UHDRS 1999 Version - UDHR1-Perseverative Thinking: Severity
C155420 UHDR133A UHDR1-Compulsive Behavior: Frequency Unified Huntington's Disease Rating Scale '99 - Compulsive behavior: Frequency: Within the past month, how often have you found yourself doing certain things over and over again (counting, washing, checking)? UHDRS 1999 Version - Compulsive Behavior: Frequency
C155421 UHDR133B UDHR1-Compulsive Behavior: Severity Unified Huntington's Disease Rating Scale '99 - Compulsive behavior: Severity: Are you unable to resist doing some of these things? UHDRS 1999 Version - UDHR1-Compulsive Behavior: Severity
C155422 UHDR134A UHDR1-Delusions: Frequency Unified Huntington's Disease Rating Scale '99 - Delusions: Frequency: How often does it seem like people are out to get you, people are controlling you, or you are very suspicious of others? Do you have special powers or importance? UHDRS 1999 Version - Delusions: Frequency
C155423 UHDR134B UDHR1-Delusions: Severity Unified Huntington's Disease Rating Scale '99 - Delusions: Severity: When you feel suspicious (insert delusion here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.]. UHDRS 1999 Version - UDHR1-Delusions: Severity
C155424 UHDR135A UHDR1-Hallucinations: Frequency Unified Huntington's Disease Rating Scale '99 - Hallucinations: Frequency: How often have you heard things that other people couldn't hear, or seen things that other people couldn't see? UHDRS 1999 Version - Hallucinations: Frequency
C155425 UHDR135B UDHR1-Hallucinations: Severity Unified Huntington's Disease Rating Scale '99 - Hallucinations: Severity: When you see or hear things (insert hallucination here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.]. UHDRS 1999 Version - UDHR1-Hallucinations: Severity
C155426 UHDR136 UDHR1-Examiner Believe Subject Confused Unified Huntington's Disease Rating Scale '99 - Confusion is defined as intermittent or persistent disorganized thinking, perceptual disturbances or disorientation to time, place, or person. Does the examiner believe the subject is confused? UHDRS 1999 Version - UDHR1-Examiner Believe Subject Confused
C155427 UHDR136A UDHR1-Confusion Altered Performance Unified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS? UHDRS 1999 Version - UDHR1-Confusion Altered Performance
C155428 UHDR137 UDHR1-Examiner Believe Signs of Dementia Unified Huntington's Disease Rating Scale '99 - Dementia is defined as progressive impairment in memory, abstract thinking or judgment that interferes with work or usual social activities and relationships. Does the examiner believe that the participant is showing signs of dementia? UHDRS 1999 Version - UDHR1-Examiner Believe Signs of Dementia
C155429 UHDR137A UDHR1-Dementia Altered Performance Unified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS? UHDRS 1999 Version - UDHR1-Dementia Altered Performance
C155430 UHDR138 UDHR1-Examiner Believe Signs Depression Unified Huntington's Disease Rating Scale '99 - Depression is defined as persistent depressed mood, anhedonia, or vegetative signs sufficient to interfere with daily functioning. Does the examiner believe that the participant is showing signs of depression? UHDRS 1999 Version - UDHR1-Examiner Believe Signs Depression
C155431 UHDR139 UHDR1-Pharmacotherapy of Depression Unified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of depression? UHDRS 1999 Version - Pharmacotherapy of Depression
C155432 UHDR140 UHDR1-Pharmacotherapy of Irritability Unified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of irritability? UHDRS 1999 Version - Pharmacotherapy of Irritability
C155433 UHDR141 UHDR1-Behavior Assessment Obtained From Unified Huntington's Disease Rating Scale '99 - Was the Behavioral Assessment information obtained from. UHDRS 1999 Version - Behavior Assessment Obtained From
C155434 UHDR143 UHDR1-Gainful Employment Accustomed Work Unified Huntington's Disease Rating Scale '99 - Could the subject engage in gainful employment in his/her accustomed work? UHDRS 1999 Version - Gainful Employment Accustomed Work
C155435 UHDR144 UHDR1-Any Gainful Employment Unified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of gainful employment? UHDRS 1999 Version - Any Gainful Employment
C155436 UHDR145 UHDR1-Volunteer or Non Gainful Work Unified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of volunteer or non gainful work? UHDRS 1999 Version - Volunteer or Non Gainful Work
C155437 UHDR146 UHDR1-Manage Finances Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject manage his/her finances (monthly) without any help? UHDRS 1999 Version - Manage Finances Without Help
C155438 UHDR147 UHDR1-Shop for Groceries Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject shop for groceries without help? UHDRS 1999 Version - Shop for Groceries Without Help
C155439 UHDR148 UHDR1-Handle Money as Purchaser Unified Huntington's Disease Rating Scale '99 - Could the subject handle money as a purchaser in a simple cash (store) transaction? UHDRS 1999 Version - Handle Money as Purchaser
C155440 UHDR149 UHDR1-Supervise Children Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject supervise children without help? UHDRS 1999 Version - Supervise Children Without Help
C155441 UHDR150 UHDR1-Operate Automobile Safely Unified Huntington's Disease Rating Scale '99 - Could the subject operate an automobile safely and independently? UHDRS 1999 Version - Operate Automobile Safely
C155442 UHDR151 UHDR1-Do Housework Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject do his/her own housework without help? UHDRS 1999 Version - Do Housework Without Help
C155443 UHDR152 UHDR1-Do Laundry Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject do his/her own laundry (wash/dry) without help? UHDRS 1999 Version - Do Laundry Without Help
C155444 UHDR153 UHDR1-Prepare Own Meals Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject prepare his/her own meals without help? UHDRS 1999 Version - Prepare Own Meals Without Help
C155445 UHDR154 UHDR1-Use Telephone Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject use the telephone without help? UHDRS 1999 Version - Use Telephone Without Help
C155446 UHDR155 UHDR1-Take Medications Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject take his/her own medications without help? UHDRS 1999 Version - Take Medications Without Help
C155447 UHDR156 UHDR1-Feed Himself/Herself Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject feed himself/herself without help? UHDRS 1999 Version - Feed Himself/Herself Without Help
C155448 UHDR157 UHDR1-Dress Himself/Herself Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject dress himself/herself without help? UHDRS 1999 Version - Dress Himself/Herself Without Help
C155449 UHDR158 UHDR1-Bathe Himself/Herself Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject bathe himself/herself without help? UHDRS 1999 Version - Bathe Himself/Herself Without Help
C155450 UHDR159 UHDR1-Public Transportation Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject use public transportation to get places without help? UHDRS 1999 Version - Public Transportation Without Help
C155451 UHDR160 UHDR1-Walk Own Neighborhood Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject walk to places in his/her own neighborhood without help? UHDRS 1999 Version - Walk Own Neighborhood Without Help
C155452 UHDR161 UHDR1-Walk Without Falling Unified Huntington's Disease Rating Scale '99 - Could the subject walk without falling? UHDRS 1999 Version - Walk Without Falling
C155453 UHDR162 UHDR1-Walk Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject walk without help? UHDRS 1999 Version - Walk Without Help
C155454 UHDR163 UHDR1-Comb Hair Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject comb hair without help? UHDRS 1999 Version - Comb Hair Without Help
C155455 UHDR164 UHDR1-Transfer Chair Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject transfer between chairs without help? UHDRS 1999 Version - Transfer Chair Without Help
C155456 UHDR165 UHDR1-Get in and Out of Bed Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject get in and out of bed without help? UHDRS 1999 Version - Get in and Out of Bed Without Help
C155457 UHDR166 UHDR1-Use Toilet/Commode Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject use the toilet/commode without help? UHDRS 1999 Version - Use Toilet/Commode Without Help
C155458 UHDR167 UHDR1-Care Provided at Home Unified Huntington's Disease Rating Scale '99 - Could the subject's care still be provided at home? UHDRS 1999 Version - Care Provided at Home
C155459 UHDR168 UHDR1-Functional Assess Obtained From Unified Huntington's Disease Rating Scale '99 - Was the Functional Assessment information obtained from. UHDRS 1999 Version - Functional Assess Obtained From
C155460 UHDR169 UHDR1-Current Level Subject Independence Unified Huntington's Disease Rating Scale '99 - Please indicate the most accurate current level of subject's independence (only increments of 5 are acceptable). UHDRS 1999 Version - Current Level Subject Independence
C155461 UHDR170 UHDR1-Occupation Unified Huntington's Disease Rating Scale '99 - Occupation. UHDRS 1999 Version - Occupation
C155462 UHDR171 UHDR1-Finances Unified Huntington's Disease Rating Scale '99 - Finances. UHDRS 1999 Version - Finances
C155463 UHDR172 UHDR1-Domestic Chores Unified Huntington's Disease Rating Scale '99 - Domestic Chores. UHDRS 1999 Version - Domestic Chores
C155464 UHDR173 UHDR1-ADL Unified Huntington's Disease Rating Scale '99 - ADL. UHDRS 1999 Version - ADL
C155465 UHDR174 UHDR1-Care Level Unified Huntington's Disease Rating Scale '99 - Care Level. UHDRS 1999 Version - Care Level
C155466 UHDR175 UHDR1-Functional Capacity Obtained From Unified Huntington's Disease Rating Scale '99 - Was the Functional Capacity information obtained from. UHDRS 1999 Version - Functional Capacity Obtained From
C155467 UHDR177 UHDR1-Purpose of This Visit Unified Huntington's Disease Rating Scale '99 - What was the purpose of this visit? UHDRS 1999 Version - Purpose of This Visit
C155468 UHDR178 UHDR1-Since Last Assessment Opinion Unified Huntington's Disease Rating Scale '99 - Since your last assessment of the subject, in your opinion, has the subject. UHDRS 1999 Version - Since Last Assessment Opinion
C155469 UHDR179 UHDR1-Since Last Assessment Feel Unified Huntington's Disease Rating Scale '99 - Since your last assessment does the subject feel. UHDRS 1999 Version - Since Last Assessment Feel
C155470 UHDR180 UHDR1-Believe Subject Has Manifest HD Unified Huntington's Disease Rating Scale '99 - Based on the entire UHDRS (Motor, Cognitive, Behavioral and Functional components) do you believe with a confidence level >= 99% that this subject has manifest HD? UHDRS 1999 Version - Believe Subject Has Manifest HD
C155471 UHDR183A UHDR1-Permanently Institutionalized Unified Huntington's Disease Rating Scale '99 - Since the last visit, has the subject been permanently institutionalized? UHDRS 1999 Version - Permanently Institutionalized
C155472 UHDR183B UHDR1-Continue to Be Assessed for Study Unified Huntington's Disease Rating Scale '99 - If the subject was institutionalized will the subject continue to be assessed for this study? UHDRS 1999 Version - Continue to Be Assessed for Study
C155473 UHDR184 UHDR1-Total Motor Score Unified Huntington's Disease Rating Scale '99 - Total Motor score. UHDRS 1999 Version - Total Motor Score
C155474 UHDR185 UHDR1-Total Behavior Score Unified Huntington's Disease Rating Scale '99 - Total Behavior score. UHDRS 1999 Version - Total Behavior Score
C155475 UHDR186 UHDR1-Mood Subscale Score Unified Huntington's Disease Rating Scale '99 - Mood subscale score of the total behavior score. UHDRS 1999 Version - Mood Subscale Score
C155476 UHDR187 UHDR1-Behavior Subscale Score Unified Huntington's Disease Rating Scale '99 - Behavior subscale score of the total behavior score. UHDRS 1999 Version - Behavior Subscale Score
C155477 UHDR188 UHDR1-Psychosis Subscale Score Unified Huntington's Disease Rating Scale '99 - Psychosis subscale score of the total behavior score. UHDRS 1999 Version - Psychosis Subscale Score
C155478 UHDR189 UHDR1-Obsessive Subscale Score Unified Huntington's Disease Rating Scale '99 - Obsessive subscale score of the total behavior score. UHDRS 1999 Version - Obsessive Subscale Score
C155479 UHDR190 UHDR1-Total Functional Capacity Score Unified Huntington's Disease Rating Scale '99 - Total functional capacity score. UHDRS 1999 Version - Total Functional Capacity Score
C155480 UHDR191 UHDR1-Independence Scale Score Unified Huntington's Disease Rating Scale '99 - Independence scale score. UHDRS 1999 Version - Independence Scale Score
C155481 UHDR192 UHDR1-Functional Checklist Score Unified Huntington's Disease Rating Scale '99 - Functional checklist score. UHDRS 1999 Version - Functional Checklist Score

UHDR1TN (Unified Huntington's Disease Rating Scale '99 Clinical Classification Test Name)

NCI Code: C154448, Codelist extensible: No
C154448 UHDR1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C155421 UDHR1-Compulsive Behavior: Severity UDHR1-Compulsive Behavior: Severity Unified Huntington's Disease Rating Scale '99 - Compulsive behavior: Severity: Are you unable to resist doing some of these things? UHDRS 1999 Version - UDHR1-Compulsive Behavior: Severity
C155427 UDHR1-Confusion Altered Performance UDHR1-Confusion Altered Performance Unified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS? UHDRS 1999 Version - UDHR1-Confusion Altered Performance
C155423 UDHR1-Delusions: Severity UDHR1-Delusions: Severity Unified Huntington's Disease Rating Scale '99 - Delusions: Severity: When you feel suspicious (insert delusion here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.]. UHDRS 1999 Version - UDHR1-Delusions: Severity
C155429 UDHR1-Dementia Altered Performance UDHR1-Dementia Altered Performance Unified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS? UHDRS 1999 Version - UDHR1-Dementia Altered Performance
C155417 UDHR1-Disruptive Behavior: Severity UDHR1-Disruptive Behavior: Severity Unified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Severity: Have you used threats or hostile words? Have you hit or shoved or thrown things or expressed your temper in a physical way? UHDRS 1999 Version - UDHR1-Disruptive Behavior: Severity
C155430 UDHR1-Examiner Believe Signs Depression UDHR1-Examiner Believe Signs Depression Unified Huntington's Disease Rating Scale '99 - Depression is defined as persistent depressed mood, anhedonia, or vegetative signs sufficient to interfere with daily functioning. Does the examiner believe that the participant is showing signs of depression? UHDRS 1999 Version - UDHR1-Examiner Believe Signs Depression
C155428 UDHR1-Examiner Believe Signs of Dementia UDHR1-Examiner Believe Signs of Dementia Unified Huntington's Disease Rating Scale '99 - Dementia is defined as progressive impairment in memory, abstract thinking or judgment that interferes with work or usual social activities and relationships. Does the examiner believe that the participant is showing signs of dementia? UHDRS 1999 Version - UDHR1-Examiner Believe Signs of Dementia
C155426 UDHR1-Examiner Believe Subject Confused UDHR1-Examiner Believe Subject Confused Unified Huntington's Disease Rating Scale '99 - Confusion is defined as intermittent or persistent disorganized thinking, perceptual disturbances or disorientation to time, place, or person. Does the examiner believe the subject is confused? UHDRS 1999 Version - UDHR1-Examiner Believe Subject Confused
C155425 UDHR1-Hallucinations: Severity UDHR1-Hallucinations: Severity Unified Huntington's Disease Rating Scale '99 - Hallucinations: Severity: When you see or hear things (insert hallucination here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.]. UHDRS 1999 Version - UDHR1-Hallucinations: Severity
C155419 UDHR1-Perseverative Thinking: Severity UDHR1-Perseverative Thinking: Severity Unified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Severity: Have do repeated thoughts impact your daily life? UHDRS 1999 Version - UDHR1-Perseverative Thinking: Severity
C155464 UHDR1-ADL UHDR1-ADL Unified Huntington's Disease Rating Scale '99 - ADL. UHDRS 1999 Version - ADL
C155412 UHDR1-Anxiety: Frequency UHDR1-Anxiety: Frequency Unified Huntington's Disease Rating Scale '99 - Anxiety: Frequency: Within the past month, how often have you found yourself worrying about things? UHDRS 1999 Version - Anxiety: Frequency
C155413 UHDR1-Anxiety: Severity UHDR1-Anxiety: Severity Unified Huntington's Disease Rating Scale '99 - Anxiety: Severity: How much has nervousness or worry affected your daily activities? UHDRS 1999 Version - Anxiety: Severity
C155435 UHDR1-Any Gainful Employment UHDR1-Any Gainful Employment Unified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of gainful employment? UHDRS 1999 Version - Any Gainful Employment
C155406 UHDR1-Apathy: Frequency UHDR1-Apathy: Frequency Unified Huntington's Disease Rating Scale '99 - Apathy: Frequency: Within the past month, how often have you found that you have lost interest in things that used to be important to you? UHDRS 1999 Version - Apathy: Frequency
C155407 UHDR1-Apathy: Severity UHDR1-Apathy: Severity Unified Huntington's Disease Rating Scale '99 - Apathy: Severity: How has apathy impacted your ability to carry out daily activities? UHDRS 1999 Version - Apathy: Severity
C155449 UHDR1-Bathe Himself/Herself Without Help UHDR1-Bathe Himself/Herself Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject bathe himself/herself without help? UHDRS 1999 Version - Bathe Himself/Herself Without Help
C155433 UHDR1-Behavior Assessment Obtained From UHDR1-Behavior Assessment Obtained From Unified Huntington's Disease Rating Scale '99 - Was the Behavioral Assessment information obtained from. UHDRS 1999 Version - Behavior Assessment Obtained From
C155476 UHDR1-Behavior Subscale Score UHDR1-Behavior Subscale Score Unified Huntington's Disease Rating Scale '99 - Behavior subscale score of the total behavior score. UHDRS 1999 Version - Behavior Subscale Score
C155470 UHDR1-Believe Subject Has Manifest HD UHDR1-Believe Subject Has Manifest HD Unified Huntington's Disease Rating Scale '99 - Based on the entire UHDRS (Motor, Cognitive, Behavioral and Functional components) do you believe with a confidence level >= 99% that this subject has manifest HD? UHDRS 1999 Version - Believe Subject Has Manifest HD
C155385 UHDR1-Bradykinesia: Body UHDR1-Bradykinesia: Body Unified Huntington's Disease Rating Scale '99 - Bradykinesia-body. UHDRS 1999 Version - Bradykinesia: Body
C155465 UHDR1-Care Level UHDR1-Care Level Unified Huntington's Disease Rating Scale '99 - Care Level. UHDRS 1999 Version - Care Level
C155458 UHDR1-Care Provided at Home UHDR1-Care Provided at Home Unified Huntington's Disease Rating Scale '99 - Could the subject's care still be provided at home? UHDRS 1999 Version - Care Provided at Home
C155454 UHDR1-Comb Hair Without Help UHDR1-Comb Hair Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject comb hair without help? UHDRS 1999 Version - Comb Hair Without Help
C155420 UHDR1-Compulsive Behavior: Frequency UHDR1-Compulsive Behavior: Frequency Unified Huntington's Disease Rating Scale '99 - Compulsive behavior: Frequency: Within the past month, how often have you found yourself doing certain things over and over again (counting, washing, checking)? UHDRS 1999 Version - Compulsive Behavior: Frequency
C155472 UHDR1-Continue to Be Assessed for Study UHDR1-Continue to Be Assessed for Study Unified Huntington's Disease Rating Scale '99 - If the subject was institutionalized will the subject continue to be assessed for this study? UHDRS 1999 Version - Continue to Be Assessed for Study
C155460 UHDR1-Current Level Subject Independence UHDR1-Current Level Subject Independence Unified Huntington's Disease Rating Scale '99 - Please indicate the most accurate current level of subject's independence (only increments of 5 are acceptable). UHDRS 1999 Version - Current Level Subject Independence
C155422 UHDR1-Delusions: Frequency UHDR1-Delusions: Frequency Unified Huntington's Disease Rating Scale '99 - Delusions: Frequency: How often does it seem like people are out to get you, people are controlling you, or you are very suspicious of others? Do you have special powers or importance? UHDRS 1999 Version - Delusions: Frequency
C155404 UHDR1-Depressed Mood: Frequency UHDR1-Depressed Mood: Frequency Unified Huntington's Disease Rating Scale '99 - Depressed mood: Frequency: Within the past month, how often have you been feeling sad, down or "blue"? UHDRS 1999 Version - Depressed Mood: Frequency
C155405 UHDR1-Depressed Mood: Severity UHDR1-Depressed Mood: Severity Unified Huntington's Disease Rating Scale '99 - Depressed mood: Severity: How has your mood affected your daily activities? [Evidence of sad mood from behavioral observation includes sad voice or expression, tearfulness.]. UHDRS 1999 Version - Depressed Mood: Severity
C155401 UHDR1-Diagnosis Confidence Level UHDR1-Diagnosis Confidence Level Unified Huntington's Disease Rating Scale '99 - Diagnosis confidence level: To what degree are you confident that this person meets the operational definition of the unequivocal presence of an otherwise unexplained extrapyramidal movement disorder (e.g., chorea, dystonia, bradykinesia, rigidity) in a subject at risk of HD? UHDRS 1999 Version - Diagnosis Confidence Level
C155416 UHDR1-Disruptive Behavior: Frequency UHDR1-Disruptive Behavior: Frequency Unified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Frequency: Within the past month, how often have you had emotional or temper outbursts? How often have you had times when you lost control of yourself? UHDRS 1999 Version - Disruptive Behavior: Frequency
C155442 UHDR1-Do Housework Without Help UHDR1-Do Housework Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject do his/her own housework without help? UHDRS 1999 Version - Do Housework Without Help
C155443 UHDR1-Do Laundry Without Help UHDR1-Do Laundry Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject do his/her own laundry (wash/dry) without help? UHDRS 1999 Version - Do Laundry Without Help
C155463 UHDR1-Domestic Chores UHDR1-Domestic Chores Unified Huntington's Disease Rating Scale '99 - Domestic Chores. UHDRS 1999 Version - Domestic Chores
C155448 UHDR1-Dress Himself/Herself Without Help UHDR1-Dress Himself/Herself Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject dress himself/herself without help? UHDRS 1999 Version - Dress Himself/Herself Without Help
C155376 UHDR1-Dysarthria UHDR1-Dysarthria Unified Huntington's Disease Rating Scale '99 - Dysarthria. UHDRS 1999 Version - Dysarthria
C155447 UHDR1-Feed Himself/Herself Without Help UHDR1-Feed Himself/Herself Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject feed himself/herself without help? UHDRS 1999 Version - Feed Himself/Herself Without Help
C155462 UHDR1-Finances UHDR1-Finances Unified Huntington's Disease Rating Scale '99 - Finances. UHDRS 1999 Version - Finances
C155379 UHDR1-Finger Taps: Left UHDR1-Finger Taps: Left Unified Huntington's Disease Rating Scale '99 - Finger taps, left. UHDRS 1999 Version - Finger Taps: Left
C155378 UHDR1-Finger Taps: Right UHDR1-Finger Taps: Right Unified Huntington's Disease Rating Scale '99 - Finger taps, right. UHDRS 1999 Version - Finger Taps: Right
C155459 UHDR1-Functional Assess Obtained From UHDR1-Functional Assess Obtained From Unified Huntington's Disease Rating Scale '99 - Was the Functional Assessment information obtained from. UHDRS 1999 Version - Functional Assess Obtained From
C155466 UHDR1-Functional Capacity Obtained From UHDR1-Functional Capacity Obtained From Unified Huntington's Disease Rating Scale '99 - Was the Functional Capacity information obtained from. UHDRS 1999 Version - Functional Capacity Obtained From
C155481 UHDR1-Functional Checklist Score UHDR1-Functional Checklist Score Unified Huntington's Disease Rating Scale '99 - Functional checklist score. UHDRS 1999 Version - Functional Checklist Score
C155434 UHDR1-Gainful Employment Accustomed Work UHDR1-Gainful Employment Accustomed Work Unified Huntington's Disease Rating Scale '99 - Could the subject engage in gainful employment in his/her accustomed work? UHDRS 1999 Version - Gainful Employment Accustomed Work
C155398 UHDR1-Gait UHDR1-Gait Unified Huntington's Disease Rating Scale '99 - Gait. UHDRS 1999 Version - Gait
C155456 UHDR1-Get in and Out of Bed Without Help UHDR1-Get in and Out of Bed Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject get in and out of bed without help? UHDRS 1999 Version - Get in and Out of Bed Without Help
C155424 UHDR1-Hallucinations: Frequency UHDR1-Hallucinations: Frequency Unified Huntington's Disease Rating Scale '99 - Hallucinations: Frequency: How often have you heard things that other people couldn't hear, or seen things that other people couldn't see? UHDRS 1999 Version - Hallucinations: Frequency
C155439 UHDR1-Handle Money as Purchaser UHDR1-Handle Money as Purchaser Unified Huntington's Disease Rating Scale '99 - Could the subject handle money as a purchaser in a simple cash (store) transaction? UHDRS 1999 Version - Handle Money as Purchaser
C155480 UHDR1-Independence Scale Score UHDR1-Independence Scale Score Unified Huntington's Disease Rating Scale '99 - Independence scale score. UHDRS 1999 Version - Independence Scale Score
C155414 UHDR1-Irritable Behavior: Frequency UHDR1-Irritable Behavior: Frequency Unified Huntington's Disease Rating Scale '99 - Irritable behavior: Frequency: In the past month, how often have you felt impatient, irritable, or "cranky"? UHDRS 1999 Version - Irritable Behavior: Frequency
C155415 UHDR1-Irritable Behavior: Severity UHDR1-Irritable Behavior: Severity Unified Huntington's Disease Rating Scale '99 - Irritable behavior: Severity: How has irritability impacted your ability to get along with others? UHDRS 1999 Version - Irritable Behavior: Severity
C155382 UHDR1-Luria UHDR1-Luria Unified Huntington's Disease Rating Scale '99 - Luria (fist-hand palm test). UHDRS 1999 Version - Luria
C155437 UHDR1-Manage Finances Without Help UHDR1-Manage Finances Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject manage his/her finances (monthly) without any help? UHDRS 1999 Version - Manage Finances Without Help
C155392 UHDR1-Maximal Chorea: BOL UHDR1-Maximal Chorea: BOL Unified Huntington's Disease Rating Scale '99 - Maximal chorea-BOL. UHDRS 1999 Version - Maximal Chorea: BOL
C155391 UHDR1-Maximal Chorea: Face UHDR1-Maximal Chorea: Face Unified Huntington's Disease Rating Scale '99 - Maximal chorea-Face. UHDRS 1999 Version - Maximal Chorea: Face
C155397 UHDR1-Maximal Chorea: LLE UHDR1-Maximal Chorea: LLE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-LLE. UHDRS 1999 Version - Maximal Chorea: LLE
C155395 UHDR1-Maximal Chorea: LUE UHDR1-Maximal Chorea: LUE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-LUE. UHDRS 1999 Version - Maximal Chorea: LUE
C155396 UHDR1-Maximal Chorea: RLE UHDR1-Maximal Chorea: RLE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-RLE. UHDRS 1999 Version - Maximal Chorea: RLE
C155394 UHDR1-Maximal Chorea: RUE UHDR1-Maximal Chorea: RUE Unified Huntington's Disease Rating Scale '99 - Maximal chorea-RUE. UHDRS 1999 Version - Maximal Chorea: RUE
C155393 UHDR1-Maximal Chorea: Trunk UHDR1-Maximal Chorea: Trunk Unified Huntington's Disease Rating Scale '99 - Maximal chorea-Trunk. UHDRS 1999 Version - Maximal Chorea: Trunk
C155390 UHDR1-Maximal Dystonia: LLE UHDR1-Maximal Dystonia: LLE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-LLE. UHDRS 1999 Version - Maximal Dystonia: LLE
C155388 UHDR1-Maximal Dystonia: LUE UHDR1-Maximal Dystonia: LUE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-LUE. UHDRS 1999 Version - Maximal Dystonia: LUE
C155389 UHDR1-Maximal Dystonia: RLE UHDR1-Maximal Dystonia: RLE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-RLE. UHDRS 1999 Version - Maximal Dystonia: RLE
C155387 UHDR1-Maximal Dystonia: RUE UHDR1-Maximal Dystonia: RUE Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-RUE. UHDRS 1999 Version - Maximal Dystonia: RUE
C155386 UHDR1-Maximal Dystonia: Trunk UHDR1-Maximal Dystonia: Trunk Unified Huntington's Disease Rating Scale '99 - Maximal dystonia-Trunk. UHDRS 1999 Version - Maximal Dystonia: Trunk
C155475 UHDR1-Mood Subscale Score UHDR1-Mood Subscale Score Unified Huntington's Disease Rating Scale '99 - Mood subscale score of the total behavior score. UHDRS 1999 Version - Mood Subscale Score
C155478 UHDR1-Obsessive Subscale Score UHDR1-Obsessive Subscale Score Unified Huntington's Disease Rating Scale '99 - Obsessive subscale score of the total behavior score. UHDRS 1999 Version - Obsessive Subscale Score
C155461 UHDR1-Occupation UHDR1-Occupation Unified Huntington's Disease Rating Scale '99 - Occupation. UHDRS 1999 Version - Occupation
C155370 UHDR1-Ocular Pursuit: Horizontal UHDR1-Ocular Pursuit: Horizontal Unified Huntington's Disease Rating Scale '99 - Ocular pursuit, horizontal. UHDRS 1999 Version - Ocular Pursuit: Horizontal
C155371 UHDR1-Ocular Pursuit: Vertical UHDR1-Ocular Pursuit: Vertical Unified Huntington's Disease Rating Scale '99 - Ocular pursuit, vertical. UHDRS 1999 Version - Ocular Pursuit: Vertical
C155441 UHDR1-Operate Automobile Safely UHDR1-Operate Automobile Safely Unified Huntington's Disease Rating Scale '99 - Could the subject operate an automobile safely and independently? UHDRS 1999 Version - Operate Automobile Safely
C155471 UHDR1-Permanently Institutionalized UHDR1-Permanently Institutionalized Unified Huntington's Disease Rating Scale '99 - Since the last visit, has the subject been permanently institutionalized? UHDRS 1999 Version - Permanently Institutionalized
C155418 UHDR1-Perseverative Thinking: Frequency UHDR1-Perseverative Thinking: Frequency Unified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Frequency: Within the past month, how often have you found yourself getting stuck on certain ideas? How often have you been bothered by thoughts, images, or fears that keep coming back even if you try not to have them? UHDRS 1999 Version - Perseverative Thinking: Frequency
C155431 UHDR1-Pharmacotherapy of Depression UHDR1-Pharmacotherapy of Depression Unified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of depression? UHDRS 1999 Version - Pharmacotherapy of Depression
C155432 UHDR1-Pharmacotherapy of Irritability UHDR1-Pharmacotherapy of Irritability Unified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of irritability? UHDRS 1999 Version - Pharmacotherapy of Irritability
C155444 UHDR1-Prepare Own Meals Without Help UHDR1-Prepare Own Meals Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject prepare his/her own meals without help? UHDRS 1999 Version - Prepare Own Meals Without Help
C155381 UHDR1-Pronate/Supinate: Hands: Left UHDR1-Pronate/Supinate: Hands: Left Unified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, left. UHDRS 1999 Version - Pronate/Supinate: Hands: Left
C155380 UHDR1-Pronate/Supinate: Hands: Right UHDR1-Pronate/Supinate: Hands: Right Unified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, right. UHDRS 1999 Version - Pronate/Supinate: Hands: Right
C155477 UHDR1-Psychosis Subscale Score UHDR1-Psychosis Subscale Score Unified Huntington's Disease Rating Scale '99 - Psychosis subscale score of the total behavior score. UHDRS 1999 Version - Psychosis Subscale Score
C155450 UHDR1-Public Transportation Without Help UHDR1-Public Transportation Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject use public transportation to get places without help? UHDRS 1999 Version - Public Transportation Without Help
C155467 UHDR1-Purpose of This Visit UHDR1-Purpose of This Visit Unified Huntington's Disease Rating Scale '99 - What was the purpose of this visit? UHDRS 1999 Version - Purpose of This Visit
C155400 UHDR1-Retropulsion Pull Test UHDR1-Retropulsion Pull Test Unified Huntington's Disease Rating Scale '99 - Retropulsion pull test. UHDRS 1999 Version - Retropulsion Pull Test
C155384 UHDR1-Rigidity: Arms: Left UHDR1-Rigidity: Arms: Left Unified Huntington's Disease Rating Scale '99 - Rigidity-arms, left. UHDRS 1999 Version - Rigidity: Arms: Left
C155383 UHDR1-Rigidity: Arms: Right UHDR1-Rigidity: Arms: Right Unified Huntington's Disease Rating Scale '99 - Rigidity-arms, right. UHDRS 1999 Version - Rigidity: Arms: Right
C155372 UHDR1-Saccade Initiation: Horizontal UHDR1-Saccade Initiation: Horizontal Unified Huntington's Disease Rating Scale '99 - Saccade initiation, horizontal. UHDRS 1999 Version - Saccade Initiation: Horizontal
C155373 UHDR1-Saccade Initiation: Vertical UHDR1-Saccade Initiation: Vertical Unified Huntington's Disease Rating Scale '99 - Saccade initiation, vertical. UHDRS 1999 Version - Saccade Initiation: Vertical
C155374 UHDR1-Saccade Velocity: Horizontal UHDR1-Saccade Velocity: Horizontal Unified Huntington's Disease Rating Scale '99 - Saccade velocity, horizontal. UHDRS 1999 Version - Saccade Velocity: Horizontal
C155375 UHDR1-Saccade Velocity: Vertical UHDR1-Saccade Velocity: Vertical Unified Huntington's Disease Rating Scale '99 - Saccade velocity, vertical. UHDRS 1999 Version - Saccade Velocity: Vertical
C155408 UHDR1-Self-esteem/Guilt: Frequency UHDR1-Self-esteem/Guilt: Frequency Unified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Frequency: Within the past month, how often have you been feeling badly about yourself? UHDRS 1999 Version - Self-esteem/Guilt: Frequency
C155409 UHDR1-Self-esteem/Guilt: Severity UHDR1-Self-esteem/Guilt: Severity Unified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Severity: How have these feelings affected your daily activities? UHDRS 1999 Version - Self-esteem/Guilt: Severity
C155438 UHDR1-Shop for Groceries Without Help UHDR1-Shop for Groceries Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject shop for groceries without help? UHDRS 1999 Version - Shop for Groceries Without Help
C155469 UHDR1-Since Last Assessment Feel UHDR1-Since Last Assessment Feel Unified Huntington's Disease Rating Scale '99 - Since your last assessment does the subject feel. UHDRS 1999 Version - Since Last Assessment Feel
C155468 UHDR1-Since Last Assessment Opinion UHDR1-Since Last Assessment Opinion Unified Huntington's Disease Rating Scale '99 - Since your last assessment of the subject, in your opinion, has the subject. UHDRS 1999 Version - Since Last Assessment Opinion
C155410 UHDR1-Suicidal Thoughts: Frequency UHDR1-Suicidal Thoughts: Frequency Unified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Frequency: Within the past month, how often have you thought about hurting yourself or ending it all? UHDRS 1999 Version - Suicidal Thoughts: Frequency
C155411 UHDR1-Suicidal Thoughts: Severity UHDR1-Suicidal Thoughts: Severity Unified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Severity: Do you have a plan in mind to end it all? Have you taken any steps toward carrying out your plan? UHDRS 1999 Version - Suicidal Thoughts: Severity
C155440 UHDR1-Supervise Children Without Help UHDR1-Supervise Children Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject supervise children without help? UHDRS 1999 Version - Supervise Children Without Help
C155403 UHDR1-Symbol Digit Modalities Test UHDR1-Symbol Digit Modalities Test Unified Huntington's Disease Rating Scale '99 - Symbol digit modalities test (raw score). UHDRS 1999 Version - Symbol Digit Modalities Test
C155446 UHDR1-Take Medications Without Help UHDR1-Take Medications Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject take his/her own medications without help? UHDRS 1999 Version - Take Medications Without Help
C155399 UHDR1-Tandem Walking UHDR1-Tandem Walking Unified Huntington's Disease Rating Scale '99 - Tandem walking. UHDRS 1999 Version - Tandem Walking
C155377 UHDR1-Tongue Protrusion UHDR1-Tongue Protrusion Unified Huntington's Disease Rating Scale '99 - Tongue protrusion. UHDRS 1999 Version - Tongue Protrusion
C155474 UHDR1-Total Behavior Score UHDR1-Total Behavior Score Unified Huntington's Disease Rating Scale '99 - Total Behavior score. UHDRS 1999 Version - Total Behavior Score
C155479 UHDR1-Total Functional Capacity Score UHDR1-Total Functional Capacity Score Unified Huntington's Disease Rating Scale '99 - Total functional capacity score. UHDRS 1999 Version - Total Functional Capacity Score
C155473 UHDR1-Total Motor Score UHDR1-Total Motor Score Unified Huntington's Disease Rating Scale '99 - Total Motor score. UHDRS 1999 Version - Total Motor Score
C155455 UHDR1-Transfer Chair Without Help UHDR1-Transfer Chair Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject transfer between chairs without help? UHDRS 1999 Version - Transfer Chair Without Help
C155445 UHDR1-Use Telephone Without Help UHDR1-Use Telephone Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject use the telephone without help? UHDRS 1999 Version - Use Telephone Without Help
C155457 UHDR1-Use Toilet/Commode Without Help UHDR1-Use Toilet/Commode Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject use the toilet/commode without help? UHDRS 1999 Version - Use Toilet/Commode Without Help
C155402 UHDR1-Verbal Fluency Test UHDR1-Verbal Fluency Test Unified Huntington's Disease Rating Scale '99 - Verbal fluency test (raw score). UHDRS 1999 Version - Verbal Fluency Test
C155436 UHDR1-Volunteer or Non Gainful Work UHDR1-Volunteer or Non Gainful Work Unified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of volunteer or non gainful work? UHDRS 1999 Version - Volunteer or Non Gainful Work
C155451 UHDR1-Walk Own Neighborhood Without Help UHDR1-Walk Own Neighborhood Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject walk to places in his/her own neighborhood without help? UHDRS 1999 Version - Walk Own Neighborhood Without Help
C155452 UHDR1-Walk Without Falling UHDR1-Walk Without Falling Unified Huntington's Disease Rating Scale '99 - Could the subject walk without falling? UHDRS 1999 Version - Walk Without Falling
C155453 UHDR1-Walk Without Help UHDR1-Walk Without Help Unified Huntington's Disease Rating Scale '99 - Could the subject walk without help? UHDRS 1999 Version - Walk Without Help

UPD1TC (Unified Parkinson's Disease Rating Scale Clinical Classification Test Code)

NCI Code: C100148, Codelist extensible: No
C100148 UPD1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100901 UPD101 UPD1-Mentation:Intellectual Impairment Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment. UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
C100902 UPD102 UPD1-Mentation:Thought Disorder Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder. UPDRS - Mentation, Behavior and Mood: Thought Disorder
C100903 UPD103 UPD1-Mentation:Depression Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression. UPDRS - Mentation, Behavior and Mood: Depression
C100904 UPD104 UPD1-Mentation:Motivation/Initiative Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative. UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
C100905 UPD105 UPD1-Activities:Speech Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech. UPDRS - Activities of Daily Living: Speech
C100906 UPD106 UPD1-Activities:Salivation Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation. UPDRS - Activities of Daily Living: Salivation
C100907 UPD107 UPD1-Activities:Swallowing Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing. UPDRS - Activities of Daily Living: Swallowing
C100908 UPD108 UPD1-Activities:Handwriting Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting. UPDRS - Activities of Daily Living: Handwriting
C100909 UPD109 UPD1-Activities:Cut Food/Handle Utensil Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils. UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils
C100910 UPD110 UPD1-Activities:Dressing Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing. UPDRS - Activities of Daily Living: Dressing
C100911 UPD111 UPD1-Activities:Hygiene Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene. UPDRS - Activities of Daily Living: Hygiene
C100912 UPD112 UPD1-Activities:Turn Bed/Adj Clothes Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes. UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes
C100913 UPD113 UPD1-Activities:Falling Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing). UPDRS - Activities of Daily Living: Falling
C100914 UPD114 UPD1-Activities:Freezing When Walking Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking. UPDRS - Activities of Daily Living: Freezing When Walking
C100915 UPD115 UPD1-Activities:Walking Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking. UPDRS - Activities of Daily Living: Walking
C100916 UPD116 UPD1-Activities:Tremor Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.). UPDRS - Activities of Daily Living: Tremor
C100917 UPD117 UPD1-Activities:Sensory Complaints Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism. UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism
C100918 UPD118 UPD1-Motor:Speech Unified Parkinson's Disease Rating Scale - Motor examination: Speech. UPDRS - Motor Examination: Speech
C100919 UPD119 UPD1-Motor:Facial Expression Unified Parkinson's Disease Rating Scale - Motor examination: Facial expression. UPDRS - Motor Examination: Facial Expression
C111585 UPD120A UPD1-Motor:Tremor at Rest:Face Lips Chin Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin. UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
C111586 UPD120B UPD1-Motor:Tremor at Rest:Hands: Right Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right. UPDRS - Motor Examination: Tremor at Rest, Hands, Right
C111587 UPD120C UPD1-Motor:Tremor at Rest:Hands: Left Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left. UPDRS - Motor Examination: Tremor at Rest, Hands, Left
C111588 UPD120D UPD1-Motor:Tremor at Rest:Feet: Right Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right. UPDRS - Motor Examination: Tremor at Rest, Feet, Right
C111589 UPD120E UPD1-Motor:Tremor at Rest:Feet: Left Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left. UPDRS - Motor Examination: Tremor at Rest, Feet, Left
C111590 UPD121A UPD1--Motor:Action Tremor:Hand: Right Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right. UPDRS - Motor Examination: Action Tremor, Hand, Right
C111591 UPD121B UPD1--Motor:Action Tremor:Hand: Left Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left. UPDRS - Motor Examination: Action Tremor, Hand, Left
C111592 UPD122A UPD1-Motor:Rigidity Neck Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck. UPDRS - Motor Examination: Rigidity Neck
C111593 UPD122B UPD1-Motor:Rigidity Upper Extrem: Right Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right. UPDRS - Motor Examination: Rigidity Upper Extremity, Right
C111594 UPD122C UPD1-Motor:Rigidity Upper Extrem: Left Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left. UPDRS - Motor Examination: Rigidity Upper Extremity, Left
C111595 UPD122D UPD1-Motor:Rigidity Lower Extrem: Right Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right. UPDRS - Motor Examination: Rigidity Lower Extremity, Right
C111596 UPD122E UPD1-Motor:Rigidity Lower Extrem: Left Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left. UPDRS - Motor Examination: Rigidity Lower Extremity, Left
C111597 UPD123A UPD1-Motor:Finger Taps: Right Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right. UPDRS - Motor Examination: Finger Taps, Right
C111598 UPD123B UPD1-Motor:Finger Taps: Left Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left. UPDRS - Motor Examination: Finger Taps, Left
C111599 UPD124A UPD1-Motor:Hand Grips: Right Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right. UPDRS - Motor Examination: Hand Grips, Right
C111600 UPD124B UPD1-Motor:Hand Grips: Left Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left. UPDRS - Motor Examination: Hand Grips, Left
C111601 UPD125A UPD1-Motor:Hand Pronate/Supinate: Right Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right. UPDRS - Motor Examination: Hand Pronate/Supinate, Right
C111602 UPD125B UPD1-Motor:Hand Pronate/Supinate: Left Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left. UPDRS - Motor Examination: Hand Pronate/Supinate, Left
C111603 UPD126A UPD1-Motor:Leg Agility: Right Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right. UPDRS - Motor Examination: Leg Agility, Right
C111604 UPD126B UPD1-Motor:Leg Agility: Left Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left. UPDRS - Motor Examination: Leg Agility, Left
C100927 UPD127 UPD1-Motor:Arising from Chair Unified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.). UPDRS - Motor Examination: Arising from Chair
C100928 UPD128 UPD1-Motor:Posture Unified Parkinson's Disease Rating Scale - Motor examination: Posture. UPDRS - Motor Examination: Posture
C100929 UPD129 UPD1-Motor:Gait Unified Parkinson's Disease Rating Scale - Motor examination: Gait. UPDRS - Motor Examination: Gait
C100930 UPD130 UPD1-Motor:Postural Stability Unified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.). UPDRS - Motor Examination: Postural Stability
C100931 UPD131 UPD1-Motor:Bradykinesia and Hypokinesia Unified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.). UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia
C100932 UPD132 UPD1-Complications:Dyskinesias Duration Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.). UPDRS - Complications of Therapy: Dyskinesias - Duration
C100933 UPD133 UPD1-Complications:Dyskinesias Disable Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.). UPDRS - Complications of Therapy: Dyskinesias - Disability
C100934 UPD134 UPD1-Complications:Dyskinesias Painful Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias? UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias
C100935 UPD135 UPD1-Complications:Dyskinesias Dystonia Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.). UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia
C100936 UPD136 UPD1-Complications:Fluct Predictable Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable? UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable
C100937 UPD137 UPD1-Complications:Fluct Unpredictable Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable? UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable
C100938 UPD138 UPD1-Complications:Fluct Suddenly Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds? UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden
C100939 UPD139 UPD1-Complications:Fluct Average Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average? UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day
C100940 UPD140 UPD1-Complications:Anorex Nausea Vomit Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting? UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting
C100941 UPD141 UPD1-Complications:Insomnia Hypersomnol Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence? UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances
C100942 UPD142 UPD1-Complications:Symptom Orthostasis Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form). UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis
C111605 UPD142A UPD1-Blood Pressure: Seated Unified Parkinson's Disease Rating Scale - Blood pressure: Seated. UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
C111606 UPD142B UPD1-Blood Pressure: Supine Unified Parkinson's Disease Rating Scale - Blood pressure: Supine. UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
C111607 UPD142C UPD1-Blood Pressure: Standing Unified Parkinson's Disease Rating Scale - Blood pressure: Standing. UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
C111608 UPD142D UPD1-Weight Unified Parkinson's Disease Rating Scale - Weight. UPDRS - Symptomatic Orthostasis: Weight
C111609 UPD142E UPD1-Pulse: Seated Unified Parkinson's Disease Rating Scale - Pulse: Seated. UPDRS - Symptomatic Orthostasis: Pulse, Seated
C111610 UPD142F UPD1-Pulse: Standing Unified Parkinson's Disease Rating Scale - Pulse: Standing. UPDRS - Symptomatic Orthostasis: Pulse, Standing
C100943 UPD143 UPD1-Modified Hoehn and Yahr Staging Unified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging. UPDRS - Modified Hoehn and Yahr Staging
C111611 UPD144A UPD1-Schwab/England % ADL Score (PD) Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD). UPDRS - Schwab and England % ADL Score (PD)
C111612 UPD144B UPD1-Schwab/England % ADL (Dyskinesia) Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia). UPDRS - Schwab and England % ADL (With Dyskinesia)
C111613 UPD145 UPD1-Mentation, Behavior, Mood Sub-Total Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total. UPDRS - Mentation, Behavior and Mood Sub-total
C111614 UPD146 UPD1-Activities Daily Living Sub-Total Unified Parkinson's Disease Rating Scale - Activities of daily living sub-total. UPDRS - Activities of Daily Living Sub-total
C111615 UPD147 UPD1-Motor Examination Sub-Total Unified Parkinson's Disease Rating Scale - Motor examination sub-total. UPDRS - Motor Examination Sub-total
C111616 UPD148 UPD1-UPDRS Total Unified Parkinson's Disease Rating Scale - UPDRS total. UPDRS - UPDRS Total

UPD1TN (Unified Parkinson's Disease Rating Scale Clinical Classification Test Name)

NCI Code: C100147, Codelist extensible: No
C100147 UPD1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C111591 UPD1--Motor:Action Tremor:Hand: Left UPD1--Motor:Action Tremor:Hand: Left Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left. UPDRS - Motor Examination: Action Tremor, Hand, Left
C111590 UPD1--Motor:Action Tremor:Hand: Right UPD1--Motor:Action Tremor:Hand: Right Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right. UPDRS - Motor Examination: Action Tremor, Hand, Right
C111614 UPD1-Activities Daily Living Sub-Total UPD1-Activities Daily Living Sub-Total Unified Parkinson's Disease Rating Scale - Activities of daily living sub-total. UPDRS - Activities of Daily Living Sub-total
C100909 UPD1-Activities:Cut Food/Handle Utensil UPD1-Activities:Cut Food/Handle Utensil Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils. UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils
C100910 UPD1-Activities:Dressing UPD1-Activities:Dressing Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing. UPDRS - Activities of Daily Living: Dressing
C100913 UPD1-Activities:Falling UPD1-Activities:Falling Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing). UPDRS - Activities of Daily Living: Falling
C100914 UPD1-Activities:Freezing When Walking UPD1-Activities:Freezing When Walking Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking. UPDRS - Activities of Daily Living: Freezing When Walking
C100908 UPD1-Activities:Handwriting UPD1-Activities:Handwriting Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting. UPDRS - Activities of Daily Living: Handwriting
C100911 UPD1-Activities:Hygiene UPD1-Activities:Hygiene Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene. UPDRS - Activities of Daily Living: Hygiene
C100906 UPD1-Activities:Salivation UPD1-Activities:Salivation Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation. UPDRS - Activities of Daily Living: Salivation
C100917 UPD1-Activities:Sensory Complaints UPD1-Activities:Sensory Complaints Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism. UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism
C100905 UPD1-Activities:Speech UPD1-Activities:Speech Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech. UPDRS - Activities of Daily Living: Speech
C100907 UPD1-Activities:Swallowing UPD1-Activities:Swallowing Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing. UPDRS - Activities of Daily Living: Swallowing
C100916 UPD1-Activities:Tremor UPD1-Activities:Tremor Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.). UPDRS - Activities of Daily Living: Tremor
C100912 UPD1-Activities:Turn Bed/Adj Clothes UPD1-Activities:Turn Bed/Adj Clothes Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes. UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes
C100915 UPD1-Activities:Walking UPD1-Activities:Walking Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking. UPDRS - Activities of Daily Living: Walking
C111605 UPD1-Blood Pressure: Seated UPD1-Blood Pressure: Seated Unified Parkinson's Disease Rating Scale - Blood pressure: Seated. UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
C111607 UPD1-Blood Pressure: Standing UPD1-Blood Pressure: Standing Unified Parkinson's Disease Rating Scale - Blood pressure: Standing. UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
C111606 UPD1-Blood Pressure: Supine UPD1-Blood Pressure: Supine Unified Parkinson's Disease Rating Scale - Blood pressure: Supine. UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
C100940 UPD1-Complications:Anorex Nausea Vomit UPD1-Complications:Anorex Nausea Vomit Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting? UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting
C100933 UPD1-Complications:Dyskinesias Disable UPD1-Complications:Dyskinesias Disable Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.). UPDRS - Complications of Therapy: Dyskinesias - Disability
C100932 UPD1-Complications:Dyskinesias Duration UPD1-Complications:Dyskinesias Duration Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.). UPDRS - Complications of Therapy: Dyskinesias - Duration
C100935 UPD1-Complications:Dyskinesias Dystonia UPD1-Complications:Dyskinesias Dystonia Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.). UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia
C100934 UPD1-Complications:Dyskinesias Painful UPD1-Complications:Dyskinesias Painful Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias? UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias
C100939 UPD1-Complications:Fluct Average UPD1-Complications:Fluct Average Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average? UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day
C100936 UPD1-Complications:Fluct Predictable UPD1-Complications:Fluct Predictable Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable? UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable
C100938 UPD1-Complications:Fluct Suddenly UPD1-Complications:Fluct Suddenly Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds? UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden
C100937 UPD1-Complications:Fluct Unpredictable UPD1-Complications:Fluct Unpredictable Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable? UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable
C100941 UPD1-Complications:Insomnia Hypersomnol UPD1-Complications:Insomnia Hypersomnol Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence? UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances
C100942 UPD1-Complications:Symptom Orthostasis UPD1-Complications:Symptom Orthostasis Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form). UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis
C111613 UPD1-Mentation, Behavior, Mood Sub-Total UPD1-Mentation, Behavior, Mood Sub-Total Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total. UPDRS - Mentation, Behavior and Mood Sub-total
C100903 UPD1-Mentation:Depression UPD1-Mentation:Depression Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression. UPDRS - Mentation, Behavior and Mood: Depression
C100901 UPD1-Mentation:Intellectual Impairment UPD1-Mentation:Intellectual Impairment Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment. UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
C100904 UPD1-Mentation:Motivation/Initiative UPD1-Mentation:Motivation/Initiative Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative. UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
C100902 UPD1-Mentation:Thought Disorder UPD1-Mentation:Thought Disorder Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder. UPDRS - Mentation, Behavior and Mood: Thought Disorder
C100943 UPD1-Modified Hoehn and Yahr Staging UPD1-Modified Hoehn and Yahr Staging Unified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging. UPDRS - Modified Hoehn and Yahr Staging
C111615 UPD1-Motor Examination Sub-Total UPD1-Motor Examination Sub-Total Unified Parkinson's Disease Rating Scale - Motor examination sub-total. UPDRS - Motor Examination Sub-total
C100927 UPD1-Motor:Arising from Chair UPD1-Motor:Arising from Chair Unified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.). UPDRS - Motor Examination: Arising from Chair
C100931 UPD1-Motor:Bradykinesia and Hypokinesia UPD1-Motor:Bradykinesia and Hypokinesia Unified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.). UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia
C100919 UPD1-Motor:Facial Expression UPD1-Motor:Facial Expression Unified Parkinson's Disease Rating Scale - Motor examination: Facial expression. UPDRS - Motor Examination: Facial Expression
C111598 UPD1-Motor:Finger Taps: Left UPD1-Motor:Finger Taps: Left Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left. UPDRS - Motor Examination: Finger Taps, Left
C111597 UPD1-Motor:Finger Taps: Right UPD1-Motor:Finger Taps: Right Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right. UPDRS - Motor Examination: Finger Taps, Right
C100929 UPD1-Motor:Gait UPD1-Motor:Gait Unified Parkinson's Disease Rating Scale - Motor examination: Gait. UPDRS - Motor Examination: Gait
C111600 UPD1-Motor:Hand Grips: Left UPD1-Motor:Hand Grips: Left Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left. UPDRS - Motor Examination: Hand Grips, Left
C111599 UPD1-Motor:Hand Grips: Right UPD1-Motor:Hand Grips: Right Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right. UPDRS - Motor Examination: Hand Grips, Right
C111602 UPD1-Motor:Hand Pronate/Supinate: Left UPD1-Motor:Hand Pronate/Supinate: Left Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left. UPDRS - Motor Examination: Hand Pronate/Supinate, Left
C111601 UPD1-Motor:Hand Pronate/Supinate: Right UPD1-Motor:Hand Pronate/Supinate: Right Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right. UPDRS - Motor Examination: Hand Pronate/Supinate, Right
C111604 UPD1-Motor:Leg Agility: Left UPD1-Motor:Leg Agility: Left Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left. UPDRS - Motor Examination: Leg Agility, Left
C111603 UPD1-Motor:Leg Agility: Right UPD1-Motor:Leg Agility: Right Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right. UPDRS - Motor Examination: Leg Agility, Right
C100930 UPD1-Motor:Postural Stability UPD1-Motor:Postural Stability Unified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.). UPDRS - Motor Examination: Postural Stability
C100928 UPD1-Motor:Posture UPD1-Motor:Posture Unified Parkinson's Disease Rating Scale - Motor examination: Posture. UPDRS - Motor Examination: Posture
C111596 UPD1-Motor:Rigidity Lower Extrem: Left UPD1-Motor:Rigidity Lower Extrem: Left Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left. UPDRS - Motor Examination: Rigidity Lower Extremity, Left
C111595 UPD1-Motor:Rigidity Lower Extrem: Right UPD1-Motor:Rigidity Lower Extrem: Right Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right. UPDRS - Motor Examination: Rigidity Lower Extremity, Right
C111592 UPD1-Motor:Rigidity Neck UPD1-Motor:Rigidity Neck Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck. UPDRS - Motor Examination: Rigidity Neck
C111594 UPD1-Motor:Rigidity Upper Extrem: Left UPD1-Motor:Rigidity Upper Extrem: Left Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left. UPDRS - Motor Examination: Rigidity Upper Extremity, Left
C111593 UPD1-Motor:Rigidity Upper Extrem: Right UPD1-Motor:Rigidity Upper Extrem: Right Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right. UPDRS - Motor Examination: Rigidity Upper Extremity, Right
C100918 UPD1-Motor:Speech UPD1-Motor:Speech Unified Parkinson's Disease Rating Scale - Motor examination: Speech. UPDRS - Motor Examination: Speech
C111585 UPD1-Motor:Tremor at Rest:Face Lips Chin UPD1-Motor:Tremor at Rest:Face Lips Chin Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin. UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
C111589 UPD1-Motor:Tremor at Rest:Feet: Left UPD1-Motor:Tremor at Rest:Feet: Left Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left. UPDRS - Motor Examination: Tremor at Rest, Feet, Left
C111588 UPD1-Motor:Tremor at Rest:Feet: Right UPD1-Motor:Tremor at Rest:Feet: Right Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right. UPDRS - Motor Examination: Tremor at Rest, Feet, Right
C111587 UPD1-Motor:Tremor at Rest:Hands: Left UPD1-Motor:Tremor at Rest:Hands: Left Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left. UPDRS - Motor Examination: Tremor at Rest, Hands, Left
C111586 UPD1-Motor:Tremor at Rest:Hands: Right UPD1-Motor:Tremor at Rest:Hands: Right Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right. UPDRS - Motor Examination: Tremor at Rest, Hands, Right
C111609 UPD1-Pulse: Seated UPD1-Pulse: Seated Unified Parkinson's Disease Rating Scale - Pulse: Seated. UPDRS - Symptomatic Orthostasis: Pulse, Seated
C111610 UPD1-Pulse: Standing UPD1-Pulse: Standing Unified Parkinson's Disease Rating Scale - Pulse: Standing. UPDRS - Symptomatic Orthostasis: Pulse, Standing
C111612 UPD1-Schwab/England % ADL (Dyskinesia) UPD1-Schwab/England % ADL (Dyskinesia) Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia). UPDRS - Schwab and England % ADL (With Dyskinesia)
C111611 UPD1-Schwab/England % ADL Score (PD) UPD1-Schwab/England % ADL Score (PD) Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD). UPDRS - Schwab and England % ADL Score (PD)
C111616 UPD1-UPDRS Total UPD1-UPDRS Total Unified Parkinson's Disease Rating Scale - UPDRS total. UPDRS - UPDRS Total
C111608 UPD1-Weight UPD1-Weight Unified Parkinson's Disease Rating Scale - Weight. UPDRS - Symptomatic Orthostasis: Weight

UPD2TC (Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Code)

NCI Code: C100140, Codelist extensible: No
C100140 UPD2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100473 UPD2101 UPD2-Cognitive Impairment The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town? MDS-UPDRS - Cognitive Impairment
C100474 UPD2102 UPD2-Hallucinations and Psychosis The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there? MDS-UPDRS - Hallucinations and Psychosis
C100475 UPD2103 UPD2-Depressed Mood The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people? MDS-UPDRS - Depressed Mood
C100476 UPD2104 UPD2-Anxious Mood The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people? MDS-UPDRS - Anxious Mood
C100477 UPD2105 UPD2-Apathy The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people? MDS-UPDRS - Apathy
C100478 UPD2106 UPD2-Ftrs Dopa Dysregulation Synd The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop? MDS-UPDRS - Features of Dopamine Dysregulation Syndrome
C100479 UPD2107 UPD2-Sleep Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night? MDS-UPDRS - Sleep Problems
C100480 UPD2108 UPD2-Daytime Sleepiness The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime? MDS-UPDRS - Daytime Sleepiness
C100481 UPD2109 UPD2-Pain and other Sensations The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps? MDS-UPDRS - Pain and Other Sensations
C100482 UPD2110 UPD2-Urinary Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control? MDS-UPDRS - Urinary Problems
C100483 UPD2111 UPD2-Constipation Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels? MDS-UPDRS - Constipation Problems
C100484 UPD2112 UPD2-Lightheadedness on Standing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down? MDS-UPDRS - Lightheadedness on Standing
C100485 UPD2113 UPD2-Fatigue The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued? MDS-UPDRS - Fatigue
C100486 UPD2201 UPD2-Speech The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech? MDS-UPDRS - Speech
C100487 UPD2202 UPD2-Saliva and Drooling The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep? MDS-UPDRS - Saliva and Drooling
C100488 UPD2203 UPD2-Chewing and Swallowing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals? MDS-UPDRS - Chewing and Swallowing
C100489 UPD2204 UPD2-Eating Tasks The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils? MDS-UPDRS - Eating Tasks
C100490 UPD2205 UPD2-Dressing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing? MDS-UPDRS - Dressing
C100491 UPD2206 UPD2-Hygiene The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene? MDS-UPDRS - Hygiene
C100492 UPD2207 UPD2-Handwriting The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting? MDS-UPDRS - Handwriting
C100493 UPD2208 UPD2-Doing Hobbies/Other Activities The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do? MDS-UPDRS - Doing Hobbies and Other Activities
C100494 UPD2209 UPD2-Turning in Bed The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed? MDS-UPDRS - Turning in Bed
C100495 UPD2210 UPD2-Tremor The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor? MDS-UPDRS - Tremor
C101018 UPD2211 UPD2-Get Out of Bed/Car/Deep Chair The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair? MDS-UPDRS - Get Out of Bed, Car, or Deep Chair
C100496 UPD2212 UPD2-Walking and Balance The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking? MDS-UPDRS - Walking and Balance
C100497 UPD2213 UPD2-Freezing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor? MDS-UPDRS - Freezing
C100502 UPD2301 UPD2-Speech Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems. MDS-UPDRS - Speech Problems
C100503 UPD2302 UPD2-Facial Expression The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression. MDS-UPDRS - Facial Expression
C100504 UPD2303A UPD2-Rigidity Neck The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck. MDS-UPDRS - Rigidity Neck
C100505 UPD2303B UPD2-Rigidity RT Upper Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity. MDS-UPDRS - Rigidity Right Upper Extremity
C100506 UPD2303C UPD2-Rigidity Left Upper Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity. MDS-UPDRS - Rigidity Left Upper Extremity
C100507 UPD2303D UPD2-Rigidity RT Lower Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity. MDS-UPDRS - Rigidity Right Lower Extremity
C100508 UPD2303E UPD2-Rigidity Left Lower Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity. MDS-UPDRS - Rigidity Left Lower Extremity
C100509 UPD2304A UPD2-Right Finger Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping. MDS-UPDRS - Right Finger Tapping
C100510 UPD2304B UPD2-Left Finger Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping. MDS-UPDRS - Left Finger Tapping
C100511 UPD2305A UPD2-Right Hand Movements The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements. MDS-UPDRS - Right Hand Movements
C100512 UPD2305B UPD2-Left Hand Movements The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements. MDS-UPDRS - Left Hand Movements
C100513 UPD2306A UPD2-Pron/Sup Movement of RT Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand. MDS-UPDRS - Pronanation-Supination Movement of Right Hand
C100514 UPD2306B UPD2-Pron/Sup Movement of Left Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand. MDS-UPDRS - Pronanation-Supination Movement of Left Hand
C100515 UPD2307A UPD2-Right Toe Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping. MDS-UPDRS - Right Toe Tapping
C100516 UPD2307B UPD2-Left Toe Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping. MDS-UPDRS - Left Toe Tapping
C100517 UPD2308A UPD2-Right Leg Agility The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility. MDS-UPDRS - Right Leg Agility
C100518 UPD2308B UPD2-Left Leg Agility The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility. MDS-UPDRS - Left Leg Agility
C100519 UPD2309 UPD2-Arising from Chair The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair. MDS-UPDRS - Arising from Chair
C100520 UPD2310 UPD2-Gait The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait. MDS-UPDRS - Gait
C100521 UPD2311 UPD2-Freezing of Gait The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait. MDS-UPDRS - Freezing of Gait
C100522 UPD2312 UPD2-Postural Stability The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability. MDS-UPDRS - Postural Stability
C100523 UPD2313 UPD2-Posture The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture. MDS-UPDRS - Posture
C100524 UPD2314 UPD2-Body Bradykinesia The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia). MDS-UPDRS - Body Bradykinesia
C100525 UPD2315A UPD2-Postural Tremor of Right Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand. MDS-UPDRS - Postural Tremor of Right Hand
C113882 UPD2315B UPD2-Postural Tremor of Left Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand. MDS-UPDRS - Postural Tremor of Left Hand
C113883 UPD2316A UPD2-Kinetic Tremor of Right Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand. MDS-UPDRS - Kinetic Tremor of Right Hand
C100526 UPD2316B UPD2-Kinetic Tremor of Left Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand. MDS-UPDRS - Kinetic Tremor of Left Hand
C100527 UPD2317A UPD2-Rest Tremor Amplitude RUE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity. MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity
C100528 UPD2317B UPD2-Rest Tremor Amplitude LUE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity. MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity
C100529 UPD2317C UPD2-Rest Tremor Amplitude RLE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity. MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity
C100530 UPD2317D UPD2-Rest Tremor Amplitude LLE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity. MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity
C100531 UPD2317E UPD2-Rest Tremor Amplitude Lip/Jaw The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw. MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw
C100532 UPD2318 UPD2-Consistency of Rest Tremor The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor. MDS-UPDRS - Consistency of Rest Tremor
C100498 UPD23A UPD2-Medication for PD The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease? MDS-UPDRS - Medication for Parkinson's Disease
C100499 UPD23B UPD2-Clinical State on Meds The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state. MDS-UPDRS - Clinical State on Medication
C100500 UPD23C UPD2-Taking Levodopa The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa? MDS-UPDRS - Taking Levodopa
C100501 UPD23C1 UPD2-Minutes Since Levodopa Dose The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose. MDS-UPDRS - Minutes Since Levodopa Dose
C100536 UPD2401 UPD2-Time Spent with Dyskinesias The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias. MDS-UPDRS - Time Spent with Dyskinesias
C100537 UPD2402 UPD2-Functional Impact Dyskinesias The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias. MDS-UPDRS - Functional Impact of Dyskinesias
C100538 UPD2403 UPD2-Time Spent in the Off State The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State. MDS-UPDRS - Time Spent in the Off State
C100539 UPD2404 UPD2-Functional Impact Fluctuations The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations. MDS-UPDRS - Functional Impact of Fluctuations
C100540 UPD2405 UPD2-Complexity Motor Fluctuations The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations. MDS-UPDRS - Complexity of Motor Fluctuations
C100541 UPD2406 UPD2-Painful Off-state Dystonia The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia. MDS-UPDRS - Painful Off-state Dystonia
C100533 UPD2DA UPD2-Dyskinesias During Exam The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination? MDS-UPDRS - Dyskinesias During Exam
C100534 UPD2DB UPD2-Movements Interfere Ratings The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings? MDS-UPDRS - Movements Interfere with Ratings
C100535 UPD2HY UPD2-Hoehn and Yahr Stage The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage. MDS-UPDRS - Hoehn and Yahr Stage

UPD2TN (Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Name)

NCI Code: C100139, Codelist extensible: No
C100139 UPD2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100476 UPD2-Anxious Mood UPD2-Anxious Mood The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people? MDS-UPDRS - Anxious Mood
C100477 UPD2-Apathy UPD2-Apathy The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people? MDS-UPDRS - Apathy
C100519 UPD2-Arising from Chair UPD2-Arising from Chair The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair. MDS-UPDRS - Arising from Chair
C100524 UPD2-Body Bradykinesia UPD2-Body Bradykinesia The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia). MDS-UPDRS - Body Bradykinesia
C100488 UPD2-Chewing and Swallowing UPD2-Chewing and Swallowing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals? MDS-UPDRS - Chewing and Swallowing
C100499 UPD2-Clinical State on Meds UPD2-Clinical State on Meds The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state. MDS-UPDRS - Clinical State on Medication
C100473 UPD2-Cognitive Impairment UPD2-Cognitive Impairment The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town? MDS-UPDRS - Cognitive Impairment
C100540 UPD2-Complexity Motor Fluctuations UPD2-Complexity Motor Fluctuations The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations. MDS-UPDRS - Complexity of Motor Fluctuations
C100532 UPD2-Consistency of Rest Tremor UPD2-Consistency of Rest Tremor The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor. MDS-UPDRS - Consistency of Rest Tremor
C100483 UPD2-Constipation Problems UPD2-Constipation Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels? MDS-UPDRS - Constipation Problems
C100480 UPD2-Daytime Sleepiness UPD2-Daytime Sleepiness The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime? MDS-UPDRS - Daytime Sleepiness
C100475 UPD2-Depressed Mood UPD2-Depressed Mood The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people? MDS-UPDRS - Depressed Mood
C100493 UPD2-Doing Hobbies/Other Activities UPD2-Doing Hobbies/Other Activities The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do? MDS-UPDRS - Doing Hobbies and Other Activities
C100490 UPD2-Dressing UPD2-Dressing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing? MDS-UPDRS - Dressing
C100533 UPD2-Dyskinesias During Exam UPD2-Dyskinesias During Exam The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination? MDS-UPDRS - Dyskinesias During Exam
C100489 UPD2-Eating Tasks UPD2-Eating Tasks The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils? MDS-UPDRS - Eating Tasks
C100503 UPD2-Facial Expression UPD2-Facial Expression The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression. MDS-UPDRS - Facial Expression
C100485 UPD2-Fatigue UPD2-Fatigue The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued? MDS-UPDRS - Fatigue
C100521 UPD2-Freezing of Gait UPD2-Freezing of Gait The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait. MDS-UPDRS - Freezing of Gait
C100497 UPD2-Freezing UPD2-Freezing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor? MDS-UPDRS - Freezing
C100478 UPD2-Ftrs Dopa Dysregulation Synd UPD2-Ftrs Dopa Dysregulation Synd The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop? MDS-UPDRS - Features of Dopamine Dysregulation Syndrome
C100537 UPD2-Functional Impact Dyskinesias UPD2-Functional Impact Dyskinesias The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias. MDS-UPDRS - Functional Impact of Dyskinesias
C100539 UPD2-Functional Impact Fluctuations UPD2-Functional Impact Fluctuations The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations. MDS-UPDRS - Functional Impact of Fluctuations
C100520 UPD2-Gait UPD2-Gait The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait. MDS-UPDRS - Gait
C101018 UPD2-Get Out of Bed/Car/Deep Chair UPD2-Get Out of Bed/Car/Deep Chair The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair? MDS-UPDRS - Get Out of Bed, Car, or Deep Chair
C100474 UPD2-Hallucinations and Psychosis UPD2-Hallucinations and Psychosis The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there? MDS-UPDRS - Hallucinations and Psychosis
C100492 UPD2-Handwriting UPD2-Handwriting The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting? MDS-UPDRS - Handwriting
C100535 UPD2-Hoehn and Yahr Stage UPD2-Hoehn and Yahr Stage The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage. MDS-UPDRS - Hoehn and Yahr Stage
C100491 UPD2-Hygiene UPD2-Hygiene The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene? MDS-UPDRS - Hygiene
C100526 UPD2-Kinetic Tremor of Left Hand UPD2-Kinetic Tremor of Left Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand. MDS-UPDRS - Kinetic Tremor of Left Hand
C113883 UPD2-Kinetic Tremor of Right Hand UPD2-Kinetic Tremor of Right Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand. MDS-UPDRS - Kinetic Tremor of Right Hand
C100510 UPD2-Left Finger Tapping UPD2-Left Finger Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping. MDS-UPDRS - Left Finger Tapping
C100512 UPD2-Left Hand Movements UPD2-Left Hand Movements The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements. MDS-UPDRS - Left Hand Movements
C100518 UPD2-Left Leg Agility UPD2-Left Leg Agility The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility. MDS-UPDRS - Left Leg Agility
C100516 UPD2-Left Toe Tapping UPD2-Left Toe Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping. MDS-UPDRS - Left Toe Tapping
C100484 UPD2-Lightheadedness on Standing UPD2-Lightheadedness on Standing The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down? MDS-UPDRS - Lightheadedness on Standing
C100498 UPD2-Medication for PD UPD2-Medication for PD The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease? MDS-UPDRS - Medication for Parkinson's Disease
C100501 UPD2-Minutes Since Levodopa Dose UPD2-Minutes Since Levodopa Dose The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose. MDS-UPDRS - Minutes Since Levodopa Dose
C100534 UPD2-Movements Interfere Ratings UPD2-Movements Interfere Ratings The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings? MDS-UPDRS - Movements Interfere with Ratings
C100481 UPD2-Pain and other Sensations UPD2-Pain and other Sensations The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps? MDS-UPDRS - Pain and Other Sensations
C100541 UPD2-Painful Off-state Dystonia UPD2-Painful Off-state Dystonia The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia. MDS-UPDRS - Painful Off-state Dystonia
C100522 UPD2-Postural Stability UPD2-Postural Stability The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability. MDS-UPDRS - Postural Stability
C113882 UPD2-Postural Tremor of Left Hand UPD2-Postural Tremor of Left Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand. MDS-UPDRS - Postural Tremor of Left Hand
C100525 UPD2-Postural Tremor of Right Hand UPD2-Postural Tremor of Right Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand. MDS-UPDRS - Postural Tremor of Right Hand
C100523 UPD2-Posture UPD2-Posture The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture. MDS-UPDRS - Posture
C100514 UPD2-Pron/Sup Movement of Left Hand UPD2-Pron/Sup Movement of Left Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand. MDS-UPDRS - Pronanation-Supination Movement of Left Hand
C100513 UPD2-Pron/Sup Movement of RT Hand UPD2-Pron/Sup Movement of RT Hand The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand. MDS-UPDRS - Pronanation-Supination Movement of Right Hand
C100531 UPD2-Rest Tremor Amplitude Lip/Jaw UPD2-Rest Tremor Amplitude Lip/Jaw The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw. MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw
C100530 UPD2-Rest Tremor Amplitude LLE UPD2-Rest Tremor Amplitude LLE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity. MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity
C100528 UPD2-Rest Tremor Amplitude LUE UPD2-Rest Tremor Amplitude LUE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity. MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity
C100529 UPD2-Rest Tremor Amplitude RLE UPD2-Rest Tremor Amplitude RLE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity. MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity
C100527 UPD2-Rest Tremor Amplitude RUE UPD2-Rest Tremor Amplitude RUE The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity. MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity
C100509 UPD2-Right Finger Tapping UPD2-Right Finger Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping. MDS-UPDRS - Right Finger Tapping
C100511 UPD2-Right Hand Movements UPD2-Right Hand Movements The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements. MDS-UPDRS - Right Hand Movements
C100517 UPD2-Right Leg Agility UPD2-Right Leg Agility The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility. MDS-UPDRS - Right Leg Agility
C100515 UPD2-Right Toe Tapping UPD2-Right Toe Tapping The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping. MDS-UPDRS - Right Toe Tapping
C100508 UPD2-Rigidity Left Lower Extremity UPD2-Rigidity Left Lower Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity. MDS-UPDRS - Rigidity Left Lower Extremity
C100506 UPD2-Rigidity Left Upper Extremity UPD2-Rigidity Left Upper Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity. MDS-UPDRS - Rigidity Left Upper Extremity
C100504 UPD2-Rigidity Neck UPD2-Rigidity Neck The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck. MDS-UPDRS - Rigidity Neck
C100507 UPD2-Rigidity RT Lower Extremity UPD2-Rigidity RT Lower Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity. MDS-UPDRS - Rigidity Right Lower Extremity
C100505 UPD2-Rigidity RT Upper Extremity UPD2-Rigidity RT Upper Extremity The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity. MDS-UPDRS - Rigidity Right Upper Extremity
C100487 UPD2-Saliva and Drooling UPD2-Saliva and Drooling The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep? MDS-UPDRS - Saliva and Drooling
C100479 UPD2-Sleep Problems UPD2-Sleep Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night? MDS-UPDRS - Sleep Problems
C100502 UPD2-Speech Problems UPD2-Speech Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems. MDS-UPDRS - Speech Problems
C100486 UPD2-Speech UPD2-Speech The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech? MDS-UPDRS - Speech
C100500 UPD2-Taking Levodopa UPD2-Taking Levodopa The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa? MDS-UPDRS - Taking Levodopa
C100538 UPD2-Time Spent in the Off State UPD2-Time Spent in the Off State The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State. MDS-UPDRS - Time Spent in the Off State
C100536 UPD2-Time Spent with Dyskinesias UPD2-Time Spent with Dyskinesias The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias. MDS-UPDRS - Time Spent with Dyskinesias
C100495 UPD2-Tremor UPD2-Tremor The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor? MDS-UPDRS - Tremor
C100494 UPD2-Turning in Bed UPD2-Turning in Bed The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed? MDS-UPDRS - Turning in Bed
C100482 UPD2-Urinary Problems UPD2-Urinary Problems The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control? MDS-UPDRS - Urinary Problems
C100496 UPD2-Walking and Balance UPD2-Walking and Balance The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking? MDS-UPDRS - Walking and Balance

UPS01TC (Urgency Perception Scale Questionnaire Test Code)

NCI Code: C103489, Codelist extensible: No
C103489 UPS01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103761 UPS0101 UPS01-Describe Your Desire to Urinate Urgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate. UPS - Describe Your Experience When You Desire to Urinate

UPS01TN (Urgency Perception Scale Questionnaire Test Name)

NCI Code: C103488, Codelist extensible: No
C103488 UPS01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C103761 UPS01-Describe Your Desire to Urinate UPS01-Describe Your Desire to Urinate Urgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate. UPS - Describe Your Experience When You Desire to Urinate

VALG01TC (Veterans Administration Lung Study Group Clinical Classification Test Code)

NCI Code: C141653, Codelist extensible: No
C141653 VALG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141695 VALG0101 VALG01-Cancer Stage Veterans Administration Lung Study Group - Cancer stage. VALG - Cancer Stage

VALG01TN (Veterans Administration Lung Study Group Clinical Classification Test Name)

NCI Code: C141652, Codelist extensible: No
C141652 VALG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C141695 VALG01-Cancer Stage VALG01-Cancer Stage Veterans Administration Lung Study Group - Cancer stage. VALG - Cancer Stage

VFQ1TC (National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Code)

NCI Code: C112453, Codelist extensible: No
C112453 VFQ1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112729 VFQ101 VFQ1-Your Overall Health Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is: VFQ25-Interviewer Administered Format - Overall Health
C112730 VFQ102 VFQ1-Eyesight Using Both Eyes Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes
C112731 VFQ103 VFQ1-How Often You Worry About Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight
C112732 VFQ104 VFQ1-How Much Pain in and Around Eyes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes
C112733 VFQ105 VFQ1-Difficulty Reading Newspapers National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers
C112734 VFQ106 VFQ1-Difficulty Doing Work/Hobbies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies
C112735 VFQ107 VFQ1-Difficulty Finding on Crowded Shelf National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf
C112736 VFQ108 VFQ1-Difficulty Reading Street Signs National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs
C112737 VFQ109 VFQ1-Difficulty Going Down Step at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night
C112738 VFQ110 VFQ1-Difficulty Noticing Objects to Side National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking
C112739 VFQ111 VFQ1-Difficulty Seeing How People React National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? VFQ25-Interviewer Administered Format - Difficulty Seeing How People React
C112740 VFQ112 VFQ1-Difficulty Picking Out Own Clothes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes
C112741 VFQ113 VFQ1-Difficulty Visiting With People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? VFQ25-Interviewer Administered Format - Difficulty Visiting People
C112742 VFQ114 VFQ1-Difficulty Going Out to See Movies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies
C112743 VFQ115 VFQ1-Are You Currently Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? VFQ25-Interviewer Administered Format - Are You Currently Driving
C112744 VFQ115A VFQ1-Never Driven or Given Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving? VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving
C112745 VFQ115B VFQ1-Main Reason You Gave Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving
C112746 VFQ115C VFQ1-Difficulty Driving During Daytime National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime
C112747 VFQ116 VFQ1-Difficulty Driving at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: VFQ25-Interviewer Administered Format - Difficulty Driving at Night
C112748 VFQ116A VFQ1-Driving in Difficult Conditions National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: VFQ25-Interviewer Administered Format - Driving in Difficult Condition
C112749 VFQ117 VFQ1-Accomplish Less Than You Would Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision
C112750 VFQ118 VFQ1-Limited in How Long You Can Work National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision
C112751 VFQ119 VFQ1-Eye Pain Keep From Doing What Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like
C112752 VFQ120 VFQ1-I Stay Home Most of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight
C112753 VFQ121 VFQ1-I Feel Frustrated a Lot of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight
C112754 VFQ122 VFQ1-Much Less Control Over What I Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight
C112755 VFQ123 VFQ1-Rely Too Much on What Others Tell National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight
C112756 VFQ124 VFQ1-I Need a Lot of Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight
C112757 VFQ125 VFQ1-Worry I'll Do Embarrassing Things National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
C112758 VFQ1A01 VFQ1-Rate Your Overall Health National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? VFQ25-Interviewer Administered Format - Rate Your Overall Health
C112759 VFQ1A02 VFQ1-Rate Your Eyesight Now National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? VFQ25-Interviewer Administered Format - Rate Your Eyesight Now
C112760 VFQ1A03 VFQ1-Difficulty Reading Small Print National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: VFQ25-Interviewer Administered Format - Difficulty Reading Small Print
C112761 VFQ1A04 VFQ1-Difficulty Figure Out Bill Accuracy National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy
C112762 VFQ1A05 VFQ1-Difficulty Shaving or Styling Hair National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
C112763 VFQ1A06 VFQ1-Difficulty Recognizing People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know
C112764 VFQ1A07 VFQ1-Difficulty Taking Part in Sports National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
C112765 VFQ1A08 VFQ1-Difficulty Seeing Programs on TV National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV
C112766 VFQ1A09 VFQ1-Difficulty Entertaining Friends National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home
C112767 VFQ1A11A VFQ1-Do You Have More Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision? VFQ25-Interviewer Administered Format - Do You Have More Help From Others
C112768 VFQ1A11B VFQ1-Limited in Kinds of Things Can Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do
C112769 VFQ1A12 VFQ1-Often Irritable Because Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight
C112770 VFQ1A13 VFQ1-I Don't Go Out of My Home Alone National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight

VFQ1TN (National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Name)

NCI Code: C112452, Codelist extensible: No
C112452 VFQ1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112749 VFQ1-Accomplish Less Than You Would Like VFQ1-Accomplish Less Than You Would Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision
C112743 VFQ1-Are You Currently Driving VFQ1-Are You Currently Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? VFQ25-Interviewer Administered Format - Are You Currently Driving
C112734 VFQ1-Difficulty Doing Work/Hobbies VFQ1-Difficulty Doing Work/Hobbies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies
C112747 VFQ1-Difficulty Driving at Night VFQ1-Difficulty Driving at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: VFQ25-Interviewer Administered Format - Difficulty Driving at Night
C112746 VFQ1-Difficulty Driving During Daytime VFQ1-Difficulty Driving During Daytime National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime
C112766 VFQ1-Difficulty Entertaining Friends VFQ1-Difficulty Entertaining Friends National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home
C112761 VFQ1-Difficulty Figure Out Bill Accuracy VFQ1-Difficulty Figure Out Bill Accuracy National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy
C112735 VFQ1-Difficulty Finding on Crowded Shelf VFQ1-Difficulty Finding on Crowded Shelf National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf
C112737 VFQ1-Difficulty Going Down Step at Night VFQ1-Difficulty Going Down Step at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night
C112742 VFQ1-Difficulty Going Out to See Movies VFQ1-Difficulty Going Out to See Movies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies
C112738 VFQ1-Difficulty Noticing Objects to Side VFQ1-Difficulty Noticing Objects to Side National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking
C112740 VFQ1-Difficulty Picking Out Own Clothes VFQ1-Difficulty Picking Out Own Clothes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes
C112733 VFQ1-Difficulty Reading Newspapers VFQ1-Difficulty Reading Newspapers National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers
C112760 VFQ1-Difficulty Reading Small Print VFQ1-Difficulty Reading Small Print National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: VFQ25-Interviewer Administered Format - Difficulty Reading Small Print
C112736 VFQ1-Difficulty Reading Street Signs VFQ1-Difficulty Reading Street Signs National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs
C112763 VFQ1-Difficulty Recognizing People VFQ1-Difficulty Recognizing People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know
C112739 VFQ1-Difficulty Seeing How People React VFQ1-Difficulty Seeing How People React National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? VFQ25-Interviewer Administered Format - Difficulty Seeing How People React
C112765 VFQ1-Difficulty Seeing Programs on TV VFQ1-Difficulty Seeing Programs on TV National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV
C112762 VFQ1-Difficulty Shaving or Styling Hair VFQ1-Difficulty Shaving or Styling Hair National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
C112764 VFQ1-Difficulty Taking Part in Sports VFQ1-Difficulty Taking Part in Sports National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
C112741 VFQ1-Difficulty Visiting With People VFQ1-Difficulty Visiting With People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? VFQ25-Interviewer Administered Format - Difficulty Visiting People
C112767 VFQ1-Do You Have More Help From Others VFQ1-Do You Have More Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision? VFQ25-Interviewer Administered Format - Do You Have More Help From Others
C112748 VFQ1-Driving in Difficult Conditions VFQ1-Driving in Difficult Conditions National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: VFQ25-Interviewer Administered Format - Driving in Difficult Condition
C112751 VFQ1-Eye Pain Keep From Doing What Like VFQ1-Eye Pain Keep From Doing What Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like
C112730 VFQ1-Eyesight Using Both Eyes Is VFQ1-Eyesight Using Both Eyes Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes
C112732 VFQ1-How Much Pain in and Around Eyes VFQ1-How Much Pain in and Around Eyes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes
C112731 VFQ1-How Often You Worry About Eyesight VFQ1-How Often You Worry About Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight
C112770 VFQ1-I Don't Go Out of My Home Alone VFQ1-I Don't Go Out of My Home Alone National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight
C112753 VFQ1-I Feel Frustrated a Lot of the Time VFQ1-I Feel Frustrated a Lot of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight
C112756 VFQ1-I Need a Lot of Help From Others VFQ1-I Need a Lot of Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight
C112752 VFQ1-I Stay Home Most of the Time VFQ1-I Stay Home Most of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight
C112750 VFQ1-Limited in How Long You Can Work VFQ1-Limited in How Long You Can Work National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision
C112768 VFQ1-Limited in Kinds of Things Can Do VFQ1-Limited in Kinds of Things Can Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do
C112745 VFQ1-Main Reason You Gave Up Driving VFQ1-Main Reason You Gave Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving
C112754 VFQ1-Much Less Control Over What I Do VFQ1-Much Less Control Over What I Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight
C112744 VFQ1-Never Driven or Given Up Driving VFQ1-Never Driven or Given Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving? VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving
C112769 VFQ1-Often Irritable Because Eyesight VFQ1-Often Irritable Because Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight
C112759 VFQ1-Rate Your Eyesight Now VFQ1-Rate Your Eyesight Now National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? VFQ25-Interviewer Administered Format - Rate Your Eyesight Now
C112758 VFQ1-Rate Your Overall Health VFQ1-Rate Your Overall Health National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? VFQ25-Interviewer Administered Format - Rate Your Overall Health
C112755 VFQ1-Rely Too Much on What Others Tell VFQ1-Rely Too Much on What Others Tell National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight
C112757 VFQ1-Worry I'll Do Embarrassing Things VFQ1-Worry I'll Do Embarrassing Things National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
C112729 VFQ1-Your Overall Health Is VFQ1-Your Overall Health Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is: VFQ25-Interviewer Administered Format - Overall Health

VFQ2TC (National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Code)

NCI Code: C112455, Codelist extensible: No
C112455 VFQ2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112771 VFQ201 VFQ2-Your Overall Health Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is: VFQ25-Self Administered Format - Overall Health
C112772 VFQ202 VFQ2-Eyesight Using Both Eyes Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? VFQ25-Self Administered Format - Eyesight Using Both Eyes
C112773 VFQ203 VFQ2-How Often You Worry About Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? VFQ25-Self Administered Format - Time Spent Worry About Eyesight
C112774 VFQ204 VFQ2-How Much Pain in and Around Eyes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes
C112775 VFQ205 VFQ2-Difficulty Reading Newspapers National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers
C112776 VFQ206 VFQ2-Difficulty Doing Work/Hobbies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies
C112777 VFQ207 VFQ2-Difficulty Finding on Crowded Shelf National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf
C112778 VFQ208 VFQ2-Difficulty Reading Street Signs National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? VFQ25-Self Administered Format - Difficulty Reading Street Signs
C112779 VFQ209 VFQ2-Difficulty Going Down Step at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? VFQ25-Self Administered Format - Difficulty Going Down Steps at Night
C112780 VFQ210 VFQ2-Difficulty Noticing Objects to Side National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking
C112781 VFQ211 VFQ2-Difficulty Seeing How People React National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? VFQ25-Self Administered Format - Difficulty Seeing How People React
C112782 VFQ212 VFQ2-Difficulty Picking Out Own Clothes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes
C112783 VFQ213 VFQ2-Difficulty Visiting With People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? VFQ25-Self Administered Format - Difficulty Visiting People
C112784 VFQ214 VFQ2-Difficulty Going Out to See Movies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? VFQ25-Self Administered Format - Difficulty Going Out to See Movies
C112785 VFQ215 VFQ2-Are You Currently Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? VFQ25-Self Administered Format - Are You Currently Driving
C112786 VFQ215A VFQ2-Never Driven or Given Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving? VFQ25-Self Administered Format - Never Driven or Given Up Driving
C112787 VFQ215B VFQ2-Main Reason You Gave Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? VFQ25-Self Administered Format - Main Reason You Gave Up Driving
C112788 VFQ215C VFQ2-Difficulty Driving During Daytime National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: VFQ25-Self Administered Format - Difficulty Driving During Daytime
C112789 VFQ216 VFQ2-Difficulty Driving at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: VFQ25-Self Administered Format - Difficulty Driving at Night
C112790 VFQ216A VFQ2-Driving in Difficult Conditions National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: VFQ25-Self Administered Format - Driving in Difficult Condition
C112791 VFQ217 VFQ2-Accomplish Less Than You Would Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? VFQ25-Self Administered Format - Accomplish Less Because of Vision
C112792 VFQ218 VFQ2-Limited in How Long You Can Work National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision
C112793 VFQ219 VFQ2-Eye Pain Keep From Doing What Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like
C112794 VFQ220 VFQ2-I Stay Home Most of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. VFQ25-Self Administered Format - Stay Home Because of Eyesight
C112795 VFQ221 VFQ2-I Feel Frustrated a Lot of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight
C112796 VFQ222 VFQ2-Much Less Control Over What I Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. VFQ25-Self Administered Format - Have Less Control Because of Eyesight
C112797 VFQ223 VFQ2-Rely Too Much on What Others Tell National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight
C112798 VFQ224 VFQ2-I Need a Lot of Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. VFQ25-Self Administered Format - Need Help From Others Because of Eyesight
C112799 VFQ225 VFQ2-Worry I'll Do Embarrassing Things National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
C112800 VFQ2A01 VFQ2-Rate Your Overall Health National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? VFQ25-Self Administered Format - Rate Your Overall Health
C112801 VFQ2A02 VFQ2-Rate Your Eyesight Now National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? VFQ25-Self Administered Format - Rate Your Eyesight Now
C112802 VFQ2A03 VFQ2-Difficulty Reading Small Print National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: VFQ25-Self Administered Format - Difficulty Reading Small Print
C112803 VFQ2A04 VFQ2-Difficulty Figure Out Bill Accuracy National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy
C112804 VFQ2A05 VFQ2-Difficulty Shaving or Styling Hair National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
C112805 VFQ2A06 VFQ2-Difficulty Recognizing People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? VFQ25-Self Administered Format - Difficulty Recognizing People You Know
C112806 VFQ2A07 VFQ2-Difficulty Taking Part in Sports National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
C112807 VFQ2A08 VFQ2-Difficulty Seeing Programs on TV National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV
C112808 VFQ2A09 VFQ2-Difficulty Entertaining Friends National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home
C112809 VFQ2A11A VFQ2-Do You Have More Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision? VFQ25-Self Administered Format - Do You Have More Help From Others
C112810 VFQ2A11B VFQ2-Limited in Kinds of Things Can Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? VFQ25-Self Administered Format - Limited in Kinds of Things Can Do
C112811 VFQ2A12 VFQ2-Often Irritable Because Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. VFQ25-Self Administered Format - Often Irritable Because of Eyesight
C112812 VFQ2A13 VFQ2-I Don't Go Out of My Home Alone National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight

VFQ2TN (National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Name)

NCI Code: C112454, Codelist extensible: No
C112454 VFQ2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C112791 VFQ2-Accomplish Less Than You Would Like VFQ2-Accomplish Less Than You Would Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? VFQ25-Self Administered Format - Accomplish Less Because of Vision
C112785 VFQ2-Are You Currently Driving VFQ2-Are You Currently Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? VFQ25-Self Administered Format - Are You Currently Driving
C112776 VFQ2-Difficulty Doing Work/Hobbies VFQ2-Difficulty Doing Work/Hobbies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies
C112789 VFQ2-Difficulty Driving at Night VFQ2-Difficulty Driving at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: VFQ25-Self Administered Format - Difficulty Driving at Night
C112788 VFQ2-Difficulty Driving During Daytime VFQ2-Difficulty Driving During Daytime National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: VFQ25-Self Administered Format - Difficulty Driving During Daytime
C112808 VFQ2-Difficulty Entertaining Friends VFQ2-Difficulty Entertaining Friends National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home
C112803 VFQ2-Difficulty Figure Out Bill Accuracy VFQ2-Difficulty Figure Out Bill Accuracy National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy
C112777 VFQ2-Difficulty Finding on Crowded Shelf VFQ2-Difficulty Finding on Crowded Shelf National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf
C112779 VFQ2-Difficulty Going Down Step at Night VFQ2-Difficulty Going Down Step at Night National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? VFQ25-Self Administered Format - Difficulty Going Down Steps at Night
C112784 VFQ2-Difficulty Going Out to See Movies VFQ2-Difficulty Going Out to See Movies National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? VFQ25-Self Administered Format - Difficulty Going Out to See Movies
C112780 VFQ2-Difficulty Noticing Objects to Side VFQ2-Difficulty Noticing Objects to Side National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking
C112782 VFQ2-Difficulty Picking Out Own Clothes VFQ2-Difficulty Picking Out Own Clothes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes
C112775 VFQ2-Difficulty Reading Newspapers VFQ2-Difficulty Reading Newspapers National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers
C112802 VFQ2-Difficulty Reading Small Print VFQ2-Difficulty Reading Small Print National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: VFQ25-Self Administered Format - Difficulty Reading Small Print
C112778 VFQ2-Difficulty Reading Street Signs VFQ2-Difficulty Reading Street Signs National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? VFQ25-Self Administered Format - Difficulty Reading Street Signs
C112805 VFQ2-Difficulty Recognizing People VFQ2-Difficulty Recognizing People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? VFQ25-Self Administered Format - Difficulty Recognizing People You Know
C112781 VFQ2-Difficulty Seeing How People React VFQ2-Difficulty Seeing How People React National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? VFQ25-Self Administered Format - Difficulty Seeing How People React
C112807 VFQ2-Difficulty Seeing Programs on TV VFQ2-Difficulty Seeing Programs on TV National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV
C112804 VFQ2-Difficulty Shaving or Styling Hair VFQ2-Difficulty Shaving or Styling Hair National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
C112806 VFQ2-Difficulty Taking Part in Sports VFQ2-Difficulty Taking Part in Sports National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
C112783 VFQ2-Difficulty Visiting With People VFQ2-Difficulty Visiting With People National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? VFQ25-Self Administered Format - Difficulty Visiting People
C112809 VFQ2-Do You Have More Help From Others VFQ2-Do You Have More Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision? VFQ25-Self Administered Format - Do You Have More Help From Others
C112790 VFQ2-Driving in Difficult Conditions VFQ2-Driving in Difficult Conditions National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: VFQ25-Self Administered Format - Driving in Difficult Condition
C112793 VFQ2-Eye Pain Keep From Doing What Like VFQ2-Eye Pain Keep From Doing What Like National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like
C112772 VFQ2-Eyesight Using Both Eyes Is VFQ2-Eyesight Using Both Eyes Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? VFQ25-Self Administered Format - Eyesight Using Both Eyes
C112774 VFQ2-How Much Pain in and Around Eyes VFQ2-How Much Pain in and Around Eyes National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes
C112773 VFQ2-How Often You Worry About Eyesight VFQ2-How Often You Worry About Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? VFQ25-Self Administered Format - Time Spent Worry About Eyesight
C112812 VFQ2-I Don't Go Out of My Home Alone VFQ2-I Don't Go Out of My Home Alone National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight
C112795 VFQ2-I Feel Frustrated a Lot of the Time VFQ2-I Feel Frustrated a Lot of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight
C112798 VFQ2-I Need a Lot of Help From Others VFQ2-I Need a Lot of Help From Others National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. VFQ25-Self Administered Format - Need Help From Others Because of Eyesight
C112794 VFQ2-I Stay Home Most of the Time VFQ2-I Stay Home Most of the Time National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. VFQ25-Self Administered Format - Stay Home Because of Eyesight
C112792 VFQ2-Limited in How Long You Can Work VFQ2-Limited in How Long You Can Work National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision
C112810 VFQ2-Limited in Kinds of Things Can Do VFQ2-Limited in Kinds of Things Can Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? VFQ25-Self Administered Format - Limited in Kinds of Things Can Do
C112787 VFQ2-Main Reason You Gave Up Driving VFQ2-Main Reason You Gave Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? VFQ25-Self Administered Format - Main Reason You Gave Up Driving
C112796 VFQ2-Much Less Control Over What I Do VFQ2-Much Less Control Over What I Do National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. VFQ25-Self Administered Format - Have Less Control Because of Eyesight
C112786 VFQ2-Never Driven or Given Up Driving VFQ2-Never Driven or Given Up Driving National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving? VFQ25-Self Administered Format - Never Driven or Given Up Driving
C112811 VFQ2-Often Irritable Because Eyesight VFQ2-Often Irritable Because Eyesight National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. VFQ25-Self Administered Format - Often Irritable Because of Eyesight
C112801 VFQ2-Rate Your Eyesight Now VFQ2-Rate Your Eyesight Now National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? VFQ25-Self Administered Format - Rate Your Eyesight Now
C112800 VFQ2-Rate Your Overall Health VFQ2-Rate Your Overall Health National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? VFQ25-Self Administered Format - Rate Your Overall Health
C112797 VFQ2-Rely Too Much on What Others Tell VFQ2-Rely Too Much on What Others Tell National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight
C112799 VFQ2-Worry I'll Do Embarrassing Things VFQ2-Worry I'll Do Embarrassing Things National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
C112771 VFQ2-Your Overall Health Is VFQ2-Your Overall Health Is National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is: VFQ25-Self Administered Format - Overall Health

VLERS1TC (Vignos Lower Extremity Rating Scale Clinical Classification Test Code)

NCI Code: C130241, Codelist extensible: No
C130241 VLERS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130327 VLERS101 VLERS1-Vignos Lower Extremity Rating Vignos Lower Extremity Rating Scale - Vignos rating scale. VLERS - Vignos Lower Extremity Rating

VLERS1TN (Vignos Lower Extremity Rating Scale Clinical Classification Test Name)

NCI Code: C130240, Codelist extensible: No
C130240 VLERS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130327 VLERS1-Vignos Lower Extremity Rating VLERS1-Vignos Lower Extremity Rating Vignos Lower Extremity Rating Scale - Vignos rating scale. VLERS - Vignos Lower Extremity Rating

WD1TC (World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Code)

NCI Code: C130275, Codelist extensible: No
C130275 WD1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130899 WD1A1 WD1-Sex as Observed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Record sex as observed. WHODAS 2.0 12-item Version Interviewer-administered - Observed Sex
C130900 WD1A2 WD1-How Old Are You Now World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How old are you now? WHODAS 2.0 12-item Version Interviewer-administered - How Old Are You Now
C130901 WD1A3 WD1-Years Studying in School/College World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How many years in all did you spend studying in school, college or university? WHODAS 2.0 12-item Version Interviewer-administered - Years Studying in School or College
C130902 WD1A4 WD1-Current Marital Status World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - What is your current marital status? WHODAS 2.0 12-item Version Interviewer-administered - Current Marital Status
C130903 WD1A5 WD1-Describes Main Work Status Best World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Which describes your main work status best? WHODAS 2.0 12-item Version Interviewer-administered - Describes Main Work Status Best
C130898 WD1F5 WD1-Living Situation at Interview World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Living situation at time of interview. WHODAS 2.0 12-item Version Interviewer-administered - Living Situation at Interview
C130916 WD1H1 WD1-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Difficulties Present
C130917 WD1H2 WD1-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Interviewer-administered - Days Unable to Carry Out Activities
C130918 WD1H3 WD1-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Reduce Activities
C130904 WD1S1 WD1-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12-item Version Interviewer-administered - Standing for Long Periods
C130913 WD1S10 WD1-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 12-item Version Interviewer-administered - Dealing With People You Do Not Know
C130914 WD1S11 WD1-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 12-item Version Interviewer-administered - Maintaining a Friendship
C130915 WD1S12 WD1-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work/school? WHODAS 2.0 12-item Version Interviewer-administered - Your Day-to-Day Work or School
C130905 WD1S2 WD1-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 12-item Version Interviewer-administered - Care of Household Responsibilities
C130906 WD1S3 WD1-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12-item Version Interviewer-administered - Learning a New Task
C130907 WD1S4 WD1-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12-item Version Interviewer-administered - Problem Joining Community Activities
C130908 WD1S5 WD1-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems? WHODAS 2.0 12-item Version Interviewer-administered - Emotionally Affected by Health
C130909 WD1S6 WD1-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12-item Version Interviewer-administered - Concentrating for Ten Minutes
C130910 WD1S7 WD1-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12-item Version Interviewer-administered - Walking a Long Distance
C130911 WD1S8 WD1-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 12-item Version Interviewer-administered - Washing Your Whole Body
C130912 WD1S9 WD1-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 12-item Version Interviewer-administered - Getting Dressed

WD1TN (World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Name)

NCI Code: C130274, Codelist extensible: No
C130274 WD1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130905 WD1-Care of Household Responsibilities WD1-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 12-item Version Interviewer-administered - Care of Household Responsibilities
C130909 WD1-Concentrating for Ten Minutes WD1-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12-item Version Interviewer-administered - Concentrating for Ten Minutes
C130902 WD1-Current Marital Status WD1-Current Marital Status World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - What is your current marital status? WHODAS 2.0 12-item Version Interviewer-administered - Current Marital Status
C130917 WD1-Days Unable to Carry Out Activities WD1-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Interviewer-administered - Days Unable to Carry Out Activities
C130913 WD1-Dealing With People You Do Not Know WD1-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 12-item Version Interviewer-administered - Dealing With People You Do Not Know
C130903 WD1-Describes Main Work Status Best WD1-Describes Main Work Status Best World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Which describes your main work status best? WHODAS 2.0 12-item Version Interviewer-administered - Describes Main Work Status Best
C130908 WD1-Emotionally Affected by Health WD1-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems? WHODAS 2.0 12-item Version Interviewer-administered - Emotionally Affected by Health
C130912 WD1-Getting Dressed WD1-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 12-item Version Interviewer-administered - Getting Dressed
C130916 WD1-How Many Days Difficulties Present WD1-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Difficulties Present
C130918 WD1-How Many Days Reduce Activities WD1-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Reduce Activities
C130900 WD1-How Old Are You Now WD1-How Old Are You Now World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How old are you now? WHODAS 2.0 12-item Version Interviewer-administered - How Old Are You Now
C130906 WD1-Learning a New Task WD1-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12-item Version Interviewer-administered - Learning a New Task
C130898 WD1-Living Situation at Interview WD1-Living Situation at Interview World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Living situation at time of interview. WHODAS 2.0 12-item Version Interviewer-administered - Living Situation at Interview
C130914 WD1-Maintaining a Friendship WD1-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 12-item Version Interviewer-administered - Maintaining a Friendship
C130907 WD1-Problem Joining Community Activities WD1-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12-item Version Interviewer-administered - Problem Joining Community Activities
C130899 WD1-Sex as Observed WD1-Sex as Observed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Record sex as observed. WHODAS 2.0 12-item Version Interviewer-administered - Observed Sex
C130904 WD1-Standing for Long Periods WD1-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12-item Version Interviewer-administered - Standing for Long Periods
C130910 WD1-Walking a Long Distance WD1-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12-item Version Interviewer-administered - Walking a Long Distance
C130911 WD1-Washing Your Whole Body WD1-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 12-item Version Interviewer-administered - Washing Your Whole Body
C130901 WD1-Years Studying in School/College WD1-Years Studying in School/College World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How many years in all did you spend studying in school, college or university? WHODAS 2.0 12-item Version Interviewer-administered - Years Studying in School or College
C130915 WD1-Your Day-to-Day Work/School WD1-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work/school? WHODAS 2.0 12-item Version Interviewer-administered - Your Day-to-Day Work or School

WD2TC (World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Code)

NCI Code: C130277, Codelist extensible: No
C130277 WD2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130932 WD2H1 WD2-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12-item Version Proxy-administered - How Many Days Difficulties Present
C130933 WD2H2 WD2-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Proxy-administered - Days Unable to Carry Out Activities
C130934 WD2H3 WD2-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Proxy-administered - How Many Days Reduce Activities
C130919 WD2H4 WD2-I Am (Fill in Blank) of This Person World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - I am the (Fill in the Blank) of this person. WHODAS 2.0 12-item Version Proxy-administered - I Am the (Fill in the Blank) of This Person
C130920 WD2S1 WD2-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12-item Version Proxy-administered - Standing for Long Periods
C130929 WD2S10 WD2-Dealing With People Does Not Know World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know? WHODAS 2.0 12-item Version Proxy-administered - Dealing With People Does Not Know
C130930 WD2S11 WD2-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Maintaining a friendship? WHODAS 2.0 12-item Version Proxy-administered - Maintaining a Friendship
C130931 WD2S12 WD2-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work? WHODAS 2.0 12-item Version Proxy-administered - Your Day-to-Day Work or School
C130921 WD2S2 WD2-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities? WHODAS 2.0 12-item Version Proxy-administered - Care of Household Responsibilities
C130922 WD2S3 WD2-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12-item Version Proxy-administered - Learning a New Task
C130923 WD2S4 WD2-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much of a problem did your relative have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12-item Version Proxy-administered - Problem Joining Community Activities
C130924 WD2S5 WD2-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much has your relative been emotionally affected by his or her health condition? WHODAS 2.0 12-item Version Proxy-administered - Emotionally Affected by Health
C130925 WD2S6 WD2-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12-item Version Proxy-administered - Concentrating for Ten Minutes
C130926 WD2S7 WD2-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12-item Version Proxy-administered - Walking a Long Distance
C130927 WD2S8 WD2-Washing His/Her Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Washing his or her whole body? WHODAS 2.0 12-item Version Proxy-administered - Washing His or Her Whole Body
C130928 WD2S9 WD2-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting dressed? WHODAS 2.0 12-item Version Proxy-administered - Getting Dressed

WD2TN (World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Name)

NCI Code: C130276, Codelist extensible: No
C130276 WD2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130921 WD2-Care of Household Responsibilities WD2-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities? WHODAS 2.0 12-item Version Proxy-administered - Care of Household Responsibilities
C130925 WD2-Concentrating for Ten Minutes WD2-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12-item Version Proxy-administered - Concentrating for Ten Minutes
C130933 WD2-Days Unable to Carry Out Activities WD2-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Proxy-administered - Days Unable to Carry Out Activities
C130929 WD2-Dealing With People Does Not Know WD2-Dealing With People Does Not Know World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know? WHODAS 2.0 12-item Version Proxy-administered - Dealing With People Does Not Know
C130924 WD2-Emotionally Affected by Health WD2-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much has your relative been emotionally affected by his or her health condition? WHODAS 2.0 12-item Version Proxy-administered - Emotionally Affected by Health
C130928 WD2-Getting Dressed WD2-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting dressed? WHODAS 2.0 12-item Version Proxy-administered - Getting Dressed
C130932 WD2-How Many Days Difficulties Present WD2-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12-item Version Proxy-administered - How Many Days Difficulties Present
C130934 WD2-How Many Days Reduce Activities WD2-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Proxy-administered - How Many Days Reduce Activities
C130919 WD2-I Am (Fill in Blank) of This Person WD2-I Am (Fill in Blank) of This Person World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - I am the (Fill in the Blank) of this person. WHODAS 2.0 12-item Version Proxy-administered - I Am the (Fill in the Blank) of This Person
C130922 WD2-Learning a New Task WD2-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12-item Version Proxy-administered - Learning a New Task
C130930 WD2-Maintaining a Friendship WD2-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Maintaining a friendship? WHODAS 2.0 12-item Version Proxy-administered - Maintaining a Friendship
C130923 WD2-Problem Joining Community Activities WD2-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much of a problem did your relative have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12-item Version Proxy-administered - Problem Joining Community Activities
C130920 WD2-Standing for Long Periods WD2-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12-item Version Proxy-administered - Standing for Long Periods
C130926 WD2-Walking a Long Distance WD2-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12-item Version Proxy-administered - Walking a Long Distance
C130927 WD2-Washing His/Her Whole Body WD2-Washing His/Her Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Washing his or her whole body? WHODAS 2.0 12-item Version Proxy-administered - Washing His or Her Whole Body
C130931 WD2-Your Day-to-Day Work/School WD2-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work? WHODAS 2.0 12-item Version Proxy-administered - Your Day-to-Day Work or School

WD3TC (World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Code)

NCI Code: C130279, Codelist extensible: No
C130279 WD3TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130947 WD3H1 WD3-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12-item Version Self-administered - How Many Days Difficulties Present
C130948 WD3H2 WD3-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Self-administered - Days Unable to Carry Out Activities
C130949 WD3H3 WD3-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Self-administered - How Many Days Reduce Activities
C130935 WD3S1 WD3-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12-item Version Self-administered - Standing for Long Periods
C130944 WD3S10 WD3-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 12-item Version Self-administered - Dealing With People You Do Not Know
C130945 WD3S11 WD3-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 12-item Version Self-administered - Maintaining a Friendship
C130946 WD3S12 WD3-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Your day-to-day work? WHODAS 2.0 12-item Version Self-administered - Your Day-to-Day Work or School
C130936 WD3S2 WD3-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 12-item Version Self-administered - Care of Household Responsibilities
C130937 WD3S3 WD3-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12-item Version Self-administered - Learning a New Task
C130938 WD3S4 WD3-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12-item Version Self-administered - Problem Joining Community Activities
C130939 WD3S5 WD3-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems? WHODAS 2.0 12-item Version Self-administered - Emotionally Affected by Health
C130940 WD3S6 WD3-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12-item Version Self-administered - Concentrating for Ten Minutes
C130941 WD3S7 WD3-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12-item Version Self-administered - Walking a Long Distance
C130942 WD3S8 WD3-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 12-item Version Self-administered - Washing Your Whole Body
C130943 WD3S9 WD3-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 12-item Version Self-administered - Getting Dressed

WD3TN (World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Name)

NCI Code: C130278, Codelist extensible: No
C130278 WD3TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130936 WD3-Care of Household Responsibilities WD3-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 12-item Version Self-administered - Care of Household Responsibilities
C130940 WD3-Concentrating for Ten Minutes WD3-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12-item Version Self-administered - Concentrating for Ten Minutes
C130948 WD3-Days Unable to Carry Out Activities WD3-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Self-administered - Days Unable to Carry Out Activities
C130944 WD3-Dealing With People You Do Not Know WD3-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 12-item Version Self-administered - Dealing With People You Do Not Know
C130939 WD3-Emotionally Affected by Health WD3-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems? WHODAS 2.0 12-item Version Self-administered - Emotionally Affected by Health
C130943 WD3-Getting Dressed WD3-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 12-item Version Self-administered - Getting Dressed
C130947 WD3-How Many Days Difficulties Present WD3-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12-item Version Self-administered - How Many Days Difficulties Present
C130949 WD3-How Many Days Reduce Activities WD3-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12-item Version Self-administered - How Many Days Reduce Activities
C130937 WD3-Learning a New Task WD3-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12-item Version Self-administered - Learning a New Task
C130945 WD3-Maintaining a Friendship WD3-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 12-item Version Self-administered - Maintaining a Friendship
C130938 WD3-Problem Joining Community Activities WD3-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12-item Version Self-administered - Problem Joining Community Activities
C130935 WD3-Standing for Long Periods WD3-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12-item Version Self-administered - Standing for Long Periods
C130941 WD3-Walking a Long Distance WD3-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12-item Version Self-administered - Walking a Long Distance
C130942 WD3-Washing Your Whole Body WD3-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 12-item Version Self-administered - Washing Your Whole Body
C130946 WD3-Your Day-to-Day Work/School WD3-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Your day-to-day work? WHODAS 2.0 12-item Version Self-administered - Your Day-to-Day Work or School

WD4TC (World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Code)

NCI Code: C130281, Codelist extensible: No
C130281 WD4TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130850 WD4A1 WD4-Sex as Observed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Record sex as observed. WHODAS 2.0 12+24-item Version Interviewer-administered - Observed Sex
C130851 WD4A2 WD4-How Old Are You Now World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How old are you now? WHODAS 2.0 12+24-item Version Interviewer-administered - How Old Are You Now
C130852 WD4A3 WD4-Years Studying in School/College World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How many years in all did you spend studying in school, college or university? WHODAS 2.0 12+24-item Version Interviewer-administered - Years Studying in School or College
C130853 WD4A4 WD4-Current Marital Status World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - What is your current marital status? WHODAS 2.0 12+24-item Version Interviewer-administered - Current Marital Status
C130854 WD4A5 WD4-Describes Main Work Status Best World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Which describes your main work status best? WHODAS 2.0 12+24-item Version Interviewer-administered - Describes Main Work Status Best
C130867 WD4D1_2 WD4-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things? WHODAS 2.0 12+24-item Version Interviewer-administered - Remembering to Do Important Things
C130868 WD4D1_3 WD4-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 12+24-item Version Interviewer-administered - Finding Solutions to Problems
C130869 WD4D1_5 WD4-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say? WHODAS 2.0 12+24-item Version Interviewer-administered - Understanding What People Say
C130870 WD4D1_6 WD4-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation? WHODAS 2.0 12+24-item Version Interviewer-administered - Starting or Maintaining Conversation
C130871 WD4D2_2 WD4-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down? WHODAS 2.0 12+24-item Version Interviewer-administered - Standing Up From Sitting Down
C130872 WD4D2_3 WD4-Moving Around Inside Your Home World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home? WHODAS 2.0 12+24-item Version Interviewer-administered - Moving Around Inside Your Home
C130873 WD4D2_4 WD4-Getting Out of Your Home World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Out of Your Home
C130874 WD4D3_3 WD4-Eating World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating? WHODAS 2.0 12+24-item Version Interviewer-administered - Eating
C130875 WD4D3_4 WD4-Staying By Yourself for a Few Days World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days? WHODAS 2.0 12+24-item Version Interviewer-administered - Staying By Yourself for a Few Days
C130876 WD4D4_3 WD4-Get Along with People Close to You World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you? WHODAS 2.0 12+24-item Version Interviewer-administered - Get Along with People Close to You
C130877 WD4D4_4 WD4-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends? WHODAS 2.0 12+24-item Version Interviewer-administered - Making New Friends
C130878 WD4D4_5 WD4-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities? WHODAS 2.0 12+24-item Version Interviewer-administered - Sexual Activities
C130882 WD4D5_01 WD4-Reduce or Miss Household Work World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Reduce or Miss Household Work
C130888 WD4D5_02 WD4-Miss Work Half Day or More World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Miss Work Half Day or More
C130887 WD4D5_10 WD4-Earn Less Money World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Earn Less Money
C130879 WD4D5_2 WD4-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well? WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Household Tasks
C130880 WD4D5_3 WD4-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Needed
C130881 WD4D5_4 WD4-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Quickly
C130883 WD4D5_6 WD4-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well? WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Work or School Tasks
C130884 WD4D5_7 WD4-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting All Work Done You Need
C130885 WD4D5_8 WD4-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Work Done Quickly as Needed
C130886 WD4D5_9 WD4-Had to Work at a Lower Level World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Had to Work at a Lower Level
C130889 WD4D6_2 WD4-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Because of Barriers in World
C130890 WD4D6_3 WD4-Problem Living With Dignity World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Living With Dignity
C130891 WD4D6_4 WD4-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much time did you spend on your health condition, or its consequences? WHODAS 2.0 12+24-item Version Interviewer-administered - Time Spend on Your Health Condition
C130892 WD4D6_6 WD4-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family? WHODAS 2.0 12+24-item Version Interviewer-administered - Drain on Financial Resources
C130893 WD4D6_7 WD4-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Did Your Family Have
C130894 WD4D6_8 WD4-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Doing Things for Relaxation
C130849 WD4F5 WD4-Living Situation at Interview World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Living situation at time of interview. WHODAS 2.0 12+24-item Version Interviewer-administered - Living Situation at Interview
C130895 WD4H1 WD4-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Difficulties Present
C130896 WD4H2 WD4-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Days Unable to Carry Out Activities
C130897 WD4H3 WD4-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Reduce Activities
C130855 WD4S1 WD4-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12+24-item Version Interviewer-administered - Standing for Long Periods
C130864 WD4S10 WD4-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 12+24-item Version Interviewer-administered - Dealing With People You Do Not Know
C130865 WD4S11 WD4-Maintaining a Fiendship World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 12+24-item Version Interviewer-administered - Maintaining a Fiendship
C130866 WD4S12 WD4-Your Day-to-Day Work World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work? WHODAS 2.0 12+24-item Version Interviewer-administered - Your Day-to-Day Work
C130856 WD4S2 WD4-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 12+24-item Version Interviewer-administered - Care of Household Responsibilities
C130857 WD4S3 WD4-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12+24-item Version Interviewer-administered - Learning a New Task
C130858 WD4S4 WD4-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Joining Community Activities
C130859 WD4S5 WD4-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems? WHODAS 2.0 12+24-item Version Interviewer-administered - Emotionally Affected by Health
C130860 WD4S6 WD4-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12+24-item Version Interviewer-administered - Concentrating for Ten Minutes
C130861 WD4S7 WD4-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12+24-item Version Interviewer-administered - Walking a Long Distance
C130862 WD4S8 WD4-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 12+24-item Version Interviewer-administered - Washing Your Whole Body
C130863 WD4S9 WD4-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Dressed

WD4TN (World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Name)

NCI Code: C130280, Codelist extensible: No
C130280 WD4TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130856 WD4-Care of Household Responsibilities WD4-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 12+24-item Version Interviewer-administered - Care of Household Responsibilities
C130860 WD4-Concentrating for Ten Minutes WD4-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 12+24-item Version Interviewer-administered - Concentrating for Ten Minutes
C130853 WD4-Current Marital Status WD4-Current Marital Status World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - What is your current marital status? WHODAS 2.0 12+24-item Version Interviewer-administered - Current Marital Status
C130896 WD4-Days Unable to Carry Out Activities WD4-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Days Unable to Carry Out Activities
C130864 WD4-Dealing With People You Do Not Know WD4-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 12+24-item Version Interviewer-administered - Dealing With People You Do Not Know
C130854 WD4-Describes Main Work Status Best WD4-Describes Main Work Status Best World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Which describes your main work status best? WHODAS 2.0 12+24-item Version Interviewer-administered - Describes Main Work Status Best
C130879 WD4-Doing Important Household Tasks WD4-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well? WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Household Tasks
C130883 WD4-Doing Important Work/School Tasks WD4-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well? WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Work or School Tasks
C130892 WD4-Drain on Financial Resources WD4-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family? WHODAS 2.0 12+24-item Version Interviewer-administered - Drain on Financial Resources
C130887 WD4-Earn Less Money WD4-Earn Less Money World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Earn Less Money
C130874 WD4-Eating WD4-Eating World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating? WHODAS 2.0 12+24-item Version Interviewer-administered - Eating
C130859 WD4-Emotionally Affected by Health WD4-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems? WHODAS 2.0 12+24-item Version Interviewer-administered - Emotionally Affected by Health
C130868 WD4-Finding Solutions to Problems WD4-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 12+24-item Version Interviewer-administered - Finding Solutions to Problems
C130876 WD4-Get Along with People Close to You WD4-Get Along with People Close to You World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you? WHODAS 2.0 12+24-item Version Interviewer-administered - Get Along with People Close to You
C130884 WD4-Getting All Work Done You Need WD4-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting All Work Done You Need
C130863 WD4-Getting Dressed WD4-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Dressed
C130880 WD4-Getting Household Work Done Needed WD4-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Needed
C130881 WD4-Getting Household Work Done Quickly WD4-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Quickly
C130873 WD4-Getting Out of Your Home WD4-Getting Out of Your Home World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Out of Your Home
C130885 WD4-Getting Work Done Quickly as Needed WD4-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed? WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Work Done Quickly as Needed
C130886 WD4-Had to Work at a Lower Level WD4-Had to Work at a Lower Level World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Had to Work at a Lower Level
C130895 WD4-How Many Days Difficulties Present WD4-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Difficulties Present
C130897 WD4-How Many Days Reduce Activities WD4-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Reduce Activities
C130851 WD4-How Old Are You Now WD4-How Old Are You Now World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How old are you now? WHODAS 2.0 12+24-item Version Interviewer-administered - How Old Are You Now
C130857 WD4-Learning a New Task WD4-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 12+24-item Version Interviewer-administered - Learning a New Task
C130849 WD4-Living Situation at Interview WD4-Living Situation at Interview World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Living situation at time of interview. WHODAS 2.0 12+24-item Version Interviewer-administered - Living Situation at Interview
C130865 WD4-Maintaining a Fiendship WD4-Maintaining a Fiendship World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 12+24-item Version Interviewer-administered - Maintaining a Fiendship
C130877 WD4-Making New Friends WD4-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends? WHODAS 2.0 12+24-item Version Interviewer-administered - Making New Friends
C130888 WD4-Miss Work Half Day or More WD4-Miss Work Half Day or More World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Miss Work Half Day or More
C130872 WD4-Moving Around Inside Your Home WD4-Moving Around Inside Your Home World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home? WHODAS 2.0 12+24-item Version Interviewer-administered - Moving Around Inside Your Home
C130889 WD4-Problem Because of Barriers in World WD4-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Because of Barriers in World
C130893 WD4-Problem Did Your Family Have WD4-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Did Your Family Have
C130894 WD4-Problem Doing Things for Relaxation WD4-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Doing Things for Relaxation
C130858 WD4-Problem Joining Community Activities WD4-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Joining Community Activities
C130890 WD4-Problem Living With Dignity WD4-Problem Living With Dignity World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others? WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Living With Dignity
C130882 WD4-Reduce or Miss Household Work WD4-Reduce or Miss Household Work World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition? WHODAS 2.0 12+24-item Version Interviewer-administered - Reduce or Miss Household Work
C130867 WD4-Remembering to Do Important Things WD4-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things? WHODAS 2.0 12+24-item Version Interviewer-administered - Remembering to Do Important Things
C130850 WD4-Sex as Observed WD4-Sex as Observed World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Record sex as observed. WHODAS 2.0 12+24-item Version Interviewer-administered - Observed Sex
C130878 WD4-Sexual Activities WD4-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities? WHODAS 2.0 12+24-item Version Interviewer-administered - Sexual Activities
C130855 WD4-Standing for Long Periods WD4-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 12+24-item Version Interviewer-administered - Standing for Long Periods
C130871 WD4-Standing Up From Sitting Down WD4-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down? WHODAS 2.0 12+24-item Version Interviewer-administered - Standing Up From Sitting Down
C130870 WD4-Starting/Maintaining Conversation WD4-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation? WHODAS 2.0 12+24-item Version Interviewer-administered - Starting or Maintaining Conversation
C130875 WD4-Staying By Yourself for a Few Days WD4-Staying By Yourself for a Few Days World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days? WHODAS 2.0 12+24-item Version Interviewer-administered - Staying By Yourself for a Few Days
C130891 WD4-Time Spend on Your Health Condition WD4-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much time did you spend on your health condition, or its consequences? WHODAS 2.0 12+24-item Version Interviewer-administered - Time Spend on Your Health Condition
C130869 WD4-Understanding What People Say WD4-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say? WHODAS 2.0 12+24-item Version Interviewer-administered - Understanding What People Say
C130861 WD4-Walking a Long Distance WD4-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 12+24-item Version Interviewer-administered - Walking a Long Distance
C130862 WD4-Washing Your Whole Body WD4-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 12+24-item Version Interviewer-administered - Washing Your Whole Body
C130852 WD4-Years Studying in School/College WD4-Years Studying in School/College World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How many years in all did you spend studying in school, college or university? WHODAS 2.0 12+24-item Version Interviewer-administered - Years Studying in School or College
C130866 WD4-Your Day-to-Day Work WD4-Your Day-to-Day Work World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work? WHODAS 2.0 12+24-item Version Interviewer-administered - Your Day-to-Day Work

WD5TC (World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Code)

NCI Code: C130269, Codelist extensible: No
C130269 WD5TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130722 WD5A1 WD5-Sex as Observed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Record sex as observed. WHODAS 2.0 36-item Version Interviewer-administered - Sex as Observed
C130723 WD5A2 WD5-How Old Are You Now World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How old are you now? WHODAS 2.0 36-item Version Interviewer-administered - How Old Are You Now
C130724 WD5A3 WD5-Years Studying in School/College World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How many years in all did you spend studying in school, college or university? WHODAS 2.0 36-item Version Interviewer-administered - Years Studying in School or College
C130725 WD5A4 WD5-Current Marital Status World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - What is your current marital status? WHODAS 2.0 36-item Version Interviewer-administered - Current Marital Status
C130726 WD5A5 WD5-Describes Main Work Status Best World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Which describes your main work status best? WHODAS 2.0 36-item Version Interviewer-administered - Describes Main Work Status Best
C130727 WD5D1_1 WD5-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 36-item Version Interviewer-administered - Concentrating for Ten Minutes
C130728 WD5D1_2 WD5-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things? WHODAS 2.0 36-item Version Interviewer-administered - Remembering to Do Important Things
C130729 WD5D1_3 WD5-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 36-item Version Interviewer-administered - Finding Solutions to Problems
C130730 WD5D1_4 WD5-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 36-item Version Interviewer-administered - Learning a New Task
C130731 WD5D1_5 WD5-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say? WHODAS 2.0 36-item Version Interviewer-administered - Understanding What People Say
C130732 WD5D1_6 WD5-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation? WHODAS 2.0 36-item Version Interviewer-administered - Starting or Maintaining Conversation
C130733 WD5D2_1 WD5-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 36-item Version Interviewer-administered - Standing for Long Periods
C130734 WD5D2_2 WD5-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down? WHODAS 2.0 36-item Version Interviewer-administered - Standing Up From Sitting Down
C130735 WD5D2_3 WD5-Moving Around Inside Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home? WHODAS 2.0 36-item Version Interviewer-administered - Moving Around Inside Your Home
C130738 WD5D3_1 WD5-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 36-item Version Interviewer-administered - Washing Your Whole Body
C130739 WD5D3_2 WD5-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 36-item Version Interviewer-administered - Getting Dressed
C130740 WD5D3_3 WD5-Eating World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating? WHODAS 2.0 36-item Version Interviewer-administered - Eating
C130741 WD5D3_4 WD5-Staying by Yourself for a Few Days World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days? WHODAS 2.0 36-item Version Interviewer-administered - Staying by Yourself for a Few Days
C130742 WD5D4_1 WD5-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 36-item Version Interviewer-administered - Dealing With People You Do Not Know
C130743 WD5D4_2 WD5-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 36-item Version Interviewer-administered - Maintaining a Friendship
C130744 WD5D4_3 WD5-Get Along With People Close to You World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you? WHODAS 2.0 36-item Version Interviewer-administered - Get Along With People Close to You
C130745 WD5D4_4 WD5-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends? WHODAS 2.0 36-item Version Interviewer-administered - Making New Friends
C130746 WD5D4_5 WD5-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities? WHODAS 2.0 36-item Version Interviewer-administered - Sexual Activities
C130751 WD5D5_01 WD5-Days Reduce or Miss Household Work World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition? WHODAS 2.0 36-item Version Interviewer-administered - Days Reduce or Miss Household Work
C130758 WD5D5_02 WD5-How Many Days Did You Miss Work World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition? WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Did You Miss Work
C130747 WD5D5_1 WD5-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 36-item Version Interviewer-administered - Care of Household Responsibilities
C130757 WD5D5_10 WD5-Earn Less Money World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition? WHODAS 2.0 36-item Version Interviewer-administered - Earn Less Money
C130748 WD5D5_2 WD5-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well? WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Household Tasks
C130749 WD5D5_3 WD5-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do? WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Needed
C130750 WD5D5_4 WD5-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed? WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Quickly
C130752 WD5D5_5 WD5-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Your day-to-day work/school? WHODAS 2.0 36-item Version Interviewer-administered - Your Day-to-Day Work or School
C130753 WD5D5_6 WD5-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well? WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Work or School Tasks
C130754 WD5D5_7 WD5-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do? WHODAS 2.0 36-item Version Interviewer-administered - Getting All Work Done You Need to Do
C130755 WD5D5_8 WD5-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed? WHODAS 2.0 36-item Version Interviewer-administered - Getting Work Done Quickly as Needed
C130756 WD5D5_9 WD5-Had to Work at a Lower Level World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition? WHODAS 2.0 36-item Version Interviewer-administered - Had to Work at a Lower Level
C130759 WD5D6_1 WD5-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 36-item Version Interviewer-administered - Problem Joining Community Activities
C130760 WD5D6_2 WD5-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you? WHODAS 2.0 36-item Version Interviewer-administered - Problem Because of Barriers in World
C130761 WD5D6_3 WD5-Problem Living with Dignity World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others? WHODAS 2.0 36-item Version Interviewer-administered - Problem Living with Dignity
C130762 WD5D6_4 WD5-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much time did you spend on your health condition or its consequences? WHODAS 2.0 36-item Version Interviewer-administered - Time Spend on Your Health Condition
C130763 WD5D6_5 WD5-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much have you been emotionally affected by your health condition? WHODAS 2.0 36-item Version Interviewer-administered - Emotionally Affected by Health
C130764 WD5D6_6 WD5-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family? WHODAS 2.0 36-item Version Interviewer-administered - Drain on Financial Resources
C130765 WD5D6_7 WD5-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems? WHODAS 2.0 36-item Version Interviewer-administered - How Much Problem Did Your Family Have
C130766 WD5D6_8 WD5-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure? WHODAS 2.0 36-item Version Interviewer-administered - Problem Doing Things for Relaxation
C130721 WD5F5 WD5-Living Situation at Interview World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Living situation at time of interview. WHODAS 2.0 36-item Version Interviewer-administered - Living Situation at Interview
C130767 WD5H1 WD5-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Difficulties Present
C130768 WD5H2 WD5-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Interviewer-administered - Days Unable to Carry Out Activities
C130769 WD5H3 WD5-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Reduce Activities
C130736 WD5SD2_4 WD5-Getting Out of Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home? WHODAS 2.0 36-item Version Interviewer-administered - Getting Out of Your Home
C130737 WD5SD2_5 WD5-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 36-item Version Interviewer-administered - Walking a Long Distance

WD5TN (World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Name)

NCI Code: C130268, Codelist extensible: No
C130268 WD5TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130747 WD5-Care of Household Responsibilities WD5-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 36-item Version Interviewer-administered - Care of Household Responsibilities
C130727 WD5-Concentrating for Ten Minutes WD5-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 36-item Version Interviewer-administered - Concentrating for Ten Minutes
C130725 WD5-Current Marital Status WD5-Current Marital Status World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - What is your current marital status? WHODAS 2.0 36-item Version Interviewer-administered - Current Marital Status
C130751 WD5-Days Reduce or Miss Household Work WD5-Days Reduce or Miss Household Work World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition? WHODAS 2.0 36-item Version Interviewer-administered - Days Reduce or Miss Household Work
C130768 WD5-Days Unable to Carry Out Activities WD5-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Interviewer-administered - Days Unable to Carry Out Activities
C130742 WD5-Dealing With People You Do Not Know WD5-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 36-item Version Interviewer-administered - Dealing With People You Do Not Know
C130726 WD5-Describes Main Work Status Best WD5-Describes Main Work Status Best World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Which describes your main work status best? WHODAS 2.0 36-item Version Interviewer-administered - Describes Main Work Status Best
C130748 WD5-Doing Important Household Tasks WD5-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well? WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Household Tasks
C130753 WD5-Doing Important Work/School Tasks WD5-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well? WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Work or School Tasks
C130764 WD5-Drain on Financial Resources WD5-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family? WHODAS 2.0 36-item Version Interviewer-administered - Drain on Financial Resources
C130757 WD5-Earn Less Money WD5-Earn Less Money World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition? WHODAS 2.0 36-item Version Interviewer-administered - Earn Less Money
C130740 WD5-Eating WD5-Eating World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating? WHODAS 2.0 36-item Version Interviewer-administered - Eating
C130763 WD5-Emotionally Affected by Health WD5-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much have you been emotionally affected by your health condition? WHODAS 2.0 36-item Version Interviewer-administered - Emotionally Affected by Health
C130729 WD5-Finding Solutions to Problems WD5-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 36-item Version Interviewer-administered - Finding Solutions to Problems
C130744 WD5-Get Along With People Close to You WD5-Get Along With People Close to You World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you? WHODAS 2.0 36-item Version Interviewer-administered - Get Along With People Close to You
C130754 WD5-Getting All Work Done You Need WD5-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do? WHODAS 2.0 36-item Version Interviewer-administered - Getting All Work Done You Need to Do
C130739 WD5-Getting Dressed WD5-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 36-item Version Interviewer-administered - Getting Dressed
C130749 WD5-Getting Household Work Done Needed WD5-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do? WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Needed
C130750 WD5-Getting Household Work Done Quickly WD5-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed? WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Quickly
C130736 WD5-Getting Out of Your Home WD5-Getting Out of Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home? WHODAS 2.0 36-item Version Interviewer-administered - Getting Out of Your Home
C130755 WD5-Getting Work Done Quickly as Needed WD5-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed? WHODAS 2.0 36-item Version Interviewer-administered - Getting Work Done Quickly as Needed
C130756 WD5-Had to Work at a Lower Level WD5-Had to Work at a Lower Level World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition? WHODAS 2.0 36-item Version Interviewer-administered - Had to Work at a Lower Level
C130758 WD5-How Many Days Did You Miss Work WD5-How Many Days Did You Miss Work World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition? WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Did You Miss Work
C130767 WD5-How Many Days Difficulties Present WD5-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Difficulties Present
C130769 WD5-How Many Days Reduce Activities WD5-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Reduce Activities
C130723 WD5-How Old Are You Now WD5-How Old Are You Now World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How old are you now? WHODAS 2.0 36-item Version Interviewer-administered - How Old Are You Now
C130730 WD5-Learning a New Task WD5-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 36-item Version Interviewer-administered - Learning a New Task
C130721 WD5-Living Situation at Interview WD5-Living Situation at Interview World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Living situation at time of interview. WHODAS 2.0 36-item Version Interviewer-administered - Living Situation at Interview
C130743 WD5-Maintaining a Friendship WD5-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 36-item Version Interviewer-administered - Maintaining a Friendship
C130745 WD5-Making New Friends WD5-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends? WHODAS 2.0 36-item Version Interviewer-administered - Making New Friends
C130735 WD5-Moving Around Inside Your Home WD5-Moving Around Inside Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home? WHODAS 2.0 36-item Version Interviewer-administered - Moving Around Inside Your Home
C130760 WD5-Problem Because of Barriers in World WD5-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you? WHODAS 2.0 36-item Version Interviewer-administered - Problem Because of Barriers in World
C130765 WD5-Problem Did Your Family Have WD5-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems? WHODAS 2.0 36-item Version Interviewer-administered - How Much Problem Did Your Family Have
C130766 WD5-Problem Doing Things for Relaxation WD5-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure? WHODAS 2.0 36-item Version Interviewer-administered - Problem Doing Things for Relaxation
C130759 WD5-Problem Joining Community Activities WD5-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 36-item Version Interviewer-administered - Problem Joining Community Activities
C130761 WD5-Problem Living with Dignity WD5-Problem Living with Dignity World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others? WHODAS 2.0 36-item Version Interviewer-administered - Problem Living with Dignity
C130728 WD5-Remembering to Do Important Things WD5-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things? WHODAS 2.0 36-item Version Interviewer-administered - Remembering to Do Important Things
C130722 WD5-Sex as Observed WD5-Sex as Observed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Record sex as observed. WHODAS 2.0 36-item Version Interviewer-administered - Sex as Observed
C130746 WD5-Sexual Activities WD5-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities? WHODAS 2.0 36-item Version Interviewer-administered - Sexual Activities
C130733 WD5-Standing for Long Periods WD5-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 36-item Version Interviewer-administered - Standing for Long Periods
C130734 WD5-Standing Up From Sitting Down WD5-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down? WHODAS 2.0 36-item Version Interviewer-administered - Standing Up From Sitting Down
C130732 WD5-Starting/Maintaining Conversation WD5-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation? WHODAS 2.0 36-item Version Interviewer-administered - Starting or Maintaining Conversation
C130741 WD5-Staying by Yourself for a Few Days WD5-Staying by Yourself for a Few Days World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days? WHODAS 2.0 36-item Version Interviewer-administered - Staying by Yourself for a Few Days
C130762 WD5-Time Spend on Your Health Condition WD5-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much time did you spend on your health condition or its consequences? WHODAS 2.0 36-item Version Interviewer-administered - Time Spend on Your Health Condition
C130731 WD5-Understanding What People Say WD5-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say? WHODAS 2.0 36-item Version Interviewer-administered - Understanding What People Say
C130737 WD5-Walking a Long Distance WD5-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 36-item Version Interviewer-administered - Walking a Long Distance
C130738 WD5-Washing Your Whole Body WD5-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 36-item Version Interviewer-administered - Washing Your Whole Body
C130724 WD5-Years Studying in School/College WD5-Years Studying in School/College World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How many years in all did you spend studying in school, college or university? WHODAS 2.0 36-item Version Interviewer-administered - Years Studying in School or College
C130752 WD5-Your Day-to-Day Work/School WD5-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Your day-to-day work/school? WHODAS 2.0 36-item Version Interviewer-administered - Your Day-to-Day Work or School

WD6TC (World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Code)

NCI Code: C130271, Codelist extensible: No
C130271 WD6TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130771 WD6D1_1 WD6-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes? WHODAS 2.0 36-item Version Proxy-administered - Concentrating for Ten Minutes
C130772 WD6D1_2 WD6-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Remembering to do important things? WHODAS 2.0 36-item Version Proxy-administered - Remembering to Do Important Things
C130773 WD6D1_3 WD6-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 36-item Version Proxy-administered - Finding Solutions to Problems
C130774 WD6D1_4 WD6-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 36-item Version Proxy-administered - Learning a New Task
C130775 WD6D1_5 WD6-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Generally understanding what people say? WHODAS 2.0 36-item Version Proxy-administered - Understanding What People Say
C130776 WD6D1_6 WD6-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Starting and maintaining a conversation? WHODAS 2.0 36-item Version Proxy-administered - Starting or Maintaining Conversation
C130777 WD6D2_1 WD6-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes? WHODAS 2.0 36-item Version Proxy-administered - Standing for Long Periods
C130778 WD6D2_2 WD6-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing up from sitting down? WHODAS 2.0 36-item Version Proxy-administered - Standing Up From Sitting Down
C130779 WD6D2_3 WD6-Moving Around Inside Their Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Moving around inside their home? WHODAS 2.0 36-item Version Proxy-administered - Moving Around Inside Their Home
C130782 WD6D3_1 WD6-Washing His/Her Whole Body World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Washing his or her whole body? WHODAS 2.0 36-item Version Proxy-administered - Washing His or Her Whole Body
C130783 WD6D3_2 WD6-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting dressed? WHODAS 2.0 36-item Version Proxy-administered - Getting Dressed
C130784 WD6D3_3 WD6-Eating World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Eating? WHODAS 2.0 36-item Version Proxy-administered - Eating
C130785 WD6D3_4 WD6-Staying by Him/Herself a Few Days World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Staying by himself or herself for a few days? WHODAS 2.0 36-item Version Proxy-administered - Staying by Him or Herself a Few Days
C130786 WD6D4_1 WD6-Dealing With People Does Not Know World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know? WHODAS 2.0 36-item Version Proxy-administered - Dealing With People Does Not Know
C130787 WD6D4_2 WD6-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Maintaining a friendship? WHODAS 2.0 36-item Version Proxy-administered - Maintaining a Friendship
C130788 WD6D4_3 WD6-Get Along With People Close to Him World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting along with people who are close to him or her? WHODAS 2.0 36-item Version Proxy-administered - Get Along With People Close to Him
C130789 WD6D4_4 WD6-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Making new friends? WHODAS 2.0 36-item Version Proxy-administered - Making New Friends
C130790 WD6D4_5 WD6-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Sexual activities? WHODAS 2.0 36-item Version Proxy-administered - Sexual Activities
C130791 WD6D5_1 WD6-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities? WHODAS 2.0 36-item Version Proxy-administered - Care of Household Responsibilities
C130792 WD6D5_2 WD6-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Doing his or her most important household tasks well? WHODAS 2.0 36-item Version Proxy-administered - Doing Important Household Tasks
C130793 WD6D5_3 WD6-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting all the household work done that is needed? WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Needed
C130794 WD6D5_4 WD6-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting the household work done as quickly as needed? WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Quickly
C130795 WD6D5_5 WD6-Their Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work/school? WHODAS 2.0 36-item Version Proxy-administered - Their Day-to-Day Work or School
C130796 WD6D5_6 WD6-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Doing his or her most important work/school tasks well? WHODAS 2.0 36-item Version Proxy-administered - Doing Important Work or School Tasks
C130797 WD6D5_7 WD6-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting all the work done that is needed? WHODAS 2.0 36-item Version Proxy-administered - Getting All Work Done You Need
C130798 WD6D5_8 WD6-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting the work done as quickly as needed? WHODAS 2.0 36-item Version Proxy-administered - Getting Work Done Quickly as Needed
C130799 WD6D6_1 WD6-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 36-item Version Proxy-administered - Problem Joining Community Activities
C130800 WD6D6_2 WD6-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have because of barriers or hindrances in the world around him or her? WHODAS 2.0 36-item Version Proxy-administered - Problem Because of Barriers in World
C130801 WD6D6_3 WD6-Problem Living with Dignity World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have living with dignity because of the attitudes and actions of others? WHODAS 2.0 36-item Version Proxy-administered - Problem Living with Dignity
C130802 WD6D6_4 WD6-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much time did your relative spend on his or her health condition, or its consequences? WHODAS 2.0 36-item Version Proxy-administered - Time Spend on Your Health Condition
C130803 WD6D6_5 WD6-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has your relative been emotionally affected by his or her health condition? WHODAS 2.0 36-item Version Proxy-administered - Emotionally Affected by Health
C130804 WD6D6_6 WD6-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has his or her health been a drain on his or her financial resources or on the financial resources of other relatives? WHODAS 2.0 36-item Version Proxy-administered - Drain on Financial Resources
C130805 WD6D6_7 WD6-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did you or the rest of his or her family have because of his or her health problems? WHODAS 2.0 36-item Version Proxy-administered - Problem Did Your Family Have
C130806 WD6D6_8 WD6-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in doing things by himself or herself for relaxation or pleasure? WHODAS 2.0 36-item Version Proxy-administered - Problem Doing Things for Relaxation
C130807 WD6H1 WD6-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 36-item Version Proxy-administered - How Many Days Difficulties Present
C130808 WD6H2 WD6-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, for how many days was your relative totally unable to carry out his or her usual activities or work because of any health condition? WHODAS 2.0 36-item Version Proxy-administered - Days Unable to Carry Out Activities
C130809 WD6H3 WD6-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, not counting the days that your relative was totally unable, for how many days did your relative cut back or reduce his or her usual activities or work because of any health condition? WHODAS 2.0 36-item Version Proxy-administered - How Many Days Reduce Activities
C130770 WD6H4 WD6-I Am (Fill in Blank) of This Person World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - I am the (Fill in the Blank) of this person. WHODAS 2.0 36-item Version Proxy-administered - I Am (Fill in the Blank) of this Person
C130780 WD6SD2_4 WD6-Getting Out of Their Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting out of their home? WHODAS 2.0 36-item Version Proxy-administered - Getting Out of Their Home
C130781 WD6SD2_5 WD6-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 36-item Version Proxy-administered - Walking a Long Distance

WD6TN (World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Name)

NCI Code: C130270, Codelist extensible: No
C130270 WD6TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130791 WD6-Care of Household Responsibilities WD6-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities? WHODAS 2.0 36-item Version Proxy-administered - Care of Household Responsibilities
C130771 WD6-Concentrating for Ten Minutes WD6-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes? WHODAS 2.0 36-item Version Proxy-administered - Concentrating for Ten Minutes
C130808 WD6-Days Unable to Carry Out Activities WD6-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, for how many days was your relative totally unable to carry out his or her usual activities or work because of any health condition? WHODAS 2.0 36-item Version Proxy-administered - Days Unable to Carry Out Activities
C130786 WD6-Dealing With People Does Not Know WD6-Dealing With People Does Not Know World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know? WHODAS 2.0 36-item Version Proxy-administered - Dealing With People Does Not Know
C130792 WD6-Doing Important Household Tasks WD6-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Doing his or her most important household tasks well? WHODAS 2.0 36-item Version Proxy-administered - Doing Important Household Tasks
C130796 WD6-Doing Important Work/School Tasks WD6-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Doing his or her most important work/school tasks well? WHODAS 2.0 36-item Version Proxy-administered - Doing Important Work or School Tasks
C130804 WD6-Drain on Financial Resources WD6-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has his or her health been a drain on his or her financial resources or on the financial resources of other relatives? WHODAS 2.0 36-item Version Proxy-administered - Drain on Financial Resources
C130784 WD6-Eating WD6-Eating World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Eating? WHODAS 2.0 36-item Version Proxy-administered - Eating
C130803 WD6-Emotionally Affected by Health WD6-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has your relative been emotionally affected by his or her health condition? WHODAS 2.0 36-item Version Proxy-administered - Emotionally Affected by Health
C130773 WD6-Finding Solutions to Problems WD6-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 36-item Version Proxy-administered - Finding Solutions to Problems
C130788 WD6-Get Along With People Close to Him WD6-Get Along With People Close to Him World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting along with people who are close to him or her? WHODAS 2.0 36-item Version Proxy-administered - Get Along With People Close to Him
C130797 WD6-Getting All Work Done You Need WD6-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting all the work done that is needed? WHODAS 2.0 36-item Version Proxy-administered - Getting All Work Done You Need
C130783 WD6-Getting Dressed WD6-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting dressed? WHODAS 2.0 36-item Version Proxy-administered - Getting Dressed
C130793 WD6-Getting Household Work Done Needed WD6-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting all the household work done that is needed? WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Needed
C130794 WD6-Getting Household Work Done Quickly WD6-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting the household work done as quickly as needed? WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Quickly
C130780 WD6-Getting Out of Their Home WD6-Getting Out of Their Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting out of their home? WHODAS 2.0 36-item Version Proxy-administered - Getting Out of Their Home
C130798 WD6-Getting Work Done Quickly as Needed WD6-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting the work done as quickly as needed? WHODAS 2.0 36-item Version Proxy-administered - Getting Work Done Quickly as Needed
C130807 WD6-How Many Days Difficulties Present WD6-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 36-item Version Proxy-administered - How Many Days Difficulties Present
C130809 WD6-How Many Days Reduce Activities WD6-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, not counting the days that your relative was totally unable, for how many days did your relative cut back or reduce his or her usual activities or work because of any health condition? WHODAS 2.0 36-item Version Proxy-administered - How Many Days Reduce Activities
C130770 WD6-I Am (Fill in Blank) of This Person WD6-I Am (Fill in Blank) of This Person World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - I am the (Fill in the Blank) of this person. WHODAS 2.0 36-item Version Proxy-administered - I Am (Fill in the Blank) of this Person
C130774 WD6-Learning a New Task WD6-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 36-item Version Proxy-administered - Learning a New Task
C130787 WD6-Maintaining a Friendship WD6-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Maintaining a friendship? WHODAS 2.0 36-item Version Proxy-administered - Maintaining a Friendship
C130789 WD6-Making New Friends WD6-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Making new friends? WHODAS 2.0 36-item Version Proxy-administered - Making New Friends
C130779 WD6-Moving Around Inside Their Home WD6-Moving Around Inside Their Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Moving around inside their home? WHODAS 2.0 36-item Version Proxy-administered - Moving Around Inside Their Home
C130800 WD6-Problem Because of Barriers in World WD6-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have because of barriers or hindrances in the world around him or her? WHODAS 2.0 36-item Version Proxy-administered - Problem Because of Barriers in World
C130805 WD6-Problem Did Your Family Have WD6-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did you or the rest of his or her family have because of his or her health problems? WHODAS 2.0 36-item Version Proxy-administered - Problem Did Your Family Have
C130806 WD6-Problem Doing Things for Relaxation WD6-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in doing things by himself or herself for relaxation or pleasure? WHODAS 2.0 36-item Version Proxy-administered - Problem Doing Things for Relaxation
C130799 WD6-Problem Joining Community Activities WD6-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 36-item Version Proxy-administered - Problem Joining Community Activities
C130801 WD6-Problem Living with Dignity WD6-Problem Living with Dignity World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have living with dignity because of the attitudes and actions of others? WHODAS 2.0 36-item Version Proxy-administered - Problem Living with Dignity
C130772 WD6-Remembering to Do Important Things WD6-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Remembering to do important things? WHODAS 2.0 36-item Version Proxy-administered - Remembering to Do Important Things
C130790 WD6-Sexual Activities WD6-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Sexual activities? WHODAS 2.0 36-item Version Proxy-administered - Sexual Activities
C130777 WD6-Standing for Long Periods WD6-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes? WHODAS 2.0 36-item Version Proxy-administered - Standing for Long Periods
C130778 WD6-Standing Up From Sitting Down WD6-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing up from sitting down? WHODAS 2.0 36-item Version Proxy-administered - Standing Up From Sitting Down
C130776 WD6-Starting/Maintaining Conversation WD6-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Starting and maintaining a conversation? WHODAS 2.0 36-item Version Proxy-administered - Starting or Maintaining Conversation
C130785 WD6-Staying by Him/Herself a Few Days WD6-Staying by Him/Herself a Few Days World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Staying by himself or herself for a few days? WHODAS 2.0 36-item Version Proxy-administered - Staying by Him or Herself a Few Days
C130795 WD6-Their Day-to-Day Work/School WD6-Their Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work/school? WHODAS 2.0 36-item Version Proxy-administered - Their Day-to-Day Work or School
C130802 WD6-Time Spend on Your Health Condition WD6-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much time did your relative spend on his or her health condition, or its consequences? WHODAS 2.0 36-item Version Proxy-administered - Time Spend on Your Health Condition
C130775 WD6-Understanding What People Say WD6-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Generally understanding what people say? WHODAS 2.0 36-item Version Proxy-administered - Understanding What People Say
C130781 WD6-Walking a Long Distance WD6-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 36-item Version Proxy-administered - Walking a Long Distance
C130782 WD6-Washing His/Her Whole Body WD6-Washing His/Her Whole Body World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Washing his or her whole body? WHODAS 2.0 36-item Version Proxy-administered - Washing His or Her Whole Body

WD7TC (World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Code)

NCI Code: C130273, Codelist extensible: No
C130273 WD7TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130810 WD7D1_1 WD7-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 36-item Version Self-administered - Concentrating for Ten Minutes
C130811 WD7D1_2 WD7-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Remembering to do important things? WHODAS 2.0 36-item Version Self-administered - Remembering to Do Important Things
C130812 WD7D1_3 WD7-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 36-item Version Self-administered - Finding Solutions to Problems
C130813 WD7D1_4 WD7-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 36-item Version Self-administered - Learning a New Task
C130814 WD7D1_5 WD7-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Generally understanding what people say? WHODAS 2.0 36-item Version Self-administered - Understanding What People Say
C130815 WD7D1_6 WD7-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation? WHODAS 2.0 36-item Version Self-administered - Starting or Maintaining Conversation
C130816 WD7D2_1 WD7-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 36-item Version Self-administered - Standing for Long Periods
C130817 WD7D2_2 WD7-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing up from sitting down? WHODAS 2.0 36-item Version Self-administered - Standing Up From Sitting Down
C130818 WD7D2_3 WD7-Moving Around Inside Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Moving around inside your home? WHODAS 2.0 36-item Version Self-administered - Moving Around Inside Your Home
C130819 WD7D2_4 WD7-Getting Out of Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting out of your home? WHODAS 2.0 36-item Version Self-administered - Getting Out of Your Home
C130820 WD7D2_5 WD7-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 36-item Version Self-administered - Walking a Long Distance
C130821 WD7D3_1 WD7-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - in the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 36-item Version Self-administered - Washing Your Whole Body
C130822 WD7D3_2 WD7-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 36-item Version Self-administered - Getting Dressed
C130823 WD7D3_3 WD7-Eating World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Eating? WHODAS 2.0 36-item Version Self-administered - Eating
C130824 WD7D3_4 WD7-Staying by Yourself for a Few Days World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days? WHODAS 2.0 36-item Version Self-administered - Staying by Yourself for a Few Days
C130825 WD7D4_1 WD7-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 36-item Version Self-administered - Dealing With People You Do Not Know
C130826 WD7D4_2 WD7-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 36-item Version Self-administered - Maintaining a Friendship
C130827 WD7D4_3 WD7-Get Along With People Close to You World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you? WHODAS 2.0 36-item Version Self-administered - Get Along With People Close to You
C130828 WD7D4_4 WD7-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Making new friends? WHODAS 2.0 36-item Version Self-administered - Making New Friends
C130829 WD7D4_5 WD7-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Sexual activities? WHODAS 2.0 36-item Version Self-administered - Sexual Activities
C130830 WD7D5_1 WD7-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 36-item Version Self-administered - Care of Household Responsibilities
C130831 WD7D5_2 WD7-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Doing most important household tasks well? WHODAS 2.0 36-item Version Self-administered - Doing Important Household Tasks
C130832 WD7D5_3 WD7-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do? WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Needed
C130833 WD7D5_4 WD7-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed? WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Quickly
C130834 WD7D5_5 WD7-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: your day-to-day work/school? WHODAS 2.0 36-item Version Self-administered - Your Day-to-Day Work or School
C130835 WD7D5_6 WD7-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important work/school tasks well? WHODAS 2.0 36-item Version Self-administered - Doing Important Work or School Tasks
C130836 WD7D5_7 WD7-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the work done that you need to do? WHODAS 2.0 36-item Version Self-administered - Getting All Work Done You Need
C130837 WD7D5_8 WD7-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your work done as quickly as needed? WHODAS 2.0 36-item Version Self-administered - Getting Work Done Quickly as Needed
C130838 WD7D6_1 WD7-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 36-item Version Self-administered - Problem Joining Community Activities
C130839 WD7D6_2 WD7-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you? WHODAS 2.0 36-item Version Self-administered - Problem Because of Barriers in World
C130840 WD7D6_3 WD7-Problem Living with Dignity World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others? WHODAS 2.0 36-item Version Self-administered - Problem Living with Dignity
C130841 WD7D6_4 WD7-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much time did you spend on your health condition, or its consequences? WHODAS 2.0 36-item Version Self-administered - Time Spend on Your Health Condition
C130842 WD7D6_5 WD7-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much have you been emotionally affected by your health condition? WHODAS 2.0 36-item Version Self-administered - Emotionally Affected by Health
C130843 WD7D6_6 WD7-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much has your health been a drain on the financial resources of you or your family? WHODAS 2.0 36-item Version Self-administered - Drain on Financial Resources
C130844 WD7D6_7 WD7-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did your family have because of your health problems? WHODAS 2.0 36-item Version Self-administered - Problem Did Your Family Have
C130845 WD7D6_8 WD7-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure? WHODAS 2.0 36-item Version Self-administered - Problem Doing Things for Relaxation
C130846 WD7H1 WD7-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 36-item Version Self-administered - How Many Days Difficulties Present
C130847 WD7H2 WD7-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Self-administered - Days Unable to Carry Out Activities
C130848 WD7H3 WD7-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Self-administered - How Many Days Reduce Activities

WD7TN (World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Name)

NCI Code: C130272, Codelist extensible: No
C130272 WD7TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C130830 WD7-Care of Household Responsibilities WD7-Care of Household Responsibilities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities? WHODAS 2.0 36-item Version Self-administered - Care of Household Responsibilities
C130810 WD7-Concentrating for Ten Minutes WD7-Concentrating for Ten Minutes World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes? WHODAS 2.0 36-item Version Self-administered - Concentrating for Ten Minutes
C130847 WD7-Days Unable to Carry Out Activities WD7-Days Unable to Carry Out Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Self-administered - Days Unable to Carry Out Activities
C130825 WD7-Dealing With People You Do Not Know WD7-Dealing With People You Do Not Know World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know? WHODAS 2.0 36-item Version Self-administered - Dealing With People You Do Not Know
C130831 WD7-Doing Important Household Tasks WD7-Doing Important Household Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Doing most important household tasks well? WHODAS 2.0 36-item Version Self-administered - Doing Important Household Tasks
C130835 WD7-Doing Important Work/School Tasks WD7-Doing Important Work/School Tasks World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important work/school tasks well? WHODAS 2.0 36-item Version Self-administered - Doing Important Work or School Tasks
C130843 WD7-Drain on Financial Resources WD7-Drain on Financial Resources World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much has your health been a drain on the financial resources of you or your family? WHODAS 2.0 36-item Version Self-administered - Drain on Financial Resources
C130823 WD7-Eating WD7-Eating World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Eating? WHODAS 2.0 36-item Version Self-administered - Eating
C130842 WD7-Emotionally Affected by Health WD7-Emotionally Affected by Health World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much have you been emotionally affected by your health condition? WHODAS 2.0 36-item Version Self-administered - Emotionally Affected by Health
C130812 WD7-Finding Solutions to Problems WD7-Finding Solutions to Problems World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life? WHODAS 2.0 36-item Version Self-administered - Finding Solutions to Problems
C130827 WD7-Get Along With People Close to You WD7-Get Along With People Close to You World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you? WHODAS 2.0 36-item Version Self-administered - Get Along With People Close to You
C130836 WD7-Getting All Work Done You Need WD7-Getting All Work Done You Need World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the work done that you need to do? WHODAS 2.0 36-item Version Self-administered - Getting All Work Done You Need
C130822 WD7-Getting Dressed WD7-Getting Dressed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed? WHODAS 2.0 36-item Version Self-administered - Getting Dressed
C130832 WD7-Getting Household Work Done Needed WD7-Getting Household Work Done Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do? WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Needed
C130833 WD7-Getting Household Work Done Quickly WD7-Getting Household Work Done Quickly World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed? WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Quickly
C130819 WD7-Getting Out of Your Home WD7-Getting Out of Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting out of your home? WHODAS 2.0 36-item Version Self-administered - Getting Out of Your Home
C130837 WD7-Getting Work Done Quickly as Needed WD7-Getting Work Done Quickly as Needed World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your work done as quickly as needed? WHODAS 2.0 36-item Version Self-administered - Getting Work Done Quickly as Needed
C130846 WD7-How Many Days Difficulties Present WD7-How Many Days Difficulties Present World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Overall, in the past 30 days, how many days were these difficulties present? WHODAS 2.0 36-item Version Self-administered - How Many Days Difficulties Present
C130848 WD7-How Many Days Reduce Activities WD7-How Many Days Reduce Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? WHODAS 2.0 36-item Version Self-administered - How Many Days Reduce Activities
C130813 WD7-Learning a New Task WD7-Learning a New Task World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place? WHODAS 2.0 36-item Version Self-administered - Learning a New Task
C130826 WD7-Maintaining a Friendship WD7-Maintaining a Friendship World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship? WHODAS 2.0 36-item Version Self-administered - Maintaining a Friendship
C130828 WD7-Making New Friends WD7-Making New Friends World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Making new friends? WHODAS 2.0 36-item Version Self-administered - Making New Friends
C130818 WD7-Moving Around Inside Your Home WD7-Moving Around Inside Your Home World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Moving around inside your home? WHODAS 2.0 36-item Version Self-administered - Moving Around Inside Your Home
C130839 WD7-Problem Because of Barriers in World WD7-Problem Because of Barriers in World World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you? WHODAS 2.0 36-item Version Self-administered - Problem Because of Barriers in World
C130844 WD7-Problem Did Your Family Have WD7-Problem Did Your Family Have World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did your family have because of your health problems? WHODAS 2.0 36-item Version Self-administered - Problem Did Your Family Have
C130845 WD7-Problem Doing Things for Relaxation WD7-Problem Doing Things for Relaxation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure? WHODAS 2.0 36-item Version Self-administered - Problem Doing Things for Relaxation
C130838 WD7-Problem Joining Community Activities WD7-Problem Joining Community Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? WHODAS 2.0 36-item Version Self-administered - Problem Joining Community Activities
C130840 WD7-Problem Living with Dignity WD7-Problem Living with Dignity World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others? WHODAS 2.0 36-item Version Self-administered - Problem Living with Dignity
C130811 WD7-Remembering to Do Important Things WD7-Remembering to Do Important Things World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Remembering to do important things? WHODAS 2.0 36-item Version Self-administered - Remembering to Do Important Things
C130829 WD7-Sexual Activities WD7-Sexual Activities World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Sexual activities? WHODAS 2.0 36-item Version Self-administered - Sexual Activities
C130816 WD7-Standing for Long Periods WD7-Standing for Long Periods World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes? WHODAS 2.0 36-item Version Self-administered - Standing for Long Periods
C130817 WD7-Standing Up From Sitting Down WD7-Standing Up From Sitting Down World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing up from sitting down? WHODAS 2.0 36-item Version Self-administered - Standing Up From Sitting Down
C130815 WD7-Starting/Maintaining Conversation WD7-Starting/Maintaining Conversation World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation? WHODAS 2.0 36-item Version Self-administered - Starting or Maintaining Conversation
C130824 WD7-Staying by Yourself for a Few Days WD7-Staying by Yourself for a Few Days World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days? WHODAS 2.0 36-item Version Self-administered - Staying by Yourself for a Few Days
C130841 WD7-Time Spend on Your Health Condition WD7-Time Spend on Your Health Condition World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much time did you spend on your health condition, or its consequences? WHODAS 2.0 36-item Version Self-administered - Time Spend on Your Health Condition
C130814 WD7-Understanding What People Say WD7-Understanding What People Say World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Generally understanding what people say? WHODAS 2.0 36-item Version Self-administered - Understanding What People Say
C130820 WD7-Walking a Long Distance WD7-Walking a Long Distance World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]? WHODAS 2.0 36-item Version Self-administered - Walking a Long Distance
C130821 WD7-Washing Your Whole Body WD7-Washing Your Whole Body World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - in the past 30 days, how much difficulty did you have in: Washing your whole body? WHODAS 2.0 36-item Version Self-administered - Washing Your Whole Body
C130834 WD7-Your Day-to-Day Work/School WD7-Your Day-to-Day Work/School World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: your day-to-day work/school? WHODAS 2.0 36-item Version Self-administered - Your Day-to-Day Work or School

WHEG01TC (West Haven Hepatic Encephalopathy Grade Clinical Classification Test Code)

NCI Code: C124680, Codelist extensible: No
C124680 WHEG01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C117747 WHEG0101 WHEG01-WH Hepatic Encephalopathy Grade West Haven Hepatic Encephalopathy Grade - Grade. West Haven Criteria - West Haven Hepatic Encephalopathy Grade

WHEG01TN (West Haven Hepatic Encephalopathy Grade Clinical Classification Test Name)

NCI Code: C124679, Codelist extensible: No
C124679 WHEG01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C117747 WHEG01-WH Hepatic Encephalopathy Grade WHEG01-WH Hepatic Encephalopathy Grade West Haven Hepatic Encephalopathy Grade - Grade. West Haven Criteria - West Haven Hepatic Encephalopathy Grade

WHIVS1TC (WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Code)

NCI Code: C124674, Codelist extensible: No
C124674 WHIVS1TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124777 WHIVS101 WHIVS1-WHO Clinical Stage of HIV/AIDS WHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO clinical stage of HIV/AIDS. WHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO Clinical Stage of HIV/AIDS

WHIVS1TN (WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Name)

NCI Code: C124673, Codelist extensible: No
C124673 WHIVS1TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124777 WHIVS1-WHO Clinical Stage of HIV/AIDS WHIVS1-WHO Clinical Stage of HIV/AIDS WHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO clinical stage of HIV/AIDS. WHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO Clinical Stage of HIV/AIDS

WHIVS2TC (WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Code)

NCI Code: C124676, Codelist extensible: No
C124676 WHIVS2TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124778 WHIVS201 WHIVS2-WHO Clinical Stage of HIV/AIDS WHO Clinical Staging of HIV/AIDS for Children - WHO clinical stage of HIV/AIDS. WHO Clinical Staging of HIV/AIDS for Children - WHO Clinical Stage of HIV/AIDS

WHIVS2TN (WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Name)

NCI Code: C124675, Codelist extensible: No
C124675 WHIVS2TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C124778 WHIVS2-WHO Clinical Stage of HIV/AIDS WHIVS2-WHO Clinical Stage of HIV/AIDS WHO Clinical Staging of HIV/AIDS for Children - WHO clinical stage of HIV/AIDS. WHO Clinical Staging of HIV/AIDS for Children - WHO Clinical Stage of HIV/AIDS

WPAI01TC (Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Code)

NCI Code: C100176, Codelist extensible: No
C100176 WPAI01TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C100949 WPAI0101 WPAI01-Currently Employed Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)? WPAI:SHP v2.0 - Currently Employed
C100950 WPAI0102 WPAI01-Missed Work Hours Due to Problem Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem? WPAI:SHP v2.0 - Missed Work Hours Due to Problem
C100951 WPAI0103 WPAI01-Missed Work Hours Due to Other Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study? WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons
C100952 WPAI0104 WPAI01-Hours Actually Worked Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work? WPAI:SHP v2.0 - Hours Actually Worked
C100953 WPAI0105 WPAI01-Problem Affect Productivity Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working? WPAI:SHP v2.0 - Problem Affects Productivity
C100954 WPAI0106 WPAI01-Problem Affect Reg Daily Activity Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job? WPAI:SHP v2.0 - Problem Affects Regular Daily Activity
C166349 WPAI0107 WPAI01-Absenteeism Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Absenteeism score. WPAI:SHP v2.0 - Absenteeism Score
C166350 WPAI0108 WPAI01-Presenteeism Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Presenteeism score. WPAI:SHP v2.0 - Presenteeism Score
C166351 WPAI0109 WPAI01-Work Productivity Loss Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Work productivity loss score. WPAI:SHP v2.0 - Work Productivity Loss Score
C166352 WPAI0110 WPAI01-Activity Impairment Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Activity impairment score. WPAI:SHP v2.0 - Activity Impairment Score

WPAI01TN (Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Name)

NCI Code: C100175, Codelist extensible: No
C100175 WPAI01TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166349 WPAI01-Absenteeism Score WPAI01-Absenteeism Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Absenteeism score. WPAI:SHP v2.0 - Absenteeism Score
C166352 WPAI01-Activity Impairment Score WPAI01-Activity Impairment Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Activity impairment score. WPAI:SHP v2.0 - Activity Impairment Score
C100949 WPAI01-Currently Employed WPAI01-Currently Employed Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)? WPAI:SHP v2.0 - Currently Employed
C100952 WPAI01-Hours Actually Worked WPAI01-Hours Actually Worked Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work? WPAI:SHP v2.0 - Hours Actually Worked
C100951 WPAI01-Missed Work Hours Due to Other WPAI01-Missed Work Hours Due to Other Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study? WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons
C100950 WPAI01-Missed Work Hours Due to Problem WPAI01-Missed Work Hours Due to Problem Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem? WPAI:SHP v2.0 - Missed Work Hours Due to Problem
C166350 WPAI01-Presenteeism Score WPAI01-Presenteeism Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Presenteeism score. WPAI:SHP v2.0 - Presenteeism Score
C100953 WPAI01-Problem Affect Productivity WPAI01-Problem Affect Productivity Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working? WPAI:SHP v2.0 - Problem Affects Productivity
C100954 WPAI01-Problem Affect Reg Daily Activity WPAI01-Problem Affect Reg Daily Activity Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job? WPAI:SHP v2.0 - Problem Affects Regular Daily Activity
C166351 WPAI01-Work Productivity Loss Score WPAI01-Work Productivity Loss Score Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Work productivity loss score. WPAI:SHP v2.0 - Work Productivity Loss Score

WPAI02TC (The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Code)

NCI Code: C166186, Codelist extensible: No
C166186 WPAI02TC
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166321 WPAI0201 WPAI02-Currently Employed Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Are you currently employed (working for pay)? WPAI-GH Version 2 - Currently Employed
C166322 WPAI0202 WPAI02-Hours Miss Work Health Problems Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of your health problems? WPAI-GH Version 2 - Hours Miss Work Health Problems
C166323 WPAI0203 WPAI02-Hours Miss Work Other Reason Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study? WPAI-GH Version 2 - Hours Miss Work Other Reason
C166324 WPAI0204 WPAI02-Hours Actually Work Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you actually work? WPAI-GH Version 2 - Hours Actually Work
C166325 WPAI0205 WPAI02-Problems Affect Productivity Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your productivity while you were working? WPAI-GH Version 2 - Problems Affect Productivity
C166326 WPAI0206 WPAI02-Problems Affect Daily Activities Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your ability to do your regular daily activities, other than work at a job? WPAI-GH Version 2 - Problems Affect Daily Activities
C166327 WPAI0207 WPAI02-Absenteeism Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Absenteeism score. WPAI-GH Version 2 - Absenteeism Score
C166328 WPAI0208 WPAI02-Presenteeism Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Presenteeism score. WPAI-GH Version 2 - Presenteeism Score
C166329 WPAI0209 WPAI02-Work Productivity Loss Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Work productivity loss score. WPAI-GH Version 2 - Work Productivity Loss Score
C166330 WPAI0210 WPAI02-Activity Impairment Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Activity impairment score. WPAI-GH Version 2 - Activity Impairment Score

WPAI02TN (The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Name)

NCI Code: C166185, Codelist extensible: No
C166185 WPAI02TN
NCI Code CDISC Submission Value CDISC Synonym CDISC Definition NCI Preferred Term
C166327 WPAI02-Absenteeism Score WPAI02-Absenteeism Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Absenteeism score. WPAI-GH Version 2 - Absenteeism Score
C166330 WPAI02-Activity Impairment Score WPAI02-Activity Impairment Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Activity impairment score. WPAI-GH Version 2 - Activity Impairment Score
C166321 WPAI02-Currently Employed WPAI02-Currently Employed Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Are you currently employed (working for pay)? WPAI-GH Version 2 - Currently Employed
C166324 WPAI02-Hours Actually Work WPAI02-Hours Actually Work Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you actually work? WPAI-GH Version 2 - Hours Actually Work
C166322 WPAI02-Hours Miss Work Health Problems WPAI02-Hours Miss Work Health Problems Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of your health problems? WPAI-GH Version 2 - Hours Miss Work Health Problems
C166323 WPAI02-Hours Miss Work Other Reason WPAI02-Hours Miss Work Other Reason Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study? WPAI-GH Version 2 - Hours Miss Work Other Reason
C166328 WPAI02-Presenteeism Score WPAI02-Presenteeism Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Presenteeism score. WPAI-GH Version 2 - Presenteeism Score
C166326 WPAI02-Problems Affect Daily Activities WPAI02-Problems Affect Daily Activities Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your ability to do your regular daily activities, other than work at a job? WPAI-GH Version 2 - Problems Affect Daily Activities
C166325 WPAI02-Problems Affect Productivity WPAI02-Problems Affect Productivity Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your productivity while you were working? WPAI-GH Version 2 - Problems Affect Productivity
C166329 WPAI02-Work Productivity Loss Score WPAI02-Work Productivity Loss Score Work Productivity and Activity Impairment Questionnaire - General Health V2.0 - Work productivity loss score. WPAI-GH Version 2 - Work Productivity Loss Score